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230 NE 94 St (3)'DING ECTRICAL JMBING OFING ner of ding ect ,ctor .der 'ptioii ,ss of ng Lot n PERMIT N? 11368 E Work to be performed under this Permit • •11`")1.- '611•` Cb1QTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. f, Subdi- vision Value of Project $ DATE Contractor's License No Amt. of Permit $ ' "1 his permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, gs, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any 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 d is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and re ring to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes reaponsib' by his agents, servants or employees. Signed 44:4" 41,46 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 'ng thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. oting this permit I assume responsibility for all work done .by either, myself, my agent, servant or employee. ) BY AUTHORITY Permit No._ ___l___ 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 Registered Architect and /or Engineer MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT `a- Date �' S ✓ _ -- No.__.._ _-- __ — __ Employing Plumber's Name ° ( No.__ - _ -_ -_- —� Street--- - - -__ lr Location and Legal Description Lot.______ ..... ________________ __ Block Street and Number where work is to be performed— No._____ a' Street State work to be performed and purpose of building (By Floors)... New Budding ___ Remodeling.___ _-_ Addition.__ Repairs No. of Stories. Size Septic Tank_ .... ---- _-- ----- --- -- ____ -- ---- --- - -- Type of Tank Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. _ Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, I es. COUNTY OF DADE. Subdivision Capacity Gals ( Signed)- - — — -� A 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 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) -+ � �� / _ !! 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. CLOSURE; TUBS TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8„,, ,5/. P'1 ' % TOTAL FIXTURES GL IST LIST CHECK 6 (: �_ _ 1j SEPTIC TANK SEWER CONN. DRAIN FIELDS GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST ,I !' ` —_— CHECK i0 p / e)% _ Permit No._ ___l___ 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 Registered Architect and /or Engineer MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT `a- Date �' S ✓ _ -- No.__.._ _-- __ — __ Employing Plumber's Name ° ( No.__ - _ -_ -_- —� Street--- - - -__ lr Location and Legal Description Lot.______ ..... ________________ __ Block Street and Number where work is to be performed— No._____ a' Street State work to be performed and purpose of building (By Floors)... New Budding ___ Remodeling.___ _-_ Addition.__ Repairs No. of Stories. Size Septic Tank_ .... ---- _-- ----- --- -- ____ -- ---- --- - -- Type of Tank Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. _ Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, I es. COUNTY OF DADE. Subdivision Capacity Gals ( Signed)- - — — -� A 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 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) -+ � �� / _ !! 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 .1 Da te �g �' ` ' S 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 ........ •-- -_ -- ���`� !L__ _�_ Registered Architect and /or -- Engineer--- -_ / _-- - - --__ -- Employing Plumber's Name P• J e_.6 Location and Legal Description Lot.____.________ .___..__ __ _____ , Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) ____- __ _______________ New Building — Remodeling Addition__ Size Septic Tank_-_ _____________------------ - - - - -- Type of Tank Feet of Drain ............. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.________________________ —___ Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. 3‘/ _ Street_ CJ Street )/ e 94/ .,27 (Signed) _ ( Signed )_____ No._ Street____/YGU__S Subdivision Repairs No. of Stories. Capacity Gals._ 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 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. 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'NS 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 )/ e t /� ---__ CHECK Permit No .1 Da te �g �' ` ' S 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 ........ •-- -_ -- ���`� !L__ _�_ Registered Architect and /or -- Engineer--- -_ / _-- - - --__ -- Employing Plumber's Name P• J e_.6 Location and Legal Description Lot.