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PLUMBING
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 regulaticrs of the Building Division of is iemi Shores Village shall complied with whether herein specified or not. A copy of approved plans and specifications roust be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name. ?e/-4 Riocation and Legal Description Lot_ Street and Number when© work i:s to be performed—No State work to be performed and purpose of building (Sty Flows) New Building Remodeling —__ __ -..___ Addition. Sim -.Type of Tat S� Septic Tank _..__-- __________�- _-- -__ - -- - est of Tani: or arain Field from Well Fest of Drain 'Tile. 3 2 My Commission Expirsa MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ --� Elock / Nature of Water Supply: City — Well. -- ..-------------- . - - - -- Sim of Soakage Pit (shed)- No A37 5.,,x..2 97 4 Stroot... C- g 7 Repairs Ca Gads No. of Stories Notary ;: bits, 02ate c¢ t 1 NOTE: A re inspection lea of €31 41) will be rode p w is zuade by impropar notice fftgi materials and /co workmanship • lam . s :tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob a tiaas as an employer of labor under the Florida Workmen's Compensation Act, being Section 5 , Compiled General Laws of Florida Permanent Supplement, and liar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to b performed under this permit; and will post or cause to be post: i 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 undea this permit, as are licensed by Miami Shores Villago. (Slued) Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, n Notary duly MAW-1Z .i to administer oaths and take acknowledgments, personally appeared to me well known, and who being by me first duly suvoan, :open co ''r deposes and says that he is the.----- .......- - •-- •---- - - - -.. _ ...._ _.. of the above described construction, that he has carefully road dta foregoing application, and that be did el fin the awe, and that all facts therein by him stated are true. or faulty DRINKING__ POUNT•NO -- –__ _ TOTAL PIXTURaS CLOSETS BATH TUOe CiHOWHRO LAVA. vORIHO C-�IR1CS0 GLOP OINKS LAUNDRY Tue, URINALS CATCH BAIRN FLOOR DRAIN CONTR. LIST CHECK — ._ ___ - -° SEPTIC TANK SEWER Cocoa. DRAIN FIELD SOAKAGE PIT GREASE TRAP GOLAR P4EATISR DaEP CELL ESPR KLR. SYSTEM SWIM•G POOL CONTR. .. - ._.�_._,..�._ _.... LILT 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 regulaticrs of the Building Division of is iemi Shores Village shall complied with whether herein specified or not. A copy of approved plans and specifications roust be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name. ?e/-4 Riocation and Legal Description Lot_ Street and Number when© work i:s to be performed—No State work to be performed and purpose of building (Sty Flows) New Building Remodeling —__ __ -..___ Addition. Sim -.Type of Tat S� Septic Tank _..__-- __________�- _-- -__ - -- - est of Tani: or arain Field from Well Fest of Drain 'Tile. 3 2 My Commission Expirsa MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ --� Elock / Nature of Water Supply: City — Well. -- ..-------------- . - - - -- Sim of Soakage Pit (shed)- No A37 5.,,x..2 97 4 Stroot... C- g 7 Repairs Ca Gads No. of Stories Notary ;: bits, 02ate c¢ t 1 NOTE: A re inspection lea of €31 41) will be rode p w is zuade by impropar notice fftgi materials and /co workmanship • lam . s :tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob a tiaas as an employer of labor under the Florida Workmen's Compensation Act, being Section 5 , Compiled General Laws of Florida Permanent Supplement, and liar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to b performed under this permit; and will post or cause to be post: i 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 undea this permit, as are licensed by Miami Shores Villago. (Slued) Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, n Notary duly MAW-1Z .i to administer oaths and take acknowledgments, personally appeared to me well known, and who being by me first duly suvoan, :open co ''r deposes and says that he is the.----- .......- - •-- •---- - - - -.. _ ...._ _.. of the above described construction, that he has carefully road dta foregoing application, and that be did el fin the awe, and that all facts therein by him stated are true. or faulty • MIAMI SHORES VILLAGE PLUMBING PERMIT DATE NO. ISSUED TO to install the following described plumbing, in accordance with the laws, statutes and regulations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drain- age work done in Miami Shores Village, Florida. FOR A STORY BUILDING AT.' FIXTURES FIXTURESp�:"";z f _ SEWER 6 SEPTIC TANKS TOTAL VILLAGE PLUMBING INSPECTOR BY Permit No 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. 0 Ra Er Lc St> Sta Ne Cor LI CHe CON Li_ CHE Size Feet' Nati. Amo under plied perfo H requit 4 licensa H STA COUI appeat to me of the therein N� materials a • H a co H •f O z APPLICATION FOR PLUMBING PERMIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT g 3 � • IN F-I Q) cl) 'd v bp • cd rd cd r r H cZ U • ' U dl ri CZ N.n F-1 • • -1 L� H C w ri H H ° � • N w• #: H 4-t N 0.00 • rd • g � r1 tb •� •� rd H C) CIS Fa 01 H O O N �HF� • bw 0 r W � Fa 4 -tCl2 g ri 'd ri O -P rI ci •ri H rn 4a K � O N O - P 4 0 H 0 cd co cd +3 y cd F t • cd rd 0 g H •Fa y o , � bO 0 -N -t.) w cd w W >f Stories bing Inspector. !mployer of labor t, and has com- n the work to be Ur notices as are permit, as are •r Plnmha:_..... TOTAL FIXTURES ents, personally d that all facts Area, ction, or faulty PLUMBING 1NSPICT1ON DEPARTMENT APPLICATION '91 WI PLWM NG PERMIT C(3 '2-2' — 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 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. ,,�i� Owner's Name and Address 1� - d ° �' s / &�o. % _t `1' f street.._ c"? .; C Registered Architect and /or Engineer �I 4 Employing Plumber's Name � =p' -a_ .�. J � z.. :� 4,..- Location and Legal Description Lot. Bloc& Street and Number where work is to be performed —No Street. ___..._..._._ State work to be perk-rune and purpose of building ( >ry h� a D - -- Lra_l _ �;;�� _1t ; : :r ....... .... ...... ......_ -_- . New building.---- ____ _ _ Remodeling_____.__.. __ . :ftion ..__ -__.__ Repahe No. of Stories ...... ......... CONTR. LIST CNIKOK CLOSITS Amount of Permit $ BATH Tuns SN°WSRs Size Septic Tonle Feet of Dram Tile Nature of Water Supply: City —Well. - LAVA. TORIES STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary Falk, My Commission Endres MIAMI E 10 REZ VILLAGE SINK@ divan° Type of T[' LAUgDPT Yuen univaLs nigt. Feet of Tangs or Main Mid : Well (Signed) CATCH SAetm FLOOR DRAIN Sim of Soakage Pit.. DRINKING FOUNT•Ns TOTAL FI*TURts administez oaths and take acknowledgments, personally appeared / umrbing lnspe�os The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati 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 tanaretedan on the cite 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. I Muter Plumber. Notary Public, State of Florida to me well known, and who, being by me first duly sworn, upcz oath &paws and says that he is the of the above described construction, that he has carefully rout the fuecgotun application. and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re fee of ;1.00 win be made wizic stub tut.lospootive Es made.nerteaSery by imploper notice foe inspection, or fault' materials add /err worlananahip. Permit No cif �1 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 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 epedffed or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address D 7 -71 7 1- No / / sCi & • Street..- 5 77. Registered Architect and /or Engineer r , • - -- - -- - Zd�tployinB Plum 's N S39 , s"1"Na,......D 2�. .�. it{reug,t5...,.I ' ti t a Lagal L o t 41-? ; 1$lodc�� snbdfvldorin�2e -� aC - s a . � / � Street and Number where work is to be performed —No A9 / 4 f 1 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--.. Feet of Drain Tile Diet. Feet of Tank or Drain Field from Well ..._ Nature of Water Supply: City—We1L Size of Soakage Pit Amount of Permit $_%3 ®— My Commission Expires (Signed) Date..._.".. 2 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that f erstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled neral Laws of Florida Permanent Supplement, and hrr com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the won,- to he 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 ase 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. * : 1 • Notary Public, State of Florida „wit_ er Plumber. STATE OF FLORIDA, i COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared is the to me well known, and who, being by me first duly sworn, upon oath deposes and says and that be did sign the same. and that all facto of the above described construction, that be has carefully read the foregoing application, gn therein by him stated are true. NOTE: A re. inspection fee of $1.00 will be made wham nob rriarpactia s Y toodo by Improper notice for inspection, or faulty L and /or workmanship. CLOarrs BATH TTu.,' SNOW[Ra LAVA• SINKS SK[ SLOP SINK[ LAUNDRY Tus. URINAL[ CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS r � _ 70 AL A P18TUR[a CONTK. LIST CHICK SEPTIC TANK SLWLR CONK. DRAIN FIELD SOAKAOL PIT G TRAP SOLAR NEAR 1 AT MEP 7 ILL `. /Ail 8 8 SMIN•O POOL CoNTR. LIST • CHECK Permit No cif �1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein epedffed or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address D 7 -71 7 1- No / / sCi & • Street..- 5 77. Registered Architect and /or Engineer r , • - -- - -- - Zd�tployinB Plum 's N S39 , s"1"Na,......D 2�. .�. it{reug,t5...,.I ' ti t a Lagal L o t 41-? ; 1$lodc�� snbdfvldorin�2e -� aC - s a . � / � Street and Number where work is to be performed —No A9 / 4 f 1 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--.. Feet of Drain Tile Diet. Feet of Tank or Drain Field from Well ..._ Nature of Water Supply: City—We1L Size of Soakage Pit Amount of Permit $_%3 ®— My Commission Expires (Signed) Date..._.".. 