478 NE 92 St (9)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Datr"+
Type Insp'n�. . 1
Permit No.
Name
Address
Compa
Phone # - 3 o
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VIL • GE
BUILDING DEPART *:.NT
305- 795 -2204
Building Inspection Request
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
Permit No. L O L ` ct -b
Name 0■JCCO■
Address F - r 1 a
Company rA 7)/ ` aLd e
MIAMI SHORES VILLAG
BUILDING DEPARTMEN
305- 795 -2204
uilding Inspection Request
Date
Type Insp'n
Permit No.
Name
Address
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
2_2---0L--a-=? iv 0
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
Plumbing
Permit Type (circle): Building Electrical
Owner's Name (Fee Simple Titleholder) ' je , ':iX�
Owner's Address a /ls L' ( r1 �_� . ; {)11.&
City
/s 5 / /L'k%: State IL Zip g' 1.3S
A). Tenant/Lessee Name A).
Mechanical Roofing
Phone # 7 Jw SYL
Job Address (where the work is being done) 1 -1 -
City Miami Shores Village County Miami -Dade Zip 33/3r
Is Building Historically Designated YES NO
Permit No. P2-- 0 Li
Master Permit No. ID Z. 0 9 '
Phone #
Contractor's Company Name L- C L; V 4A;2 ;). l A_f r (9 ` W r Phone # 3 ' i7 - .76:74
Contractor's Address ?S (.) /(y- t`t..). /L, ., % V 71
City / State FLO). i Zip 33/4 V
Qualifier 1--1:2 6 ' C4 `" 7 . 7 -
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit ✓ i'7%. f'�'
Total Fee Now Due $ 1 (I 9 j C';�" 1
I
(Continued on opposite side)
Square Footage Of Work: /1..
Type of Work: DAddition DAlteration ❑New Repair/Replace ❑ Demolition
Describe Work: r�i_//C i 'O7. C? / �t.� � L T/ ‘7/'W 4 AJ A.. ✓ /,,;/�J. --
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ 1 7 S _ O) CCF $ C D
Notary $ <, p Training/Education Fee $ t (4 0 Technology Fee $ Lit —?7
Scanning $ Radon $ 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 reinspection fee will be charged.
Signature -a w El0tS1L, Signature
Owner or Agent
The foregoing instrument was acknowledged before me this- The foregoing instrument was acknowledged before me this
day of i , 20046, by A 03/14 day of m 2007 by LC L' -0?C 77-
(wlo is personally known to m�r who has produced is personally known to me)or who has produced
As identification and who did take an oath.
NO
Sign:
Print: ' , 47` 4
My Commission Expires:
TESTER E CROCIQ: r
MY COMMISSION 4 DO 014762
. 'e«+deEPIRES: May 20, 2005
a rnry w we,y P,,,
OTARY
P
My Commission Expires:
j - 2o - eS
****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
*****************************/*****
f
APPLICATION APPROVED BY:
Chc 10/14/03
(Certificate of Competency Holder)
Contractor
as identification . vho did take an oath.
State Certificate or Registration No. Certificate of Competency No.
* ** * * * *I ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
-2 2.- •' Y Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 3/26/2004
Applicant: PEDRO
Owner: ACOSTA
JOB ADDRESS: 478 NE 92
Parcel # 1132060140020
Plumbing Permit
Permit Number: PL2004 -95
ACOSTA
PEDRO
ST
Contractor LLOYD NORTH DADE SEPTIC TANK SERVIONdNeactor's Address: 750 NW 107 ST
Local Phone: 305 - 754 - 3375
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 3 & W1/2 LOT 2 BLK 49 LOT SIZE 75.000
Fees: Description Amount
FEE2004 -3224 Building Fee $175.00
FEE2004 -3225 CCF $0.60
FEE2004 -3227 Training and Education Fee $0.20
FEE2004 -3228 Technology Fee $4.37
FEE2004 -3229 Builders Bond $300.00
FEE2004 -3230 Notary Fee $5.00
Total Fees: $485.17
Total Fees: $485.17
Total Receipts: $485.17
Permit Status: APPROVED Permit Expiration: 9/18/2004 Construction Value: $1,000.00
Work: REPAIR DRAINFIELD
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:
•
BUILDING
ELECTRICA
PLU/VIBING
Owner of
Building
Architect
• Contractor
or Builder
Legal
Description
Lot
Address of I/
Building
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 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 asses the,zaponsibility for a thorough knowled o e ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or wings ar in the statements or specifications and • ie aS,51aies respon-
sibility for work done by his agents, servants or employees. 000
Signed. By t% a cad
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 auttw ties of Miami Shcres Village.
In accepting this permit I assume responsibility fora work done by either myself, my agent, servant or employee. t1 1 r : • .)
�d
?--;
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N2 5282
Work to be performed under this Permit
Subdi-
vision
OON1RACTOR OR BUILDER p BY
7)-7 S.p
DATE ` 194
Contractor's
License No.
Value of Amt. of C
Project Permit 1
AUTHORITY
J
BUILDING
ELECTRICAL
PLU/
Owner of
Building
Legal Lot
Description
t
7t
(ACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N2 5282
Work to be performed under this Permit
Architect
Contractor
or Builder ' / 1'1/ , - 1 c
Building of �t/ 2 27
DATE
Contractor's
License No.
visio —
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 appli-
cation 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 assunis6 the r nsibility for a thorough knowledg of e ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings o in the statements or specifications and t a y s :respon-
sibility for work done by his agents, servants or employees.
• Signed: 1' 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 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
BY
Arnt. of
Permit
AUTHORITY
194