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80 NE 97 St (9)Issue Date: 9/15/2006 Owner's Name: JOSEPH KOHL Permit Type: Plumbing - Residential Work Classification: Addition /Alteration Job Address: 80 97 Street NE Comments: REPLACE WATER SERVICE Additional Information Miami Shores Village, FL Build; g Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 03/14/2007 Contractor(s) Phone THE NEW MIAMI SHORES PLUMBII` (305)751 -2446 Primary Contractor Yes Type of Work: water service Additional Info: Classification: Residential Type of Piping: Bond Return : 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. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL -9 -06 -2338 Phone: 1132060130740 Lot: PB: Total Square Feet: 0 Total Valuation: $ 2,000.00 Re • uired Ins ' ections Underground Rough Water Main Top Out Main Drain Lavatory Water Service Re Pipe Heater Final Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $160.00 $3.00 $4.00 $168.60 Invoice Number PL - 9 - 06 - 26166 Total: Amt Due $168.60 Amt Paid 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. REPLACE WATER SERVICE n a , I/ 7 ,IYAN .%), , `/ Ins ecto o ' ents Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . URg.' �. .7 e„ .! ) Inspection Date: 01/24/2007 Inspector: Levrack, James Owner: KOHL, JOSEPH Job Address: 80 97 Street NE Project: <NONE> Miami Shores Village, FL Contractor: THE NEW MIAMI SHORES PLUMBING Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060130740 Lot: Phone: (305)751 -2446 Tuesday, January 23, 2007 Page 1 of 1 Date Tuesday, September 19, 2006 09/19/2006 Credit Card Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: PL -9 -06 -2338 Invoice Number: PL -9 -06 -26166 Applicant: JOSEPH KOHL Company Name: Owner Address: 80 NE 97 ST MIAMI SHORES, FL 33138. Job Address: 80 97 Street NE Miami Shores Village, FL Payment Type Check Number Amount $168.60 Change $0.00 Total Payment: $168.60 Page 1 of 1 v BUILDING PERMIT APPLICATI FBC 2001 City 11 \la -O\-l A aci-A, State Tenant/Lessee Name $ Value of Work For this Permit 600 Total Fee Now Due $ 16g " (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical (Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) \ 1 6 Phone # Owner's Address E 1 Job Address (where the work is being done) to 0,6 s City Miami Shores Village County Miami- Zip Is Building Historically Designated YES NO Contractor's Company Name /16 W les ?kith; Phone # ✓ ' 7 c99 Contractorr's 900 AkZ) /0-/ / / City Add in State 7/• Zip 3 .s/ y Qualifier r7/ 6 /Y/ La/ //h State Cerlificate or Registration No. ✓ (i1 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Type of Work: ❑Addition ❑Alteration ❑New (]' Repair/Replace ❑ Demolition Describe Work: ''� F ( CAL e ��'� �� V l C �, * * * * * * * * * * * * * * * * * * ** EP i 206 Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ O Scanning $ '3 Q( Radon $ Code Enforcement $ Structural Plan Review. $ 0 111?ioe 109 , AA - Permit No. L .223 Master Permit No. Zip Phone # Square Footage Of Work: * * * * * * *Fe * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ^ /6o CCF $ CO /CC Technology Fee $ -4'a) Zoning Bond $ sEv `' pAl ° cc_-0\ 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 m 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 reins fee will be charged. Signature The fore oin ent was acknowledged before me this / The fore oin in ment was acknowledged before me this , by day of , 204by who is personally known to me or who has produced A/4'. who is personally known to me or who has produced day of Chc 05/13/03 Owner or Agent d who did take an oath. Signature NOTARY P Si Print: My Com * * * * * * ** ** ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor as identificati ff . d why did-take an oath. ************** * * * * * * * * * * * * * * * * * * * * ** * * * * * * * *, **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 1 . APPLICATION APPROVED BY: ., i e...--t -e` Z 7)°' j� Plans Examiner Engineer Zoning ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS r. CENTRAL HEATING DISPOSAL RECEPTACLES NC (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP UNDERGROUND TANKS CLOTHES WASHER OVEN ABOVE GROUND TANKS SHOWER WATER HEATER U.F. PRESSURE VESSELS SINK. POT /3 COMP. MOTORS 0 -1 HP STEAM BOILERS SINK, RESIDENCE. MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3 -5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5 -8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8 -10 HP ELEVATORS /ESCALATORS WATER CLOSET MOTORS OVER 10 -25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25 -100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION A/C UNIT A/C WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. STRIP HEATER HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE 1 SPECIAL PURPOSE SEWER CONNECTIONS OUTLETS COMMERCIAL UTILITY -SEWER SIGN TUBES UTILITY -WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES FAINFIELD, 4" TILE /RES. ANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU. FT. VIOLATION CATCH BASIN REINSPECTION 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 1. • • , -V ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ELECTRICAL PERMIT # MECHANICAL