1200 NE 97 St (14)OWNER WILL HAVE DOCTORS APPOINTMENT AT 9:00
AM PLEASE DO IT BEFORE THAT TIME OR IN THE
AFTERNOON. YOU CAN CALL HER AT 305 - 804 -7663
MARIA CONTRERAS
Passed
Inspector Comme " s
- ' "
— ;
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -10345
Inspection Date: 02/23/2006
Inspector: Levrack, James
Owner: None, None
Job Address: 1200 97 ST
Project: <NONE>
Miami Shores Village, FL
Contractor: THE NEW MIAMI SHORES PLUMBING
Building Department Comments
Wednesday, February 22, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
%1
Block:
Permit Number: PL2005 -291
Permit Type: Imported Permit
Inspection Type: Rough
Work Classification: <NONE>
Phone Number
Parcel Number 1132050090620
Lot:
Phone: 786- 553 -5424
Page 1 of 2
der
BUILDING DEPARTS
NT
OWNER BUILDER DISCL
OSU RII . CTATEMENT p.
I BUILDER s S R
bein the legal property owner, for the
Located at: ��� �� ,,,,,,> -7
property p as
Do hereby petition the Bally described �D 66E 33/
, Si
.age of Mianv Shores to act as ��
State of Florida, F.S. age of tt d I have read and understand syt own contractor
the following
ne 7 work as my Pursuant r e to the laws of the
y own contractor, 1 further S disclosure
must appear in person to co
mplete all appiications understand that I as the owne
State law requires DISCLOSURE STTT,gyIENT
construction to be done by licensed contractors.
exemption allows you, as the owner of 'You have applied for a
exemption to that law. The improve a one-family or a license. You must supervise Your property, to act as your permit under an
even though you do not have family residence or a P the construction Yo own may Contractor
may not be built for sale or r milt' residence
or less Th e building building. ' You yourself. You may bua�d or
lease. conunercial building at a cost If must be for may also build or improve a
construction is completed, the You sell or lease a building you have built your ®f'
exenaption. You may not hire law will use and occupancy. It
a unlicensed presume t hat y built it for sale yourself within one year after the
p as your contractor, or lease, which i a violation of the
that people employed by you ordinances. Any person have licenses required by It your responsibility
and !must be employed by working bave
y state Jay and Ponsibili to make sur
u, which means that
your building who h not licensed us coo or r your supervision
i
thus. work under your
provide workers' a for that employee, all as must deduct E.I.C.
with all applicable laws, :s, buildin presented by A. and Brith- holding tax and
Proof of ownership provided ( ) _.
g codes and zoning Y la�v. Your construction moist comply regulations.
initial of reviewing clerk The foregoing instru
its _ d of went
�z20 d am `
' v '.' ! 4, .„ who �
Produced personally known.
no to me or who h
• as identification and who did take an oath.
MY SSON0 LI ,
MUM 11aU TROY FAN LW-IWO; MC
December nos �S •
1.'4
1,4
1.111
utaki,
.•
Monday, August 29, 2005 America Online: MGCont
Page 2 of
•
( C 5/0 1 6 1
Passed
Inspe • o ents
�_ --
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Project: <NONE>
w cr
•
Inspection Date: 06/15/2006
Inspector: Levrack, James
Owner: CONTRERAS, MARIA
Job Address: 1200 97 Street NE
Miami Shores Village, FL 33138-
Contractor: THE NEW MIAMI SHORES PLUMBING
Building Department Comments
Wednesday, June 14, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Phone Number 305 - 759 -0860
Parcel Number 1132050090620
Lot:
Phone: 786 -553 -5424
Page 2 of 2
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: PL2005 -291
Printed: 9/27/2005
Applicant: MARIA CONTRERAS
Owner: CONTRERAS MARIA
JOB ADDRESS: 1200 NE 97 ST
Contractor THE NEW MIAMI SHORES PLUMBING Contractor's Address: 900 NW 144 ST
Local Phone: 786 553 - 5424
Parcel # 1132050090620
Fees: Description Amount
FEE2005 -12833 Building Fee $160.00
FEE2005 -12834 CCF $1.20
FEE2005 -12835 Training and Education Fee $0.40
FEE2005 -12836 Technology Fee $4.00
FEE2005 -12837 Scanning Fee $3.00
Total Fees: $168.60
Total Fees: $168.60
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 3/22/2006 Construction Value: $1,400.00
Work: REPLACE SHOWER PAN SHOWER VALUE AN LAVATORY
Signed: (INSPECTOR)
Plumbing Permit
Page 1 of 1
Legal Description: EARLETON SHORES PB 43 -80 W12.50FT OF LOT 20 & ALL OF LOT 21
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Tenant/Lessee Name
Miami Shores Village
BUILDING
PERMIT APPLICATION
FBC 2001
Owner's Name (Fee Simple Titleholder) (2a6 gi f
Owner's Address ,ZOO AJE 77 81
City fri N1 S4ovES State Fl.
$ Value of Work For this Permit '
Type of Work: ❑Addition
Describe Work: 1 * -z. - {i
Total Fee Now Due $ 1 C': •
(Continued on opposite side)
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): Building Electrica°F (Plumbin Mechanical Roofing
Job Address (where the work is being done) /ZOO /VE
Zip 331 .�f�
Phone #
City Miami Shores Villa •e County Miami -Dade Zip
Is Building Historically Designated YES NO
s Company N ame H \ ; A k 1 R . s
' P Y �� � ` � � (` �
Contractor �� ��i ! A. Phone # � �, S ),� � � Z. ,����� - _a
l
Contractor's Address ( 1 i, L II L._\20( t'
City (1 \ l\ State (. ' C,—___ Zip . i i
Qualifier i L `� i - \C — .. ; Cl ,>� 1,,, 2
p�
State Certificate or Registration No. . \-°—C-- Ci \' Z .�:-c� Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Alteration ['New
t -�',`
Permit No. PLO r Z .
Master Permit No.
(,A- nrveva $ Phone # (305) 757 • 0860
Square Footage Of Work:
2 )
El Repair/Replace
, (i'
* * * * ** * * * ** * * ** ** * * * **** * ** .s******************************
❑ Demolition
pp L 11
Submittal Fee $ Permit Fee $ /627 CCF $ 1 . 2.C) CO /CC
Notary $ Training/Education Fee $ ®- ei� Technology Fee $ 4 . CO
Scanning $ -3 - CO Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature / /pn 31'YIA/77 -- •
Owner or Agent
�trprgent was acknowledged before me this The foregoing instrument was acknowledged before me this &3
The for, goigg in
, 20O by
who ionally known to me or w
As i nt
ie ii
. ; 7 V6 = ,� ,. : Notary Public - State of Florida
04 :„ Commission # DD268491
..`' Bonded By National Notary Assn.
•
•
•
on
NOTARY
Sigq:
Print:
My Commission
* * * * * * * * * * * **
APPLICATION APPROVED BY:
chc 05/13/03
as produced
td who did take an oath.
** ** **** ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Signature
who is personally known to me or who
as identificat
1l/ 404
p!miugu X71' a n romans
i ,e (4 `t ,' ''': Not Public - State of Florida
' EtvSlsston # DD268491
Bonded By National NotaryAssn.
NOTARY
Si
Prin
My
* * * * * * * * * * * * * * * * **
Contractor
uced
i
id take an oath.
* * * * * * * **
/IY,2' 1 Plans Examiner
Engineer
Zoning
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
i
OVEN
ABOVE FOUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER ,.,. c bC _(
/
MOTORS OVER 1- 3 FP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 If
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 FP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
HATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIM1,ING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
_
PUMP E. ABANDON SEPTIC TANK .
REINSPECTION
,
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
(
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
I
'
M€€TER.SET (GAS)
I
�
GAS PIPING
f
.ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
e •
Inspection Number: INSP -22062
Permit Number: PL -7 -06 -1851
Inspection Date: 09/1412006
Inspector: Levrack, James
Owner: CONTRERAS, MARIA
Job Address: 1200 97 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: MARBAR PLUMBING CO INC
Building Department Comments
Wednesday, September 13, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Plumbing - Residential
Inspection Type: Press Test
Work Classification: Gas
Phone Number 305- 759 -0860
Parcel Number 1132050090620
Lot:
Phone: 305 -681 -0009
Page 2 of 2
Passed
• c
�,,
r Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
e •
Inspection Number: INSP -22062
Permit Number: PL -7 -06 -1851
Inspection Date: 09/1412006
Inspector: Levrack, James
Owner: CONTRERAS, MARIA
Job Address: 1200 97 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: MARBAR PLUMBING CO INC
Building Department Comments
Wednesday, September 13, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Plumbing - Residential
Inspection Type: Press Test
Work Classification: Gas
Phone Number 305- 759 -0860
Parcel Number 1132050090620
Lot:
Phone: 305 -681 -0009
Page 2 of 2
Inspection Date: 02/23/2006
Inspector: Levrack, James
Owner: CONTRERAS, MARIA
Job Address: 1200 97 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: THE NEW MIAMI SHORES PLUMBING
Building Department Comments
Wednesday, February 22, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -10347
Permit Number: PL2005 -278
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number 305 - 759 -0860
Parcel Number 1132050090620
Lot:
Phone: 786 - 553 -5424
Page 2 of 2
Passed
Inspe -• • • m
,
nt
(
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 02/23/2006
Inspector: Levrack, James
Owner: CONTRERAS, MARIA
Job Address: 1200 97 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: THE NEW MIAMI SHORES PLUMBING
Building Department Comments
Wednesday, February 22, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -10347
Permit Number: PL2005 -278
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number 305 - 759 -0860
Parcel Number 1132050090620
Lot:
Phone: 786 - 553 -5424
Page 2 of 2
BUILDING
PERMIT APPLICATION
FBC 2001
Contractor's Address
City V
Qualifier D /2/✓ /f
$ Value of Work For this Permit
( a(X, ✓°
Type of Work: DAddition EAlteration
Describe Work: { IC I/LC t,., iZ „
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
?4 .�
Miami Shores Village
Building D epartment
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
State /
Permit NCR I B
Master Permit — 1
Permit Type (circle): Building Electrkal ( \ Mechanical Roofing
Owner's Name (Fee Simple Titleholder) c,Y Ft'_ fie. 6 �'t ¢ i '�ti > Phone #
Owner's Address ( z.4 - ;t .,. . 61-" d ? 'r"' j v((
Cit State 1 1 Zip .' l 4: 11
Tenant/Lessee Name Phone # - `
Job Address (where the work is being done) A, ( tE. ' 7 E"
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name r' `4il PiaMbi Phone # c te a' /'.
f J�
Zip
Architect/Engineer's Name (if applicable) Phone #
❑New ❑ Repair/Replace ❑ Demolition
Structural Plan Review. $
Square Footage Of Work:
,* * * * * * * * * ** * * * * * * * * * * * * * * * *, Fee * * * * * * * * * * * * ** * * * * * * * ** * * * * ***
Submittal Fee $ Permit Fee $ i� CCF $ 1 CO /CC
Notary $ Training/Education Fee $ a s Ef.9 Technology Fee $ 4 .
Scanning $ Radon $ Zoning Bond $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate 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. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature / / %J ` ; r7L— •
Owner or Agent
The foregoing instrument was acknowledged before me this / 3i
day of -'FCC ,20t_""
State Certificate or Registration No.
APPLICATION APPROVED BY:
Mc 12/15/03
n and who did take an oath.
NOTARY)?
kg
Print
My o
2
Contractor //�
The foregoing instrument was acknowledged before me this L
day of Cei�c abe , 200-Oby
who is personally known to me or who has produced wh ' 's . erso ' : 1 known to me or who has produced
as identific and w o did take an oath.
ir
t'�i / / /1 /� • 11 '1 �:{,� rl. l:. u•
IllailinliglighTIVAiall
si•n .dr-s: ! i /:' .j
(Certificate of Competency Holder)
j Certifica of Competency No.
****:************** * * * * * * * * * * ** * * * * * * * * * * * * * * * * * ** * ** * ** ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
5 Plans Examiner
Engineer
Zoning
ADDENDUM TO BUILDING PERMIT APPLICATION
VP
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
1)
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0— 1 HP
STEAM BOILERS
SHOWER
MJTCRS OVER 1— 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3— 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
1
MOTORS OVER 5— 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8— 10 If
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10— 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 If
VIOLATION
INDIRECT WASTES
(
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
r
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
I
HEATER —NEW INST.
r
GENERATORS TRANSFORMERS
1
HEATER — REPLACE
s
I
GENERATORS TRANSFORMERS
LAWN SPRINKLER —WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COWERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY —SEWER
SIGN TIKE CLOCK
UTILITY —WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP S. ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
f
SOLAR WATER HEATER
FIRE STAND IPE
POOL PIPING
•
LAWN SPRINKLER SYSTEM
GAS RANGE
( t
I
METER SET (GAS)
GAS PIPIN:
l
ADDENDUM TO BUILDING PERMIT APPLICATION
VP
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
r
3416
0 MIAMI SHORES VILLAGi a
BUILDING DEPARTMENT (?*
305 795 -2204 ® ®�'
CI Inspection Request
Date "f' Ib c="
Type Insp'ne 14 •
Permit No. PLC)
Name � r C(22,
Address 12-CO
Company X1 Hi A- 1 kc-im �)
Phone # X86., 553- 5-42A-
Inspection Date
Approved
Correction
Re- Insp'n Fee
at
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/16/2005
Applicant: MARIA
Owner: CONTRERAS
JOB ADDRESS: 1200 NE 97
Contractor
Local Phone: 786- 553 -5424
Parcel # 1132050090620
THE NEW MIAMI SHORES PLUMBING Contractor's Address: 900 NW 144 ST
Permit Status: APPROVED Permit Expiration: 3/14/2006 Construction Value: $2,300.00
Work: KITCHEN REMODEL, SINK, RANGE, ICEMAKER, GAS TO STONE
Signed: (INSPECTOR)
Plumbing Permit
Permit Number: PL2005 -278
CONTRERAS
MARIA
ST
Page 1 of 1
Legal Description: EARLETON SHORES PB 43 -80 W12.50FT OF LOT 20 & ALL OF LOT 21
Fees: Description Amount
FEE2005 -12561 Building Fee $125.00
FEE2005 -12562 CCF $1.80
FEE2005 -12563 Training and Education Fee $0.60
FEE2005 -12564 Technology Fee $4.40
FEE2005 -12565 Scanning Fee $3.00
Total Fees: $134.80
Total Fees: $134.80
Total Receipts: $0.00
7F S C 3 U U V)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 in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Permit No. \c
Application is liereby 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 he complied with, whether herein specified or not. A copy of approved plans and specification; must be kept at
building during progress of work.
Owner's Name and Address
CONTR. 5: t N I �4 c 1(
LIST F'{ lfil�lti 1 vA�I�L
CHECK
CONTR.
LIST
CHECK
CLOSETS I BTUS5 SHOWERS TORIES
SEPTIC
TANK
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
SEWER DRAIN
CONN. FIELD
s s.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
SOAKAGE
PIT
No.
Registered Architect and /or Engineer .____- _________ \Ms. , _,,- 4__.
Employing Plumber's Name_ `�..e (l ,= )1 t 1_4. IL `- �---- ��---- - - - - -- No. ? _. ...
P Y�g ' � -� -- � ^ �" ? - _ �f•_!r4. _.�. Street _ `_� -'
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No. t 1 C c (_ - , ' r
.� • Street .._ 7 1' _ `) _ \ . - --
State work to be performed and purpose of building (By Floors)
New Building _- ___ Remodeling _____u" Addition________. __. Repairs - No. of Stories
iN
SINKS
GREASE
TRAP
SLOP LAUNDRY
SINKS Tuas
URINALS
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
Size Septic Tank Type of Tank
Feet of Drain Tile - Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well. Size of Soakage Pit
(Signed)
(Signed) v�
ce
CATCH
BASIN
J '.
FLOOR
DRAIN
1 .
Date _ L'' L, 7 3
Street - 9 /7 , `
DRINKING
FOUNT'NS
Capacity Gals.
TOTAL
FIXTURES
lumping Irpr¢ector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has cum -
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.
c C. L
-
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 constriction, that he has carefully read the foregoing application, and that lie did sign the same, and that all facts
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 faulty
materials and /or workmanship.
