PLC-08-2041Protect Address
602 NE 96 Street
Miami Shores Village, FL
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
MIAMI SHORES PRESBYTERIAN
Address
602 NE 96 ST
MIAMI FL 33138 -2742
(305)754 -9541
Valuation:
Total Sq Feet:
$ 1,000.00
OMMKMZMVAKOEKIMUNMMMMIMWOSWMSPAWAVVINPMPIOMIWAMMM
0
Contractor(s)
Phone
LASSETER PLUMBING CO INC 305 -893 -7180
CeII Phone
Type of Work: PLUMBING
Type of Piping: RUN SEWER LINE FOR SEPTIC
Additional Info:
Classification: Commercial
Fees Due
CCF
Education Surcharge
Permit Fee - Additions /Alterations
Scanning Fee
Technology Fee
Total:
Amount
$o.60
$0.20
$185.00
$3.00
$4.62
$193.42
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, 1 authorize the above -named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Wednesday, November 26, 2008
/Alt+ ll'8i
PRO I,
Expiration: 05/25/200
Parcel Number
1132060141410
Block: Lot:
Phone
Total 1 Amt Paid 1 Amt Due
$ 193.42 $ 193.42
Payment Type: Check / Number: 4795
$ 0
Applicant
MIAMI SHORES
Available Inspections :
November 26, 2008
Date
Cell
Inspection Type:
Final
Underground Rough
Top Out
Lavatory
Heater
Main Drain
Re Pipe
Water Main
Water Service
1
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Plumbing QQ
Owner's Name(" Simple
. l �_ /��l__
� . �r�f ._.P L_ /_ CJ l-
Owner's Address
City M" , aces State r Zip 3 3/ 3f'
if / 4 r/ i /4 Si' Phone # .3 S 'T s5 — 5')
Tenant/Lessee Name
c elso� ��i .
Job Address (where the work is being done) 90A- ST
City Miami Shores Village County Miami -Dade
E-MAIL: /425
FOLIO / PARCEL #
40.a /� 96 Sr-
Tel: (305) 795.2204 Fax: (305) 756.8972
Is Building Historically Designated YES NO t/
Architect/En'gineer's Name (if applicable)
Value of Work For this Permit $
Contractor's Company Name LASS e t E'z /040,
/ ' S
Contractor's Address gG . /`,� E. 1 3®
City /the-HI ill (4 t/4 l State �L
Qualifier Name UZIA i n , 0. L 4 S S E7 Phone # 3 6c s " -- S - 67D 7
State Certificate or Registration No. G t C 04 I <=. (=Certificate of Competency No.
E -MAIL:
Type of Work:
Describe Work:
['Addition
Miami Shores Village
I'M 2 4 2388
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY •
4
Alteration
Submittal Fee $ Permit Fee $
Notary $
Scanning $ Radon $
Bond $
Code Enforcement $
['New
DPBR $
Double Fee $
Permit No.PJ 0
� I
Master Permit No.
Phone t3 7 k )
Zip 3 1 c
Phone #
Square / Linear Footage Of Work:
Repair /Replace
Zip 33/ 3F"
* ** *** ***** ** *ink*** * * ** ** * ** *** Fees*** *** *** * * * ** * * ** ** *** *atww* *x * *It***
CCF $ CO /CC
❑ Demolition
Training /Education Fee $ Technology Fee $
Zoning $
Structural Review. $ Total Fee Now Due $ a 3 • tO(
See Reverse side --�
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
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 Off`
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
Sign:
Print:
My Commission Expires:
S , /v7cc_
Owner or Agent P
* ** ********** *** * *********** *** **x
APPLICATION APPROVED BY:
(Revised 02/08/06)
State
Zip
State
The foregoing instrument was acknowledged before me this /
'
day of ,20�7r � ,by
arho is persona y mown o or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Signature
Contractor
The foregoing instrument was acknowledged before me this <a?/
day of , 20 tO Kb
who is personally known to me or who has produced RL tte2 1-/e
4,2 34 V7-344 /tYt identification and who did take an oath.
NOTARY PUBLIC:
OTARY PUBLIC -STATE OF FLORIDk
Sylvia Halter
I C elaa ¢IDD665957 rint: , y/V�'d_ TATE OF FLORIDA
Expires: JUNI•; 08 201 / ° Sylvia Halter Conlnussion#DD665957
" "'" 1My Commiss Exp
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Boximantiv A1T ttC mimicc0.,Itie4
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Plans Examiner
Engineer
Zoning
RUN SEWER LINE TO RELOCATE SEPTIC TANK
DEC o S
"6
Passed
Ins • - • r Co/ment
1
lw
Failed
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled
re-inspection fee is paid .
until
Inspection Date: 11/24/2008
Inspector: Levrock, James
Owner: CHURCH, MIAMI SHORES BAPTIST CHI
Job Address: 602 96 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: LASSETER PLUMBING CO INC
Building De artment 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 - Commercial
Inspection Type: Final
Work Classification: Addition/Alteration
..).......•
Block:
Phone Number (305)754-9541
Parcel Number 1132060141410
Lot:
Phone: 305-893-7180
Thursday, December 4, 2008
Page 1 of 2
e t;
November 21, 2008
Miami Shores Village
Building Department
10050 N. E. Second Avenue
Miami Shores, FL 33138
Dear Building Department Personnel,
IIfl/I SUOPtS PQtSbYTtPIflI1 (BU(B
Please be advised that Lasseter Plumbing at 865 NE 130 Street, North IVfiami, FL 33161is
authorized to apply for the permit to run sewer to relocated septic tank for the alteration.
Sincerely yours,
4
Wilda G. Womer, Business Manager
602 N.E. 961" STREET • MIAMI SHORES, FLoRida 33138 • TELEpIioNE: 305- 754-9541 • FAX 305 -758 -9597
E-MNL: MSpC @bELLSOUTLi.NET • WEb SITE: WWW.MSpC.NEF
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SWITCH OUTLETS
UNIT
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ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEr
OBTAINED, THE OWNER'S NOTARJZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL