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80 NE 94 St (18)Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 . Permit Number: PL2002 -237 Printed: 9/9/2002 Applicant: AUGUST WOLFE Owner: WOLFE AUGUST JOB ADDRESS: 80 NE 94 . ST Contractor ALEMAN PABLO Local Phone: 308 - 681 - 5788 Parcel # 1132060130300 Permit Status: Permit Expiration: 3/8/2003 Work: INSTALL WELL FOR SPRINKLER SYSTEM \ Sign Signed Plumbing Permit Contractor's Address: 1405 NW 121 ST Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 1 & LOT 2 & E1/2 OF LOT 3 BLK 3 LOT O.. u, 6n Total Fees: $6:90 Total Receipts: $0.00 Construction Value: $300.00 Page 1 of 1 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This 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 herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further conditiqn upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pe aining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or em loyees. (INSPECTOR) BY: 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. (Contractor or Builder) BY: r PAY TO THE ORDER OF FOR PABLO ALEMAN WELL DRILLING 1405 N.W. 121st Si 681-5788 Miami, FL 33167 Pt- ;3 9 Firs Union National Bank N J firstunion.com Org. 003 R/T 067006432 PABLO ALEMAN WELL DRILLING 1405 N.W. 121st Si 681-5788 Miami, FL 33167 f /705 OR FS 7Z4 PAY TO THE ORDER OF First Union National Bank firstunion.com Org. 003 R/7 067006432 FOR 0 513 7 211° 1:06 70064 3 21: 2 L66 S03407 L940 1000 586 30 1:06 700 6 4 3 21: 2 L66503407 L9411° DATE _ DOLLARS PABLO ALEMAN WELL DRILLING q DATE PABLO ALEMAN WELL DRILLING 5872 63-643/670 BRANCH 13093 5863 DOLLARS LJ DV 63-643/670 BRANCH 13093 NP 00 Socurily fl- Features CONTRACTOR Name 4/i� p0 At, 4 � License No. �/ J9 eiLy 77 3 q Address r� .> rn 'iA / 0 ( Telephone / Fax 5 cc( _ • 7 p Qualifier Name 1:443 1 A( Q At ,lln PROPERTY OWNER A rr..�� r te^ Name AU V E+ 1 - W6ITt Address -t k t'-"t 84 N � �} WI 4 Shate F(. 331 Home Telephone 3 8-0840 � Business Telephone 30 S 6 p 7 _ G A l i z x (Z7 C! Fax 3 8bs 2-828 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 8o Ne cu ti �L City State Description of Work T N S t 4 I 1 LA) E� I For S Pc1t.)kler S.s.tEwl Zoning Linear Feet Square Feet Units Floors Value of Work 30 0 ' d Bldg Value Tax Assessed/Appraised Value Flood Zone X Address Apt. Folio Number 1 - 3 20 , -o13-03013 Lots , /it E � (T 3 Block 3 Subdivision PB 0 PG 7 0 Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. (n S korEs F . PERMIT APPLICATION 3315$ Zip Base Floor Elev. ENGINEER Name 1 License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Maf'dgt:mtnc7$ERM) and/or'Miaihi -Dade Wa(ler and'Sewer Department (MI WASD) approval,isrequired:fof apphcations•involving sewers. ?'t*a - tit J J ., •• ■ •.. . t r- J •' AFFIDAVIT - Please read carefully. m 1 •." r , • • ^ .� . T'• Application is hereby made to obtain a permit td do•work and installation as indicated: I, the.OWNER' tlre.property, certify that all work will be performed to meet the standards of all lavys regulattn `cpnstruction in this jurisdiction. I understand•' ha>.sep�ate,get are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR,.MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental' agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I.am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. ST Signat = .. wner Wk Print Print Namb Signature of No SEAL: Personally known Type of Identification Produced: UNTY OF MIAMI -DADE S t. a d subscribe f A F. GUARDIA ISSION ODD 091884 S ell, 2006 Notary Public Underwriters *tiaY�rEiBEk OR, Produced Identification Fl. pt. W4(0-- org- 63 SO- a STATE OF FLORIDA, CO Y OF MIAMI -DADE Signature of Contractor / Qualifier Print Name (- () SS ERTO F. GUARDIA OMMISSION,# DD 091884 i EXPIRES: June 11, -20 c; Bonded Thru Notary Public t)I PersonallyA:nown, . • OR�� \' u dSldendi SEAL: Type of Identification;Prttreed: _ et L' PERMIT APPLICATION e.,fri,t A '' to me this / 'r day of✓CS4 44 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1-3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Hood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPF. Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE. Generator QTY. TYPE: Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPF: Miscellaneous Fixture Q"1'Y. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service 1 Drains, French Miscellaneous Equipment Sink Well, Supply 5 ,1'Jij'� �a, Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ 6 Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ g $ (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL 8_9_,A U ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http:/ /www.miamishoresvillage.com MIAMI SHORES VILLAGE, FLA. N9 2039 JOB ADDRESS INSPECTION - - TIME READY REMARKS. INSPECTOR _ _ BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building PERMIT N? 13232 Architect Contractor or Builder Legal Lot II BL Description. Address of a'� Building ,, ) - (/,/ MIAMI SHORES VILLAGE, FLORIDA ❑ Work to be performed under this Permit t Subdi- vision Value of Project $ / c. DATF . 2 3 ' ' L 195 Contractor's License No. Amt. of Permit $ AUTHORITY This 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 herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if 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 granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or ' the statgihents or specifications and t he assumes rfsponubility for work done by his agents, servants or employees. Signed r - fie > � ' BY INSPECTOR In consideration of the issuance to me of this permit I agree to2sribrm 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,AefflRlneresployee. • CONTRACTOR OR BUILDER BY Permit No 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 Mianu Shores Village shall be complied with, whether herein specified Or nnt. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address M. LOEHR Registered Architect and/or Engineer ----- LASSE TER PLUMBING _ CORP _ Employing Plumber's Name No._ .13 Q6 Location and Legal Description Lot. Street and Number where work is to be performed—No 8 0 State work to be performed and purpose of building (By Floors)_ New Building Remodeling_ Size Septic Tank ..._ ..... ____________Type of Tank__ _. Capacity Gals Feet of Drain Tile_ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City—Well Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts h* obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida manent 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 s .f the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, ork to be performed un this permit, are licensed by Miami Shores Village. STATE OF FLORIDA, 1 as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly auth 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. 4,0 j MIAMI SHORES VIL1AGE PLUMBING INSPECTION DEPARTMEK.' APPLICATION FOR PLUMBING r''';iipNiT Addition__ My Commission Expires Notary Public, State of Florida No 80 Stmet IL__ E.. 94 at.. Block_ (Signed)._ Date. lei StreeLLE Subdivbion_ streetil.a. 9i. St. Repairs No. of Stories. one,. Plumbing Insp -. -tor. U ster oaths and take admowledgments, personally appeared CLOSETS BATH TUBS S LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DR I NK I NG FOUNT• NS TOTAL FIXTURES CONTR. L 1ST / / / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL -•••■■ SPRKLR. SYSTEM SW I M '0 POOL 1 I Comm. UST CHECK ‘•_ ____ _._ Permit No 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 Mianu Shores Village shall be complied with, whether herein specified Or nnt. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address M. LOEHR Registered Architect and/or Engineer ----- LASSE TER PLUMBING _ CORP _ Employing Plumber's Name No._ .13 Q6 Location and Legal Description Lot. Street and Number where work is to be performed—No 8 0 State work to be performed and purpose of building (By Floors)_ New Building Remodeling_ Size Septic Tank ..._ ..... ____________Type of Tank__ _. Capacity Gals Feet of Drain Tile_ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City—Well Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts h* obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida manent 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 s .f the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, ork to be performed un this permit, are licensed by Miami Shores Village. STATE OF FLORIDA, 1 as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly auth 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. 4,0 j MIAMI SHORES VIL1AGE PLUMBING INSPECTION DEPARTMEK.' APPLICATION FOR PLUMBING r''';iipNiT Addition__ My Commission Expires Notary Public, State of Florida No 80 Stmet IL__ E.. 94 at.. Block_ (Signed)._ Date. lei StreeLLE Subdivbion_ streetil.a. 9i. St. Repairs No. of Stories. one,. Plumbing Insp -. -tor. U ster oaths and take admowledgments, personally appeared Date OWNER iami �hores9llage F L O R D A PLUMBING PERMIT N9 813 Issued to LOT BLOCK SUBDIVISION to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by BUILDING ELECTRICAL PLUMBING Owner of Building ` Architect Contractor or Builder v Legal Lot Bl. Description frf-4 CONTI ACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? ' 4181 Subdi- vision DATE Contractor's License No. Work to be perfortrd under this Permit BY AUTHORITY 194.. Address of ""4 r ) 044_ ✓ s J �,,,, Value of Amt. of Building , • A /e ^Z. � o Project Permit C --- "'' ' -- / This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked %t any time if 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 granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in du, statements or specifications that he respon- sibility for work done by his agents, servants or employees. J , i . -.. • ' 1 . ,k Signed. �C_ By.•r I „ 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 ins t conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I dss me res 'bility for all work done by either yself, my agent, servant or employee. . Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application 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 No. Street Registered Architect and/or Engineer Employing Plumber's Name No. Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or DraM Field from Well Nature of Water Supply: City—Well Size of Soakage Pit Amount of Permit $ (Signed) Plumbing Inspector. Th un d e rsigned 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 pennit, as are licensed by Miami Shores Village. SS. (Signed) Repairs. Date My Commission Expires Notary Public, State of Florida No. of Stories Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. 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 worlunanship. OSETS 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 SW IM G POOL CONTR. LIST CHECK Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application 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 No. Street Registered Architect and/or Engineer Employing Plumber's Name No. Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or DraM Field from Well Nature of Water Supply: City—Well Size of Soakage Pit Amount of Permit $ (Signed) Plumbing Inspector. Th un d e rsigned 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 pennit, as are licensed by Miami Shores Village. SS. (Signed) Repairs. Date My Commission Expires Notary Public, State of Florida No. of Stories Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. 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 worlunanship. Permit No._ __E�� Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors)_ _________ New Building- _-- _ -__ -- _ -- Remodeling_ ___ __ __ Addition_ Owner's Name and Address No. _ __..— _ _ Street Registered Architect and /or Employing Plumber's Name - -_� - -- (Signed ) Date 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. No..___ _.__._.. Street._.__ Location and Legal Description Lot Block Subdivision. ._._`__ - Street and Number where work is to be performed —No R 0 Street cs- /�'^ - -- - - -- Repairs e � No. of Stories. Size Septic Tank_._ _.__.__-- - - - - -- __- ,____.___..._ Type of Tank_._ Capacity Gals. Feet of Drain Tile_ ■ _ . 0/"‘" •-_Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well...._ ____________________ _____ Size of Soakage Pit ._.._ __......_...._;...c (Signed)_ ._._• -- � ----------- -• - -•- - -- `- •� ar Plui bang 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 die 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. My Commission Expires Notary Public, State of Florida Master Plumber. 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 worlananship. CLOSETS BATH T UBS 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 SW IM'O POOL CONTR. LIST CHECK Permit No._ __E�� Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors)_ _________ New Building- _-- _ -__ -- _ -- Remodeling_ ___ __ __ Addition_ Owner's Name and Address No. _ __..— _ _ Street Registered Architect and /or Employing Plumber's Name - -_� - -- (Signed ) Date 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. No..___ _.__._.. Street._.__ Location and Legal Description Lot Block Subdivision. ._._`__ - Street and Number where work is to be performed —No R 0 Street cs- /�'^ - -- - - -- Repairs e � No. of Stories. Size Septic Tank_._ _.__.__-- - - - - -- __- ,____.___..._ Type of Tank_._ Capacity Gals. Feet of Drain Tile_ ■ _ . 0/"‘" •-_Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well...._ ____________________ _____ Size of Soakage Pit ._.._ __......_...._;...c (Signed)_ ._._• -- � ----------- -• - -•- - -- `- •� ar Plui bang 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 die 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. My Commission Expires Notary Public, State of Florida Master Plumber. 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 worlananship. .......„_._„, CLOS6YG BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIGT CHCCK '- -'-'_ SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL LIST CHECK SEPTIC TANK S - Appiih:ation is betel)) rlacia for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other 5;rac ?ure 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 bi.iiding during progress of work Chh, nee a Name and Address No p - -- Street._ i t I'le istered Architect and /or E�tgineer___ —___ _ Employing t Plumbers Name__1( : No.._ �__ /` Location and Legal Description Lot__ Block Street and Number where work is to be performed— No._ —____ �'--- - - -_� State wore to be performed and purpose of building (By Floors) ___._- _----- _..__________..._._ New Building _._ Remodeling -- __ -___ Addition Size Septic Tank Feet of Drain Tile-_ Nature of Water Suppl : City—Well. J Amount of Permit $ - -- ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- Type of Tank__ _._ .t.!.1_Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit Date Street__ . lam r� f% Subdivi pn_ al Li Street Repairs No. of Stories Capacity Gals.__ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat ) ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo 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 p is notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under his permit, as are licensed by Miami Shores Village. if 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. Notary Public, State of Florida STA r E; OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 rric toils and /or workmanship. Permit No. ' --t .'' Owner's Name and Address _ . _f 4 Registered Architect and /or Engineer n Employing Plumber's Name Location and Legal Description Lot Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 aiplication is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florid.t 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 Divisior 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 dur ng progress of work. No. __ Block (Signed). t • Date _ - �_ -- (Signed) Street - - -- --- - - - - - . . No � �. Street Subdivision Street and Number where work is to be Street State work to be performed and purpose of building (By Floors) NLw Building . Remodeling Addition____ Repairs__ -4—.___ _ ___ No. of Stories -.- Si Septic Tank Type of Tank_ — Capacity Gals._ Feet of Drain Tile_ ___f_ Dist. Feet of Tank or Drain Field from WeIL Nature of Water Supply: City —Well ._— Size of Soakage Pit 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 5988, 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 arc licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fin' 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 Paul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS I NAS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS TOTAL FIXTURE: CONTR. LIST - _ Cmack SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. ' --t .'' Owner's Name and Address _ . _f 4 Registered Architect and /or Engineer n Employing Plumber's Name Location and Legal Description Lot Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 aiplication is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florid.t 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 Divisior 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 dur ng progress of work. No. __ Block (Signed). t • Date _ - �_ -- (Signed) Street - - -- --- - - - - - . . No � �. Street Subdivision Street and Number where work is to be Street State work to be performed and purpose of building (By Floors) NLw Building . Remodeling Addition____ Repairs__ -4—.___ _ ___ No. of Stories -.- Si Septic Tank Type of Tank_ — Capacity Gals._ Feet of Drain Tile_ ___f_ Dist. Feet of Tank or Drain Field from WeIL Nature of Water Supply: City —Well ._— Size of Soakage Pit 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 5988, 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 arc licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fin' 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 Paul materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building__._ Architect Contractor or Builder ° Legal Lot Description i CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA /a DATE ` 194 PERMIT N? 7306 Work to be performed under this Permit s, 3 Bl. Subdi- vision Address of Value of Amt. of Building Project Permit .