405 NE 99 St (19)'MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
\' � Buildin Inspection Request
Data3 rk Time
Type Insp' n
Permit No. �L
Name
( �`
Address
Co
Phone #
For Inspector
Approved
Correction
Re- Insp'n Fee
L IDS - 1
'kacia -'lu
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/29/2002
Applicant: SHIRLEY
Owner: DAVIS
JOB ADDRESS: 405 NE 99
Contractor THE NEW MIAMI SHORES PLUMBING Contractor's Address: 900 NW 144 ST
Local Phone: 305 - 751 -2446
V
Permit Status: APPROVED Permit Expiration: 2/24 /2003
Work: REPLACE SHOWER VALVES AND REPAIR SECTION OF SEWER LINE
Parcel # 1132060170390
Qk- I l o, o 0
Total Fees:
1 0
Total Receipts: $0.00
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor or builder named above to construct the building or to install the equipthent or device described in the application herefor in strict compliance with all
ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
and approved by the prop municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
further co dition upon which this permit is granted is the understanding that the dontractor or builder named above assumes the responsibility for a thorough knowledge of the
gulation • pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that tie assumes responsibility for work done
by his agentsi, - is or mployees.
Sign - . ` / ' (INSPECTOR) BY:
In considerati is ance to me of this permit, I agree to perform the work covered hereunder in compliance with all prdinances and regulations pertaining thereto and in strict conformity
with the plans, dra •s, 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
ordinances and
Signed:
Plumbing Permit
Permit Number: PL2002 -232
DAVIS
SHIRLEY
ST
Construction Value:
$1,200.00
Page 1 of 1
Legal Description: AMD PL OF MIAMI SHORES SEC 4 LOT 12 -13 & W1/2 OF LOT 14 BLK 89 PB
(Contractor or Builder) BY:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 7 1 IS 0''y Job Address - f w he C rr N SI• Tax Folio
Legal Description 1 Historically Designated: Yes No
A l wner/Lessee / Tenant t't 1 Li∎l i S Master Permit #, . req Z)
Owner's Address 4 N E t I C V Phone
Contracting Co.11e1e u.1Nllaivi,SwviJ i \ i Address C N W li 5\.
Qualifier �r4 N i S is C.-toa,t6Wi N SS# , ( Phon(305) 7 51- 2M
State # d \q a_c) S Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION S WPB Y Otva Pin 5-«"� c S p.ev- `, -S
1
Square Ft. Estimated Cost (value) '
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructi . f and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
No : R i er an
My Commission ExpirSt
t
�F O ; ; '0%`
/Q
FEES: PERMIT / RADON ' C.C.F.
Notary " :: t or o
My Co ssiottiExp$ts:
NOTARY
BOND
Date
APPROVED: TOTAL DUE
Zoning Building Electrical
Mechanical Plumbing Structural Engineer
— i v rr,n f.
srs�n: s�i'irmnn.. .ri .mm^t n mns!r?-z rr : S r; rr r i l n rr r r ,f A„ r u m r n I. S r f• n r 4 r
PAY
TO THE
ORDER OF
•
THE NEW MIAMI SHORES PLUMBING, INC.
BLUE ACCOUNT
900 N.W. 144TH ST.
MIAMI, FL 33168
COLONIAL BANK
Miami Beach, Florida 33140
24 H. Bank ,Call 1- 800 -897 -6935
0'00LS ?611' 1:06700 LS Lai: 802 ?86302911'
DATE
17r.31 11.,7 S:t9 IAQA wT2'':ursawr - rt' UPrvliRft �ID19."]'-'[
1576
63- 1511670
0 1
- DOLLARS 8
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑
PLUMBING ❑ PERMIT 45,'ZS3
ROOFING ❑
h
Work to be performed under this Permit
Owner of 9
Building
L") � Architect
• Contractor
or Builder t. l
Lges' Lot J — / . 3 g / �a /-
Description Bl. 5 9
Address of /D S JU of s
Building
CONTRA vI'OR or BUILDER
Date
Contractor's
License No.
4 9
a�i Pr11 C:
i
Subdi- - et/ 7 • ' 3
vision
Sq. Ft.:
Value of �'
Project $ f/^ i? C O.
