The URL can be used to link to this page

PL-07-2504Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Project Address 1257 NE 94 Street Miami Shores Village, FL 33138- Owner information Contractor(s) ALL GAS PROS Phone CeII Phone (954)964 -2937 Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $180.00 $3.00 $4.50 $189.10 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Address NO. P -' 2 7 -2 Types.Pl bIng:- Resale OlE Expiration: 06/15/2008 Parcel Number 1132050100060 Block: Lot: Phone Type of Work: PLUMBING Type of Piping: GAS Additional Info: WATER HEATER Bond Retum : Classification: Residential Applicant SIDDHARTH AND KAREN BASS Available Inspections : December 18, 2007 Date Cell SIDDHARTH AND KAREN BASS 1257 NE 94 ST MIAMI SHORES FL 33138 -2946 (300)575 -4085 Valuation: Total Sq Feet: $ 2,000.00 100 Inspection Type: Press Test ROW Final 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated Tuesday, December 18, 2007 1 �. Miami Shore Village llage Building Department BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) iV . /453 Phone # ,3a • Owner's Address j � y � C i t y / ► ' ) / , } / i ! -5//O - 3 State Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) /2 6 7 at' 9r STo-f 7 - City Miami Shores Village County Miami -Dade Zip 3 / j r - c 9 -Y, " FOLIO / PARCEL # //- 3a, 0 6 - Of - ® ®6D Is Building Historically Designated YES NO Contractor's Company NameA` - (y�}S' Y eO'.� Phone # yi-vr 94, 4 /' 737 Contractor's Address 13 a S G,,P / F ,cJ iemp ,s-o, T /, Cit Li4U/ 4 State G0g /11/5- Zip 33 3 / Qualifier Name g&)€ 6 �. 4 /LL. /,440 Phone # 9,5-7 94 Cr L 9,3 7 State Certificate or Registration No. J 6 .2.-Z 6 Certificate of Competency No. 93 c / )6 /,23 X E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 00 0. OD Type of Work: Describe Work: ❑Addition 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ['Alteration Submittal Fee $ Notary $ Training /Education Fee $ Scanning $ Radon $ Square / Linear Footage Of Work: / goNew ******** * * * * *xxxxxz * * * * * * * *zxx *xxxxxxx* 0.***** xxx* xxxxxxxxxxxxxx *x *x *xx *rxxxxxxxxzx Permit Fee $ DPBR $ Zip Bond $ Code Enforcement $ Double Fee $ : (9 t I I OEC 1 7 2007 Permit No.'ftO 1 Master Permit No. /3PP 07 - /1 33/5 F_ gyii Phone # Phone # ❑ Repair /Replace ❑ Demolition CCF $ I.2.0 CO /CC Technology Fee $ 4W) Zoning $ Structural Review. $ Total Fee Now Due $ 1'9 . to See Reverse 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 Zi 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 Owner or Agent The foregoing instrument was acknowledged before me this day of ,20,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: xxxxxxxxxxxx x,exxx xxxxxx APPLICATION APPROVED BY: (Revised 02/08/06) The foregoing instrument was acknowledged befo e me this / — 4 day of DPC _ , 2057, by 6 77/a , who is personally known to me or who has produced as identification and who did tak an oath. NOTARY PUBLIC - STATE OF FLORIDA NOTARY P B • C: Sign: Print: Graybeard 11 ) r ;Commis ' rn #DDr : 146 • .�• r� a ri GCOyINC. i jimpinimpr My Commissio Expires: ZY 1 / xxxxxx**** * **x*x*****xxx*x*xx*• a *xxxxxx** **x* /Plans Examiner Engineer Zoning B Ya DEC :x"20 / 0 f?LL wbIX P rGA. ® S'CALe 5 13a " = j - Mz1 NArugd4 -t. 6 &// L gm-) 4 Copt ALL GAS PRO'S 954 - 964 -2937 0 = 57879 Do u). uz..9- fi (O = sHu ro fir" ® pate 165E Ity ,1 Pb - /sRr' H *n-x ,� pi ) 512 1N4 (tan cLo/L(tjA i / /L 1 (a) " („} 19---g46frt14:43.4)14.4. i s s7 1-7c"7z7 ,s re�T wi LoA6 ; Q Poop /5p4 flcg� f-/60 1,e 2A) , �,� as" Fir Le Tiv•�,� J©' Lv NOTARY PUBLIC -STATE OF FLORIDA eN fn .. \' Graybeard ,,,,,,,, Commission #�pDD652146 ��i�e.�d MAR. 18, 2011 BONDS, MANTIC BONDING CO, INC. 3325 GRIFFIN ROAD #126 FT. LAUDERDALE, FLORIDA 33312 C C # c LA /0 X FAX 954 - 983 -7016