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y Miami Shores Village x<
10050 N.E. 2nd Avenue s ry
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
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Expiration: 0112112
Project Address Parcel Number Applicant
375 NE 94 Street 1132060136120 DENTS ARDEN
Miami Shores Village, FL 33138- Block: Lot
Owner Information Address Phone cell
DENTS ARDEN 375 NE 94 ST (305)648 -0032
MIAMI SHORES FL 33138 -2831
Contractor(s) Phone Cell Phone Valuation: $ 1, 0 0 0.00
MG PLUMBING & SPRINKLER SERVIC (305)525 -9236
Total Sq Feet: 0
Type of Work: PLUMBING Available Inspections:
Type of Piping: GAS
Inspection Type:
Additional Info: GRILL
Final
Bond Return: ROW
Classification: Residential Press Test
Fees Due Amount Total Amt Paid Amt Due
CCF $0.60
Education Surcharge $0.20 $ 0.00 $ 0.00 $ 0.00
Permit Fee - New Construction $175.00
Scanning Fee $3.00 Payment Type:
Technology Fee $4,37
Total: $183.17
11S JUL 2 8 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 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
July 25, 2008
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
Friday, July 25, 2008 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
ror
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Inspection Date: 07/29/2008 Permit Type: Plumbing - Residential
Inspector: Levrock, James Inspection Type: Final
Owner: ARDEN, DENIS Work Classification: Gas
Job Address: 375 94 Street NE
Miami Shores Village, FL 33138- Phone Number (305)648 -0032
Parcel Number 1132060136120
Project: <NONE>
Block: Lot:
i
Contractor: MG PLUMBING & SPRINKLER SERVIC ` Phone: (305)525 -9236
BuIlding Department Comments
GAS LINE FROM METER TO GRILL AND HWH
P ia
inspe or Comments
Passed cc )
Failed
Correction
Needed
P
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Monday, July 28, 2008 Page 1 of 2
��r • Miami Shores Villag
1 Buldin Department JAN 1 200
10050 N.E.2nd Avenue, MiamiS ores, Florida 33138 BY: ---"""
s
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit IN o. q- 04
PERMIT APPLICATION Master Permit N o.
FBC 2004
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder) V *j1 _e 1 AP771? Phone # 0 t;W J' -
Owner's Addres "J P,� 9 �j C7-"
City G_& e14*,P State {fj Zip
Tenant/Lessee Name Phone #
E- MAfL: d, , 4L;��jPj�[G!? � f 11
Job Address (where the work is being done) r)1-� l 7
City Miami Shores Village County Miami -Dade Zip �51SG
v
FOLIO/ PARCEL # 0 1 ^f'O(
Is Building Historically Designated YES NO
r--
Contractor's Company Name 4�_JA 6 p — IRR.W144CZ foy # ,,,3Zt$' ;f L,s'- 9 7-jr 4,.
Contractor's Address ,tz6_5
City �Zrsllr�tC / State YC < Zip J
QualifierNarn 9erS l Ny/C.w,y Phone# ,3 , 5"zj - -9 2 3,4
State Certificate or Registration No. CFC .0S j z D Certificate of Competency No.
E -MAIL:
Architect/ Engineer's Name (if applicable . Ga u P ( NG• Phone # So:�; - -ed SZ
Value of Work For this Permit $ M; , o ae. Square / Linear Footage Of Work: /d'
Type of Work: ❑Addition ❑Alteration `New E Repair /Replace ❑ Demolition
Describe Work; C &< 0e V7C-2 Ty ro?-4 , 4V0
Submittal Fee $ Permit Fee $ ��J CCF $ CO /CC
Notary $ Training /Education Fee $ Technology Fee $ -
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
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.
i` ► "� r
"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 cei tifted copy of the recorded notice of commencement must be posted at the job site
for the first inspection which urs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be a roved an a reinspection fee will be charged:
Signature Signature• -.•-c C
e�
Owner or Agent Contractor
The for g'omg.��instrument c 1/ w�as acknowledged bef re ne this ly The foregoing instrument was acknowledged before me this
day o V , 20Q1, by d o f 20 by
who s per3sonally nown to me or wh has roduced o p � who is personally known . to me or who has produced
)CI
�� � s identification and who did take a%oath. a
NO ARY P BLIC• q ^a c Notary Public State on path
�Q •�\� p`�, NOTARY PU i Sherry A Moreland
My commission DD686101
wo4G�q�ti"' +moo' �+� o fl Expires 06/1712011
Sign:
, �
Sign: • a e2 01
Print: Print: 5 4w, } - my L d
My Commission Expires: My Commission Expires: O�—
r� �x�� , � , �x , � , r , r , txxx,rx�xx *xx�r�rx• � ,:
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APPLICATION APPROVED B Plans Examiner
Engineer
Zoning
(Revised 02/08/06)
Miami Shores 'Village
Building Department
ar13 ' N -MAM Vonue
Miami Shores, Florida. 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No. ®g" 5 q
Job Name
Date 1 O 08 .
BUILDING CRITIQUE SHEET
� c:Q � L lce.vsp
Cal) - rAAc b rz. ,
Reviewer:
Claudio Grande C.B.O
305- 795 -2204 Ext 1430
t
Miami Shores Village
g
Building Department
10050 NE 2 Ave, Miami Shores, FI 33138
Tel: (305)795 -2204 • Fax; (305)756 -8972
RECEIPT
PERMIT #; ' DATE:
- 1"
)C contractor
❑ Owner
❑ Architect r
Picked up 2 sets of plans and (other) _ Aw11ct4T(DA I bt
Address: 7�3 7 /2/ AE 9 `/
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continu itting ss.
l� Acknowledged by:
PERMIT CLEARK INITIAL: _
RESUBMITTED DATE: l bL ^l V"
1
PERMIT CLEARK INITIAL:
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