2 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that f erstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled neral Laws of Florida Permanent Supplement, and hrr com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the won,- to he 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 ase 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. * : 1 • Notary Public, State of Florida „wit_ er Plumber. STATE OF FLORIDA, i COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared is the to me well known, and who, being by me first duly sworn, upon oath deposes and says and that be did sign the same. and that all facto of the above described construction, that be has carefully read the foregoing application, gn therein by him stated are true. NOTE: A re. inspection fee of $1.00 will be made wham nob rriarpactia s Y toodo by Improper notice for inspection, or faulty L and /or workmanship. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Budding Inspection Request Date i D Type Insp'n Rocs d l Permit No. Pi Name flfl Address 13 / N _, d Company D e2 t� b',. )�, °� 1 Phone # Inspection Date Approved Correction Re- Insp'n Fee 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 Owner's Name (Fee Simple Titleholder) Owner's Address 1 / City '. Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Contractors Address - - -:3 �.. City � p. `� State . Zip ."5 Qualifier State Certificate or Registration No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit•' Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace El Demolition Describe Work: t, . Code Enforcement $ . tal Fee Now Due $ j Q � ` S j `inued on opposite side) Miami Shores Village Building Department State ' Zip Phone # yt ,1 , County Miami -Dade NO • ' L Structural Plan Review. $ Plumbing Master Permit No. 23 ' U - Mechanical t Phone # ` d Phone # Certificate of Competency No. Permit No. 1 -) 1 (.):d l Roofing Zip Z 1 ****************************Fees****************************** Submittal Fee $ • ( Permit Fee $ CCF $ • C 5 CO /CC Notary $ Training/Education Fee $ e (7 Technology Fee $ 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 NOTARY Chc 05/13/03 LIC: Sign: \ /C-{_e4,/ Print: /;: r 1 'I 14 1 - My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** * ** APPLICATION APPROVED BY: The fore • oing instrument was acknowledged before me this /3 day of LA,' , 20 G t¢ by 1(2.15 e4i: A'OCZ who is perso : ly known to me or who has produced rat, vzlL5 a,te'e, As identification and who did take an oath. * * * * ** IRMA LOPEZ 4 MY COMMISSION • DD 220081 p fe EXPIRES: August 21, 2007 1-8003-NOTARY t=l ta O eca i Aiwa. Co * * * * * * * * * * * * * * * ** • Signature '�- Contractor The forey'ng instrument was ackno hedged before me this .' day of , 2061, by RB661 S who is known to me or who has P roduced as identification and who did take an oath. NOTARY PUBLIC. Sign: Print: -I 4 a./ •• °t .0 Y COMMISSION • DD 2206(;1 cr tto EXPIRES: August 21, 2007 1- NOTARY * * mprie BLop• My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * ** ******************************************•********************************** * * * * * * ** * * * * * * * * * * * * * * * * * ** * * ** Plans Examiner Engineer Zoning J3 - e Off( L5 / , get) e0.14 ,ail % 3 & ' ) / - PLUMBING BY GILBERT, INC. DBA: C.S. SERVICES P.O. BOX 600631 NORTH MIAMI BEACH, FL 33160 -0631 305 - 490 -4926 305 -957 -0090 305- 944 -3060 (fax) State Certified CFCO56731 Email: PlumbingxgilbertQaol.com PROPOSAL /7/3,2 - Z / 7 -e., ,, e. ,„,, /04// 0-1,1 1„1 (1/64/2A41' 6. 6" 1 ( . I " --C a c17'/ C .. 4r KG'- i _. , 5 . -{(54/, i'.. c c 4 C'');. C) () 1 L L4i ( el 7 P,/ , '`.4 .4' , 4 e/' e -,,2 z , ! ho1vvv-frte pW¼. ®4 CUSTOMER SIGNATURE SJ r1 1, 76 ne ITEM BATH TU3 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 OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE / MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP 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 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 SWIMIMING POOL OUTLETS COMP RCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4" TILE/RES. VIOLATION PUMP S. 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 METER SET (GAS) GAS PIPING (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 ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Plumbing Permit Phone: 305 - 795 -2204 Permit Number: PL2004 -238 Printed: 8/18/2004 Applicant: KRISTY MOORE AITKEN Owner: AITKEN KRISTY MOORE JOB ADDRESS: 131 NE 97 ST Contractor ALL CLOGBUSTERS OF BROWARD Contractor's Address: 6244 S. W. 192 AVE. Local Phone: 305 -490 -4926 Parcel # 1132060132470 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 21 & E1/2 LOT 20 BLK 18 LOT SIZE Fees: Description Amount FEE2004 -8419 Building Fee $150.00 FEE2004 -8422 CCF $0.60 FEE2004 -8423 Training and Education Fee $0.20 FEE2004 -8424 Technology Fee $3.75 Total Fees: $154.55 Total Fees: $154.55 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 2/14/2005 Construction Value: $800.00 Work: PLUMBING FOR KIT REMODELING Signed: (INSPECTOR) Page 1 of 1 # 5 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: