The URL can be used to link to this page

1292 NE 95 St (13)l 6 DEC 2 0 Ng 0, efi, 1 Passed � � In a �o Comments / Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -28456 1 Permit Number: PL -9 -06 -2444 Inspection Date: 12/19/2006 Inspector: Levrack, James Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Project: <NONE> Contractor: AMERIGAS PROPANE AND SUBSIDIARIES Building Department Comments Monday, December 18, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060144040 Lot: Phone: 305 - 883 - 8600 Page 1 of 2 aDA =' Ll IFbal /, ei3o f.3 - 9E •02f3 ■u °T!! ► 6i8iftdfB$86 LIieatSVii =1.I© 1 -o_ 1 =/_ r ug ;I (C IF /±a+11-er g {' Inspection Number: INSP -28456 Permit Number: PL -9 -06 -2444 Inspection Date: 12/19/2006 Inspector: Levrack, James Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: AMERIGAS PROPANE AND SUBSIDIARIES Building Department Comments Monday, December 18, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Plumbing - Residential Inspection Type: Final ° Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060144040 Lot: Phone: 305 - 883 -8600 Page 2 of 2 .7 " 7 /L, Ai) <_,------ Passed Inspec r omments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -28456 Permit Number: PL -9 -06 -2444 Inspection Date: 12/19/2006 Inspector: Levrack, James Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: AMERIGAS PROPANE AND SUBSIDIARIES Building Department Comments Monday, December 18, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Plumbing - Residential Inspection Type: Final ° Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060144040 Lot: Phone: 305 - 883 -8600 Page 2 of 2 111. 1sa m eali 1 li-I'Jn LG9 LxS2gD a4- LUIE+ii5Qafrii&OO 1 -' 06 .) eP, • TjC¶OreH:a +ye /u¶aaPta-I-cXQP: ! ixu« %IFWEQ-IIH, • LD) kh8'86$nD3A ?aQ (T : %a+ Hi 2rBXu -}- *1t 0 1 nSPectiOn Urn Project: <NONE> Inspection Date: 11/13/2006 Inspector: Grande, Claudio Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Building Department Comments Thursday, November 9, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: AMERIGAS PROPANE AND SUBSIDIARIES Block: U RI Phone Number MY 1 3 END Ij -Q s -2aa4 Permit Type: Plumbing - Residential Inspection Type: Press Test Work Classification: Addition /Alteration Parcel Number 1132060144040 Lot: Phone: 305 - 883 -8600 Page 1 of 2 / I k1 Passed ril en I nspe to Commts Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . nSPectiOn Urn Project: <NONE> Inspection Date: 11/13/2006 Inspector: Grande, Claudio Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Building Department Comments Thursday, November 9, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: AMERIGAS PROPANE AND SUBSIDIARIES Block: U RI Phone Number MY 1 3 END Ij -Q s -2aa4 Permit Type: Plumbing - Residential Inspection Type: Press Test Work Classification: Addition /Alteration Parcel Number 1132060144040 Lot: Phone: 305 - 883 -8600 Page 1 of 2 Permit Number: PL -9 -06 -2444 Invoice Number: PL -10 -06 -26282 Applicant: WILLIAM POHOVEY Company Name: Date Tuesday, October 3, 2006 10/03/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Payment Type Check Number 5450 Owner Address: 9701 BISCAYNE BLVD MIAMI SHORES, FL 33138 Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Amount $173.80 Change $0.00 Total Payment: $173.80 Page 1 of 1 Issue Date: 10/2/2006 Owner's Name: WILLIAM POHOVEY Permit Type: Plumbing - Residential Work Classification: Addition /Alteration Job Address: 1292 95 Street NE Contractor(s) Phone Primary Contractor AMERIGAS PROPANE AND SUBSIC 305 - 883 -8600 Yes Additional Information Type of Work: Additional Info: Classification: Residential 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. Fees Due Amount CCF $0.60 Education Surcharge 50.20 Permit Fee - Additions /Alterations $160.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $173.80 Miami Shores Village, FL 33138- Type of Piping: Bond Return : Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 03/31/2007 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL - - - 2444 one: Lot: PB: Total Square Feet: Total Valuation: Re • uired Inspections Underground Rough Water Main Top Out Main Drain Lavatory Water Service Re Pipe Heater Final 1132060144040 0 S 700.00 Invoice Number PL - 10 - 06 - 26282 Total: Amt Due $173.80 et T 3 3 M1B Amt Paid NOTICE: In addition to the requirements of this permit. there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. BUILDING PERMIT APPLICATIO FBC 2004 Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name Contra 4i ? 's Address City Qualifier Name 1,41 V ■ /OO 2 /?/Ldp' Architect/Engineer's Name (if applicable) Value of Work For this Permit $ , 111U A,. lit . Type of Work , Describe ork: < A ddit'd}t "" Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 C Submittal Fee $ Permit Fee $ / ' O MCMEWIE SEP 2 9 2005 BY: Ak - n■ 9 NO Permit Type (circle): Building Electrical) J lumbing Owner's Name (Fee Simple Titleholder) 6/ 7 7 oho Owner' Address / 9 -2 y Y 9 C-� - -2--t- City "" / , � /'r // 61-1 -'2 40 State .„2'Ce Tenant/Lessee Name 9z tV County Miami -Dade Zip Master Permit No. Permit No. Mechanical Roofing hone # © - 7V (o - 2 / Phone # Phone # Zip Phone # Zip / # C�� --69(15 --69(15 State Certificate or Registration No. 7 / / 0 � 0 cF9� Certificate of Competency No. �4�a� Square /Liije rFoota*e, >to:� Rh. ter a ion ❑New , [, Repa' /R place _ , _ /e. * * * * * * * * * * * *le ** * * * * * ** * * * * * * * * ** pew***, ti*** * * * * * * * * * * * * * * ** * * * * * * * * * * * * * ** CCF $ 0.6 CO /CC Notary $ Training/Education Fee $ O 2,0 Technology Fee $ 40 Scanning $ q' Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Demolition Structural Review. $ Total Fee Now Due $ / q3•15 See Reverse side 0 3 run 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 reins . ion fee will be charged. Signature Owner or A nt day of i The for : � in g ' s ment was ackn led /ref this The for _ol}ng � nt was ackno edg efore 20G 7 , by V / © (/t day o /r1 ,j 200 b who is p: sonally known to me or who has produced who is p- so nally known to me or who has produced -2 i 4.-Pi 00 1 ✓0 1 r ' t As identification and who did take an oath. as identification and who did take an oath. Sign: Print: NOTAR BLI My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED $Y: (Revised 02/08/06) n _ C NOT ' ' UBLIC: Sign: Print: Contractor My Commission xpires: L ///4/() Plans Examiner Engineer Zoning • • • • • • • • • • • • • .._ • • • • • • • •• • • • • • • •• • • • • • • • • . . . rsi - • •• ie • 4meriGas, LPG 00899 :v .10052 NVV 89 Ave., Medley, Fl 33178 TeL 306-366-8600 FEX JOB: (a,e_ ) .LeAt ,_ 42 902 4f 1 / d • 9 ji--eZiaxiag DATE: REVISED: SCALE: DRAWN BY APPROVED BY: ( -. N AFFIDAVIT: , • This installation shat comply wei NFPA 54, NFPA 58, as wel as al state & local codes and reguliorts_ GENERAL SITE PLAN Page/ of - Signature d Qualifier PRINT KAP.:F ' Ai ttc au.firier Pc... 00 - i - D . - - -,--, -- this .. .e . day . .6, 4---"t;',k7144' Notory Public..-__- Pt. - tZlIst'S. r :.__ . • .......:. -. . :.:: "e Tyre al irriificafiori P.T1Ce-TC. Nil PIZONE State :--•.' ,, _ B Nciti°nal RO ., ot Florida 07 Jul 4 20 II, , •• N 6cITY Ass . I - ., ..., • :7,6Jrn -aZ SEP 2 9 2006 Jo eeto _ • • • • lip • • • • • • • L„ 124-c/ 9S A 000 ce.To afl 0.12-ettio &-G4A-ca-c-4 ey?1-2 g • - • • • • • • • • • • • • • • • • • • • • • • • . • . • • • • • • "0 • • • • • • • • • • • • •• • • . ' • • • • • • • • • • • • • • • • • • • • • • • • ut I LRMINE NORTH •••• • jo • lG •w•••• ••• • I• loth +!•••• •• • • • • • • • • • ••l.•.• pl 1:10700 • • Melton • .• SEP.1'37006 2: Sif'N1 NEWS •• , • • • • • •• •••• • • • •• • •••• • • •••• r.137:70 °UM 10 OnztOoor tr•J0/9/• • t r PAR Fro , - A TJD� C /DCAkiw AMr R NATMMAL Cr- 2bggr rAmr VOW 4oc'Arloh 4440 tOSl7rll r/Ow 0P ofIAND/t7R A pt rW PR 0 P S I A tr NM , Ar a PAW rr17 'NOvr THY 67C =My y t!AIFAO FSAt. OP A F 6T R Ake MAPARA Pt7Ae a ••frvP>sAr/arnbl rro lAt�t 0.A0M Alto nor... mop o :pMbr vwFA J PANS 3 t!T o DcA/rl t . DA7P Or 72W rAnrr as n• •••• • • •••• • • •• •• • • .• • • P. .3(4-=,----7 140 Lo, CORNER LOT S, �_orx N8 a' C.L.r. DOU.NDARY ,5 UEV y �1- rMRX*A'r CAM !WM 11Pen WO; * tlo' rt• .1.1p Na Q d•t PmC nu 1.0r 1 2-5 rOr3Y Rem. R Ib$ .f,+rtrr ua P.M UM. 1 0.0 MI Too Vox 09 Om rou .n 7a 00' •CUNT ”RINSItkr 2450' ` • W 11. No LD. NO. 594 P. 3 ElFrEa 11© J P zicrAv 'ro . , XN _ t.A1Yd E10RYBn7 7-10$ G•RAA. P 1; ZR •A7t :.trt'rR'- U•d—NlASil. PRORI,OA O•tba •Re 1... P7� /WAN FORriYS7 R CA R/ ry Al'T vAxorls7 ALL. ,PTA", MQR7YACA: P/NA R R/R4 1Nc f NE a6 SrASr Ary / s F t 7. /RAOA /AT/YA �1llf S1fORS >R 3JYJ4 ANTIS 7, ALL rreAf PAIN' or L4rS 1 A1/V i . .41.014' a6- Or Pe/Alt/ YllooKS A'AT.riON /m. ACCVO0110y 7b YN6 rkAr 7ASAEVP AS " 1rn/CD IN PLAT mop to, or FACA' or. OP Thy N•150.1C ARC0 .' 01. 0.401e ttfufirY. f7oh /DA 1 . 37 ..W. ncsr Or Aria 4144,PPIPV Dttce.P bW CrNal PRO)/ 1.37..W. 4 7b/N,r, IN TAR IMP7lr LFNN or: for r A Q.RTAN47 Or 7&O era' BAST or 774L NE otvuor SAD /or 9. Miff betlrO foes resl• To A 1'O1 • I rffr S le b Ol p Caluaro• O X4P for L fir.! PRAT b'w37 or row .:Ct+YAPI.: !' _ r 'A?Romr rforrfrr TAIr rjZr SVh,XT 1 .4,a YAOJr esrOAR rbtr co.tooK AND TO r)1a altar or Arr x o troa AND rKfA 77174 XVRV.rr MIeFTS rnr MJR7..D/f t 7 9 NKr POR177 R!' TRF boAiLD Or f' '�W,, ': iry ie R 7 s. o. ' 7 .. ° PP V Arn, r A $rM rte, RJ rrvB tuna UAW TO •tO.m M.V ro or rfaRr6A Off -09 -Oo i JuI24,2C0 TorC:ipr:,..:d fiat p i ) 1:12cion il U i d . kierimczam." . rt rC C2)(11n1551°Il om By Notiona#DID40123afv474Assn.9 • 7 • , ota? I/ a 1 afaz 1_,Dporl qs 000 c.7 outtelo cz; dh-c.4.1.4f2,0A)- ito ern1 .9eg-tA a4 u tRMINE NORTH • • • • • • • • 0 • • • • • • • • • • • • • • • • • • • • • • a . • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 1 • • • • • • • . : : :. • • • • _ • • • • • • • ' • • • . - • • • • • 0 • .-• • ' • • • • • • • • • • • • • • • • • 4 • a a ••• •• . i. limeriGas, LPG 00899 . :.• • 40052 NW 89 Ave., Medley, Fl 33178 Tel. 306-36-8800 Fax 305-364-5891 JOB: (at-e4 P6 4 197e-P-1 - of 42 9.2 Arli - 94 1.-0-z aide( .. , DATE R REVISED: SCALE: D DRAWN BY: APPROVED Br 1 AFFIDAVIT: , • This initalfation shall comply wall NFPA 54, NFPA 58, as well as al state & focal codes and regulialions. GENERAL SITE PLAN P Page _ _L o .‘1CX) Signature d Quarfier . .. . Quaff it- this ( (9 Swam • • ;.- - .•-,: -ore t . ...,„ ..