ME-03-153Tenant/Lessee Name
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
Citytk m 1
Qualifier Name
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING IMCMET7M1
PERMIT APPLICATION
5 SAY 0� APPLICATION
FBC 2004 B Y:
Permit Type (circle): Building Elec cal Plumbing
Owner's Name (Fee Simple Titleholder) T7 RO t3 /4-Aione #
Owner's Address 1 2-D 7 Nj e �j Co 77-f r.
City f l/kl4/ %/riD State - Zip 3 /3 2
Job Address (where the work is being done) 1 l
City Miami Shores Vi1L e
FOLIO / PARCEL #
County . Miami -Dade
NO
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $
Type of Work: DAddition ❑Alteration [New
Describe Work:
Structural Review. $
CM--1
Submittal Fee $ Permit Fee $
Notary $ Training/Education Fee $
Scanning $ Radon $
Bond $ Code Enforcement $
Permit No. ME
Master Permit No.
Phone #
Zip
33/39'
Phone # 6 5 S$ 2 / o 37
Zip S3
Phone #
Square / Linear Footage Of Work:
❑ Repair/Replace ❑ Demolition
CCF$
CO /CC
Technology Fee $
DPBR $ Zoning $
Double Fee $
Total Fee Now Due $
See Reverse side -*
1/8/2008
To: Current Owner
1287 NE 96 Street
Miami Shores Village, FL 33138-
Permit: ME2003 -153
Address:1287 NE 96 Street
Miami Shores Village FL33138-
Date Expired: December 12, 2006
Type: Air conditioner replacement
Dear Sir or Madam
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 • Fax; (305)756 -8972
In order for us to serve you better, we need to keep our files up to date. Our records
indicate that the above reference Permit has expired.
The Building Department has determined that the work applied for has been completed
with out the required inspections and it has been more than 180 days since your last
approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida
Building Code. You are required to renew your permit and schedule all required
inspections.
In the event you do not comply with the requirements herein, the Building Department
will file a complaint with Miami -Dade County Building Code Compliance Office for
possible disciplinary action against your licensed contractor And/or if permit was
obtained by the home owner the requirements of the Unsafe Structure Code of Miami
Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed
unsafe and a permit shall be obtained to demolish the structure or bring the building in to
compliance with applicable codes as provided herein."
Please contact the Building Department, immediately upon receipt of this letter.
Sincere
Claffudio Grande C.B.O
Building Official/ Director
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 Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ,20 ,by , day of ,20 ,by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires: My Commission Expires:
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
(Revised 02/08/06)
f; ---t, op Miami Shores Village
,EP ? 9 2003 Building Department
BUILDING
PERMIT APPLICATION
FBC 2001
Permit No.
,Master Permit No. M 2 6 53
ermit Type (circle): Building Electrical Plumbing l Mechanical Roofing
Owner's Name (Fee Simple Titleholder) C.—Viz-TA S OAS Phone # 3oS 6.05 -- '70 '
Owner's Address Q. 2- 1 Nom' 9 C S?^.
City fr iPrt s -t State "P Zip 33 13 g
Tenant/Lessee Name Phone #
Job Address (where the work is being done) i 7 1 e' 9 fP 5i
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name Phone #
Contractor's Address
City State
Qualifier
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
City State Zip
$ Value of Work For this Permit
Number of: Bays Stories Families Bedrooms
Type of Work: DAddition ['Alteration DNew ®lepair/Replace
V` Describe Work: , U..
TZELo c.,e.ecr' C— i.raGv• +..6 _ Ur-) c fl-
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Zip
Phone #
Baths
0 Demolition
****************************F
County Escrow Fee $ Permit Fee $ / "'
Education/Training Fee $ Tech $ Scanning $ Radon $
Code Enforcement $ Bond $ Struct. $
Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side)
Notary $
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
Owner or Agent
The foregoing instrument was acknowledged before me this
day of . 20 , by
who is personally known to me or who has produced
NOTARY PUBLIC:
Sign:
Print:
APPLICATION APPROVED BY:
chc7/7 /03
As identification and who did take an oath.
Signature
Contractor
The foregoing instrument was acknowledged before me this
, day of • ,20by -- . ..
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
- Sign:
Print
My Commission Expires: My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
e .145} 4 3‘). t"- ) Plans Examiner
Engineer
Zoning
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building C,,, 6 � J Electrical Plumbing n ' Mechanical Roofing
Owner's Name (Fee Simple Titleholder) .t /44/ S /3/'e 4/5 !C Phone # 7495'40f 70
Owner's Address /.2 7 ,Cf4 9
City/P7 /Q M ./ ) 'Ciro M s state "/Q Zip 3 3/3
Tenant/Lessee Name Phone #
Job Address (where the work is being done) /2 8 7 /Ver 90 / ti
City iami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name I mop t cA L_ 41 ma ma ]/ 0: t c.. Phone #
Contractor's Address 35 ''] CiR -`(, oN
City 1 iA -rn,t SPY- RS state r O12-%PA zip 3 31( ro
ViA0A)
Qualifier � ,C S
Architect/Engineer's Name (if applicable) - Phone #
Architect/Engineer's Address
City ._`
RE CEIVED
AEG 2003
$ Value of Work,Foir rhi
Number of: Bays Stories
Type of Work;. , ]Addition
Describe Work: - L cx
County Escrow Fee $
Miami Shores Village
Building Department
State
['Alteration
C�ol4DrcT�tSJ J
Families
Permit No.
Master Permit No
Permit Fee $ 85-0'
Education/Training Fee $ Tech $
Code Enforcement $ Bond $
Minus Plans Check Fee $ D 9 00 Total Fee Now Due $
PA t®L '3 0r Dv
DNew
A, ' Ca . rruo
UN
5't
****************************Fees******************************
Zip
Square Foota e'0!Wo
Z Z f •
• Bedrooms Baths
III ❑ Demolition
k,• cry v M a� A44
Notary $
Scanning $
33/3 r
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Lt 1S
Radon $
Struct. $
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"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
Owner or Agent
The foregoing instrument was acknowledged before me
day of #4M , 20 03, by C'urlli /31`hersitle
who is personally known to me or who has produced
its identification and who did take an oath.
NOTARY PUBLIC:
Sign;
Print
My Connnission Expires:
APPLICATION APPROVED BY:
Chc7/7/03
y
" 4.
Contractor
The foregoing instrument was acknowledged before me this 9
day of /04:1 , 206,3 by e's 60 p ,
who is personally known to me or who has produced
as identification and who did take an oath.
.6. 6 9.r /o 3
NOTARY PUBLIC:
Sign:
Print:
My Connnission Expires:
* * * ** * ***f L• 1******************************** *********************************** * * * * * * * * * * *irtnU*** *** grit
(Certificate of Competency Holder)
State Certificate or Registration No. CAC. O S1 c i 8 Certificate of Competency No.
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
(WIND)
DISPOSAL
SERVICE TEMPORARY
_ (CENTRAL ,j)4/c.va s.)
a
DRINKING FOUNTAIN •
SERVICE SIZE IN AMPS
DUCT WOR
FLOUR GRAIN
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.
MOTORS 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
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
_
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
GRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
-
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RAKE
METER SET (GAS)
GAS PIPING
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
Miami Shores Village
Building Department
MECHANICAL CRITIQUE SHEET
1,5‘ 1
e
W' W eL Cy
a)U6)(,
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No. 3
15 3
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B Y:
RBIS! K
PERMIT NO. M 2 ,003-153 TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address: 33 i� IV� �� irtl 33 45
2. Description of improvement:
it
i
P
dN
3. Owner(s) name and address: Cc4/^ f / r "Nods*
,'2. 7 /ye 9 5 " 1 / or71 hi; / f/ 3319
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: 112 L At R.E. Art.47
33'1 CoFzXT:KA4 MAUVE MIAMI st a-44S *PL • 3
5. Surety:(Payment bond required by owner from corgrart-ogsifFAAWA. _CO" N `Y OF DARE
.HERO CEF Ti: v ma : i[95 ;5 o fr(r f
Name and address:
Amount of bond $
NOTICE OF CO ENCEMENT
ORDED COPY ST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom noti._ r other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Uenor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
�a Ce 0 r re/rcie fo-41f ,►'1a
9. Exp lration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
_fie/al
Signature of Owner �/
Print Owner's Name '`� �' �'® 5/�/
Sworn to and sub ri ' before me this _,� day of P ?� , 20 d .3 .
v. r
dC'
Notary Public
Print Notary's Name __. -- z.4_13.
Prepared by )teZ
Address: 357 C Q'yPohi E:
M/ Sim
Inspection Date: 03/13/2006
Inspector: Perez, JanPierre
Owner: BRODSKY, MARK
Job Address: 1287 96 Street NE
Project: <NONE>
Contractor: TROPICAL AIRE AND HEAT
Building Department Comments
Thursday, March 9, 2006
Miami Shores Village, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone,i -2204 Fax: (305)756 -8972
Block:
Permit Type: Imported Permit
Inspection Type: Rough
Work Classification: Mechanical
Phone Number
Parcel Number 1132060143770
Lot:
Phone: 305 -882 -1037
Page 2 of 2
Passed
Inspector Comments
71l
\,(3
''\
Failed
Correction
Needed
R e- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 03/13/2006
Inspector: Perez, JanPierre
Owner: BRODSKY, MARK
Job Address: 1287 96 Street NE
Project: <NONE>
Contractor: TROPICAL AIRE AND HEAT
Building Department Comments
Thursday, March 9, 2006
Miami Shores Village, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone,i -2204 Fax: (305)756 -8972
Block:
Permit Type: Imported Permit
Inspection Type: Rough
Work Classification: Mechanical
Phone Number
Parcel Number 1132060143770
Lot:
Phone: 305 -882 -1037
Page 2 of 2
I nspecton Date: 03/13/2006
Inspector: Perez, JanPierre
Owner: BRODSKY, MARK
Job Address: 1287 96 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: TROPICAL AIRE AND HEAT
Building Department Comments
Thursday, March 9, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Pho • (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Mechanical
Phone Number
Parcel Number 1132060143770
Lot:
Phone: 305 -882 -1037
Page 1 of 2
Passed
Inspector Comments
_
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
I nspecton Date: 03/13/2006
Inspector: Perez, JanPierre
Owner: BRODSKY, MARK
Job Address: 1287 96 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: TROPICAL AIRE AND HEAT
Building Department Comments
Thursday, March 9, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Pho • (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Mechanical
Phone Number
Parcel Number 1132060143770
Lot:
Phone: 305 -882 -1037
Page 1 of 2
ft
J
Inspection Date: 03/13/2006
Inspector: Perez, JanPierre
Owner: BRODSKY, MARK
Job Address: 1287 96 Street NE
Project: <NONE>
Thursday, March 9, 2006
Miami Shores Village, FL 33138-
Contractor: TROPICAL AIRE AND HEAT
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Mechanical
Phone Number
Parcel Number 1132060143770
Lot:
Phone: 305 -882 -1037
Page 2 of 2
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
ft
J
Inspection Date: 03/13/2006
Inspector: Perez, JanPierre
Owner: BRODSKY, MARK
Job Address: 1287 96 Street NE
Project: <NONE>
Thursday, March 9, 2006
Miami Shores Village, FL 33138-
Contractor: TROPICAL AIRE AND HEAT
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Mechanical
Phone Number
Parcel Number 1132060143770
Lot:
Phone: 305 -882 -1037
Page 2 of 2
Issue Date: 8/12/2003
Owner's Name: MARK BRODSKY
Permit Type: Imported Permit
Work Classification: Mechanical
Job Address: 1287 96 Street NE
Miami Shores Village, FL 33138-
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 09/30/2006
Contractor(s) Phone
TROPICAL AIRE AND HEAT 305 -882 -1037
Primary Contractor
Yes
Comments:
REPLACEMENT OF AIR CONDITIONING EQUPMENT AND RELOCATE
CONDENSING UNITS
Additional Information
Perm Type: Mechanical
Alpha Four:
Alpha Six:
Pay Amount: 149.2
Bond Retum :
Alpha Two:
Alpha Five: Residential
Pay Date: 10/3/2003
Pay Comments: PAID IN FULL CHECK #1050 Al
In consideration of the issuance to me of this permit, I agree to perform the work
covered hereunder in compliance with all ordinances and regulations pertaining
thereto and in strict conformity with the plans, drawings, statements or specifications
submitted to the proper authorities of Miami Shores Village. In accepting this permit I
assume responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that
all work will be done in compliance with all applicable laws regulating construction
and zoning. Futhermore, I authorize the above -named contractor to do the work
stated.
Building Department File Copy
Applicant Signature
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: ME2003 -153
Phone:
1132060143770
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 7,000.00
Required Inspections
Fees Due
Renewal/Extension Fee
Total:
Amount
$100.00
$100.00
Invoice Number
imp -3-06 -24087
Total:
Amt Due
$100.00
Amt Paid
$100.00
$100.00
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.