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969 NE 92 St (6)MIAMI SHORES VILLAG BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Permit No. U Type Insp'n TOL ) ga n #�, 1 PI aoo 3- ,231G. Name (� •' �� Address q0 _ ` PE c1 D- 57 - Company �tX I 1' Cri J� �r ,1 / - • Phone # For Inspector: 1,0 01- Approved Correction Re- Insp'n Fee ❑ Time tolev 3901 MIAMI S s & ORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bgilding Inspection Request Date (_ Time Type Insp'n�/CIintled Permit No. P1 .2W3 2 (pD Name *Clef Address ` 6 ' 1 ` Company 8S3-31507. Phone # � 6� ^ For Inspector: el Approved 0/1)4a Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 B ildin: Inspection Request Date Inspection Date Approved Correction ❑ Re- Insp'n Fee ❑ Type Insp'n ' ,CA}f2.{ TtLe. c cke / doff), Permit No P 1 UV Name ' l � �rJ" 1-- re Address -1 ` cI Company GICVL p (WY/ Phone # MIAMI SHORES VILLAGE UILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 14O/G 3 Time Type Insp'n (.002T-OA Gi P- - Top O O T Permit No. fL 2.003- 24 C Name / c 2 % ! J , ( 1 e 4 Address 962q q Z 5 Company /411/2/' d P P/u I ,t Phone # For Inspector: 1 / 1 /°3 Name* Date Approved / • Correction ❑ / v Re- Insp'n Fee ❑ MIAMI SHORES VILLA, E BUILDING DEPARTME 305- 795 -2204 Building Inspection Request Date 2 °,,,9��H Type Insp'n j,,, v// Permit No. pez ,03—,236 Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n F nie; 4 14 PiR 9,1 51- Address Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request q 24 J co_ ❑ Date Z Type Insp'n w U 11JLJ Permit No. p ( 2003 p cD Name 1l `e Company V 1 1C)l p 1 u Phone # �3 S (4 4 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) \' -.A v /, Owner's Address L ,4 1 City ' \ \\+c +.",‘.,"1 i `�'lc�; ate �_.�, L Tenant/Lessee Name Qualifier e Miami Shores Village Building Department State Zip Permit No. ?L9003-3(0 Master Permit No. Phone # Phone # 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972', .7 c // 2 Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name f , Phone # ;% y �,� .a t .�- �.��_+ Contractor's Address 4 ' i , 4, 't - ' . / , _ i City ," , : �,, L State c: „ Zip L Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address City Zip Square Footage Of Work: $ Value of Work For this Permit % ■�' t A Nuber of: Bays! Stories a Families Bedrooms Baths Typo pl'„3Vork: DAddition DAlteration [Tew ❑ Repair/Replace ❑ Demolition Describe Work: Lisuuauuu+tiuua u� u 11114 � .�s ti c . 1 County Escrow F $ Permit Fee $ Notary $ Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ .Struct. $ -- \- Minus Plans Check Fee $ Total Fee Now Due $ (CoOef e4oe c lpAl a side) Paid ( 30. 00 v� isa Bonding Company's Name (if applicable) k 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 a such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 3-, day of , 20 , by day of 1- ' .., who is personally known to me or who has produced w h o is personally known to me or who has produced A y / As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) My Commission Expires: Site Co rtt atolorRegititratitirillo. Certificate of Competency No " /() *" ; *** * * * * * * * * * 041 440 * * * * * * * * * * * * * * * * * * * * * * * * chc7rno3 APPLICATION APPROVED BY: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning • ITEM BATH TUB UNIT • i FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER Q RECEPTACLES A/C (WIND) DISPOSAL . SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY `s OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE 1 MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET ',_ MOTORS OVER 100 HP VIOLATION INDIRECT WASTES .. A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE Q SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER _ SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL '' DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (AN APPLICATpN FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED,•tHE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Printed: 9/22/2003 Applicant: MICHAEL MEYER JOB ADDRESS: 969 NE 92 Contractor MIAMI Local Phone: Parcel # 1132060060031 ME PLUMBING Permit Number: MEYER MICHAEL ST Contractor's Address: 2398 SW 25 ST Page 1 of 1 Legal Description: GOLDEN GATE PARK AMID PB 7 - 54 LOT 3 LOT SIZE 50.000 X 140 OR 18936 - 0487 Feet: Cie croptoon Amount FEE2003 - 5666 Building Fee $160.00 FEE2003 -5667 CCF $3.00 Tot& Frees: 16 T tai F es: a.1%,:n1 v 15Q Tit na s= receipts: 71 Permit Status: APPROVED PelrmK Expiration: 3/14/2004 Construction Value: $4,200.00 Work: new 900 gel septic tank 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 responislbility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: