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PLUMBINGDat Type Insp'n Permit No. N Address MIAMI SHORES VILL • GE BUILDING DEPARTM 305- 795 -2204 Building Inspection Request Approved Correction Re- Insp'n Fee Company '.- P Phone # Inspection Date Company Phone # Inspection Date Approved Correction Re- Insp'n F MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Build / Inspection Req st l\ Date_ Type Insp'n 2\ \J\`A\ C .• ∎ ✓\AD . Permit No. V 1 I 0 Name — YI00n - E Address \ 3 \2— ' C qt-‘ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 ee Building Inspection Request Date o Type Insp'n tJ\ \ \.), N\ . , Permit No. t _ ;\-., Name it ( c Address 1 -D ) \Z- 't, , c_ C , ._ \ ^ J __ Company i` p- " a..- .lt,/,_. Phone # fa Inspection Date � n / Approved Correction Re- Insp'n Frye t - , . d o" e (/' : �� i \ ✓� d ., i , .. dw B UILDIN PERMIT AP ICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) /.11.3 Al E r City f L/ (/ ��z< , G1 a►-c -J State t / Owner's Address Tenant/Lessee Name � 0050 N.E.2nd Avenue, Mimi Shores, Florida 33138 I i C \\J E 0 Tel: (305) 795.2204 Far: (305) 756.8972 City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name '( Contractor's Address / 7 0 Cit t 1 1 t / Qualifier fic 4 J 4' $ Value of Work For this Permit Type of Work: Describe Work: x. 5 T ` [M#Additio ❑Alteration NS jti¢w .5t -.c Total Fee Now Due $../Z‘i4p4" 11 (Continued on opposite side) Miami Shores Village Building Department Electrical J� aj t(i k, »J /1 S 1 •w '250 / rk N A State F Architect/Engineer's Name (if applicable) G `� r k �CLy� [' _s o ao, %, Submittal Fee $5 v v Permit Fee $ 3 S Notary $ S, 0 0 Training/Education Fee $ 1- D ch Scanning $ Radon $ Zoning_ Code Enforcement $ Structural Plan Review. $ /4, .11 Zip Job Address (where the work is being done) 4 3 Al County Miami -Dade NO S7" Permit No. Master Permit No. Mechanical Phone # ! Phone # Zip Phone # 3 S 2 /61' 1 ) : g 3 Zip 3 7 c 3 / Phone # Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * *:t * * * * * * * * * * * * * * * * * * * * * * ** pLo E C'_7 / 75 � Roofing 56 C ❑New , ❑ Repair/Replace ❑ Demolition 'C S' 5 C 141 4 r .- ,_^ ,(_ / U4•••/C , .� CCF $ 3 , 0 0 CO /CC Technology Fee $ g , Bond $ 0 Bonding Company's Name (if applicable) iV/A— , Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) C/A- • 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 Ap.licant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in • od faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose prope ty is sub'ect to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first 'nspecti hi i occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection wi 1 not :.4...pr. et1 and a reinspection fee will be charged. Signature gent The foregoing instrumen ac owledged before me this '7 day of 49r. / , 20 0 y, by day who is ersonally known to me`or who has produced As identification and who did take an oath. kr ,''IAIBERTOMIRANDA ,•■ ';;. MY'.(r "AMISSION # DD 300684 ' . May 16, 2006 ' fr -u Notary Public Underwriters NOTARY Sign: Print: /41641: /h My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 12/15/03 Signatur m NOTARY S Print: (Certificate of Competency Holder) Contractor The foregoing instrument was ac , owledged before me this 200 My Commission Expires: who is p-rsonally known -,to me or who has produced PLD L -� identification and who did take an oath. of ******************; * t * * * * *if* * * * * * * * * * * * * * * * * * * * * * ** State Certificate or Registration No. / Certificate of Competency No. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** " 'TT'k�kjk* ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 0 '/ P-0 ”lans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER 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 OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 IP 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 HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMAING POOL OUTLETS C0 I RCIAL WATER SERVICE 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 PUM E 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 ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION 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 ELECTRICAL MECHANICAL • Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Plumbing