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27 NE 94 St (15)BUILDING PERMIT APPLICATION FBC 2001 Job Address (where the work is being done) Is Building Historically Designated YES NO Architect /Engineer's Name (if applicable) Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) 1Vllaml tenor es v 111age Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Structural Plan Review. $ 40.77 4104 Master Permit No. Permit No. 9 L2b6_ Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) E 14. e IK 14 A RP Phone # 7 6, -'3 7 O Owner's Address f J) U.; q City H A \4 RO% State ri A Zip a3 I S EL„ Tenant /Lessee Name ,(lam / E'/ Phone # City Miami Shores Village County Mi de Phone # Zip 33150- Contractor's Company Name H (AM nn p�T , Phone # sa. 5/. (- o 9 Contractor's Address q59./ 1C()U 0.j- .p txie, S 9_02- Cil 1 1/44 t Arm, t Slate n Zip `� Qualifier, R e� -.t`7) ' State Certificate or Registration No.0 91 cri Certificate of Competency No. Value of Work For this Permit . 2,® Square Footage Of Work: ? co sap r — Type of Work: ❑Addition ['Alteration [New PI Repair/Replace ❑Demolition Describe Work: j NiS t' IO\ to ` � ' ( tom) r til �1� l n i4A k➢ f-(1 I . * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ I -7 5 • CDC) CCF $ I o ( KO CO /CC Notary $ Training/Edueation Fee $ n GC) Technology Fee $ 4. (9 °7 Scanning $ '�j . Radon $ Zoning Bond $ . t.C) 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 installs ions as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will b 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 NOT CE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER Y. 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 ith an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and col struclion lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recd ded notice of commencement must be posted at the job site for the . first inspection which occurs seven (7) days after the building permit is issuer!. 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 nee this day of Veioutictiei, 2O&\ , by (,07)4y.,..5 tk►.S7R ( who is personally known to me who has produced NOTk.RY Sign: Print: Chc 05/13/03 L 72 My Commission Expires: ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: 4 l . TER E. CIiOCKETI As i. - i tification and who did take an oath. PLIBL FT S: May 20, 2005 14 4- _ Signatur NOTARY PUB Sign: Print: oS- Contractor it The foregoing instrument was acknowledged before nie this ''4 , day Of d , 20& , by C / -/z >c.`j 1 -i,Di/9 , who is personally known to me or who has produced as identification and who did take an oath. My Commission Exp '% It FIRES: Ma 2 0, 2005 di' Bonded Thru Budget Notary Services ** ; ***************44********************************************** 9 `? 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 AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIRAIETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (ROUND 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 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 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMIERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COLA ERCIAL 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 PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING 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 D R A I N F I E L D 0 T H E R CONSTRUCTION PERMIT FOR• [J] New System [�) Existing System Holding Tank [X] Repair [(J] Abandonment Temporary 0 p Il E ' ‹. I — 1 Q r j.J C: tr . PROPERTY ADDRESS: 2 5 d" ' w • I ,- 0 / 4 07 i 1/Ley G' F ( 33 /...g 0 LOT: 2 3 BLOCK: /' 7 SUBDIVISION: l" / a),) l ,.a if () 1r 0_ (-', PROPERTY ID #: _ 1 ) _ CI _� P} MB [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] �J [OR TAX ID NUMBER] APPLICANT: STATE OF FLORIDA 110 DEPARTMENT OF HEALTH ORTSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT [ ;.l ) [ 1 SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065 F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SAFTISFACTOR PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMI DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTIN REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [900] A [ ] N [ K [ ] GALLONS / GPD SEPTIC TANX /AEROBIC UNIT CAPACITY GALLONS / GPD GALLONS GREASE INTERCEPTOR CAPACITY GALLONS DOSING TANX CAPACITY [ [3O 0 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM [ --- ] SQUARE FEE SYSTEM TYPE SYSTEM: [ ] STANARD [ FILLED [ ] MOUND [ CONFIGURATION: [ ] TRENCH [ A BED [ ] LOCATION OF BENCHMARK: 1 .2/ -' () f V ' �, �a • ELEVATION OF PROPOSED SYSTEM SITE [7,10] [INCHES /FT] BOTTOM OF DRAINFIELD TO BE [ c (.) () [INCHES/FTY FILL REQUIRED: [L/] INCHES EXCAVATION REQUIRED: SPECIFICATIONS BY: APPROVED BY: ` l DATE ISSUED: 2 1 7 ® 5 DH 4016, 12/99 (Page 1) (Previous Editions May Be Used) MULTI CHAMBERED /IN- SERIES [X CAPACITY MULTI -CHAMB RED /IN- SERIES [ [MAXIMUM CAPACITY SINGLE TANX: 1250 GALLONS) }GALLONS ® [ ] DOSES PER 24 HRS # PUMPS [ ) 2 k-- . t [ABOVE /BELOW] [ABOVE BELO +] [ 15 ! ] INCHES .11.1 y,;rirr •.:.,,i,_ UNDER BOTTOM OF DIRA IMFTF'I P) MIT IS N. a Frog + : r' 1 I INVERT ELE\'A ; ,r„ ,� _ - !1s^....:'l R ti t.-g i J1 yy} ;, ;IN C 1 4 ITLE: Part 1 - Health Department PERMIT NO. DATE PAID: FEE PAID: RECEIPT #: N] Innovative [ 0 s - 03611 2 ° ( 4- OS. 1 a On U e 5(n'0204,1( BENCHMARK /REFERENCE POINE BENCHMARK/REFER CE POINT EXPIRATION DATE: / 1 C(czifl CBD / Page 1 of 3 Scale: Each block represents 5 feet and 1 inch = 50 feet. Site Plan submitted b Plan Approved t0 By STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number w ALL CD-OANG • PART II - SITE PLAN- Signature Not Approved 1 u `\ 1 l o(l u pi a o4) k) w icy R otz5 �- ono cis Notes: { C. HE. I gib'. e k PE ck,5, 9 AV.t c /(A 5U . •• (7, be 1', 4 Title Date � .- P County Health Departmei S MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT I: ALIA 1 1� +�V e BUILDING PERMIT APPLICATION IBC 2001 Permit: 'Type (circle): Building Electrical Plumbin: Mechanical Roofing Owner's Name (Fee Simple Titleholder) ��'� a k / IA (\ �e/�� Phone # Q s ^ O 7 - 7 Owner's Address D,0 �.1C p q p^ City I4 I IAI� 1� hfl eS State 1� f /� Zip 3 a Tenant /Lessee Name Phone # .lob Address (where the work is being done) ac, t ,„ 9 �d S' . City Miarni Shores Village County Miami -Dade Zip j �, is Building Historically Designated YES NO Contractor's Company Nanny (A \xiae f t r Phone # 7E-6.- a 5/ - L, 09 9— C'ontractor's Address ! s9 i Foci &T -& \ j e �iet In �'j City H ( PA State r[ Zip Qualifier -' O \ Stale Certificate or Registration No. Q Q 9 _I—L n,( Certificate of Competency No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ❑Addition Describe Work: !f' ivilami mores v inage Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 1 60 •-67 4_Ir7 (Continued on opposite side) (L/ 0 4 175 .O ° Permit No. P L 2003 Master Permit No. Phone # Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ❑Alteration ❑New 11. Repair/Replace ❑ Demolition CCF $ . 20 coicC Technology Fee $ 4. s7 Zoning Bond $ 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 pennit 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 constniction 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 01? 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 al 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 1 Contractor The foregoing instillment was acknowledged before me this r TT-/ The foreg ng instniment was acknowledged before me this 1 1 7 ' day of •1� fr 20 C) S , by UL ?L Y.5 i t - i ) ,5 - 7-} , day of , 20C).) by JJ{ 21 f & ' . ' r 5 who is personally known to mjbr who has produced ((Who is personally nown tome for who has produced As identification and who did take an oath. NOTAI(tY PUB I Sign: Print: LL - 7 7Zi' My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED Cho 05/13/03 11. tr it1 )f Fl KMY rN E. CROCKjr ISSION # DD 014752 XPIREC May 20, 2005 ill Bondod Thru Budget Netary Servhces Signature NOTARY PUBL Sign: Print: My Commission Exi as'dentification and who did lake an oath. GROCVETT ' 22 •� 1 V 7h1� : 0147Ed CiatiE: a 20 2' . I� 'FoF o' Bonded Thru Budget Notary f, * ** * * **********#************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * *4r* 7 Xe/ Plans Examiner Engineer Zoning c.v ITEM BATH TU8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEIrFORARY 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 FP 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 MOTCRS OVER 8— 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10— 25 HP 1 FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES- ' A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER —NEW INST. GENERATORS TRANSFORMERS HEATER — REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER —WELL SPECIAL PURPOSE SWIMdING POOL OUTLETS COMMERCIAL 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 PUMP S. 