„ • 7 • , ota? I/ a 1 afaz 1_,Dporl qs 000 c.7 outtelo cz; dh-c.4.1.4f2,0A)- ito ern1 .9eg-tA a4 u tRMINE NORTH • • • • • • • • 0 • • • • • • • • • • • • • • • • • • • • • • a . • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 1 • • • • • • • . : : :. • • • • _ • • • • • • • ' • • • . - • • • • • 0 • .-• • ' • • • • • • • • • • • • • • • • • 4 • a a • •• S E P, • r3!•2 1 006 NEWS • • Eo 'P•• •• • , • e 0 o • • goopyr MO KO •••• • • t o •• • ••• • "7 Ih •• • •• • • • • • •• • •••• • • • • • • • • • o• ••• •••• • • 1110.172"4 Wore•Ooll 070000 •••• • • • ••• o • • LS' Or Pt.• maw 770147 slab ►A 17X•177N AhLr • 'wig TO NATIONAL ClogRT,K rAsovrAL bAr7r R.r47,4 1 LOCATION ANn r/7SJvT/srrAT/ON rm. , r•rr ?Q r of IA)Kn//Or7P AD.PACKNryo, TOW /�oP - r R7CRJr 1yv'r x1+4` ar A,F $I7 /WK. /7 rA.7 NOT 1 N•71 VATJD •RT1A7WT TNX • ORIC,N y 11,1 1.747, .717/14 Oy �npl e Rv R ANA NAF4PRR, J .S7rROA-I IS• rroT $NTBN•rn ro r ANG:n0Arn. Jp ITS ANO r 6 p AN.b 7718 C17 MSTRULrroN runPryrr .u ar), BOUNDARY ,9t1PV:y NO. 594 P 3 ALL MAT /mar or ZOT.71 / Atm t , 36. or IO'A rN6RLLT N PLAT BOOK 47,A(t 7- I ) ' O r{ mr I •CO, R RED bAA NTY. P onat4, Lry•M, l7 OR - J7 POILtdr NC AE9 ergal Pram, 17v lA 7711 h 1/PTJT JJN or Lot' 4 A Or1TANGT nr 7&O P 47 BAST or• 774` NO L5r COMM* OP Ler moo .r 4 L/ LOT 6 mow sOY .o 106.2 FQ1jr TO A 11v11h OA rstr , Sbp�/r Wltrfx r Or Sop LYJAV .oY P+Lr! PC1T dASI Of 777E 04YAP r A/rJ7.(7Jr 4FRTJrr 7444T rn/x N SSONg1.1f16 C7JADOE ANb 7v 'Ws /f/X 1 OJ A/ADJr (Hawn r:cro 1/v �JCYA'A1 37747 3VRV » olt:YS or M' X C A4 sr k AA XY M 06An 777E 1b7 . / . r�LA - vTANUARA9 4R 9 ANT LMlr774 11Y TRL l j OP 1`MD, R / 4A . r ro N 4,231 P r{4or AnroMS7RAY'LOS MIS W TV SanrnA _ rwrurss_ armO e( OrfOr=10 /444 UC010, , refit R7vr :awn!. o r zomro• •nDN OAL MINIM! .rS 5U12Y,yo N UM, eaRVSm 7.10.6 CDA,UI Oren 'Ls •B77 Y'TR. i•(M— NrA,,. IWROM OMB PNOh17 (O06J ~nom; 63- 84—AL ronc• oAAR Omrtee.•• 71a Pryr ✓wM Pt as QA ,Y l��rrI§� 1�' .A(NN,,�( VAI 64, AL4 mr.N4 .MO .4 11t4NA / / 0 C. R7KACL IJNA/oCJA /. •:YrpLr. /RA0A /A7T441 1 7 4 Ns DO snow. +IrA111 cd3ORSS F7 Y•/7• er,v,roo ° Q • - 171 1■1/e. ■oa b`o! Clindna ( Passed I. • • / • r Comments '� Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'Inspection Number: INSP 32426. x - Permit ;Number: PL -9 -06 -2444 Inspection Date: 11/15/2006 Inspector: Levrack, James Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: AMERIGAS PROPANE AND SUBSIDIARIES Building Department Comments Wednesday, November 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 KIM 2220 Permit Type: Plumbing - Residential Inspection Type: Top Out Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060144040 Lot: Phone: 305 - 883 -8600 Page 2 of 2 fl " o 6 I ( 1 : Passed Insp ct r Comments " -_ v it / Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until r,+ Inspection Date: 11/21/2006 Inspector: Levrack, James Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: NO DRIP PLUMBING Building Department Comments Monday, November 20, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number Inspection Number: INSP 2557 Permit Nurn PL -8 -06 -2215 Permit Type: Plumbing - Residential Inspection Type: Top Out NOV 2 2 RO Qib Mork Classification: Addition /Alteration Parcel Number 1132060144040 Lot: Phone: (305)259 -5711 Page 2 of 2 ,, a ( /7 7 6 Ell In Passed o Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until inspection Number:, II 25 . ermit Number :'` PL -8 -06 -2215 Inspection Date: 11/16/2006 Inspector: Levrack, James Owner: Job Address: Project: <NONE> POHOVEY, WILLIAM 