Permit:
CCF:
Notary:
Bond:
Radon:
P rmit ount of � � • 70
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with )tll ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done/in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the'contractor.or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work' covered hereby whether shown on the plans or drawings or in the statements or specifications and that be assumes respon-
sibility for work done by his agents, servants. or employees: ,
Signed• = -- (INSPECTOR) BY
In consideration of the issuance to met , of ,this permit I agree to'perform the work covered hereunder in compliance with all ordinances and regulations
p -r awing t eret9 -a� d\in strict conformity with•the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
I aZe p 'ng h' pe m t # assume responsibility for all work done by either, myself, my agent, servant or employee.
416%200 91/30/99T0TL 104.70
BY AUTHORITY
'
Gertcs�,..aJ '
1 i/ / d /
92,1
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date t 1 c l Job Address 4 0 S Ai 1 Sr Tax Folio
Legal Description
5 c--g l td Q �s
Owner/Lessee / Tenant Ai C) 4 v ; s
Owner's Address L I ° S /t) ' (05r Sf
Contracting Co. C U /Q . Ar £4I 4- . Cv
(
Qualifier v Ch
� �!-� � f 7 c.S
State# C QC
Architect/Engineer
Bonding Company
Mortgagor
I Lc
•
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING
WORK DESCRIPTION p1tcc-eime44- 2 T°
( c . ae,Q
a
No as to Owner and/or Condo President
My Commis
ion ExiilWELIAL NOTARY SEAL
JULIE A DAVIES
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC836040
MY COMMISSION EXP. MAY 11,2003
��D
FEES: PERMIT f Dt RADON
APPROVED:
Zoning
Mechanical
Municipal # Competency # Ins. Co.
to K cu
Y natur�of owner and/or Condo President Date
// f •
Date
Building
Historically Designated: Yes No
Address
Master Permit #
Pho4'e
0 (av� (o�I.136 i1rct », Ft. 3314'
SS# - ( Phone t. Ga - 6 34 y
1
Address
Address
Address
gnature o
r C�Yv� --cf i Sy
Square Ft. Estimated Cost (value) 6 go O °—°
ROOFING PAVING FENCE SIGN
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING IGNS, POOLS, ROOFING and MECHANICAL WORK.
AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
and zoning. Fymore I authorize the above -named contractor : d I the wo
` s
- l
211111%1471
Si w� ntractor •
er- Builder Date
Notti�ry as toTntrac or or Owner- Builder
My Commiskmon ExAL NOTARY SEAL
JULIE A DAVIES
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC836040
MY COMMISSION EXP. MAY 11,2003
// ✓'•f 7
C.C.F. I f : NOTARY 'gyp BOND
Electrical
TOTAL DUE
Date
J
/15- 49 -4 9' Plumbing Structural Engineer
MIAMI S -ORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address.... ,1 (L VI C-11—
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block ,Subdt'sion
Street and Number where work is to be done
State work tobe°ne and pufpo a ofbyilding by floors)
STATE OF FLORIDA,
COUNTY OF DADE.
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kin of foundation Roof Covering
Estimated Total cost of improvements $ 0 r O Amount of Permit $
Zone cubage required .Plan Cubage
Distance to next nearest building.___. Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such s ,.' ontractors, gn work o be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)._
SS.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him d are true.
Permit No .[ 3 7 Date 7 3 '�� ry ° Read, Sworn to and Subscribed before me.
Building Inspector
Disapproved __ Date
(Signed)
Chairman
Member
Date
No Street
g-z-a"-oa,
Notary Public, State of Florida
PLAP4NING BOARD DATE
be made for making corrections or changes to this application after approval
, 19_.0
to me well known,
° My Commission Expires
Member
Member
Member Member
Council Approved Date Disapproved
NOTE: A charge of $1.00 will
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Date
has been obtained from
BUILDING
ELECTRICAL
PLUMBING
ROOFING
A (...•
Owner of
Building tvLI
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
tr
Architect
PERMIT N° 7439
,
t
Work to be performed under this Permit
r
DATE
Contractor's
zt
License No.
rr'
. 4% . /T .
tv)
Value of
Project $
195
/ i •
Aos
Subdi-
vision
Amount of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or iyr the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. 411 A
tik44
Signed. BY
INSPECTOR,'
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 ac .
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
.C• ,
,, ; 47 4/
CONTRACTOR OR BUILDER BY AUTHORITY
6