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550 NE 96 StBUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name Contractor's Company Name Contractor's Address 9906 3W,c.W I/O Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee Scanning $ Radon $ Code Enforcement $ Structu Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department .. 10150 Avenue, Miami Shores, Florida 3318 1•.'' © . lea% ( Y + 6.8972 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Phone # Owner's Addres 150 s ?/ ue - Ai / R d J$7 /5DA City '7�4 OA- State 01 1 c Zip 3 "3 3Z ` N/A Phone # l'(/A, Job Address (where the work is being done) 5 A/ q C * S7re_e City Miami Shores Village County Miami -D de Zip 33 ( `C Is Building Historically Designated YES NO City i iam i State FL Qualifier J I i G C'ru Z. Am e . te rArn Cr i n' , 1 n L . Phone # Permit Master Permit No. L� F' ©3 - 1 t 3 3 Mechanical Roofing C365 759 - '7600 Zip 33 U15 r M a 03 -/86 e3 ix2 ?Z3V State Certificate or Registration No. 1 Certificate of Competency No. Architect/Engineer's Name (if applicable) '"/ y Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: El Addition ❑Alteration ['New ❑ Rep eplace ❑ Demolition Describe Work: P 1 tS 1v$ I �U ( S 1 O &) 4S buic Id T. * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ CO /CC Bonding Company's Name (if applicable) 1\t/Pr Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) /'t/ 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of c mencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issue In bse• of such posted notice, the inspection will not be approved and a reinspection fee will be charged , i �� %I%;I �� /./ I . weer or Agent _ 'I trftr ffl// �f , The for The foregoing instrument ; c . •` d: I 1,; j� m tIu • ` d day of by L) /I 6 ejED who i me . r who has produced Signature day of - 20 (4 by Peelko PA E 2 , who is . rson ly known to me or who has produced ® 2,00 (p06- 77 172' -0 As identification and who did take an oath. NOTARY PUBLIC: Sign: , T` 1 i Print: M y C Expires: o u, , n o 3 s o t, Expires 3/24/200$ omrmssion xp My Commission Expirest B o n l n d nd hru (800) 4254 * * * * * * * * * * * * * * * * * * * * * *e e*** * * * * * * * * * * * * * * * * * * * * * * *neenee *e 'teen * * *e * * * * * * * * * * * * * ** itewn oo * ed t har Assn1 Ai�istb * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Chc 05/13/03 IGNA LASSERRE mine 0D0303085 Expires 312412008 Bonded ewe ($00)432. lafds Nobly Assn.. Inc �NNfJNfaN� 20 onally own t Signature NOTARY PUBLIC: Sign: Print: as identification and who did take an oath. APPLICATION APPROVED BY: Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2004 -242 Printed: 8/26/2004 Applicant: FRADER ONE, INC. Owner: ONE, INC. FRADER JOB ADDRESS: 550 NE 96 ST Contractor JOHNSON ALVIN WELL DRILLING Contractor's Address: 19616 NW 29 AVE Local Phone: 305 - 624 - 3922 Parcel # 1132060140700 Permit Status: APPROVED Permit Expiration: 2/19/2005 Construction Value: $1,960.00 Work: IRRIGATION SERVICE Signed: (INSPECTOR) Plumbing Permit Page 1 of 1 RECEI N E SEP 2 1 2C104 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 10 TO 12 INC BLK 54 LOT SIZE 150.000 Fees: Description Amount FEE2004 -8686 Building Fee $175.00 FEE2004 -8687 CCF $0.60 FEE2004 -8688 Notary Fee $5.00 FEE2004 -8689 Training and Education Fee $0.20 FEE2004 -8690 Technology Fee $4.37 Total Fees: $185.17 Total Fees: $185.1 Total Receipts: $0.00 )3s.)1 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: AUG23 BUILI.7ING PERMIT APPLICATION FBC 2001 Contractor's Company Name 4Ltt(A. c•-q-t m- Contractor's Address 1 9) 6 1 . l.S. US • a 9 Pq._ Cit vA.. » h.-rc•ei State Qualifier (4 Lit eN Type of Work: ❑Addition ❑Alteration 1 Describe Work: M- (`� vgkZ- c�.. S lAS`\�IA 13s_ 17 (Continued on opposite side) Total Fee Now Due $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Job Address (where the work is being done) 55 14,,I 9 p� E i ew * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ ,4 Technology Fee $ t Submittal Fee $.5 !7. v p Permit Fee $ i i Notary SS_ 041 Training/Education Fee $ . 4 Permit No. P Master Permit No. OP • O 3 - k 1 33 Permit Type (circle): Building Electrical Plumbin: Mechanical Roofing Owner's Name (Fee Simple Titleholder) Phone # ` � S -7 Owner's Address ? So P V is l bL 1 City P (-�.��� �-, State cL Zip '333 2. 4 Tenant/Lessee Name P -fib S 1 l ,S P n A- E Z Phone # ?5(E - a$ - City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO !/ Phone # 3 o S r' Zip ' 3 3 State Certificate or Registration No. I L P e D d ' Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 31 Square Footage Of Work: ❑ Repair/Replace El Demolition CO /CC Scanning $ 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 NOTARY Sign: Print: wner o Agent Con or 1 The fo e.oing in trument as ac owledged be ore me this 1 1 The ing instrument was ac day of , 2 � �U � , day ,c , 209 \, b w 's persona y known to me . who has produced , by who is personally known to me or who has produced J- My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 As identification and who did take an oath. a 'fication and who did take an oath. Mabei Vargas NOTARY P 1984 Jul 13, 2007 Thru ing Co., Inc. Signature / Sign: Print: ore me this c ) 40.4 A My Commission Expii & 'IM' *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** * ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 7 Plans Examiner Engineer Zoning 3 water meter TIMER RAIN SENS BACK -FLO ZONE VALVE k " 3/4" k" " 550 NE. 96th STREET MIAMI SHORES FL. LOT 6 BLOCK 54 MIAMI SHORE SECTION 2 PB. 10 PG. 31 OF THE PUBLIC RECORD OF MIAMI DADE COUNTY, FLORIDA IRRIGATION PLAN PiiROVED ,•STRUCTURAL ELECTR■CAL WOG. ...■ SHORES YOU /W BY SUBJECT TO COMPLIANCE WITH ALL FEDERAL, II STATE AND COUNTY RULES AND REGULATIONS Date Type Insp'n Permit No. ctrl a MIAMI SHORES AfILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil.tng Inspection Request Name r r Address �..J N lJ Company -- S Cc, — 4 1 1� Phone # Inspection Date Approved Correction Re-Insp'n Fee Date 1 V Type Insp'n Permit No. Name F\\ Y ' Address _)5f) le Company (, " ' C,— 1 1 Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHOPS1 BUILDING D1PARTMENTu 305- 795 -2204 Buil•ing nspection Request Miami Shores Village 10050 NE 2nd Avenue Plumbing Permit Phone: 305 - 795 -2204 Permit Number: PL2003 -269 Printed: 11/18/2003 Applicant: EDWIN Owner: ONE, INC. JOB ADDRESS: 550 NE 96 Parcel # 1132060140700 Signed: (INSPECTOR) BROWDER FRADER ST Contractor AMERICAN CONTRACTING, INC. Contractor's Address: 9900 S. W. 40 ST. Local Phone: 305 - 759 -7000 Permit Status: APPROVED Permit Expiration: 3/28/2004 Construction Value: $7,200.00 Work: PLUMBING WORK IN PVC FOR A NEW RESIDENCE , TOTAL OF 4 BATHROOMS Signed: (Contractor or Builder) BY: Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 10 TO 12 INC BLK 54 LOT SIZE 150.000 Fees: Description Amount FEE2003 -5849 CCF $4.80 FEE2003 -6863 Building Fee $180.00 FEE2003 -7252 Training and Education Fee $1.60 FEE2003 -7253 Technology Fee $4.50 Total Fees: $190.90 Total Fees $ 90.$0 Total Receipts: $0.00 e , c 6, FEB 0 3 PAID 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. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) Frokd-er Or)- /r-) Owner's Address 7 © . P -Ts 1 a r? d E City P/ a r h cr)- State F L Tenant/Lessee Name Pe 1- 0 6= ?a & Z Job Address (where the work is being done) 5X X N' C 7(.o441 1/4.S t City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name rtPY7C-4 i C G u') �Ol Cf7 /' /ACPhone # , & 5 - 7 5 9- 7 o .0 0 I (y) LSL 4 stki240 Contractor's Address City � I Cirn i n State F L- Qualifier at Ali C`) ` 1_1-i2- Architect/Engineer's Name (if applicable) Architect/Engineer's Address City State $ Value of Work For this Permi Number of: Bays Type of Work: Describe Wor a or ['Addition Stories ['Alteration - tc3f - a - 1 o f County Escrow Fee $ -1 Education/Training Fee $ 1 • ` V Code Enforcement $ Bond $ / Minus Plans Check Fee $3C) 1 �l Total Fee Now Due $ ( b+ q.- Miami Shores Village Building Department 1 ;UVEI I Plumbing Families ❑New Permit Fee Tech $ y , S D Scanning $ Struct. $ Permit No. Pt .9-063 2(99 Master Permit No. ( ) I' — 1 13 Mechanical Roofing ). Phone #(95 J ) 1 V 1 — 8381 c -/OY Zip .JS 2- Li Phone # 955/' 822 - /5 Zip Zip 3i e 2 S 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 - Phone # Zip Square Footage Of Work: Bedrooms ❑ Repair/Replace ikS 1Y * * * * * * * * * * * * * * * ** Baths 6 r bcihrep& . ❑ Demolition C r Notary $ Radon $ (Continued on opposite side) 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 O F COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building promise in good faith that a copy of the notice of commencement permit nd con lien law bre exceeding $2500, the applicant must whose property is subject to attachment. Also a cent le d - - for the first inspection which occurs seven (7) days after the buildin g recor ini inspection will not be approved and a reispection fee will be charged. permi Signature er or gent The fo - going ins u ' , ent was acknowledged before me this day of .St — , 20 (8 ,by ' ct co F f e-Z who is personally known to me or who has produced i L+c'S t C enS C NOTARY Sign: Print: 1.0 S My Commission Expires: State Certificate or Registration No. * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY/ :hc7/7/03 Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City UBLIC: As identifi State State N A Nl • and who did take an oath. Lois Pascal s ". :cnmmissjon # DD 03$544 Expires August 11. 2005 0 0 I ,,,,,, CC ( „ Battled Thnl NOTARY PUBLIC: Sign: Print: My Commission * * * * ** * * * * * * * * * *, tit************ * * * * ******** *, * ****** * * *** * *** (Certificate of Competency Holder) Certificate of Competency No. a I. Zip ure will be delivered to the person ement must be posted at the jo, site bs?nce of . uch p, ted no the 1 :, : s a .1 1 ii , a ged before me 3 by �D �EUZ who is pers • . lly known to me or who has produced N /, as identification and who did take an oath. • ' Rr 1 41111 17 I� i A . 0-44 _ DIG NA LASBERRE M y• 3/23/04 ersonaly Known ()Other I.O. All!******************************** Plans Examiner Engineer Zoning * ** 'EM all TLB UNIT '3 FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE • IDET LIGHT OUTLETS CENTRAL HEATING ISHWASHER 4 RECEPTACLES A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) ;INKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK _OCR DRAIN i0 SERVICE REPAIR/METER CHANCE REFRIGERATION TEASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING 'TERCEPTOR RANGE TCP UNDERGROUND TANKS WATORY 4 OVEN ABOVE GROUND TANKS ;UNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS LOTHES WASHER 1 MOTORS 0- 1 HP STEAM BOILERS ;HOWER ' MOTORS OVER 1 - 3 HP HOT WATER BOILERS INK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION INK, RESIDENCE 1 MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS EMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS RINAL MOTORS OVER 25-100 HP COOLING TOWERS ATER CLOSET !.I MOTORS OVER 100 HP VIOLATION ?DIRECT-WASTES A/C WINDOW REINSPECTION ATER SUPPLY TO: AIR CONDITIONERS - A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • 'HEATER -NEW INST. ( GENERATORS TRANSFORMERS I HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE - SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES ;EWER CONNECTIONS ! SIGN TRANSFORMERS ITILITY -SEWER SIGN TIME CLOCK ITILITY -WATER FIXTURES 'EPTIC TANK ANTENNA :FLAY TELEVISION OUTLETS iRAINFIELD, 4' TILE/RES. VIOLATION 'LIMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. ;ATCH BASIN )ISCNARGE WELL )OMESTIC WELL iREA DRAIN 100F INLET , XOLAR WATER HEATER `, 'IRE STANDPIPE '001 PIPING • _AWN SPRINKLER SYSTEM 1AS RANGE 4ETER SET (GAS) ;AS PIPING PLUMBING helse b'bias ADDENDUM TO BUILDING PERMIT APPLICATION , AN APPLICATION ktill BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. DBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) 3. ELECTRICAL MECHANICAL Dat Type Insp Permit No. MIAMI SHORES VILLAGE BUILDING DEPART 305- 795 -2204 Building Inspection Req Addr Approved Correction Re- Insp'n Fee Compan �'� %. . L . � � 4414 Phone # DS— / 77 Inspection Date 3 ICJ / 0 Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPAR 305- 795 -2204 Building-Inspection Reque Date Co 14 b q Permit No. ? 00 J - 0 Type Insp'n }-1�� 9 lay, Name Q \ t t /YldeL, Address 5S0 NtC % ST • Company < F 3 v 1'`2 71-%N Phone # 3 C5 - 4?S d - U 9 7 MIAMI SHORES VILLA BUILDING DEPART NT 305- 795 -2204 Building Inspection Requ Date Type Insp' n if Y\Q` PiC TQV1 N Qvi QI n `Fiala Permit No. TL a-O03 — � 1 O Name +r0. 0 — E NC. Address 5S ri E q(o sr Company 1-t &:),A6 YrNta t /tirsa4 CC ti cepifecein Phone # g f5 ( 1 - .08 - PVcA Inspection Date Approved ❑ Correction ❑ Re- Insp'n Fee ❑ Contractor's Company Name Architect/Engineer's Address City State v $ Value of Work For this Permit 1- / 0 +- S- Miami Shores Village Building Department BUILDING Permit No. PERMIT APPLICATION Master Permit Noe) P 2C3' 11 33 FBC 2001 L Permit Type (circle): Building Electrical u m b i n g ) Mechanical Roofing ( ! /t / t) 4 del' c ' e ,(a Use t u L Phone# �95 1) t Owner's Name (Fee Simple Titleholder) ` / ' 0y 4 Owner's Address 93C S 7 /tip /d'`�cr Rd $T 7 .V� / / t City �Laattt�t ( ox, State F ort ..S Zip 3 3 Z I Tenant/Lessee Name N /A Phone # N / A Job Address (where the work is being done) S XIS s4. City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Zip %tido A-„ Phone # 3 0 5 2 - t (p7 i7 Contractor's Address / S? 7o 1 C`'- 2517 City 41 / V14 � r State , Q Zip 3 3 Qualifier A- (Lev (vim t ✓ ` / ""n` 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Architect/Engineer's Name (if applicable) - Phone # Number of: Bays Stories Families Bedrooms Type of Work: DAddition n ❑Alteration [New ❑ Repair/Replace Describe Work: ST ( LL rct llv Zip Square Footage Of Work: Baths Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * **F * * * * * * * * * * ** * * * ** * * * * * ** * * * * ** County Escrow Fee $ 3 Permit Fee $/ O 0 Education/Training Fee $ / a Tech $ \j I S 7) Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ ( < 3 't Notary $ (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 co encement must be ' osted at the job site for the first inspection which occurs seven (7) days after the building permit is issue t . : . inspection will not be approved and a reinspection fee will be charged. /� /� ence of h po d notice, the Signature NOTARY 'UBLIC: Sign: a-) Print: LUIS P 5 ( 4 My Commission Expires: gent The foregoing ins . •• ent was acknowledged before me this 3 day of .Stp1- = 20O *, by ro L • PGC Z- who is personally known to me or who has produced lC PnS C' As identification and who did take an oath. Lois Pascal n : Fxpires August 11, 2005 Buiik.l Tluu Bondin Cp Inc. N N A Signatur My Commissi ****************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ertificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: :hc7/7/03 f Contractor The foregoing instrument was acknowle • : e • b - fore me this 2 day of `2(. O , 20 O3, by who is personally known to me or who has producedicDL ir,J0 ° /J'` 7 .. caa identification and who did take an oath. NOTARY PUB Sign: Print: 00 X44 * * * * * * * * * * * * * ** ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning rEM k ni TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE • IDET LIGHT OUTLETS CENTRAL HEATING ISHWASHER RECEPTACLES A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) SINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOR DRAIN SERVICE REPAIRAETER CHANGE REFRIGERATION REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP UNDERGROUND TANKS AVATORY OVEN ABOVE GRCUND TANKS AJNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS HOWER MOTCRS OVER 1- 3 HP HOT WATER BOILERS 'INK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES :INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS 'EkPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS AURAL MOTORS OVER 25-100 HP COOLING TOWERS iATER CLOSET MOTORS OVER 100 HP VIOLATION 'NDIRECT A/C WINDOW REINSPECTION IATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • 1 'HEATER -NEW INST. GENERATORS TRANSFORMERS i HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COM+ERCIAL WATER SERVICE SIGN TUBES • ;EWER CONNECTIONS SIGN TRANSFORMERS ITILITY -SEWER SIGN TIME CLOCK JTILITY -WATER FIXTLRES ;EPTIC TANK - ANTENNA 1ELAY -I- TELEVISION OUTLETS )RAINFIELO, 4' TILE/RES. 1 VIOLATION 'UMP & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CJ. FT. ;ATCH BASIN )ISCHARGE WELL ]OMESTIC WELL AREA DRAIN • • 100F INLET 1 SOLAR WATER HEATER I . :IRE STANDPIPE POOL PIPING _AWN SPRINKLER SYSTEM 3AS RANGE DETER SET (GAS) 3AS 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 Phone: 305 - 795 -2204 Permit Number: PL2003 -270 Printed: 11/18/2003 Applicant: FRADER ONE, INC. Owner: ONE, INC. FRADER JOB ADDRESS: 550 NE 96 ST Contractor ADALBERTO MIRANDA Local Phone: 305 - 258 -9897 Parcel # 1132060140700 Fees: Description Amount FEE2003 -5850 CCF $3.60 FEE2003 -6862 Building Fee $180.00 FEE2003 -7254 Training and Education Fee $1.20 FEE2003 -7255 Technology Fee $4.50 Total Fees: $189.30 Total Fees: $1423% p4 Total Receipts 0. 00 L2, (- t . 3 Permit Status: APPROVED Permit Expiration: 3/28/2004 Construction Value: $5,400.00 Work: INSTALL NEW SEPTIC TANK & DRAINFIELD Signed: (INSPECTOR) Plumbing Permit Contractor's Address: 15870 S. W. 250 ST. Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 10 TO 12 INC BLK 54 LOT SIZE 150.000 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: MIAMI 'SHORES VILLA BUILDING DEPARTME 305- 795 -2204 Building Inspection Request Date l()5/L`1 'n Mo Type I ns p' n ` C A/ 1 `l/� �/ , I I , `��"'�= P � Permit No. !��� � 0a— 2 Name Phone # Inspection Date Approved Correction Re- Insp'n Fee Address SSc) N e 9 S Compan Pe`n`ce C C>n hcd__ MIAMI SHORES VILLAGE tt n\ BUILDING DEPARTMENT - 305- 795 -2204 Build i g Inspection Request Date a' Type Insp'n Permit No. 12L 2 003 ° °" Name Address Company Phone # 5 A)6 9 (0 - I a pttti , t, 1 q63t/ boi- a Inspection Date 1! / Approved Correction Re- Insp'n Fee