1292 95 Street NE Miami Shores Village, FL 33138- Contractor: NO DRIP PLUMBING Building Department Comments Wednesday, November 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Plumbing - Residential Inspection Type: Rough oov 2 2 '1Q Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060144040 Lot: Phone: (305)259 -5711 Page 2 of 2 Bill To WILLIAM POHOVEY 9701 BISCAYNE BLVD MIAMI SHORES, FL 33138 -2540 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Tuesday, November 14, 2006 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Invoice Number: PL -11 -06 -26728 Invoice Date: November 14, 2006 Permit Number: PL -8 -06 -2215 Permit Type: Plumbing - Residential / Work Classification: Date Fee Name Fee Type Fee Amount 11/14/2006 Revision Fee Calculated $75.00 11/14/2006 Scanning Fee Calculated $3.00 of 1 4 Pe Total Fees Due: $78.00 (40 9(2 BUILDING � � � �� Permit NoTP/- S AV 0 7 200 PERMIT APPLICATION 1 Master Permit No. FBC 2004 BY :_ _ Permit Type (circle): Building Electrical �j r Owner's Name (Fee Simple Titleholder) CAA if 1 � ®./G'i Phone # 9s4 f.3 43i 0 Owner's Address /2 92. City r4 yw, .Sji area Tenant/Lessee Name Job Address (where the work is being done) /2 9Z /!r0 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name /70 , - 1 Z 3 2 �- Contractor's Address / 1 3'Z 04-0 144 04 o City rn i p State Qualifier Name ...5"/>3 }< ( QYl 11 State Certificate or Registration No. CMG ®J to q (7 s Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel (305) 795.2204 Fax: (305) 756.8972 State Zip 3 /3 NO ? /V ✓l� 6.2 j F I Type of Work: ❑Addition MAlteration Describe Work: ��G / �/ ��' p )u vyt J vi) Structural Review. $ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ❑New Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ DPBR $ Phone # Certificate of Competency No. Square / Linear Footage Of Work: &DU S� Double Fee $ Mechanical Roofing Phone # 3 05— z -/ S 7 J Zip 331 R3 Phone# 3 0S -2Sg-- S7 / E Repair/Replace CCF $ * * ** **.********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Technology Fee $ Zoning $ Total Fee Now Due $ CO /CC 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 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 appr d and a reinspection fee will be charged. Signature Sign: Print: Owner or Agent The foregoing instrument w • . ac • wlleedged before me this day of j 1._ I , 200c by G/ I who is personally known to me or who has L NOTARY PUBLIC: My Commission Expires: (Revised 02/08/06) As identification and who did take an oath. APPLICATION APPROVED BY: J6EFr.. GORDON 1.'1 • JN # DD 565340 • ,mhar 17.2010 • ; 0 a' B I .wry Public Underwriters day of ( ,200 by Sign: Print: My Commission Expires: Contractor The foregoing instrument was acknowledge before me this cZ 11 who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ' t✓ //=-1 a- C7 ° Plans Examiner Engineer Zoning Issue Date: 8/28/2006 Owner's Name: WILLIAM POHOVEY Permit Type: Plumbing - Residential Work Classification: Addition /Alteration Job Address: 1292 95 Street NE Additional Information Miami Shores Village, FL 33138 Contractor(s) Phone NO DRIP PLUMBING (305)259 - 5711 Primary Contractor Yes Comments: INSTALL NEW FIXTURES IN BATHROOM AND KITCHEN Type of Work: PLUMBING FIXTURES Additional Info: Classification: Residential Type of Piping: Bond Return : 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. Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $170.00 $3.00 $4.25 $178.85 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 02/24/2007 Invoice Number PL-8-06-26010 Total: Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL -8 -06 -2215 Phone: Total Square Feet: Total Valuation: Re • uired Ins • ections Underground Rough Water Main Top Out Main Drain Lavatory Water Service Re Pipe Heater Final 1132060144040 Lot: PB: 0 $ 1,500 00 Amt Due $178.85 SEP 0 PAID Amt Paid 1 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. BUILDING f' M C IE E V M 1 Permit Nof. 06— 72-15 PERMIT APPLICATION AUG 2 5 2006 aster Permit No. FBC 2004 4 Y: ^ 1 C CP/ Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) 13 ( L( Pd {f b J C 7 Phone # 365 ? 5 3 1 Owner's Address 1 1 91 N F q S 1. City /Ilk\ Yti ( 5 612,P.5 State 1L. Zip 33131 Tenant/Lessee Name Phone # Job Address (where the work is being done) / j N 9s 57 City FOLIO / PARCEL # Type of Work: Describe Work: Miami Shores Village County Miami -Dade Is Building Historically Designated Contractor's Company Name Contractor's Address ) c' SZ (3w- CQa C_N City V11 / (/' State E( Qualifier Name KRtf ern 01 State Certificate or Registration No. CF c 7 5 Architect/Engineer's Name (if applicable) Value of Work For this Permit $ /V� ❑Addition ❑Alteration [New • • Repair/Replace Demolition j (J r l ` El ' -✓ Al �5 /,J 3 e2 efa K T U./6A) x1`1( � ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees ,* ***,,** ***** * * * * * * * *** * * * * * * * * * * * * * * * * * * * ** CF�CI n h !I -34 - a(c{- . y-64 � YES NO X- 0 D el P n u me/ P.)6 / i0 e. Submittal Fee $ Permit Fee $ / CCF $ Notary $ Training/Education Fee $ v - Scanning $ { Bond $ Structural Review. $ Total Fee Now Due $ 1 9-( Radon $ Code Enforcement $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Phone # 3 o2J9 —S71 / Zip 33��3 Phone # Certificate of Competency No. Phone # Square / Linear Footage Of Work: Technology Fee $ Zip 3T/3 R il 40- nnsg VIOL Mechanical Roofing CO /CC 4.5 DPBR $ Zoning $ Double Fee $ 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 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. Signatur Owner or Agent The foregoing instrument was acknowledged before me this day of t C ,20CC,by&j.// 71 )c, 4— who is personally known to me or who has pr duced As iden NOTARY PUBLIC: m / , ✓ ` Sign: Print: >r ,(/ My Commission Expires: Q I — a / 0 o e I I) * * * * * * * * * * * * * * * * * * * * * * * * * * * * *fr *****\* ir************, t************************** *** * * * * * * * * * * * * * * * * * * * * * * * * *,t* APPLICATION APPROVED BY: (Revised 02/08/06) TL GRDN MY COMMISSION ODD b 5340 EXPIRES: Octob 17 Bonded Thru Notary Public Underwriters a v Signature Co actor The foregoing instrument was acknowledged before me this day of ,20 _ who is personally known to me or who has produced_ as identification and who did take an oath. Sign: ROBERT L. GORDON MY COMMISSION # DD 565340 EXPIRES: October 17, 2010 Bonded Thru Notary Public Underwriters NOTARY P Print: My Commission Expires: " (. 