• y . , lr This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further coq&tion upon which this permit is granted is the understanding that the contractor or builder named above assumes the resppoonsibility for a thorough knowledg of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in statements or specifications ar}d Skit he assumes respon- sibility for work done by his agents, servants or employees. Signed . BY INSPECTOR Contractor's License No. 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 sponsibility for a work done by either myself, my agent, servant or employee. BY AUTHORITY Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical $ Value of Work For this Permit Type of Work: ❑ Addition ❑Alteration Describe Work: \� r� t i v.k -t-r Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Permit No. P I2oo3 ' 3o . Master Permit No. Mechanical Roofing Owner's Name (Fee Simple Titleholder) '' " 1 � `rl 1 � c r ii tPhone # (;'c. 07164_ (.. 7 SC Owner's Address a') 06 Q Cit IU M j -, eS State FL. Zip 5a t 'SP) Tenant/Lessee Name Phone # Job Address (where the work is being done) `s C% Cr i `( S City Miami Shores Village County Miami -Da Zip 3 1 3 Is Building Historically Designated YES NO Contractor's Company Name a re U t Y °„l�twk( Phone # _ a`ts2')1 - 6f? ?j� Contractor's Address c 1( . L) - p City ,eak State EC, Zip 9 1 LP / � r Qualifier rr( l 1 v y �''VJ020I e-2- Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: ❑ Repair/Replace ❑ Demolition ch etc r = c;:,1c ' /fit . A r i : '4 LI * * * * * * * ** * * * * * * * * * * * * * * * *_,k,* F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ 5CD CO Permit Fee $ / f ( / CCF $ ) 1 () Notary $ Training/Education Fee $ -. A 0 Technology Fee $ it, Z7 Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Its Bonding Company's Address r 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. Alss e tifred copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs s' n (7) says after the building permit is issued In the absence of such posted notice, the inspection will not be approved and • ein;= tion fee will be charged Signature ( Owner or The foregoing � instrument ^twas acknowledged before me this -4 day of Dec., W , 20 by 1ph who is personally known to me or who has prod ced 'cD, My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVE Chc 10/14/03 As identification and who did take an oath. Mabel Vargas 'on #DD23198 ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signatur Contractor The foregoing instrument was acknowledged before me this 4 day of bea, , 20 12, by who is personally knopt 1fttipbEho has produced 'astlun j who did take an oath. NOTARY PUBL�` f' .��� •. /'�� — t-ei Sign: Prim• CGJ79G77 � v My Com Ar � " • ti•Pamnls (Certificate of Competency Holder) plll 11111 State Certificate or Registration No. / Certificate of Competency No. *************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning 1, Rene A. Eckert, authorize Rodney H. Rolph to act on my behalf and sign on my behalf all documents and permits for any installations, improvements and property management related to 80 NE 94 Street, Miami Shores, FL 33138. Rene A. Eckert SWORN TO and subscribed before me this ✓ ay of kC b , 2003. N.rary Public p,� My commission expires 07/3 3 0 0 Power of Attorney 1.)a.t ( U iidspr l nof 42_1-s - 1 A-ep/ionr.A- ,//4- 0 G 31 Around The Clock Gas Services LPG01 ?3551 CCN 02P000359 2216 West 80th Street, Bay # 3 Hialeah, FI. 33016 Phone: (305) 231-3532 t Fax: (305) 231 -4180 Installation done in accordance with FBC 2001, NFPA 54 & 58 regulations as well as all local codes Job Address: *) c14 *. ±: pot v- Around The Clock Gas Services LPG017356 l CCN 02P000359 2216 West 80th Street, Bay 4 3 Hialeah, Fl. 33016 Prone: (305) 231 -3632 / Fax: (305) 231 -4180 Installation done in accordance with FBC 2001, NFPA 54 & 58 regulations as well as all local codes Job Address: SO E 9 1 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12 /5/2003 Applicant: RENE Owner: ECKERT JOB ADDRESS: 80 Contractor AROUND THE CLOCK Local Phone: 305 - 556 -7667 Parcel # 1132060130300 NE 94 Fees: FEE2003 -7998 FEE2003 -7999 FEE2003 -8000 FEE2003 -8001 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $180.00 $1.80 $0.60 $4.50 $186.90 Total Fees: $14% Total Receipts: $0.00 c) 13 LT b C Permit Status: APPROVED Permit Expiration: 6/1/2004 Construction Value: Work: RUN LINE TO POOL HEATER AND BBQ OUTLET CONNECT NEW POOL HEATER UNDERGROUND 2 LINE AND 1/2 "BBQ 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) Plumbing Permit Permit Number: PL2003 -325 ECKERT RENE ST Contractor's Address: 16361 NW 57 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 1 & LOT 2 & E1/2 OF LOT 3 BLK 3 LOT BY: r