____.________ .___..__ __ _____ , Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) ____- __ _______________ New Building — Remodeling Addition__ Size Septic Tank_-_ _____________------------ - - - - -- Type of Tank Feet of Drain ............. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.________________________ —___ Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. 3‘/ _ Street_ CJ Street )/ e 94/ .,27 (Signed) _ ( Signed )_____ No._ Street____/YGU__S Subdivision Repairs No. of Stories. Capacity Gals._ 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 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. 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. l-'e - it No. L Application is hereby mad 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. - Gwnar's Name and Address STATE OF FLORIDA, 1 COUNTY OF DADE. j Location and Legal Description Lot. Size Septic Tank Feet of Drain Tile_ — Nature of Water Supply: City —Well. Amount of Permit $ C / Registered Architect and /or Engineer.._1AP% 1 n s �� Employing Plumber's Name 1 " 1 41111 u \ `- /1C / n`' `a !r No.. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date A _ _ —I � /9' z 4 ___ -_ No _ —_— __ =._ Street_ Ai& 9 New Building —.. -- •-- •_ -.• - -- - - - - - -- Remodeling_ -. __ Addition__----_- •-- •----- _ -•_ -- Repairs C Street____ IVE 'c _Block Subdivision 7 6 .. Street.. 7 Street and Number where work is to be performed— No._______ _ State work to be performed and purpose of building (By Floors) _._ -- --- _---- -a(_1_ E' 4.AY a/ I r' Type of Tank_ -- Capacity Gals. Dist. Feet of Tank or Drain Field from Well - _-•--- _ -•- - -- - -_ -- -. Size of Soakage Pit (Signed)_ - The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinane plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl performed under this permit; and will post or cause to be posted for inspection on the site of the work s required by the Act. The undersigned agrees to employ only such sub - contractor on ' rk to be licensed by Miami Shores Village. No. of Stories.. _ My Commission Expires Notary Public, State of Florida l- N-- `+=` =- Plumbing'Th pebtor. ofns as an employer of labor upplement, and has corn - by him in the work to be notice or notices as are nder this permit, as are Before me, the undersigned authority, a notary public, duly authorized to a• . `'ster 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 worlonanchrip. CLO..38`78 BATH TLS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LicT CHECtt SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL LIST CHECK l-'e - it No. L Application is hereby mad 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. - Gwnar's Name and Address STATE OF FLORIDA, 1 COUNTY OF DADE. j Location and Legal Description Lot. Size Septic Tank Feet of Drain Tile_ — Nature of Water Supply: City —Well. Amount of Permit $ C / Registered Architect and /or Engineer.._1AP% 1 n s �� Employing Plumber's Name 1 " 1 41111 u \ `- /1C / n`' `a !r No.. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date A _ _ —I � /9' z 4 ___ -_ No _ —_— __ =._ Street_ Ai& 9 New Building —.. -- •-- •_ -.• - -- - - - - - -- Remodeling_ -. __ Addition__----_- •-- •----- _ -•_ -- Repairs C Street____ IVE 'c _Block Subdivision 7 6 .. Street.. 7 Street and Number where work is to be performed— No._______ _ State work to be performed and purpose of building (By Floors) _._ -- --- _---- -a(_1_ E' 4.AY a/ I r' Type of Tank_ -- Capacity Gals. Dist. Feet of Tank or Drain Field from Well - _-•--- _ -•- - -- - -_ -- -. Size of Soakage Pit (Signed)_ - The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinane plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl performed under this permit; and will post or cause to be posted for inspection on the site of the work s required by the Act. The undersigned agrees to employ only such sub - contractor on ' rk to be licensed by Miami Shores Village. No. of Stories.. _ My Commission Expires Notary Public, State of Florida l- N-- `+=` =- Plumbing'Th pebtor. ofns as an employer of labor upplement, and has corn - by him in the work to be notice or notices as are nder this permit, as are Before me, the undersigned authority, a notary public, duly authorized to a• . `'ster 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or worlonanchrip. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.1 / a' Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 6/ubmitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall he complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ... • - - - - - -- - -- - - -- -__ -- -- _ No. __ . Street Registered Architect and /or E i eer Employing Plumber's Name - Location and Legal Description ' Block Subdivision �L Street and Number where work is to be performed —No. aL___:) __.__ __ Street l✓ f�$' / ' State work to be performed and purpose of building (By Floors) New Building) __ - Remodeling Addition .__ _ _ Repairs CONTR. LIST CHECK CONTR. LIST CHECK CLOSETS SEPTIC TANK BATH TUBS SEWER CONN. f � Size Septic Tank ‘ Feet of Drain Tile . __1__ 9� Type of Tank______ Dist Feet of Tank or Drain Field from Well - Nature of Water Supply Well Size of Soakage Pit i Amount of Permit $ STATE OF FLORIDA, ) COUNTY OF DADE. SHOWERS ss. DRAIN FIELD LAVA- TORIES SOAKAGE PIT My Commission Expires SINKS SOLAR H EATER DEEP WELL GREASE TRAP SLOP SINKS LAUNDRY TUBS URINALS SPRKLR. SYSTEM (Signed) CATCH BASIN SWIM'G POOL FLOOR DRINKING /ST.S DRAIN FOUNT' NS 3 Capacity Gals. No. of Stories Notary Public, State of Florida --Vi a s s/ No. Street Master Plumber. TOTAL FIXTURES 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 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. 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. • BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing) Mechanical Roofing Owner's Name (Fee Simple Titleholder) /Viet f. f �C� + ,7 f> Phone # -( 7 -tea Owner's Address -;?::7:1r-) /J� 9 e / ; . City ,e),- �,�'' ;t State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES $ Value of Work For this Permit 4 --3f�1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 c 'i County Miami -Dade NO Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 1 0 * SS (Continued on opposite side) Permit No. pi O((. !� N Master Permit No. p ok-ks 7a-, Zip .33t. Phone # Contractor's Company Name ift RAJ" t I�/1 E -, /' c ��r r �G' - � .. Phone # s l -. 0.& 4 Contractor's Address /c 4n - ‘ Cty' ' S A ,t' L' a City AhAl-// State f / ' Zip ..3 i/ Qualifier /lc/ Architect/Engineer's Name (if applicable) Phone # Zip 1 1 =, Square Footage Of Work: Type of Work: ❑Addition , EAlteration ) [ew ❑ Repair/Replace ❑ Demolition Describe World ''. * * * * * * * * * * * * * * * * * * * * * * * * * * * *F * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ****************************F Submittal Fee $ 5 0 , 0 a Permit Fee $ / � CCF $ 'j 0 CO /CC Notary $ Training/Education Fee $ - a Technology Fee $ Scanning $ Radon $ Zoning Bond $ w Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) /L2/1.T7'`/€ ) - T/2-05 Mortgage Lender's Address - 200 13g/ C14 t22 City m /A7n / State Zip 33/9/ 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. such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this to The foregoing instrument was acknowledged before me this day of in , 2004, by lt)Ld,Am RDpE,tT . irit+ zr, day of 1 L/ , 20 i, by who is personally known to meior who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: LYDIA FERNANDEZ EXPIRES: July 25, 2004 1 �titd Print: -; My Commission Expires: 4 *************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** State Certificate or Registration No. **** * * * * * * * * * * * * * * * * * * * * * * * * * ¥ * * * * APPLICATION APPROVED BY: Chc 12/15/03 r ** V • N TARY PUBLIC: Sign: Print: My Commission Expire OFF AL NOT7AF S EAL £COMMISSION NUMBER , Q 4 ,�r p DD102475 ` OF Fk.' APR. 5,2006 (Certificate of Competency Holder) Certificate of Competency No. * * *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Plumbing Permit Phone: 305- 795 -2204 Permit Number: PL2004 -182 Printed: 8/4/2004 Applicant: WILLIAM ROBERT SMITH Owner: SMITH WILLIAM ROBERT JOB ADDRESS: 230 NE 94 ST Contractor HERNANDEZ PLUMBING CO. Contractor's Address: 1840. S. W. 83 AVE. Local Phone: 305 - 267 -2346 Parcel # 1132060133630 Permit Status: APPROVED Permit Expiration: 12/25/2004 Construction Value: $600.00 Work: POOL PIPING Signed: (INSPECTOR) Page 1 of 1 AUG 0 5 PAID Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 5 & 6 BLK 27 LOT SIZE SITE Fees: Description Amount FEE2004 -7812 Building Fee $150.00 FEE2004 -7813 CCF $0.60 FEE2004 -7814 Training and Education Fee $0.20 FEE2004 -7815 Technology Fee $3.75 Total Fees: $154.55 Total Fees: $154.55 o Total Receipts: f0.00 1 o‘l,ss 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: