152 NE 92 St (3)DATE
ISSUED TO
to install the following described plumbing, in accordance
the laws, statutes and regalations of Miami Shores Village,
Florida and the State of Florida, governing plumbing and drain-
age work done in Miami Shoves Village, Florida,
FOR A STORY
AT
SEWER
FIXTURES _P
SEPTIC TANK
TOTAL
MIAMI
V i lage P umbing pec o ""�`
SHORES VILLAGE FLA.
PLUMBING PERMIT
FIXTURES
ByV.
NO.
BUILDING
Payment Received
This permit issued subject to approval of County Plumbing Inspector
Plumbing - Permit
Permit ' a s Miami Shores Village, Fla. J' /Y° 3/
Permission is hereby granted
i;!l�_fvI SHORES VILLAGE
to install the following described plumbing, in accordance with the
laws, statutes and regulat;.ons of Miami Shores Village, Florida anti
the State of Florida, governing plumbing and drainage work done in
Miami Shores Village, Florida.
For a s�`' At No. Pc? Mit eo 9 v (/
Lot Block Subdivision
Fixtures
As Shown on attached approved plans.
FIXTURES ROUGHED IN
FIXTURES SET
SEWER
SEPTIC TANK / ,� ,7�� i „ 1
TOTAL
G<?
w
Payment Received //f' A/
Village Plumbing Inspector
This permit issued subject to approval of County Plumbing Inspector
,
OWNER
LOT
BLOCK
SUBDIVISION
Fixtures
Fixtures
Sewer
t , c(/
ilige /;
i\
I'l to `J J/ I
For a _story M' c (
tic Tank
iami cShores9 llage
& L O A I D A
PbL U ICI E I ICI G PERMIT
Received Payment by
Total $
Village Plumbing Inspector
N9 795
•
to stall the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing acid
drainage work done in Miami Shores Village, Florida.
� ' �-
building at / � -
•
DATE
ifi
ISSUE fj' v0
to install the following described plumbing, in accordance'with
the laws, statutes and regalations of Miami. Shores Village,
Florida and the State of Florida, governing plumbing and drain-
age work done in Miam' Shores Village t'lorida.
FOR A � STORY
, 9 -7/ kr
?/42-W, A),
FIXTURES
• SEWER
SEPTIC TANK
TOTAL ti
7),
MIAAMI SHORES VILLAGE FLA.
PLUIVlBING PERMIT
FIXTURES
N0.
Payment Received
BUILDING
•
Village Plumbing Inspector
This permit issued subject to approval of County Plumbing Inspector
Date
Issued to
OWNER
/liami Shores
F 1. 0 R I D A
PLUM ='ING PERMIT N9 795
LOT
BLOCK
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
Fora . story building at
Fixtures
Fixtures
Sewer $
Septic Tank $
Total $
SUBDIVISION
Village Plumbing Inspector
Received Payment by
Permit
Permission is hereby granted
to install the
laws, statutes
the State of Fl
Miami Shores Vi
For a
Lot
Fixtures
As Shown
FIXTURES
TOTAL
TANK -,
on attached
ROUGHED IN
• FIXTURES SET.
SEWER
Village Plumbing Inspector
This permit issled subject to
MIAMI SHORES VILLAGE
Plumbing
Miami Shores Village, Fla.
At No,
Block Subdivision
approved plans.
By
following described plumbing, in accordance with
and regu1.atl.ons of Miami Shores Village, Florida
orida, governing plumbing and drainage work done
ilage, Florida.
Payment Received
a•,
the
ana
in
approval of County Plumbing Inspector
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
CONTRACTOR .` BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE ` 9 194
Contractor's /576,L
Lic nse Igo.
ERMIT N? 5002
Work to be performed under
4714/. Afrz
Lot
e
Bl.
this Permi
}
Subdi-
vision
Value of
Project
Amt. of
Permit
7
This permit is granted to the contractor or uilder n ed above to construct the building or to install the equipment or de 'ice describ .. in the appli-
cation herefor in strict compliance with all ordin .. ces pertaining thereto and w th the understanding that the work wil be performed in co - .dance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsjbility fo:'a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or .r; drawitigs or_ in th�i�statemefits or specifications and that he • ssurnes respon-
sibility for work done by his agents, servants or employees.
Signed: ' � f 4t By
IN$PFCTOR
ct l/ J
In consideration of the issuance to me of this permit I agree to perform the work covered = h ereunder in compliance with, 11,prdinances and
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritia of Miami Shed,
In accep • • I • this permit I assume i sponsibility for all work done by either myself, my gent, servant or employee.
AUTHORITY
ations`'
illage.
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N2 5002
Work to be performed under this Permit
Owner of
Building
Architect
T
Contractor
or Builder
Legal Lot Bl.
Description
Address of r aT'alue of Amt. of
Building - - - i Project Permit
This permit is granted to the contractor or ,builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinannces pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time :f the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
r -
Subdi-
vision
DATE
Contractor's
License No.
194__
Signed: + By
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 acceptin . this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OK BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE, FLORIDA
°, PERMIT N9 5728
0
Owner of
Building
Architect
Contractor
or Builder `•
Legal Lot
Description II Bl.
Address of
Building
DATE 19
Contractor's
License No. �• = •°
Work to be performed under this Permit
" :A
Subdi-
vision
Value of
Project $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed r ' 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 ao
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
ti.
Amount of -
Permit $
AUBOT 4•
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL Di Date 4° �� � 19
PLUMBING PERMIT N? 8328 Contractor's �? `�, '
License No.
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
❑ Work to be performed under this Permit
B1
s(INSPECTOR) BY
Subdi-
vision
Sq. Ft.
Value of 11 Amount of
Project $ Permit $
CONTRACTOR o t ILDER BY AUTHORITY
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work. will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees."
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 thpermit I assume responsibility for all work done by either, myself, my agent, servant or employee.
44. - \:i
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/7/2004
Applicant: JAMES AGOSTINO
Owner: AGOSTINO JAMES
JOB ADDRESS: 152 NE 92 ST
Contractor ESSIG POOLS
Local Phone: 305 - 949 -0000
Parcel # 1132060133260
Permit Status: APPROVED Permit Expiration: 8/16/2004 Construction Value: $900.00
Work: POOL PIPING
Signed: (INSPECTOR)
Plumbing Permit
Permit Number: PL2004 -57
Contractor's Address: 1800 N. E. 151 ST.
0
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 8 & 9 BLK 24 LOT SIZE 100.000
Fees: Description Amount
FEE2004 -3650 Building Fee $150.00
FEE2004 -3651 CCF $0.60
FEE2004 -3652 Training and Education Fee $0.20
FEE2004 -3653 Technology Fee $3.75
Total Fees: $154.55
Total Fees: $ 4.5
Total Receipts: $0'.00
10‘t,
s�
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:
Permit No Z Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer_____
Employing Plumber's Name_M_I-8111_,____ _lam► __. 7 /jP_%iC.__ No.
Location and Legal Description Lot — _________ —__ �— Block___ _ _ Subdivision
Street and Number where work is to be Street AV R 72-
State work to be performed and purpose of building (By Floors) ___ _ 3 _____ LO C
N Building Remodeling_ Addition
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City -Well
Amount of Permit $
MIAMI SEl RES VILLA GE
PLUMBING INSPECTION DEPARTMENT
APPL CATOON PM PLUM) @NG PER M07
/1/) )1_ L
9 5
No. _ Street_ /v
Type of Tank Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)ltr- -
(Sign
7 c
Repairs No. of Stories...
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perlman
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pub
required by the Act. The undersigned agrees to employ only such sub- contractors, work to be performed
licensed by Miami Shores Village.
Z Z ) O ,
Street A/ 4?
E2'1
Plumbing Inspector.
s as an employer of labor
upplement, and has coin-
ed by him in the work to be
lic notice or notices as are
under this permit, as are
Master Plumber.
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT •NS
TOTAL
FIXTURES
Corm:.
LIOT
--
CHUCK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IN 'G
POOL
CONTR.
LIST
CHECK
Permit No Z Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer_____
Employing Plumber's Name_M_I-8111_,____ _lam► __. 7 /jP_%iC.__ No.
Location and Legal Description Lot — _________ —__ �— Block___ _ _ Subdivision
Street and Number where work is to be Street AV R 72-
State work to be performed and purpose of building (By Floors) ___ _ 3 _____ LO C
N Building Remodeling_ Addition
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City -Well
Amount of Permit $
MIAMI SEl RES VILLA GE
PLUMBING INSPECTION DEPARTMENT
APPL CATOON PM PLUM) @NG PER M07
/1/) )1_ L
9 5
No. _ Street_ /v
Type of Tank Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)ltr- -
(Sign
7 c
Repairs No. of Stories...
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perlman
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pub
required by the Act. The undersigned agrees to employ only such sub- contractors, work to be performed
licensed by Miami Shores Village.
Z Z ) O ,
Street A/ 4?
E2'1
Plumbing Inspector.
s as an employer of labor
upplement, and has coin-
ed by him in the work to be
lic notice or notices as are
under this permit, as are
Master Plumber.
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No -- 1___
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES ILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. �/ v
Owner's Name and Address LLL __________ ----- -___ -_ No.� �_1d'_ L� Street
Registered Architect and /or Engineer_
,,pp �. D
Employing Plumber's Name t _ . _ i L _ A f f *4 " ► 1 6/ J 4__ _____ -. -_ Nos _ rte _ ___ r i - -- Street_7 7 /_ 97 1
Location and Legal Description Lot- Block -- ---- -- -- _-- ____ -- Subdivision __ --------------_ - _---____--
Street and Number where work is to be performed- No.__L5 _ _! !Cr Z _ Street
State work to be performed and purpose of building (By Floors)_
New Building .. Remodeling_____ Addition____ Repairs No. of Stories
Type of Tank____ Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
Size Septic Tank
Feet of Drain Tile_
Nature of Water Supply: City - Well .- _______ Size of Soakage Pit
cv- - - - - — ( Signed )- ---
(Signed)._
Date
My Commission Expires Notary Public, State of Florida
Master Plumber.
-..._.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors el , . • ed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work c public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, o. w•rk rformed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOaeTG
BATH
TUBS
SMOWERD
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
INALS
CATCH
BA
FLOOR
DRAIN
DRINKING
FOUNT •NN6
1 1
U
r
TOTAL
FIXTURES
COMM.
LINT
— i
(.Eet
e
/
SZ�Tr5
CHOCK
.—
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREA6E
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM
POOL
comm.
LIOT
-.
CHOCK
Permit No -- 1___
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES ILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. �/ v
Owner's Name and Address LLL __________ ----- -___ -_ No.� �_1d'_ L� Street
Registered Architect and /or Engineer_
,,pp �. D
Employing Plumber's Name t _ . _ i L _ A f f *4 " ► 1 6/ J 4__ _____ -. -_ Nos _ rte _ ___ r i - -- Street_7 7 /_ 97 1
Location and Legal Description Lot- Block -- ---- -- -- _-- ____ -- Subdivision __ --------------_ - _---____--
Street and Number where work is to be performed- No.__L5 _ _! !Cr Z _ Street
State work to be performed and purpose of building (By Floors)_
New Building .. Remodeling_____ Addition____ Repairs No. of Stories
Type of Tank____ Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
Size Septic Tank
Feet of Drain Tile_
Nature of Water Supply: City - Well .- _______ Size of Soakage Pit
cv- - - - - — ( Signed )- ---
(Signed)._
Date
My Commission Expires Notary Public, State of Florida
Master Plumber.
-..._.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors el , . • ed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work c public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, o. w•rk rformed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Miami Shores Village
•
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. E I awl - 3G .
Master Permit No.6 PAIN-a-1
Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) - 3 --- tn frIFS G 1.4() Phone # 0 6'754'0 551
Owner's Address 1 5 a ki O( a s j
Cit 1 B Of\ ► s 1-,kO ES State (r Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 59 Ni E q c g, J 1
City _ . Miami -Shores Village County Miami -Dade Zip
(Is Building Historically Designated A YES Pc, NO
J
Contractor's Company Name
Contractor's Address 14 LP 4. kl L) n9 ,*t.Q.)
City o Y lV fL'—' l.A State
Qualifier
C VS()
Total Fee Now Due $ y
(Continued on opposite side)
L / U Phone # 3 - LQ9 -
Zip ,53) V.0
Architect/Engineer's Name (if applicable) Pfk Iff.e,le Phone # 5 05 2 : 7 ( 0 Y c. ?
$ Value of Work For this Permit 9,0 Square Footage Of Work:
Type of Work: ❑Addition ['Alteration ['New ❑ Repair/Replace ❑ Demolition
Describe Work: � ®.e�, /� G ��e La>� G✓� � e
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ 50.00 Permit Fee $ 43 Ue' CCF $ , 4.5) 0 CO /CC
Notary $ Training/Education Fee $ I 0 Technology Fee $ R, 7---S
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
•
Bonding Company's Name (if applicable) • •
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City 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 IMPROVEMENTS 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 approved and a reinspectionfee will be charged
Signature 4,
Chc 12/15/03
l'
OK'n or Agent
My Commission Expires:
State Certificate or Registration No. 6
The foregoing instrument w s acknowledged before me this'
day of ,— , 20 b , by
who is personally kno to me ;.. • .. produced
fication and who did take an oath.
NOTARY PUB i C No , .KENNETH „ " HE
�,� /L r M Yc►a„ HER MA
Sign: State
a
Print: m Nn pp 1 24, 00
My Commission Expires: Comm. No. 0D 1 824Qt
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
. 1 . cr . ld 1
* * * * * * * * * * * * * * * **
APPLICATION APPROVED
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *_************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
NOTARY PUBL
P
The foregoing instrument was a knowledged before me this ' 1
day of P ` > , 24 G` by
who is pe ovally know o has produced
e or w
;fica'in
ublic, Staff) of Flor
ide
Sign: r r /
Certificate of Competency No.
2 i ` 4 O'lans Examiner
Engineer
Zoning
/ Contractor
d who did take an oath.
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: EL2004 -39
Printed: 4/7/2004
Applicant: JAMES AGOSTINO
Owner: AGOSTINO JAMES
JOB ADDRESS: 152 NE 92 ST
Contractor T & M ELECTRIC INC
Local Phone: 05 406 - 9692
Parcel # 1132060133260
Signed: (INSPECTOR)
Electrical Permit
Contractor's Address: 1464 N. W. 78 AVE.
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 8 & 9 BLK 24 LOT SIZE 100.000
Fees: Description Amount
FEE2004 -3646 Building Fee $150.00
FEE2004 -3647 CCF $0.60
FEE2004 -3648 Training and Education Fee $0.20
FEE2004 -3649 Technology Fee $3.75
Total Fees: $154.55
Total Fees: $14.0,
Total Receipts: $0.00
1oY,ss
Permit Status: APPROVED Permit Expiration: 8/16/2004 Construction Value: $800.00
Work: ELECTRICAL FOR NEW POOL
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:
BUILDING
PERMIT APPLICATION
FBC 2001
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
\Y ;'�f +�
Permit No.? I 4 6
�
Master Permit No. Bpan() u - (13
Permit Type (circle): Building Electrical C Plumbin Mechanical Roofing
Owner's Name (Fee Simple Titleholder) S Phone # 3 <-5r 7 4 ) -- 7 1 c
Owner's Address / i Z /Z"- - " --
9 T
City A /44/0 f .S'/4o /Q5' State de Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) (J ' o e- `C s 7
City— Miami Shores Village County Miami -Dade Zip .75'-?/ Y S'
�Is Building Historically Designated 'YES /P NO
Contractor's Company Name S S,) �.::=, 7- Phone # � . 7 ? ate)
Contractor's Address / �0 ~ 1/76 t 6 ( . - _ 7-
City /11/7 u(�'_ / State_ 1 Zip / �- ' -
Try (
Qualifier 5 S/ ;c--
Architect/Engineer's Name (if applicable) /P (/j f11-el x Phone # . � � ��-'7 /
$ Value of Work For this Permit 9777"° Square Footage Of Work: 0 a
Type of Work: ❑Addition plAlteration New ❑ Repair/Replace ❑ Demolition
Describe Work: 6 ) 1 9 J C/ PLC g
Q t_ 8 S(1 * * * * * * * * * * * * * * * * * * * * * * * * * ** *F * * * * ** * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ 50 .00 Permit Fee $ � CCF $ a
Notary $ Training/Education Fee $ ? ■ 0 Technology Fee $3 15
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ / 0 11-.S C
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City 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 CONDMONERS, 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 IMPROVEMENTS 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 absenc of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
onally
As 'den
Signature
Owner 'r 1nt Contracto
The foregoing instrument w .401 owledged before me this knowledged before me this /7
7 20V b! b
day of �� y by
who is per
NOTARY,P
Sign:
P
My Co ssion Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 10/14/03
h• as produced
on and who did take an oath.
SHE
caro tate of Florida
Nmm. N N. OD 1 0 0
Signature
NOTARY PUB
Sign:
P
The foregoing instrument was
day of P , -90
who is persy known to
as identifi
My Commission Expires: 0
as produced
and who did take an oath.
Plans Examiner
Engineer
Zoning
xp, Ma;/ 24F/ or /da
.; 007
(Certificate of Competency Holder)
State Certificate or Registration No. CPCO r J « J Certificate of Competency No.
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date /J
Type Insp'n )Oat � �G
Permit No. O ll 5 9
Name � �� e1 S.2762o 42L-t
Address J S AiL 9 2 65
Company ,5 doom
Phone # 3 - vs' 5 i9- ADO . -end-/S