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PL-09-75Project Address ISIMINUOMMER 790 NE 96 Street Miami Shores, FL 33138- Owner Information Contractor(s) MOKHER PLUMBING CO Phone 305-446-8266 CeII Phone Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Submittal Fee Technology Fee Total: Amount $3.00 $1.00 $220.00 $3.00 ($50.00) $5.50 $182.50 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Address Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy January 21, 2009 Parcel Number 1132060142060 Block: Lot: Phone ANN RUSSOLI SAMMOZEIff 790 NE 96 ST MIAMI SHORES FL 33138 -2520 Valuation: Total Sq Feet: $ 5,000.00 0 Type of Work: PLUMBING Type of Piping: FIXTURES REPAIRS Additional Info: Bond Retum : Classification: Residential Invoice # Total Amt Paid Amt Due PL -1 -09 -33721 $ 182.50 $ 182.50 $ 0.00 Expiration: 07/20/2009 Applicant ANN RUSSOLI Cell Available Inspections: In considerakion of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining *redo 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. 1 understand that separate permits are required forELECTRICAL, PLUMBING, MECHANICAL WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERSFIDAVIT: 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. January 21, 2009 Date 1 Inspection Type: Final 1 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) A to R... S5 0 L Phone # Owner's Address 7 t- S r City NIA fr■■ 51-tt3 State PL_ Zip '3 - b 1 513 Tenant/Lessee Name Phone # E -MAIL Job Address (where the work is being done) 7Q\ ® t■ g_ c cc, City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name MO i.L yJ G Phone # 3305' k, `o Contractor's Address 300 ,p, OF- City M aQ► % l Statc P L Zip `S? i 6 Qualifier Name 5 } -‘ A Anotz M-EC Z Phone # 4 4 4 b State Certificate or Registration No. Ge 8 'Z It t{ /o Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Phone # Valueof Work For this Permit $ Miami Shores Village Building Department /0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795,2204 Fax (305) 756.8972 County ® Miami -Dade Zip 'v 3 ) ' /)- 3Za4, -t 4 - Zo6o `1, o — Master Permit No. Square / Linear Footage Of Work: ��7 57 d ' r ls , ;a) � 1 BY: Structural Review. $ Total Fee Now Due $ /.19 ' SO See Reverse side -> j 6 Permit No. 001 — M Typ = df Work: (]Addition DAlteration ]New 2epair/Replace ❑ Demolition Des re Work: _� ► p a 6 a 1-- Go Pr ?� o S icru-les- . , (. -c- .3 CS t l L.C. rTLI -F E 1.1 S i x. l / e....., A-.7- j-1 0 Z. I rs i e..E.TS ! a t,ac..pr 1 C 7 N L S . / 4A/AN-i r JA � � P �. tsxitsfs* a*** �tK ah �t* n a axts* sis****x*$ tsis t�Fees**s*a rsisttft�t�tfriticittitis* t' fr$tf€fritirsffirt * * **t$ *,t *fr * * ** :_ - r l �y; SubMittal Fee $ Permit Fee $ 2.2 0 CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanng $ Radon $ DPBR $ Zoning $ Bend S.,.... __ f A Cale Enforcement t Double Fey .., Bonding Company's Name (if applicable) Bonding Company's Address City State dip 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 FI J CTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, BEATERS, 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 Applittibit taws r ittting ettittiumitui 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 Willi VOW( Li:NbI.R t R AN A't toRNE itkCoith!NG YO R 1VOritt 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 (T) 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 ehinsged . Signature Owner or Agent The foregoing instrument was acknowledged before me this day - t.u.N,y,.9- ; 20c,9 ; by 0 sse, i. r who is personally known to me or ho has produced i' 10.4. As identification and who did take an oath. NOTARY PUBLIC: 4 51:(*i.1,44, $OOTT W. MOIUIERt MY COMMISSION # DD404270 EXPIRES: May 12, 20110 Banded TbwBwgetNotary Services Sign: Print: - 3,t My Commission Expires: , r a c�9 APPLICATION APPROVED BY: (Revised 02/08/06) *********** * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** Signature r o a.,'V"YI�D'R-(',�.n r� Vv Contractor The foregoing instrument was acknowledged before me thisl( day of 4. 2003_, by .10.,-evh A , tip kerr41( wh s is personally known tome or who has produced as identificatio ,and who did take an oath. a ,N 8001T W. MOKHER NOTARY PUBLIC: } = * MY OMISSION # DD 404270 EXPIRES:May_12, tisamita# Nomsoless Sign: Print: kez My Commission Expires: IL( t 2 3, co `t Plans Examiner Engineer Zoning Inspectio Pei Nurn er P -' }9- Scheduled Inspection Date: June 16, 2009 Inspector: Levrock, James Owner: RUSSOLI, ANN Job Address: 790 NE 96 Street Project <NONE> Miami Shores, FL 33138- Contractor: MOKHER PLUMBING CO Building Department Comments June 15, 2009 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: Repair Phone Number Parcel Number 1132060142060 Phone: 305 - 446 -8266 r Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Insp a Comments Page 2 of 31 ., i ; , :,- ; r �� /,,,/„ Passed i. lnspec or orm nts / f Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until January 23, 2009 Project: <NONE> Inspection Date: January 26, 2009 Inspector: Levrock, James'' Owner: RUSSOLI, ANN Job Address: 790 NE 96 Street NE Miami Shores, FL 33138- Contractor: MOKHER PLUMBING CO Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Phone Number Parcel Number f2 Permit Type: Plumbing - Residential Inspection Type: Water Service Work Classification: Repair • AA) 32060142060 Phone: 305 - 4464266 Page 1 of 1