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BP-03-629Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /22/2003 Applicant: CHRISTINE O'NEIL Owner: O'NEIL CHRISTINE JOB ADDRESS: 1099 NE 99 ST Parcel # 1132050180040 Plumbing Permit Permit Number: PL2003 -291 Contractor WESTLAND SEPTIC TANK CORP. Contractor's Address: 12110 SW 41 DRIVE Local Phone: 305 - 551 -9303 Legal Description: REV PL MIAMI SHORES SEC 8 Fees: Description Amount FEE2003 -6331 Building Fee $100.00 FEE2003 -6332 CCF $0.60 FEE2003 -6333 Notary Fee $5.00 FEE2003 -6334 Training and Education Fee $0.20 FEE2003 -6335 Technology Fee $2.50 Total Fees: $108.30 Total Fees: $108.30 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 4/19/2004 Construction Value: $300.00 Work: ABANDON SEPTIC TANK Signed: (INSPECTOR) Page 1 of 1 PB 43 -69 LOT 15 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: BLK 178 LOT BUILDING PERMIT APPLICATION FBC 2001 c $ Value of Work For this Permit Type of Work: ❑Addition ❑Alteration ['New Describe Work: Avincto Sept ic, ‘Cac_ (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. g �� 4/ Master Permit No. P1.OU3 � 1 State Permit Type (circle): Building Electrical ' lumb' Mechanical Roofing Phone # Owner's Name (Fee Simple Titleholder) Owner's Address City Tenant/Lessee Name Phone # Job Address (where the work is being done) 1 OPI _ 1 Li got S City Miami Shores Village Is Building Historically Designated YES NO Contractor's Company Name - 2,si y .s r c A T/ 'i(t Phone # 3 a r 5 / , 9J ® 79 Contractor Address /2 //t A Cl /) City "',P)--- r State PA, . Zip 3 175 Qualifier 1 - 3 ' 2 Zip County hifiami Dade Zip Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: ❑ Repair/Replace ❑ Demolition Submittal Fee $ 50,00 \ Permit Fee $ (Co CCF $ ` ( P ° Notary $ . 00 ' Training/Education Fee $ n a o Technology Fee $ .° ° Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ 106.30) Total Fee Now Due $ 5&,30- 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 CONDTITONERS, 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 Signature APPLICATION APPROVED B Chc 10/14/03 Owner or Agent / Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me thisl 2 day of . 20 by , day of COI-- , 20th by who is personally known to me or who has produced who is perso i s own to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY P Sign: Sign Print: Print: %id _ i 1 .be1Vatga , ti My Commission Expires: My Commission Expire:, Atlantic B° ************ ***************** * * ** * ** * * * * ** *s * * ** * * * * ** * * * *s, sir* * * * * * *** * * *** * ** * *** * * * * * *** * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ** * * * * * * * * * * * * * * * * * * * * * * * * * * *.. ** ** * ** ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning rEM ATH TUB UNIT TFEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE IOET LIGHT CUTLETS CENTRAL HEATING ISHWASHER RECEPTACLES A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 1INKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION TEASE TRAP . APPLIANCE CUTLETS PROCESS AND PRESS PIPING 'ITERCEPTOR RANGE TOP UNDERGROUND TANKS AVATORY OVEN ABOVE MOUND TANKS AUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS HOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS INK, POT /3 COMP. MOTCRS OVER 3- 5 NP MECHANICAL VENTILATION INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES INK, SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS EMPORARY WATER CLOSET MOTORS OVER 10- 25 If FIRE SPRINKLER SYSTEMS RIVAL MOTORS OVER 25-100 HP COOLING TOWERS ATER CLOSET MOTORS OVER 100 if VIOLATION NDIRECT WASTES - A/C WINDOW RE INSPECTION ATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMAING POOL OUTLETS COMIERCIAL WATER SERVICE SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS _ TILITY -SEWER SIGN TIME CLOCK TILITY -WATER - FIXTLRES EPTIC TANK ANTENNA • ELAY TELEVISION OUTLETS RAINFIELD, 4' TILE/RES. VIOLATION UMP & ABANDON SEPTIC TANK 1 RE INSPECTION OAKAGE PIT CU. FT. ATCH BASIN ISCHARGE WELL OMESTIC WELL - REA DRAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE COL PIPING AWN SPRINKLER SYSTEM AS RANGE ETER SET (GAS) AS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION 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.) ELECTRICAL MECHANICAL