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 0 (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.) 1316,71E LU NM I G 2) ELECTRICAL MECHANICAL PE " IT APPLICATI[ON FO m' MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue4 Miami Shores, Florida 33138 o Phone: 305 - 795 -2204 o Fax: 305-756-8972 c. • 'per nn''�� q `,� (� "" Date �- I - 25 �`�Job Address V I Wei ? Tax Folio Legal Description Historically Designated: Yes No Owner /Lessee/Tenet Master Permit # Bp Wo 3 270 r t 0° Owner's Address q �^ Phone Contracting Co. 'BEAR �� a �Y .. \ t 4_ I 1 ' CAddress 1 73 Ne L/7 - re ' Qualifier LAS/ 7 �[ � ss# 37 -50^z 7 Phone (40 g/ g'() State # CFCO 7? 0 Municipal # Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires FEES: PERMIT APPROVED: R ADON C.C.F Zoning Building Mechanical Plumbing IF THERE IS NO PERMIT I'aACKAGE ACCESSI N TIHIE £O "ll SITE FO '? 'INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE ITS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHE INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL Competency # WORK DESCRIPTION: R 1 ---oCA Vi - re — r2_ TE • Square Ft. Estimated Cost (value) ti • 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. II understand that separate permits are required for all disciplines. 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. Furthermore, I authorize the above named contractor to do the work stated. In s. Co R -Tf=0D MECHANICAL ROOFING caner Builder NOTARY S - o v BOND TOTAL DUE Electrical Structural Engineer EM • T`i RE UNIT FEE ITEM SW I TOI OUTLETS UNIT FEE ITEM SPACE hEATERS UNIT FEE CET —_ LIGHT OUTLETS -_ CENTRAL HEATING S;RASHER —_ RECEPTACLES '_ A/C (MIND) OSAL —_ SERVICE TESFtRARY '_ A/C (CENTRAL) , INXING FOUNTAIN -_ SERVICE SIZE IN A PS -_ DUCT WORK .CCR CRAIN __ SERVICE REPAIR/1rETER CHANGE -_ REFRIGERATION , EASE TRAP —' APPLIANCE CUTLETS -_ PROCESS AND PRESS PIPING , TERCEPTOR —_ RANGE TOP -_ UNDERGROU?O TANKS ;VATCRY —_ OVEN -_ ABOVE GROUND TANKS .UNDRY TRAY __ RATER HEATER -_ U.F. PRESSLRE VESSELS .OTHES WAS.ER __ MOTCRS 0- 1 FP -_ STEAM BOILERS - DYE -_ MOTCRS OVER 1- 3 FP '_ HOT MATER BOILERS NK, POT/3 COMP. __ MOTCRS OVER 3- 5 FP -_ MECHANICAL VENTILATION NK, RESIDENCE -_ MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES NK, SLOP -_ MOTORS OVER 8- 10 HP -_ ELEVATORS/ESCALATORS ::►FORARY WATER CLOSET MOTORS OVER 10- 25 FP '_ FIRE SPRINKLER SYSTEMS 1NAL -- MOTORS OVER 25-100 FP -_ COOLING TOWERS ;TER CLOSET —_ MOTORS OVER 100 FP -' VIOLATION DIRECT WASTES A/C MIMCOM __ REINSPECTION ;TER SIPPIY TO: AIR CONDITIONERS • A/C UNIT -_ STRIP HEATER == FIRE S?RINQER —_ GENERATORS TRAtSFCRWERS - LEATER -NEW INST. —_ GENERATORS TRAASFCR.€RS HEATER- REPLACE 1111 - GENERATORS DIMMERS LAWN SPRINKLER -WELL —_ SPECIAL PLRPOSE =_ MINING POOL • CUTLETS ClERCIAL HATER SERVICE SIGN TLBES tfER CONNECTIONS —_ SIGN TRANSFCPARS ILITY -SEWER —_ SIGN TIME CLOCK -_ ILITY -MATER -- FIXiLRES ?TIC TANK —_ ANTENNA - LAY —_ TELEVISION CUTLETS -_ AINFIELD, 4' TILE/RES. VIOLATION -_ vP & ABANDON SEPTIC TANK REINSPECTION AXAGE PIT CU. FT. TCH BASIN SaiARGE WELL E'AS WELL EA GRAIN CR -- -_ CF INLET LAR MATER HEATER L PNCPIPE CL PIPING CL PIPING n'1 SPRINKLER SYSTEM 3 RANGE -- -_ i:R SET (GAS) 3 PIPING � ' = IN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. 33TAINED, 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 Printed: 4/29/2003 Applicant: LUIS JOSE wner: HARPER JOB ADDRESS: 29 Contractor BEAR PLUMBING INC Local Phone: Parcel # 1131010340140 IOW 94 )2 _S D D 0 'O. Total Fees: Total Receipts: $0.00 Permit Status: Approved Permit Expiration: Work: RELOCATE. WATER HEATER SiAr In considerate e issuance to rr conformity ''t the plans, drawings, st done by either myself, my agent, sere. Sign 0 900L 90D 0 1Cd900Z90lid COO ' ueo•uotun ;LI sfueg feuonefd uoryn J Si bne 7 � C60Ct HON' 9 OL9/£t9 -£9 GoLz Legal Description: MIAMI SHORES SEC 6A PB 12 -54 LOTS 23 & E1/2 OF LOT 22 BLK 167 savnoa Plumbing Permit Permit Number: PL2003 »109 s 0 /61,50 31Va OROPESA STEPHEN ST Contractor's ddress: 1973 NE 147 TERR 10/25/2003 Construction Value: $600.00 Page 1 of 1 --••■• / / l9l££ l3'IWVIW HlllON '1131 H1L£l '31N 999 1 'dHOO NOI10f1H1SNO;) 0011 1/ AO H3ad0 3H101 AVd