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PL-04-28Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/4/2004 Applicant: JOHN & CHRISTINE MERCHANT Owner: MERCHANT JOHN & CHRISTINE JOB ADDRESS: 353 NE 94 ST Contractor AROUND THE CLOCK GAS SERVICE Contractor's Address: 2216 W. 80 ST Local Phone: 305 - 231 -3632 Parcel # 1132060136110 Plumbing Permit Permit Number: PL2004 -28 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 12 & W2OFT OF LOT 13 BLK 45 LOT SIZE Fees: Description Amount FEE2004 -1143 Building Fee $130.00 FEE2004 -1144 CCF $1.20 FEE2004 -1145 Technology Fee $3.25 FEE2004 -1149 Training and Education Fee $0.40 Total Fees: $134.85 Total Fees: $134.85 J Total Receipts: A Permit Status: APPROVED Permit Expiration: 7/27/2004 Construction Value: $1,800.00 Work: RUNNING NEW GAS LINE TO NEW INSTANT HOT WATER HEATER ON OUTSIDE WALL REPAIRING & REPAINTING SOME FEB 0 6 PAIDp., Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) Owner's Address *3 cz> log - City .r. rioS state $ Value of Work For this Permit Miami Shores Village Building Department C•c Submittal Fee $ 50 Oc Permit Fee $ 1 6 Notary $ Training/Education Fee $ • a.C) Scanning $ Radon $ 10050 N.E.2nd Avenue, Mianu Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Plumbin Zip Master Permit No. Tenant/Lessee Name Phone # Job Address (where the work is being done) 3 3 E 9 4 s 't' . City Miami Shores Village County Miami Dade Zip 33 1 3 8 Is Building Historically Designated YES NO Contractor's Company Name Arouvil1 4-1-k_ CI0 Gag Phone # ka31 3638 Contractor's Address c2c,2 I( ().-.) 80 S• e 4 3 'I" City �i ti. k / State .L Zip 33 c01 Qualifier A ow( �(= �Z�.1 Architect/Engineer's Name (if applicable) Phone # C OO. ° Type of Work: 0 ddition ['Alteration Describe Work: - Y1 ek i 40 2 Rp--S ka YlQ (Jo in S Square Footage Of Work: ❑New° ❑ Repair/Replace CCF$ to Technology Fee $ ' (2-S Bond $ Permit No. PI a0O +-27 RECEOVED IAN '2 9 2004 Mechanical Roofing one # b /9 ) (I/ . ❑ Demolition t &)C, Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State `F(14(,, 5.WD t 6.1e ltbl War 1MAS� b4, atil Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 FT FCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR COND TIONERS, 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 FA LURE 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection w`ch occurs seven ) days after the building permit is issued In the absence of such posted notice, the inspection will not b oved > d a re , ction fee will be charged. • Owner or Agent T h e f o r e oing instrument was a c k n o w l e d g e d b e f o r e me t h i s The f o r e g o i n g i n s t r u m e n t was a c k n o w l e d g e d % l ie i day of " 201 , by �aw�w6sllle day of 20 by ,�o� ®�A C�S �� P,�, -- Az '44 SNOTARY PUBLIC A • • who is personally known to me or who - ( SASd 1 1 0 4 who is personally known to me or who,,,tas 41:440 Sign: — — — - :� #CC�79 _ 3. • 7 G7i' • 4 � • C.% i/ +•�. FBma�+ °'s•• a Print My Commission Expires: ' My Commission Expires: , # �t� ,11$ $ I ! - (Certificate of Competency Holder) APPLICATION APPROVED BY: Chc 10/14/03 State Certificate or Registration No. Certificate of Competency No. Signature Contractor * * * * * * * * * * * * * * * * * * * * * * * * * * ** * *; * * ** j' **** *********************** * * * * * * * * * * * * * * ** ** * * * * * * * * * ** *$ ** Plans Examiner or m,® - Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/4/2004 Applicant: JOHN & CHRISTINE Owner: MERCHANT JOB ADDRESS: 353 NE 94 Parcel # 1132060136110 Signed: (INSPECTOR) Signed: (Contractor or Builder) Plumbing Permit Permit Number: PL2004 -28 MERCHANT JOHN & CHRISTINE ST Contractor AROUND THE CLOCK GAS SERVICE Contractor's Address: 2216 W. 80 ST Local Phone: 305 - 231 -3632 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 12 & W2OFT OF LOT 13 BLK 45 LOT SIZE Fees: FEE2004 -1143 FEE2004 -1144 FEE2004 -1145 FEE2004 -1149 Description Building Fee CCF Technology Fee Training and Education Fee Total Fees: Amount $130.00 $1.20 $3.25 $0.40 $134.85 Total Fees: $134.85 Total Receipts: 0 Permit Status: APPROVED Permit Expiration: 7/27/2004 Construction Value: $1,800.00 Work: RUNNING NEW GAS LINE TO NEW INSTANT HOT WATER HEATER ON OUTSIDE WALL REPAIRING & REPAINTING SOME MAR 0 3 PAID 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. BY: C _rte Armond the Clock Sentice L OI.73! /CCN 02P000359 2216 AN' est$0 %reek,. Bay 3 Italeah, H 33016 Phone: (305) 231- 3632/Fax: (305) 2314180 13C 6) 0 6 r4 CA-Cr Installation oti &- AI! af=x-dance sari/4 -7001,_ 4 X 7 4 &. 58 iregulations as well asall, l codes 3ob Address: 3 3 Around the Clock Sergi ± .7'. - _Cal 02P000359 2216 West 80 zeet,3 Hialeah, H 33016 Phone: (305) 231-3632/Fax: (305) 231 -4180 15 tk u*- W ()lee 1■14 e=a- ‘ 4 - s i)tAroi-cA Local . 903, ads 6T0 p. CbLe fCe KWh R" 2001, fl 4 54 & 58 rag aJ well as all loca Job Adcli,fs$: 353 RJe, c f s 4 .