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1255 NE 93 St( MIA' 41 SHORES VILLAGE, FLA. JOB ADDRESS N:' 7056 s_---u ; ( (2:22_ INSPECTION TIME READY f"k ' 9 - 7 REMARKS o <<. INSPECTOR u DATE 11 �Z Miami Shores Village 10050 NE 2nd Avenue Plumbing Permit Phone: 305- 795 -2204 Permit Number: PL2003 -293 Printed: 2/20/2004 Applicant: Owner: VALDES JOB ADDRESS: 1255 NE 93 Contractor USA PLUMBING, INC. Local Phone: 305 - 856 -1696 Parcel # 1132050270090 YALDES ALBERTO ST Contractor's Address: 415 S. W. 19 RD. Page 1 of 1 Legal Description: 5 53 42 BAY LURE PB 44 -63 LOT 7 LESS WLY25FT & LOT 8 LESS ELY25FT Fees: Description Amount FEE2003 -6908 Builders Bond $300.00 FEE2003 -6909 Building Fee $350.00 FEE2003 -6910 Scanning Fee $3.00 FEE2003 -6911 Notary Fee $5.00 FEE2003 -6912 Training and Education Fee $0.40 FEE2003 -6913 Technology Fee $8.75 FEE2003 -6914 CCF $1.20 Total Fees: $668.35 Total Fees: $668.35 Total Receipts: $318.35 Permit Status: APPROVED Permit Expiration: 4/25/2004 Construction Value: $1,900.00 Work: SEPTIC TANK, ABANDON TANK NEW DRAINFIEL PUMP Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Tenant/Lessee Name BUILDING PERMIT APPLICATION FBC 2001 $ Value of Work For this Permit / ` ef Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No.6 P 20 03 - (333 Master Permit No. Permit Type (circle): Building Electrical Plumbing ) Mechanical Roofing Owner's Name (Fee Simple Titleholder) /44 / PfLb ES. Phone # 30s' ?99 - &-) LI `f Owner's Address ) S S /V' E 9 City MO IAA / fie. State ' L ,4 Zip 33/3P Phone # 3° g 9 So 44q 3 Job Address (where the work is being done) / Z 45 Ai E '? 3 /1l 1.4 6a'r"/ sit aes'-s ic 3 3' ( City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name vs. A P L o 446 f lu & .3 3 s fe c Phone # 30$ -6 '-/6 'eg Contractor's Address 4// S /9 /Z 6 City M ( A 14-4 l State 7 G- -A- Zip 3 3/ z 9 Qualifier ,9 ;t/ rCD a (o C, 6- i- ! -c_C9- Architect/Engineer's Name (if applicable) Phone # Type of Work: ❑Addition Describe Work: p U i e (AJ�T,�LL<C Q k&- L o c. A. r , t.J Square Footage Of Work: ❑Alteration ❑NewRepair/Replace ❑ Demolition 'Jew fTIc_ s %` - S / r T A 12.y L, t N C % () % Pt (A) S. c A/r .La c=a i /cJ A) © /96os * * * * * * * * * * * * * * * * * * * * * * * * * * * *Fe * * * * * *1, * * * * * * * * * * * * * ** * * ** Submittal Fee $ Permit Fee $ "' 3 $ 0 CF $ I •20 • Notary $ 'CO . Training/Education Fee $ t • 40 Technology Fee $ 8,15 Scanning s '3 C`_C7 . Radon $ Bond $ O , Code Enforcement $ 0 Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortflg[i,er's A ri"' City � ... L ' ' State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR LMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be a roved and a reinspection fee will be charged. Signature awaw s` Owner or Agent The foregoing ent was acknowledged befo a this oil) day of - - 2 , 20 ( by Otk-QJ' v U' 11(C1 who is personally known to me or who has produced As identification y} an oath. ommission #DG2319U Expires 2U07 ed 3u Ailantic Bonding c.o., Inc. NOTARY/'lJBLI Sign: Print: My Commission Expires: Chc 10/14/03 Signature NOTARY PUB Sign: Print: My Commission Expires Cdat'ractor The foregoing instrument was acknowledged before me this day of CT , 20 by P in (fin 0 e,c9Accori who is personally known to me or who has produced as identification an who did take an oath. Mabel V argas Commission #D i 331 X 84 Q (Certificate of Competency Holder) State Certificate or Registration No. f � Certificate of Competency No. ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 7 , APPLICATION APPROVED BY: I y Plans Examiner Engineer Zoning