Permit Permit Number: PL2004 -111 Printed: 4/9/2004 Page 1 of 1 Applicant: URQUIA HERNANDEZ Owner: HERNANDEZ URQUIA JOB ADDRESS: 1213 NE 94 ST Contractor ADALBERTO MIRANDA Contractor's Address: 15870 S. W. 250 ST. Local Phone: 305 - 258 -9897 Fees: Description Amount FEE2004 -3751 Building Fee $350.00 FEE2004 -3752 ( $3.00 FEE2004 -3753 Notary Fee $5.00 FEE2004 -3754 Training and Education Fee $1.00 FEE2004 -3755 Technology Fee $8.75 FEE2004 -3756 Builders Bond $300.00 Total Fees: $667.75 Parcel # 1132050100020 Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 LOTS 2 & 3 LOT SIZE 150.00 X 125.00 OR Permit Status: APPROVED Permit Expiration: 10/4/2004 Construction Value: $5,000.00 Work: INSTALL NEW SEPTIC SYSTEM; PUMP AND ABANDON EXISTING TANK Signed: (INSPECTOR) Total Fees: $9 . Total Receipts: $0.0 3Q p�0 1 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 ELECTRICAL PLUMBING ROOFING 0 Owner of Building Architect Contractor or Builder Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT /0 3747 Work to be performed under this Permit Bl. Address of Building { • Subdi- vision Value of Project $ DATE 19r- a Contractor's License No. Amount of Permit $ BY AUTHORITY /2 .� •...._ 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. � 1 Signed ' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordincmces and regulations pertaining thereto and in strict conformity with the plans, drawings, statements cr specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ABBOT PRINT BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA El DATE. o PERMIT N? 3774 Contractor's F _, ❑ License No. ❑ Work to be performed under this Permit Owner of r t' Building CONTRACTOR OR BUILDER Bl. Address of Building • Subdi- vision Value of Project $ Amount of 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 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. ! 1, t 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 req'91ations pertaining thereto and in strict conformity with the plans, drawing, statements cr specifications submitted to the proper authorities of Miami Shores Village. In ac cepting this permit I assume responsibility for all work done i5y either, myself, my agent, servant or employee. • BY AUTHORITY ABBOT PRINT BUILDING ELECTRICAL PLUMBING PERMIT N? 4687 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision Value of Project DATE Contractor's License No. Amt. of p; Permit 194 L This permit is granted to the contractor or Imilder 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 w th the understanding that the work wil be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to a nd 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: _0 , -. l - 4 By 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 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. ' BY ° AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legat Lot Description Address of Building te ON OR OR BUILDER '' MIAMI SHORES VILLAGE, FLORIDA DATE q - / ?3 194 PERMIT N° 4734 Work to be performed under this Permit ...c4 { -49 LOO .)/.4 4 ..41t Subdi- vision • LA Contractor's License No. 4. r^ (--. Value of J /4:" » /a(/" r P Project, Permit 0 This permit is granted to the contras or or builder m ed above to construct the building or to install tl equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 ,- .hanged 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 whetter 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 • t,. / 40 ` --� s by INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereundtir in npliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted t e proper authorities of Miami Shores Village. In acc,Mphis ermit I s me responsi ility for all work done by either myself, my agent, servant or employee. Amt. of r''" j29J BY AUTHORITY MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B uilding Inspection Request Date l� Type Insp'n FP4a 111 ( S VS Irit PAL? Permit No. 1 564 - Name CV ti,41nid Address , X 13 N E ' (' Company 6. V Phone # Inspection Date Inspection Approved Correction Re -Insp' n Fee Z88o 0S3Z (L.e airs ) anl - /y MIAMI SHORES VILLAGE • BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date( r Type Insp'n File( ? (.(lA T oOY 1 Permit No. 'PL zcJ i l Name UPI V ii Hw'iot(fe4 Address 1 1(3 PE J/ Company 6,N i/ • r S L)(.! / Phone # r6 - —65Y_ C/ tchcirUg) Inspection Date 07 i7A aS Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 i Bulding Inspection Request ,ry \� Date 5 " � i Type Insp'n R net 1 ?QC) Permit No. F ®y -0(30 Name Address / .a /3 /Z! E. 9 Company 1 • ce10,1 Car- /63 Gar( Phone # Inspection Date Approved Correction Re- Insp'n Fee 6 ti b- 503 d s 0997 MIAMI SHORES VILLAGE Date 5 22:3'5 .s J BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp'n .'c I ?i c)rn, b@ Permit No. P I,o4 /O Name Tl gr Address � f � b /z-& Compan Phone # C�3 ` -- 661. 3- Inspection Date Approved Correction Re- Insp'n Fee BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE . / . 194? ` Contractor's , O �.,. License No. PERMIT N? 4687 Work to be performed under this Permit A Bl. Subdi- vision 4 .444/ 1 Amt. of to v Permit / rr Address of �r. 446" Value of Building / ? ' Vol—. e$ , r s 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 w th 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 abov.a assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans cr drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. ' v Signed. (4 .1 •46 F L. . B INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with a1I ordinances and regulations . pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorittimof Miami Shorjs In accepting this permit I assume responsibility for a work done by either myself, my agent, servant or employee. 3 BY AUTHORITY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No 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 ® II Owner's Name and Address ��'1 �� No._ l_ I ^ J Street 9I / Registered Architect and /or Engineer ..... -----_ _-- � _ __--- ------ -____ — _ Employing Plumber's Name 1 7 0 / 0 / 4 0 No._ / 91.0 Street./ Location and Legal Description Lot - - - - -_ _ - - - -_- ___mil' ________ _ _ Block �y Subdivision/1 4 • f! '_ - - - -- .X UMW Street and Number where work is to be performed —No 12/3 LiL 7 9 State work to be performed and purpose of building (By New Building ......... Remodeling_____ Addition Repairs No. of Stories. Size Septic Tank Type of Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. ank- Capacity Gals / � Feet of Drain � -4K Y 7 - -� t(�l t f Tank or Drain Field from Well Size of Soakage Pit ( Signed) 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 leas com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the si : if the w such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - coatractors, .n jerk to •e pert ed per this permit, as are licensed by Miami Shores Village. (Signed ) Street Master Plumber. 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'N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST - - -- CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No 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 ® II Owner's Name and Address ��'1 �� No._ l_ I ^ J Street 9I / Registered Architect and /or Engineer ..... -----_ _-- � _ __--- ------ -____ — _ Employing Plumber's Name 1 7 0 / 0 / 4 0 No._ / 91.0 Street./ Location and Legal Description Lot - - - - -_ _ - - - -_- ___mil' ________ _ _ Block �y Subdivision/1 4 • f! '_ - - - -- .X UMW Street and Number where work is to be performed —No 12/3 LiL 7 9 State work to be performed and purpose of building (By New Building ......... Remodeling_____ Addition Repairs No. of Stories. Size Septic Tank Type of Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. ank- Capacity Gals / � Feet of Drain � -4K Y 7 - -� t(�l t f Tank or Drain Field from Well Size of Soakage Pit ( Signed) 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 leas com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the si : if the w such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - coatractors, .n jerk to •e pert ed per this permit, as are licensed by Miami Shores Village. (Signed ) Street Master Plumber. 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 f Application is hereby ode for the approval of the detailed statement of the plans and specifications herewith submitted for thetilding or other structure herein descri d. 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address ___ _.__ ..... Registered Architect and /or Engineer ..__.