Date
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant c*I L- 1 d 5
Owners Address i9.--O 0 E q - 2 5
Contracting Co. 4A ( ,9rn /'� /�� /341 LfgR Address ( �y,GL/ /2 (
Qualifier
State #Sj) QQ 9_,?? I Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRIC • ' LUMBING MECHANICAL ROOFING PAVING I ENCE SIGN
WORK DESCRIPTION 97.Q /in ,V/— 4 i /(
Square Ft. Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY REST. .T IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WIT II YOUR LENfl r
OR AN ATTORNEY EFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS AF"F"IDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction d zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Notary as to Own
My Commission E
FEES: PERMIT
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address ,� Q Oa (n E 97 St Tax Folio
Building
Plumbing
Notary as
My Commis
Dagoberto F Guardia
* ) ; J *My Commission CC750345
Nawi Expires June 11. 2002
Q NOTARY
RADON
Master Permit #
ss# - - Phone 3 _ =
Electrical
)00
er- Builder Date
z -Z2 2oco
ctor or Ownet-Builder Date
xpires:
;, Dagoberto F Guardia
' *MY Commission CC750345
Expires June it, 2002
BOND
TOTAL DUE
Structural Engineer
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
❑ PERMIT ■9 15989
❑ Work to be performed under this Permit_
Architect
Contractor
or Builder
Legal Lot II BI.
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Subdi-
vision
Value of
Project $
DATE 195
Contractor's
License No.
Amt. of
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 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 in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: BY
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 responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
Size Septic Tank
Feet of Drain T;le
Amount of Permit $_
STATE OF FLORIDA, I
as.
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
,-
rmit No. // ./........--/ _-_-
- Date i .......... _ ... .___ ..... .
.pplication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
Aructure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vitage, 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 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_ --r- -r Subdivision
Street and Number where work is to be performed—No. / 2 ' , ' Street_
State work to be performed and purpose of building (By Floors).
NT Building - Remodeling
L ' -Type of Tank_
Dist. Feet of Tank or Drain Field from Well
7 7 2.
Sature of Water Supp1y4itr-Well . Size of Soakage Pit.
-
Addition____ ..... Repairs .. ... No. of Stories ...... .......
Capacity Gals.
( Signed )_
-
•
, Plumbing Ineteef.;ey.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a., employer of labor
under the Florida Workmen s Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplement, end has plied with with the provisions thereof, and will require similar compliance from all contractors or sub. contractors employed by him in the werh 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 nuticcs as are
required by the Act. The undersi ed agrees to employ only such sub-contractors, on work to be performed under this permit, as an
licensed by Miami Shores Village.
(Signed).
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ppeare
to me well known, and who, being by me first duly sworn, upon (lath 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 tac
therein by him stated are true.
Notary Public, State of Florida
tilat,ter Plumber.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, 0: Lel
materials and/or workmanship.
CLOSETS T
BATH L
SHOWERS T
LAVA. S
SINKS S
SLOP L
LAUNDRY C
URINALS B
CATCH F
FLOOR D
DRINKING '
'' ' T
TOTAL
CONTR. '
••-,) '
' _ i
i
'
CHECK •
• 153 ;
; ,c
';
'• • % i
i '
' / \\, 4
4
m...■••••■. .
SEPTIC S
SEWER D
DRAIN S
SOAKAGE G
GREASE S
SOLAR D
DEEP S
.....■
SWIM 0
Co •
, ,
•
i
,., /, ,, J
J/--;'--;,)
CHECK
Size Septic Tank
Feet of Drain T;le
Amount of Permit $_
STATE OF FLORIDA, I
as.
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
,-
rmit No. // ./........--/ _-_-
- Date i .......... _ ... .___ ..... .
.pplication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
Aructure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vitage, 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 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_ --r- -r Subdivision
Street and Number where work is to be performed—No. / 2 ' , ' Street_
State work to be performed and purpose of building (By Floors).
NT Building - Remodeling
L ' -Type of Tank_
Dist. Feet of Tank or Drain Field from Well
7 7 2.
Sature of Water Supp1y4itr-Well . Size of Soakage Pit.
-
Addition____ ..... Repairs .. ... No. of Stories ...... .......
Capacity Gals.
( Signed )_
-
•
, Plumbing Ineteef.;ey.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a., employer of labor
under the Florida Workmen s Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplement, end has plied with with the provisions thereof, and will require similar compliance from all contractors or sub. contractors employed by him in the werh 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 nuticcs as are
required by the Act. The undersi ed agrees to employ only such sub-contractors, on work to be performed under this permit, as an
licensed by Miami Shores Village.
(Signed).
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ppeare
to me well known, and who, being by me first duly sworn, upon (lath 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 tac
therein by him stated are true.
Notary Public, State of Florida
tilat,ter Plumber.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, 0: Lel
materials and/or workmanship.
• :JO
•••
f!!"--='" .
e■
•
et,