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80 NE 94 St (9)Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/9/2002 Applicant: AUGUST Owner: WOLFE JOB ADDRESS: 80 Contractor ALEMAN PABLO Local Phone: 308 - 681 -5788 Parcel # 1132060130300 Permit Status: Permit Expiration: 3/8/2003 Work: INSTALL WELL FOR SPRINKLER SYSTEM \ Signe Signed NE 94 . Plumbing Permit Permit Number: PL2002 -237 WOLFE AUGUST ST Contractor's Address: 1405 NW 121 ST Construction Value: $300.00 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 00 Total Fees: $0:90 Total Receipts: $0.00 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. O Q 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: i" ■IC 7777707_717CCOS =7772 7=337,73=i 17133337.777177, =I_ QC 7:0:1=0:137i PAY TO THE ORDER OF PABLO ALEMAN WELL DRILLING 1405 N.W. 121st St. 681 -5788 Miami, FL 33167 Firs Union National Bank N ® firstunion.com Org. 003 R/T 067006432 FOR / c- 3O0 PABLO ALEMAN WELL DRILLING 1405 N.W. 121st SE 681 -5788 Miami, FL 33167 PAY rThM, TO THE ORDER OF S EE First Union National Bank ® firstunion.com Org. 003 R/T 067006432 POO 58 7 211' 1 : 0 6 7 0 0 6 4 3 2 1 : 2 / 6 6 5 0 3 1 4 0 7 / 9 1 4 1 0 FOR 0005863ii' 1:06 70064 3 2i:2L6650340 ?L9410 /J /9--- -7, -D1- DATE 8 r DOLLARS _• PABLO ALEMAN WELL DRILLING PABLO ALEMAN WELL DRILLING $:90 -- 5872 63- 643/670 BRANCH 13093 - 5863 63- 643/670 BRANCH 13093 DATE NP $ .300 .00 DOLLARS r "•' " "' e.a. CONTRACTOR New Construction Name 63 / L o 4 /1 6-' 6'V l }` License No. �y 19 ev , 3 913 ‘.....,e, �/ "t Address .. 0 ! c ;IV- S' "4/1- / g- t t=( 33 Telephone 6W ��7g� F / 5 /7/` f •.. 7 g ' C• J Qualifier Name f to R ' PROPERTY OWNER 4-- New Construction Name A V s • W o IT t Address 80 N E Tr b-t (v Mat $hat F L 3313 Home Telephone 30S 8 0840 � Business Telephone 30 S a g7_ c A 12 x (Z7 Fax 2 8t6 -°- Z 8t F 28 ENGINEER New Construction Enclosure , Name Repair Alteration Interior e R ' License No. Relocation of Structure Shell Only , Foundation Only Address _. ' • • Add'l Detachment Telephone Other Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Job Address: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 80 N 9,1 ( j?(- Address Apt. Folio Number I L -320G-013-0300 Lots 3 Block 3 PB IO PG 70 Subdivision Current Use of Property Proposed Use of Property Tenant Information PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. (1lrF}mt korEs P1. City State PERMIT APPLICATION Linear Feet Base Floor Elev. 3315$ Zip Descri Lion of Work J NS'64 it WO (I 'NC 6 CI kl£r S c - LE Zoning Square Feet Units• Floors Value of Work SO 0 ' d Bldg Value Tax Assessed/Appraised Value Flood Zone X Page 2 Il\IPORTA NOTICES 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 Maragement1J BRM) and/ortMiathi - Dade Water and' Sewer Depa tment (ME WASD) approval is required:fof applications- involving sewers. 1. AFFIDAVIT - Please read carefully. _ wry •. Application is hereby made to obtain a permit ter do -work and installation as indicated. I, the OWNER of'the•property, certify that all work will be performed to meet the standards of all taws regulatin& cpnstiuction in this jurisdiction. I understand•tha1 ge sepgrate rp Its are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, IIRIVEWAY, 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' . 0 - ; . 6 •. • • t UNTY OF MIAMI -DADE 1111/ t Sigat • wner na Print Nam J S— '16 T'c, %7' F. GUARDIA ISSION ,# DD 091884 S ei1 ,2006 Notary Public Underwriters Signature of No SEAL: day glidayoffelt611 STATE OF FLORIDA, CO UN Y OF MIAMI -DADS Signature of Contractor / Qualifier Print Name Signature o SEAL: Personally known OR, Produced Identification Personally • Type of Identification Produced: Fl- DC. to 4 to--O (8 - b3' 3 CO- b • Sw to and .scribed be . e me this day of.- ft / CHIC PERMIT APPLICATION ERTO F. GUARDIA OMMISSION,# DD 091884 l' EXPIRES: June 11; 203 �7 ? - t'scnded Thru Notary Public Underwriters { ORArOused4denti atiOn, o Type of IdentificationPrxtfeed: -. Y r • r _ -. 5: : u ELECTRICAL TVPE, Minimum Fee QTY. TYPE Dryer QTY. TV Outlet, Appliance QTY. 'I'VI'E 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 Flood 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 IVIECHANICAL T1'1'E 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 QTV. TYPE Drains, Roof QTV. TYPE Miscellaneous Fixture ()Ty. 'TYPE Soakage Pit QT1'. 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 Drains, French Miscellaneous Equipment Sink z Well, Supply Atdrfe 1 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: [7" . ' 7F1 - 44T , ' <"TrEE f IVE t 7 gs ke'x 3 "' Page 4 OFFICE USE ONLY gat I4 LIST LI OWNER - BUILDER FORM (Attach) LI FIRE DEPARTMENT APPROVAL (Commercial / multi- family) U CONCURRENCY (New Construction) LI 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 LI PROOF OF OWNERSHIP (Attach) HRS / DERM APPROVAL (Septic / Sewer) U IMPACT FEE (New Construction) LI OTHER (Specify & Attach) (sq.ft. = x/1000 x ¢.60) $ (¢.005 /sq.ft.) $ (0.01/sq.ft.) REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION LI CONDO ASSOCIATION APPROVAL (Attach) BPR APPROVAL (Restaurants) LI CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL 0 0 ISSUINr, OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL (305) 795 -2207 FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com MIAMI SHORES VILLAGE, FLA. N° 2039 JOB Z6 eefle.- ADDRESS INSPECTION 1 ? /3C-6 (= Pii — TIME READY rg. 1 C REMARKS: INSPECTOR DATE BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building E MIAMI SHORES VILLAGE, FLORIDA PERMIT IC? 13232 ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER I / BI. Subdi- vision Value of Project $ 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 ip the statements or specifications and at he assumes r sponsibility for work r done by his agents, servants or employees. •✓ Signed: r' " ti I ! f ' "_ BY i , �.`4. -4_ INSPECTOR In consideration of the issuance to me of this permit I agree to brm 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 „aeirempleyee. 1 i 7 BY DATE Contractor's License No d .s.) Amt. of Permit AUTHORITY Permit No e5/ Date_ — C 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 Mime Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or nr.".. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address .. M LOBFIR . Registered Architect and/or Engineer L ASSE TER PLUMBING cou, No.....13_0 6 Employing Plumber's Name 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 Feat 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, t COUNTY OF DADE. es. Before me, the undersigned authority, a notary public, duly auth -------------------- — My Commission Expires MIAMI SHORES Vii.tAG'ii PLUMBING INSPECTION DEPARTMEK: APPLICATION FOR PLUM G No 8 0 street it._ E.. 94 3.t.. Block Addition_ X_ (Signed) Repairs No. of Stories. .one. Capacity Gals -- StreeLLE125.St Subdivision streetN ----- E094 St.. The undersigned applicant for this building permit does hereby certify that he understands and accepts h obhgations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida nanent 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 tin, this permit, are licensed by Miami Shores Village. 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. Notary Public, State of Florida Plumbing Insp tor. er u 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 SH " E " LAVA- TORIES SINKS SLOP SINKS LAUNDRY rues 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•0 POOL I CONTR. LIOT —Aa.--- -- CHECK Permit No e5/ Date_ — C 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 Mime Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or nr.".. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address .. M LOBFIR . Registered Architect and/or Engineer L ASSE TER PLUMBING cou, No.....13_0 6 Employing Plumber's Name 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 Feat 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, t COUNTY OF DADE. es. Before me, the undersigned authority, a notary public, duly auth -------------------- — My Commission Expires MIAMI SHORES Vii.tAG'ii PLUMBING INSPECTION DEPARTMEK: APPLICATION FOR PLUM G No 8 0 street it._ E.. 94 3.t.. Block Addition_ X_ (Signed) Repairs No. of Stories. .one. Capacity Gals -- StreeLLE125.St Subdivision streetN ----- E094 St.. The undersigned applicant for this building permit does hereby certify that he understands and accepts h obhgations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida nanent 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 tin, this permit, are licensed by Miami Shores Village. 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. Notary Public, State of Florida Plumbing Insp tor. er u 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. Date Issued to OWNER aiami A o F L O PLUMBING PERMIT N9 813 LOT BLOCK 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. building at For a story Fixtures Fixtures $ Sewer $ Septic Tank $ SUBDIVISION Total $ Village Plumbing Inspector Received Payment by BUILDING ELECTRICAL PLUMBING Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 4181 Work to be performed under this Permit Architect Contractor t - or Builder Legal Lot Bl. Description Subdi- vision DATE 194 Contractor's License No BY AUTHORITY Address of c °i` r° . Value of Amt. of Building ✓ "''` ""�` Project Permit 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 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 the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. ,.. i .....0✓'" s ,� Signed: INSPECTOR By J 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 st • t conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting thii permit I ass me res sibility for all work done by eitherRryself, my agent, servant or employee. Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application fs 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 Repairs No. of Stories Size Septic Tank________ Type of Tank Capacity Gals 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 $ (Signed) 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. ss. (Signed) My Commission Expires Notary Public, State of Florida 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 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 CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application fs 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 Repairs No. of Stories Size Septic Tank________ Type of Tank Capacity Gals 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 $ (Signed) 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. ss. (Signed) My Commission Expires Notary Public, State of Florida 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 workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No._ - 3 3 g 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. Owner's Name and Address _ .._. No. Street. AA SEPTIC TANK CO. INC. Registered Architect and /or 1123 E. 23rd ST., HIALEAIl Employing Plumber's Name __ __ No.___. _ _ Street.. Location and Legal Description Lot 8.1 g fl 88-49 Blorti Street and Number where work is to be performed —No Amount of Permit $. g State work to be performed and purpose of building (By Floors) _ __._ New Building._. - - -_ _ ._ -_ _ -- Remodeling Addition. Size Septic Tank_ - -.__ -- _- . - -•__- - Type of Tank Feet of Drain Tile.0 Q fR! - __-Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.____ ..... Size of Soakage Pit Subdivision.._. . _.._ Street t. /4 .._ 9 _y — - Repairs No. of Stories Capacity Gals. ( Signed )--- ._..-------- _..:._.._.._ .._...........e.:_ .__. = - ....... Pl ing 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 Worlanen'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 are licensed by Miami Shores Village. STATE OF FLORIDA, t sp. COUNTY OF DADE. (Signed). My Commission Expires Notary Public, State of Florida 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. 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 worlmvanship. CLOSETS BATH TUBE S LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUGS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No._ - 3 3 g 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. Owner's Name and Address _ .._. No. Street. AA SEPTIC TANK CO. INC. Registered Architect and /or 1123 E. 23rd ST., HIALEAIl Employing Plumber's Name __ __ No.___. _ _ Street.. Location and Legal Description Lot 8.1 g fl 88-49 Blorti Street and Number where work is to be performed —No Amount of Permit $. g State work to be performed and purpose of building (By Floors) _ __._ New Building._. - - -_ _ ._ -_ _ -- Remodeling Addition. Size Septic Tank_ - -.__ -- _- . - -•__- - Type of Tank Feet of Drain Tile.0 Q fR! - __-Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.____ ..... Size of Soakage Pit Subdivision.._. . _.._ Street t. /4 .._ 9 _y — - Repairs No. of Stories Capacity Gals. ( Signed )--- ._..-------- _..:._.._.._ .._...........e.:_ .__. = - ....... Pl ing 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 Worlanen'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 are licensed by Miami Shores Village. STATE OF FLORIDA, t sp. COUNTY OF DADE. (Signed). My Commission Expires Notary Public, State of Florida 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. 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 worlmvanship. 2676, PeLaitt No......_..__._ Registered Architect and /or / 9:Timer_ ______ _� Employing Plumber's Name!!1 ' Location and Legal Description Lot_ Block_ _ Street and Number where work is to be performed— No.._.__ •k 0 / State work to be performed and purpose of building (By Floors)--------- .- .---- • -__ -. New Building _._ Remodeling - -- _- ___ -- Addition.. Size Septic Tank Feet of Drain Tile_.>z47 ........... Nature of Water Suppl : City—Well. Amount of Permit s--- ....... _ -_ STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) _ No d t! ` sv' Street. Repairs Date k Application is hereby Trade 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 1 I .l!lA.6 t_ Type of Tank__ .-t_ -Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit My Commission Expires Notary Public, State of Florida - No.._ . r _. N ' W Street__ _ Subdivgen Street 8 1. 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 5986, Compiled General Laws of Florida Permane . upplement, and Ilas 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 this 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 hiss 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. CLOSETG BATH TUBS SHOWERS LAVA. TORIES INK6 SINKS SLOP SINKS LAUNDRY Tues U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES _ CONTR. LILT --✓ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G P001. CONTR. LIST CHECK - -_ 2676, PeLaitt No......_..__._ Registered Architect and /or / 9:Timer_ ______ _� Employing Plumber's Name!!1 ' Location and Legal Description Lot_ Block_ _ Street and Number where work is to be performed— No.._.__ •k 0 / State work to be performed and purpose of building (By Floors)--------- .- .---- • -__ -. New Building _._ Remodeling - -- _- ___ -- Addition.. Size Septic Tank Feet of Drain Tile_.>z47 ........... Nature of Water Suppl : City—Well. Amount of Permit s--- ....... _ -_ STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) _ No d t! ` sv' Street. Repairs Date k Application is hereby Trade 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 1 I .l!lA.6 t_ Type of Tank__ .-t_ -Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit My Commission Expires Notary Public, State of Florida - No.._ . r _. N ' W Street__ _ Subdivgen Street 8 1. 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 5986, Compiled General Laws of Florida Permane . upplement, and Ilas 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 this 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 hiss 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. 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 Mialni 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address._.__ _7�J 1� Registered Architect and /or Engineer Employing Plumber's Name . - Location and Legal Description Lot ��gg 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__ JO- Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block..__ -_ No. (Signed) Street Subdivisio Street_._..Y Repairs__ (Signed) . Date ' Street 2 - P No. of Stories Type of Tank___ Capacity Gals Dist. Feet of Tank or Drain Field from WeIL 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 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 arc licensed by Miami Shores Village. - aster Plumber. STATE OF FLORIDA, 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 lac 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 faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N5 TOTAL FIXTURE: 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. 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 Mialni 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address._.__ _7�J 1� Registered Architect and /or Engineer Employing Plumber's Name . - Location and Legal Description Lot ��gg 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__ JO- Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block..__ -_ No. (Signed) Street Subdivisio Street_._..Y Repairs__ (Signed) . Date ' Street 2 - P No. of Stories Type of Tank___ Capacity Gals Dist. Feet of Tank or Drain Field from WeIL 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 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 arc licensed by Miami Shores Village. - aster Plumber. STATE OF FLORIDA, 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 lac 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 faul materials and /or workmanship. BUILDING ELECTRICAL PLUMBING CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ... 0 , DATE 194 PERMIT N? 7306 Work to be performed under this Permit Owner of Building f ; Architect Contractor or Builder Legal Lot Description Address of > ' '" ti Value of Amt. of Building 6 P roject Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or ddifice described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 co .n upon which this permit is granted is the understanding that the contractor or builder named above assuxues the ros.6nsibility for a thorough knowled e o the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drains or,in e statements p( specifications a l -'1}e assumes respon- sibility for work done by his agents, servants or employees. » .Ladd Bl. E Subdi- vision BY ''INSPECTOR Contractor's License No. Signed.,* In consideration of the issuance to me of this permit I agree to perfpi n 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 a work done by either myself, my agent, servant or employee. y .76; AUTHORITY a 1 BUILDING PERMIT APPLICATION FBC 2001 Owner's Address R 1JE Q State City �•_ �Q OU �h(Pc Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) I`CrLr Phone # Zip 531 3� Permit No. P12003" 3aS. Master Permit No. Mechanical Roofing Tenant/Lessee Name Phone # Job Address (where the work is being done) 1 i) c q 4 .S+ City Miami Shores Village County Miami -Da Zip 33 1 3 Ls Building Historically Designated YES NO Contractor's Company Name a ro uV t .l L t K' OJwkCC s Phone # Contractor's Address min f p GO- "') T .[n Pay ^ City as State E Zip 1 LP r(ril()V I 020(62- Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Q -1 Obi 0 Square Footage Of Work: Type of Work: DAddition DAlteration ew ❑ Repair/Replace ❑ Demolition ]] Describe Work: V.A. y vt t i z. r <� 1 � -P c i y G-. c-t , or ca c ()-1- L4 .cE (K) e (50 gee,. gee1 .14 Y )i1 dor cyrvtuv1 . �' /7".€ CO3r' * * * * * * * * * * * * * * * * * * * * * * * * *_* F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ 50 .00 Permit Fee $ / ( P O / � CCF $ 1 ` (� ( r Notary $ Training/Education Fee $ f-, O Technology Fee $ (. S Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) *a, Bonding Company's Address t' 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 LMPROVEMENTS 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. Als e tified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs s• n (7) ays after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and • ein • = Lion fee will be charged. Owner or The foregoing instrument was acknowledged before me this day of 1 , 20 Q3by 11 who is personally known to me or who has produced NCO, As identification and who did take an oath. NOTAR ' P IC: "„" ,,, MViabel Vargas _. _on #DD23198 Sign: Print: Pnrl t *c�79cn My Con4j 6A e + t • • aa******* a*ss* xa******** s* s*** s****** * *a * * * * * * * * * * * * * * * : * * * * * *x * * * ** j,�, «.e 3C *x * * * * * * *s *aas * * *s (Certificate of Competency Holder) ��� b. 1 t l li v i Ne State Certificate or Registration No. / Certificate of Competency No. My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** * *.v.,"! *.r *************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVE Chc 10/14/03 Signatur Contractor The foregoing instrument was acknowledged before me this 4 day of bea, , 20 by who is personally kn`miklutttgpvho has produced A ' ,.:: who did take an oath. NOTARY PURL r �N F� . ', Sign: QN: e • Plans Examiner Engineer Zoning Rene A. Eckert Power of Attorney 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. SWORN TO and subscribed before me this S ay of kC b e/Y , 2003. cfvfryvtrv), Ndt'ary Public p� My commission expires 0V3 3 0 0 �o 3rO Lf3O o o nVf • 4 epi I o f . 60cD 3 lout 77'4^ Around The Clock Gas Services LPG017356 / CCN 02P000359 2216 West 80th Street, Say # 3 Hialeah, Fl. 33016 Phone: (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: JO ti ()Lk �\ T (o Pkcw / s-7i: N Around The Clock Gas Services LPG017356 / CCN 02P000359 2215 West 80th Street, Bay # 3 Hialeah, Fl. 33016 Oone: (305) 231 -35321 Fax: (305) 231 -4180 Installation done in accordance with FBC 2001, NFPA 54 8 58 regulations as well as all local codes Job Address: O E, 9 '-f 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 Signed: NE 94 (INSPECTOR) Signed: (Contractor or Builder) Plumbing Permit Permit Number: PL2003 -325 ECKERT RENE ST Contractor's Address: 16361 NW 57 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 1 & LOT 2 & E1/2 OF LOT 3 BLK 3 LOT 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: $1 4H0 Total Receipts( $0.00 C 13 CC 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 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: Page 1 of 1