___. Employing Plumber's . -__. _ft Location and Legal Description Lot_____..___.._._ _.-- _..____.____._- __-_- _.___._ Block __._ __._._..._________.___ Subdivision Street and Number where work is to be performed —No __ /2 ��, State work to be performed and purpose of building (By Floors)... New Building__. Remodeling Addition__ Size Septic Tank $ Type of Tank_ Capacity Gals. Feet of Drain T;le 51. _RA/ Dist. Feet of Tank or Drain Field from WeIL Amount of Permit $ Nature of Water Supply: City —Well • PLUMBING INSPECTION DEPARTMENT RLFF) $ N I)13 Street •' k 9* . MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT _ ____ Size of Soakage Pit (Signed)_ (Signed)_ Date Street .N E S - - -.. _.. - - - - -- Repairs.. 1-••°" - No. of Stories The undersigned applicant for this building permit does hereby certify that h understands nd accepts his obligations as an employer o abov under the Florida Workmen's Compensation Act, being Section 5966, Compiled eneral Laws If Florida Pennanent Supplement, and plied with the provisions thereof, and will require similar compliance from all contractors or s b.contractors Toyed by him In the rk to be performed under this permit; and will post or cause to be posted for inspection on the site the worlySuch 'public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on ork to p rm under this permit, as are licensed by Miami Shores Village. Ea 17 )9‘s 4 a rt My Commission Expires Notary Public, State of Florida Plumbing Insp aster Plum 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 Lae 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 Lill materials and /or workmanship. STATE OF FLORIDA, ss, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to adminis 'r oaths and take acknowledgments, personally appeare CLOSETS BATH TUBS SHOWERS LAVA- TOR IE6 SINKS SLOP SINKS LAUNDRY TUSK URINALS CATCH BASIN FLOOR DRAIN DR! NKI NO FOUNT' NS TOTAL FIXTURtI CONTR. LIST - _ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WILL SPRKLR. SYSTEM SW I POOL CONTR. LIST CHECK Permit No f Application is hereby ode for the approval of the detailed statement of the plans and specifications herewith submitted for thetilding or other structure herein descri d. 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address ___ _.__ ..... Registered Architect and /or Engineer ..__.___. Employing Plumber's . -__. _ft Location and Legal Description Lot_____..___.._._ _.-- _..____.____._- __-_- _.___._ Block __._ __._._..._________.___ Subdivision Street and Number where work is to be performed —No __ /2 ��, State work to be performed and purpose of building (By Floors)... New Building__. Remodeling Addition__ Size Septic Tank $ Type of Tank_ Capacity Gals. Feet of Drain T;le 51. _RA/ Dist. Feet of Tank or Drain Field from WeIL Amount of Permit $ Nature of Water Supply: City —Well • PLUMBING INSPECTION DEPARTMENT RLFF) $ N I)13 Street •' k 9* . MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT _ ____ Size of Soakage Pit (Signed)_ (Signed)_ Date Street .N E S - - -.. _.. - - - - -- Repairs.. 1-••°" - No. of Stories The undersigned applicant for this building permit does hereby certify that h understands nd accepts his obligations as an employer o abov under the Florida Workmen's Compensation Act, being Section 5966, Compiled eneral Laws If Florida Pennanent Supplement, and plied with the provisions thereof, and will require similar compliance from all contractors or s b.contractors Toyed by him In the rk to be performed under this permit; and will post or cause to be posted for inspection on the site the worlySuch 'public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on ork to p rm under this permit, as are licensed by Miami Shores Village. Ea 17 )9‘s 4 a rt My Commission Expires Notary Public, State of Florida Plumbing Insp aster Plum 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 Lae 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 Lill materials and /or workmanship. STATE OF FLORIDA, ss, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to adminis 'r oaths and take acknowledgments, personally appeare ILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Lega Lot Descnption MIAMI SHORES VILLAGE, FLORIDA DATE 9 ' / a 1944_ /d q.2/ PERMIT N2 4734 Contractor's License No Work to be performed under this Permit 1 Address of Value of Amt. of "7 Building /A /4 , 2 � • . Project - Permit r " ••*"�""" This permit is granted to the contrac or or builder ame above to construct the building or to install t . 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 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. Subdi- vision Signed• +c/ * By INSPECTOR In consideration of the issuance to me of this 87 ermit I agree to perform the work covered hereunder�fn mpliance with dinances and ns r + P �g pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted the proper autho ri of Miami Sho it i1 f de. In acce is permit fume responsibility for all work done by either myself, my agent, servant or employee. • BY AUTHORITY i Owner's Name and Address No Registered Architect and /or Engineer UP. , New Building ` - Amount of Permit $__ MIAMI SHOR,'ES VILLAGE PLUMBING INSPI_CTION DEPARTMENT APPLICATION FOR 'PLUMBING PERMIT (Signed) 7 / / '- /� Permit No Date h 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. Street / My Commission Expires Notary Public, State of Florida E 94 ,1:1 Employing Plumber's Name 7) . 1' l ! i ` 1 " C . No Stree / . - ` — 1..i , Location and Legal Description Lot Block Subdivision ____ 1_.1_21_�__ � _. 11 = __ t d i 7n Street and Number where work is to be performed —No - _/ 7 Street____ +' , r • J y 0._2 State work to be performed and purpose of building (By Floors) Remodeling Addition____ Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit (Signed) C— 1 _ Plumbing I pector. • 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 employed 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 such public notice or notices as are required by the Act. The undersigned agrees to employ only such st.b- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 ss. 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. 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 CONTR. • `/ •3` / / l CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER C'EEP WELL SPRKLR. SYSTEM SWIM 'G POOL CONTR. LIST - CHECK i Owner's Name and Address No Registered Architect and /or Engineer UP. , New Building ` - Amount of Permit $__ MIAMI SHOR,'ES VILLAGE PLUMBING INSPI_CTION DEPARTMENT APPLICATION FOR 'PLUMBING PERMIT (Signed) 7 / / '- /� Permit No Date h 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. Street / My Commission Expires Notary Public, State of Florida E 94 ,1:1 Employing Plumber's Name 7) . 1' l ! i ` 1 " C . No Stree / . - ` — 1..i , Location and Legal Description Lot Block Subdivision ____ 1_.1_21_�__ � _. 11 = __ t d i 7n Street and Number where work is to be performed —No - _/ 7 Street____ +' , r • J y 0._2 State work to be performed and purpose of building (By Floors) Remodeling Addition____ Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit (Signed) C— 1 _ Plumbing I pector. • 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 employed 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 such public notice or notices as are required by the Act. The undersigned agrees to employ only such st.b- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 ss. 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. 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. l Owner's Address \ 5 1�\ E -. City fY State �= l C► i e Qualifier pct 4 V) f r nvl i ►, Miami Shores Village Building Department C. MOL BOLDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical PI_ mbin.g ` Mechanical Roofing Owner's Name (Fee Simple Titleholder) 0` - ( -\ 1 << t\ i h� lit= =- Phone # 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Tenant/Lessee Name Phone # Permit No. e Z y- AO& Master Permit No. ,f 1 t Zip )'_,� �. Job Address (where the work is being done) ‘, 1 1`-= A City Miami Shores Village County Miami -Dade Zip 7' ,. Is Building Historically Designated YES NO t• -"— ' \ �(\Ant±.)t' , -.� `,,r.,c , Phone tS / - v I _ u Contractor's Company Name �� t� 3S--7 Contractor's Address -� `{ A lam`/ t.-� .•\.`\' - .-/ ' -) f C " c-V `_J City - 1 ,(-1/4. 1 ■ State_ t - Zip , ",l C _ (4 Architect/Engineer's Name (if applicable) w'Yl Z - \C -\ C' A.1") Phone # \ ",`' 1 Th ` 1 ` �= $ Value of Work For this Permit Square Footage Of Work: Type of Work: �dition ❑Alteration ❑New Describe Work: CQr(`' Repair/Replace El Demolition i � �( \� �L rZt "C ,� k )' -�.tl c ( 1., ; t- ∎ \\ '• \� : i ., �� * * * * * * * * * * * * * * * * * * * * * * * * * * * *F *fi * * * * * * * * * * * * * * * * * * * * * * * * * ** C �j ' ` Submittal Fee $ 5u' $et Permit Fee $ / ✓ �/ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Addresv 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 Signa Owner or Agent The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by day of .JrQ , 20 � by E..Vui (i M l LO✓'1 , who is personally known to me or who has produced who is personally known to me or who has producedN 123C-2( 3 As identification and who did take an oath. a- L11/44 7 — U as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: My Commission Expires: My Commission Expires: ***************************************************************************** ** ** * * * * * * * *** * * * * * * * * * * * * * * * ** State Certificate or Registration No. APPLICATION APPROVED : Y: Chc 12/15/03 (Certificate of Competency Holder) Certificate of Competency No. Contractor Print: 1 -&\-a-ti c5 *** * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** ** * ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN MPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY of 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 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSESLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS 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 T0: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP & 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 PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION 1 • + • (AN APPLICATION 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.) ELECTRICAL MECHANICAL • Complete items 1, 2, and 3. item 4 if Restrictp Delivery is desired. • Print your name end address on the reverse so that wercan return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: /9/a/Y'r/,V 6a-ep 7 6/2 57 33 2. Article Number (Transfer from service label) PS Form 3811, February 2004 11 1Y YY 61 __-__- 3Nn 031100 IV 0,O4 ;'Ss 1FiOltl 3N1013d013AN3 d • ■ ■ . - - ....0 1 cr lillllr" Art dO11V 1:13)I3I..S 30V1d 0 B. Recei', ed by (P ' )Name) 4 P Orw C, 1 D. Is delivery address different from it T `,❑ Yes Na If YES, enter delivery address Domestic Return Receipt 3. Service Type ❑ Ce'tified Mail ❑ Registered ❑ Inslred Mail 4. Restri 7.ted Delivery? (Extra Fee) ent Fa Addressee C. Date of Delivery ❑ Express Mail ❑ Return Receipt for Merchandise ❑ C.O.D. ❑ Yes 102595 -02 -M -1540 UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid LISPS Perhit No. G -10 cXU •l ?=S7‘ ∎ /77, GU. 7s74- ,Zj•q47 / • Sender: Please print your name, address, and ZIP +4 in this box • _►� :e +a�-r . loin, ,,ILII lit , I, l,lnt,II„In,Ii,III,I„I, lusts I,I C / M Cu • Eitmpdsss lic PRIM: (3151551 -19115 Nx 131515514141 MH 18, 2114 CASA PLUMBING CORP. 40 EAST 42 ST. HIALEAH, FL 33013 REF: HERNANDES RESIDENCE (1213 NE 94ST) MR ISMAEL CASA tn1 W.W Street, Salts #15 61*11* FL 331112 IN ORDER TO CONTINUE THE WORK AT THE HERNANDES RESIDENCE AND NOT PRODUCE ANY MORE DEALYS, WE DECEIDED TO REPLACED YOUR SERVICES WITH ANOTHER PLUMBING CONTRACTOR. IF YOU HAVE ANY QUESTIONS PLEASE CONTACT ME AT (305)556 -1965. C ERE7OURS, thelettt NELSON VALLADARES PRESIDENT Miami Shores Village :Building Department Change of Contractor Permit No. ? .03-/t/5/ Owner's Name (Fee Simple Titleholder) Phone # (3o ) 75V- s 6 6 6 ,� Owner's Address / 2/3 A.) .E. 9y 1I "' f • City �44? S State • Tenant/Lessee Name Job Address (of where the work is being done) /2 /3 it, a- 9? City — 4*..s' .34 4.0 . County .0-6104. Zip Legal Description Contractor's Company Name at) 6077 Shia -G.0 0 yJ Phone # �3o5) sS 7 -/ 9 6 5 C ontractor's Address / Gt> ` 3 7 S 7"• • --,..4:'•- 4Z /5 r=e--_ Zip 33 O/ Z, City /- B hr--01 Qualifier v L. - 1Zer.: -. Describe Work: 4 • State I hereby certify that the work has been abandoned and /or the contractor is unable or unwilling to complete the i nt act. I hold the Building Official and the Village of Miami Shores harmless from .111:! . nvol ement. ,\6t Own : r The foregoing instrument was acknowl dged . re me this this Zip Signature � 53/35 Phone # Contractor The foregoing instrument was acknowledged before me day of , 20 _ , by , day of , 20 , by who