7,o / C Plans Examiner Engineer Zoning ITEM BATH T1B UNIT ( FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET )1I' LIGHT OUTLETS CENTRAL HEATING DISHWASHER 1 RECEPTACLES A/C (WIND) DISPOSAL 1 SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN ALPS DIRT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY 2 OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER ( MOTORS 0— 1 HP STEAM BOILERS SHOWER 1 1, MOTORS OVER 1— 3 Hp HOT WATER BOILERS SINK, POT /3 COW. MOTORS OVER 3— 5 HP MECHANICAL VENTILATION SINK, RESIDENCE 1 MOTORS OVER 5— 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8— 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10— 25 HP FIRE SPRINKLER SYSTEMG URINAL MOTORS OVER 25-1OC FP COOLING TOWERS HATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES A/C WINDOW REI,NSP,ECTJON WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER 1 GENERATORS TRANSFORMERS HEATER —NEW INST. GENERATORS TRANSFORMERS HEATER — REPLACE 1 GENERATORS TRANSFORMERS I LAWN SPRINKLER —WELL —_ SPECIAL PURPOSE SWIMdING POOL OUTLETS COMERCIAL Mil MATER SERVICE —_ SIGN TUBES SEWER CONNECTIONS 'SIGN TRANSFORMERS 1■ UTILITY —SEWER . SIGN' TIME CLECK UTILITY —WATER FIXTURES -- SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 1 TILE/RES. VIOLATION PUTP S ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA. MAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTE6'. ! I ! GAS RAKE ! I I METER SET (GAS) ! ( J GAS PIPIk. I t T ADDENDUM TO BUILDING PERMIT APPLICATION (AN A.PLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS E. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ...••••..... • • •• •• • •• ••• .• • • ••• • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• •• • • • ••• • • • ••• • • • • • • •• • f BUG 8 2066 1 I BY:. CJ�� s ° /�~ �� -� ~ u ` 4 .��-- � �� - ° o °°•°• • � � � • • • • • ° • ° °°°°°° •° °°° • °°� �� • I i *d ��r • °° • • • • • °° • °° • • • • °° • °° °° • • • • • • • o °° °°°° °° °° • • • • ° • • °° °°=" °°°°°°° • • 0 °°° • • • • 0 • °"° • • ° • °°°°° • °°° • • • • • • • • • • °°° • • • °°° • ° • =° o ° o ~ o ° • (2, \ Passed Inspector Comments k Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . ' �0�ty}YOHd'g• F � lispeet�n,�Iurn Inspection Date: 12/08/2006 Inspector: Levrack, James Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: NO DRIP PLUMBING Building Department Comments Thursday, December 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 .DE 1 1 ETD C'ANC�I� Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: 'emit I u Phone Number - 2215 Parcel Number 1132060144040 Lot: Phone: (305)259 - 5711 Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building / ' r Electrical Plumbing Mechanical Roofing W / Owner's Name (Fee Simple Titleholder) I I. l / And 1 D ci O�/ Phone # 3 d J 7 j - 3 Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County I -3c)-s—o6 — FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name ,49L/29 7 Se ti/S Contractor's Address L /G/ 772 S (/ C Cit , /4t 4 f / State Qualifier Name /e 0 a z: r-e? State Certificate or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ['Addition i ow 00 ['Alteration Describe Work: 710M Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Miami Shores Village Building Department Bond $ Code Enforcement $ Structural Review. $ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Scanning $ Radon $ DPBR $ Zip 3 3 ) 3 - Phone # *Fee U Miami -Dade _9 05 0 [New Double Fee $ Permit No. q' L ?-0(2-21 c23 Master Permit No.23 ,b /J l f 1-fG Phone # Zip Zip —.7. /f Y Certificate of Competency No. Total Fee Now Due $ 0 2,006 Phone # , 3 G S _ 4 / 6 /9 /fi Phone # 5 x 0 Z Square / Linear Footage Of Work: ❑ Repair/Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ CO /CC Technology Fee $ Zoning $ 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 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 days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a re •, pection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this e 1 day of i. I )�-; ,20 ( - , by , y , y who is personally known to me or who has produced who is personall . own to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Ross Vasco -Brito My commission DD339668 �/ Expires July 21 200 Sign: Lt - ! `' ' eLy Print: /-\:)( °' My Commission Expires: /, APPLICATION APPROVED BY: (Revised 02/08/06) Contractor The foregoing instrument was ackno led ed before me rth'�s V da of £ U 2(VfO b r K .t NOTARY P ntification and who did take an oath. C: Sign: Print: My Commi sion Expires: ' Plans Examiner Engineer Zoning Permit Number: PL - - - 2123 Invoice Number: PL - - - 25917 Applicant: STEVEN DUBBERLY Company Name: Date Wednesday, August 16, 2006 08/16/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Payment Type Check Number 2651 Owner Address: 1292 NE 95 ST MIAMI SHORES, FL 33138 Job Address: 1292 95 Miami Shores Village, FL Amount $172.80 Change $0.00 Total Payment: $172.80 Page 1 of 1 ec#io ................ ................ ................ ................ 6- 21!:23 ........ ......... .. ..... ............... ........ ......... ... .... ............... ........ ......... ........ ......... Inspection Date: 12/19/2006 Inspector: Levrack, James Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL Contractor: NOVO & SONS, INC Buildino Department Comments Monday, December 18, 2006 Inspection Worksheet Miami Shores Village A 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Q t . a Phone Number Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Parcel Number 1132060144040 Lot: Phone: (305)444 -7177 Page 2 of 2 .27,4d/ 64§ 0 Passed sp: ctor omments Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until ec#io ................ ................ ................ ................ 6- 21!:23 ........ ......... .. ..... ............... ........ ......... ... .... ............... ........ ......... ........ ......... Inspection Date: 12/19/2006 Inspector: Levrack, James Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL Contractor: NOVO & SONS, INC Buildino Department Comments Monday, December 18, 2006 Inspection Worksheet Miami Shores Village A 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Q t . a Phone Number Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Parcel Number 1132060144040 Lot: Phone: (305)444 -7177 Page 2 of 2 Issue Date: 8/15/2006 Owner's Name: STEVEN DUBBERLY Permit Type: Plumbing - Residential Work Classification: Pool - Private Job Address: 1292 95 Contractor(s) NOVO & SONS, INC Comments: POOL PIPING Additional Information Miami Shores Village, FL Phone (305)444 -7177 Fees Due CCF Education Surcharge Miscellaneous Fee Notary Fee Pool - Private Scanning Fee Technology Fee Total: Building Department File Copy (2671 c/11 P/1 c �- Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Amount $0.60 $0.20 $10.00 $5.00 $150.00 $3.00 $4.00 $172.80 Permit Expires: 01/01/2999 Primary Contractor Yes Type of Work: POOL Additional Info: Classification: Residential Type of Piping: Bond Return : 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. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL -8 -06 -2123 Phone: Lot: PB: Total Square Feet: Total Valuation: Re • uired Ins • ections Final 1132060144040 0 $ 1,000.00 Invoice Number PL - 8 - 06 - 25917 Total: Amt Due $172.80 Amt Paid a .;6 1 6 po (( (a - NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in Ole public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.