PL-05-144Issue Date: 1/30/2006 Expires: 12/31/2006
Owner's Name: MIAMI SHORES PRESBYTERIAN CHURCH
Permit Type: Imported Permit
Work Classification: Plumbing
Job Address: 602 96 Street NE
Miami Shores Village, FL
Contractor(s)
HORNE PLUMBING CO
Phone
305 -666 -8583
Primary Contractor
Yes
Comments:
REVISION
ADD 6 TOILETS, 3 LAVS AND ONE DRINKING FOUNTAIN
Additional Information
Perm Type: Plumbing
Alpha Four:
Alpha Six:
Pay Amount: 1837
Bond Retum :
Alpha Two:
Alpha Five: CHURCH
Pay Date: 10/17/2005
Pay Comments: PD BY CK # 15347 / 1837
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.
Fees Due
Revision Fee
Scaning Fee
Total:
Amount
$35.00
$3.00
$38.00
Invoice Number
imp -1 -06 -23654
Total:
Amt Due
$38.00
Amt Paid
Building 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
Parcel #:
Block:
Section:
Total Square Feet:
Total Valuation:
Required Inspections
Permit Status: APPROVED
Permit Number: PL2005 -144
Phone: (305)754 -9541
1132060141410
Lot:
PB:
0
$ 50,000.00
Plumbing
Plumbing
Septic Tank
Plumbing
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.
Kr:: C � I1 01 3006 1 4 3 KtiO1 3573 CHARGE 1 1
Dat9 IZ =6
Type Insp'n 2C: x 44 • C-P..
Permit No. P C5 — 1 4 4
Name 1\'=t'
Address OZ r , H R6 Sr
Company Z� M
Phone #
Inspection Date 9 I I 3
Approved
Correction
Re- Insp'n Fee
38" ( �,
MIAMI SHORES VILLAGE '
BUILDING DEPARTMENT 4
305- 795 -2204
Building Inspection Request
4141 1 6 2005
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date "\V \k6
Type Insp'n � � 11 C tto
.ry uN t
Permit No. 4k
Name T6,sb d1 Lt,V C &
Address Obt tkvs
Company 1koloo, I Wlb4
Phone # SOS 1 166 tse63
Inspection Date
Approved
Correction ❑
Re- Insp'n Fee 171
4151 OCT 1 8.■
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 OCT 1 8 2005
Building Inspection Request
Datel O J 1 105
Type Insp'n C. CC:31' 1-'F /��1ON.
Permit No. PL..c — 14 4
Name) y�
Address G02- -S ,
Company / + 2 Pc—UM �l *F-4.
Phone # C�3C ) 66 E' — ase
Inspection Date l 0 ) i 8
Approved
Correction
Re- Insp'n Fee
Issue Date: 1/30/2006
Owner's Name: MIAMI SHORES PRESBYTERIAN CHURCH
Permit Type: Imported Permit
Work Classification: Plumbing
Job Address: 602 96 Street NE
Additional Information
Miami Shores Village, FL
Expires: 12/31/2006
Comments:
REVISION
ADD 6 TOILETS, 3 LAVS AND ONE DRINKING FOUNTAIN
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Contractor(s)
HORNE PLUMBING CO
Phone
305 - 666 -8583
Primary Contractor
Yes
Perm Type: Plumbing
Alpha Four:
Alpha Six:
Pay Amount: 1837
Bond Retum :
Alpha Two:
Alpha Five: CHURCH
Pay Date: 10/17/2005
Pay Comments: PD BY CK # 15347 / 1837
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: CLOSED
Permit Number: PL2005 -144
Phone: (305)754 -9541
1132060141410
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 50,000.00
Required Inspections
Final
Plumbing
Plumbing
Septic Tank
Plumbing
Fees Due
Revision Fee
Scaning Fee
Total:
Amount
$35.00
$3.00
$38.00
Invoice Number
i m p - 06 - 23654
Total:
Amt Due
$38.00
Amt Paid
$38.00
$38.00
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 .
/, ( 0
k
spe ,
; o
m; nts
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 04/26/2006
Inspector: Levrack, James
Owner: CHURCH, MIAMI SHORES
DDCeDVT DIALI
Job Address: 602 96 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: HORNE PLUMBING CO
Building Department Comments
Tuesday, April 25, 2006
A
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Plumbing
Phone Number (305)754 -9541
Parcel Number 1132060141410
Lot:
Phone: 305 - 666 -8583
Page 2 of 2
BUILDING
PERMIT APPLICATION
FBC 2001
Owner's Address 602— 14e 42 1,Cv 41 3
C it y M p j 2 fi E5 State
Tenant/Lessee Name N+/A
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Address
Qualifier
Submittal Fee $
Notary $
Scanning $
Code Enforcement $
Total Fee Now Due $
(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 No. tO5 1
Master Permit No. 13P 09- /c/o
Permit Type (ci Building Electrical Plumbin " Mechanical Roofing
Owner's Name '(Fee �iinpfe iitlehol er 5 nha bi 'Q (4M GO- (.4260Phone # G {' 0
Zip 3 3 (��J
Phone # 'P
�v02 q47 S1iqrr.T
County Miami -Dade
NO K
Contractor's Company Name 14,-, f pI um bi n co
caluil Scv 561 SfrYee�
City (f I C & 1 State FL-
Radon $ Zoning
Phone #
Zip
Architect/Engineer's Name (if applicable) ¢-- Cl 1., Phone #
331';
(,3os - eo583
State Certificate or Registration No. CC 00000 I (0_32_ Certificate of Competency No. C. F C- 05' 6 ' L+
305 74 -23 18
$ Value of Work For this Permit ° J O Square Footage Of Work: '' 1.74 " 2
Type of Work: ['Addition ❑Alteration DNew l] Repair/Replace ❑ Demolition
Describe Work:
****************************F
Permit Fee $ /7 5V 6-6 CCF $ 30.-°e) CO /CC
Training/Education Fee $ / 0. Technology Fee $ 1 4 4 1-
Bond $
Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City S 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 5
day of /// �_� by day of
who is or who has produced who isp�
as cation and who did take an oath.
NOTARY P :., C: NOTAR /
Sign: �. .. Sign: %i �s'�
A.,
Print: i'VeleCv4C C,e9 U Prin : ` 4 [1 !/ : ! i' /4, • mm9 DDO392541
• '
�
Enrique qmu 4,.:: -, , .::
. Myr t - - My Commission Expires:: 4 , i - Bonded thus ( 80 0) 4 32 -4254
��a " Florida N Aun
* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * ** art*** * * * * * *** * * *, *, ,��r, Intel eremr' , '?!4lSlVItitt9d', tary W3Ir,i..*..
My Commission Expires:
**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** *a� / r x� * * * * * * * * * * * * * * * * ** ******** * * * * *** * * * * * ** * * * * * * * * * * * * ** * **
Y
APPLICATION APPROVED BY: /
�I
Chc 05/13/03
As identification and who did take an oath.
Zip
ntractor
The foregoing instrument was acknowledged before methis6
ally known to
by To mrnj NIVf 1 dvy ,
or who has produced
1 Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 6/6/2005
Applicant:
Owner:
JOB ADDRESS: 602 NE 96
Contractor HORNE PLUMBING CO
Local Phone: 305 - 666 -8583
Parcel # 1132060141410
Signed: (INSPECTOR)
Plumbing Permit
Permit Number: PL2005 -144
ST
Contractor's Address: 6767 SW 81 ST
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE
Fees: Description Amount
FEE2005 -7294 Building Fee $1,750.00
FEE2005 -7295 CCF $30.00
FEE2005 -7296 Training and Education Fee $10.00
FEE2005 -7297 Technology Fee $44.00
FEE2005 -7298 Scanning Fee $3.00
Total Fees: $1,837.00
Total Feesg1,837.00
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 11/6/2005 Construction Value: $50,000.00
Work:
C_ 15399 A 93
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:
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electric
Owner's Name (Fee Simple Titleholder) 14 iAM1 S4.011es f fe5e c'Zi QPhone #
CaurteN
Owner's Address 602. N L. 1/(0
City 144,11/11
State k= L.
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name 40( of p' U .rte kj' nt Phone # 30,5- CQ CO CO - g 8
Contractor's Address • 1 1 Sin/ 1 4) A--
City M.l Q, Yt _ State FL_ Zip 331 Z 13
Qualifier
State Certificate or Registration No. 0._ t G® O C 3 y- (- Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit 2, 0 1,0 •
Code Enforcement $
t S t o t►.,1
Total Fee Now Due $ . O
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 6.8972
Type of Work: DAddition DAlteration ❑New "' f■ Re air/Re lace
ep ' p ❑Demolition
Describe Work:
* * * * * * * * * * * * * * * * * * * * * **
F
Structural Plan Review. $
Permit No. P-- e D -" 1
aster Permit No. No 04 -141
Zip
Phone #
CCF $
Mechanical Roofmg
Submittal Fee $ Permit Fee $
Notary $ Training/Education F e $ Technology Fee $
Scanning $ 3. 00 Radon $ Zoning Bond $
CO /CC.
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 A1'FIDAVIT: 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 inspec on which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will n ' approved and inspection fee will be charged
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of 11 , 200 CP, by FM/AA SAt.f H i
who is personally known to me or who has produced
As identification and who cI► t t
NOT
Sign:
Print:
•
*** * * # ter # # # # # # # # # # # # # # # # # # #,t # # # # # # #
My Commission Expires 4.
APPLICATION APPROVED BY:
Chc 05/13/03
O • I • 1OTARY PUBLIC:
4 �G p 14. ?p
•
Signa
Con * . tor
The foregoing instrument was acknowledged before me this 1 8 4 '"
day of a , 2060 , by To YYcar ( iso+ ;)
who is i. ersonally kno o me or who has produced if CA,
as identification and who did take an oath.
Sign:
Print:
My CommisAiv Expires: Ilo G ZOob
ttttrm Nt i�
• . Commission # DD370683
4A a Expires November 9, 2008
CV Badad7ratFein. homage, Int E00385-70 -
* * * ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
ADDENDUM TO BUILDING PERMIT APPLI[;A11UN
AN ArPLICATION 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.)
ULp MBING� ELECTRICAL
MECHANICAL
ITEM
3ATH TUB
UNIT
FEE
ITEM UNIT
SWITCH CUTLETS
FEE
ITEM
SPACE HEATERS
UNIT
FEE
31DET
LIGHT OUTLETS
CENTRAL HEATING
3!SHWASHER
RECEPTACLES
A/C (WINO)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR MAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TCP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE (ROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS D- 1 HP
STEAM BOILERS
SHOWER
MOTCRS 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 FP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEM
URINAL
_
MOTORS OVER 25 --100 If
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 FP
VIOLATION
INDIRECT WASTES
A/C WINDOW
RELNSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
i
HEATER -HEW INST.
1..
GENERATORS
1
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SW UII ING POOL
OUTLETS COINERC IAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
,'SIGN
TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UT I L I TY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DDIESTIC WELL
_
AREA DRAIN
ROOF INLET
i
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
'
LAWN SPRINKLER SYSTEM'
I I
GAS RANEE
1
METER SET (GAS) .
1
i
GAF PIPING_
I
ADDENDUM TO BUILDING PERMIT APPLI[;A11UN
AN ArPLICATION 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.)
ULp MBING� ELECTRICAL
MECHANICAL