is personally known to me or who asp ' duced who is personally known to me or who has produced As identification d who did take an oath. ' s id &ation nand'who d'id take an oath. NOTARY PUBLIC' ' ' 1'1 vr NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: Rev. 09/19/03) (mow; My Commission expires: /\ ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Type of Work: Describe Work: 2004 l` 1 BUILDING PERMIT APPLICATION FBC 2001 Contractor's Company Contractor's Address City ...2 4 $ Value of Work For this Permit (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 Type (circle): : 'Iding Owner's Name (Fee Simple Titleholder) Owner's Address City kb 4M( SklOtzeS State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES \c_ Ltocta Submittal Fee $ 50 00 Permit Fee $ Notary 5...5 , a Scanning $ Code Enforcement $ Total Fee Now Due $ Q��d o s ame / C /5" ,r Y d'ORP- Phone #-3e ". h`--Z P 7 z 5lZsi // Architect/Engineer's Name (if applicable / /Phone # Addition ❑Alterati * * * * * * * * * * * * * * * * * * * * * * Training/Education Fee $ a Radon $ Master Permit No. � CO `b ! Electrical (Plumbing Mechanical Roofing 2IV Phone # OS -= l Sq - Structural Pla New Zip 33/3g Phone # Permit No. AJE .qt/ "' 5726--eT 33/ 3S 1 21 County Mianii -Dade Zip O ,C uare Footage Of Work: Repair/Replace El Demolition 6, Cr f fX � — / CCF $ N D CO /C Technology Fee $ (T d C7 Zoning Bond $ 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, hat a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose prop ty is su for the first inspec inspection w'll Signature The foregoing day of who is personal y Chc 12/15/03 APPLICATION APPROVED BY: hment. Also, a certified copy of the recorded notice of commencement must be posted at the job site urs seven (7) days after the building permit is issued. In the absence of such posted notice, the a reinspection fee will be charged. As identification and who did take an oath. Contractor knowledged before me this The foregoing instrument was acknowledged -befon CC/00.S re me this Z)-- by , day of 1 f go V C � - , 20 by L St7.1.X.Jt , - n nown to me or who has produced who is personally known to me or who has produced D E a • as identification and who did take an oath. NOTARY PUBLI NOTARY PUBI,,);C; C } _ 2 � � Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: =, 'xpires: Jul 13, 2007 O F P• .` Bonded Thru ,,,,, t 2 C (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ft * ** ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning A Miami Shores Village 10050 NE 2nd Avenue Plumbing Permit Phone: 305 - 795 -2204 Permit Number: PL2004 -94 Printed: 4/5/2004 Page 1 of 1 Applicant: URQUIA HERNANDEZ Owner: HERNANDEZ URQUIA JOB ADDRESS: 1213 NE 94 ST Contractor CASAS PLUMBING CORP Contractor's Address: Local Phone: Parcel # 1132050100020 Legal Description: MIAMI SHORES BAY VIEW PB 40 - 16 LOTS 2 & 3 LOT SIZE 150.00 X 125.00 OR Fees: Description Amount FEE2004 -3506 Building Fee $160.00 FEE2004 -3507 CCF $2.40 FEE2004 -3508 Notary Fee $5.00 TEE2004-3509 Training and Education Fee $0.80 FEE2004 -3510 Technology Fee $4.00 Total Fees: $172.20 Permit Status: APPROVED Permit Expiration: 9/18/2004 Construction Value: $4,000.00 Work: ONE BATHROOM ADDITION Signed: (INSPECTOR) Total Fees: $ 2.20 Total Receipts: $0.00 00 spas 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: MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Request Date (c I f try Type Insp'n 1 \ Permit No. I L ( Name 0 V Ql t;ti`C;i t YtC I '�1 Address - tuG q4 3 Company Phone # C i S r S - S3 Inspection Date t Approved Correction ❑ Re- Insp'n Fee ❑ Permit No.___ 3 `F MIAMI SHORES VILLAGE PLUMBING INSPECTPON 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. Owner's Name and Address__._ _ —_ __ ,.c: IIA_t_._r..____d_ -L F Street_ '= l `/ 6 r. Registered Architect and /or Employing Plumber's Name _ No.__ P ._____ StreeL_A! _ A" A tz Location and Legal Description LoL_______ _ ._______ _Block Subdivision_ .dX- .— Street and Number where work is to be performed —No / State work to be performed and purpose of building (By Floors)_____. New Building _ -- Remodeling__ 4 — _ Addition________.___ Repairs No. of Stories. Size Septic Tank_ Feet of Drain Tile_ STATE OF FLORIDA, } COUNTY OF DADE. Type of Tank Date 0 ! -^z" 3 StreeL_.112. -i' - -.S r Capacity Gals _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._._____._-__-. _______ of Soakage Pit // --=�_- Amount of Permit $ L (Sgned) My Commission Expires Notary Public, State of Florida Plum.' g Inspector. The undersigned applicant for This building permit does hereby certify that he understands and accepts his oblig /ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compfed General Laws of Florida Penman: Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 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 such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) - - - ®�_s e / J / 6 tJ Master Plumber. Before me, the undersigned authority, a notary public, duly authorized ts 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES INK SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N5 TOTAL FI %TURE6 CONTR. ^ h )I 4 t • 4- j J 4 CHECK ,. SEPTIC TANK SEWER Comm DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST - -- - CHECK Permit No.___ 3 `F MIAMI SHORES VILLAGE PLUMBING INSPECTPON 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. Owner's Name and Address__._ _ —_ __ ,.c: IIA_t_._r..____d_ -L F Street_ '= l `/ 6 r. Registered Architect and /or Employing Plumber's Name _ No.__ P ._____ StreeL_A! _ A" A tz Location and Legal Description LoL_______ _ ._______ _Block Subdivision_ .dX- .— Street and Number where work is to be performed —No / State work to be performed and purpose of building (By Floors)_____. New Building _ -- Remodeling__ 4 — _ Addition________.___ Repairs No. of Stories. Size Septic Tank_ Feet of Drain Tile_ STATE OF FLORIDA, } COUNTY OF DADE. Type of Tank Date 0 ! -^z" 3 StreeL_.112. -i' - -.S r Capacity Gals _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._._____._-__-. _______ of Soakage Pit // --=�_- Amount of Permit $ L (Sgned) My Commission Expires Notary Public, State of Florida Plum.' g Inspector. The undersigned applicant for This building permit does hereby certify that he understands and accepts his oblig /ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compfed General Laws of Florida Penman: Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 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 such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) - - - ®�_s e / J / 6 tJ Master Plumber. Before me, the undersigned authority, a notary public, duly authorized ts 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. Owner of Building Architect Contractor or Builder Legal Description. Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA . Signed • Value of Project $ INSPECTOR BY DAT BUILDING ❑ ELECTRICAL ❑ PERMIT N? 14276 PLUMBING ROOFING ❑ Work to be performed under this Permit Contractor's License No. Amt. of Permit AUTHORITY This permit is granted to the contractor or b p er named above to �• st the building or to instalLtl a etjtiifpi ent or device described in plication herefor in strict compliance with all ordinances per fining thereto and wi. the understanding that thRsbrk will be in compliance wi lana, drawings, statements or specifications that may have been submitted to and approved by the proper ar'(inicipal authotities. This Permit may be revoked a y time if the work is not done in compliance with such ordinances or if the plans are chutged witho utho r. i ' . A further ndition upon which this permit is granted is the understanding that the contractor or builder named above assumes tha''res onsibi =a' '� orough kno led of the ordinances and re ulations pertainin g to the work covered hereby whether shown on the plans or drawings or. , t to or spec ttott he assumes responsibility or k done by his agents, servants or employees. � : � , In consideration of the issuance to,tne o this permit I agree to perform he work covered hereunder in compliance with all ances and re ations pertaining thereto and in strict nformiw with ns, d nga, statements r specifications submitted to the proper authorities` of Miami Shores illage. In accepting this permit I assu> respq btiity f ws a by ` ettber,°'�fi yself, my agent, servant or employee. Dat Type Insp Permit No. Name • MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Bpilding Inspection Request Address Company Phone # Inspection Tate l.N Approved Correction Re- Insp'n Fee D ti