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935 NE 99 St (11)Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE 4. BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date I 1 J� Type Ins ' n 005 P Permit No. P1Qco1-1K5. Name Aq0 t f Address qJ IvE C lq s7 Company 30S d`V l . Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/11/2004 Applicant: ALEJANDRO Owner: AGUIRRE JOB ADDRESS: 935 NE 99 Parcel # 1132060340251 Signed: (INSPECTOR) Signed: (Contractor or Builder) Plumbing Permit Permit Number: PL2004 -165 AGUIRRE ALEJANDRO ST Contractor CONSUMER GAS PLUMBING CORP. Contractor's Address: 4510 SW 154 PLACE Local Phone: 305 - 608 -5400 Permit Status: APPROVED Permit Expiration: 12/4/2004 Construction Value: $470.00 Work: GAS PIPE INSTALLATION FOR RANGE AND BBQ BY: Page 1 of 1 Legal Description: 5-6 53 40 MIAMI SHORES SEC 8 PB 14 -33 E34FT LOT 18 ALL LOT 19 BLK 170 LOT Fees: FEE2004 -5997 FEE2004 -5998 FEE2004 -5999 FEE2004 -6000 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $150.00 $0.60 $0.20 $3.75 $154.55 Total Fees: $154.55 Total Receipts: I oy geS 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. S Miami Shores Village B department 10050 � bores, Florida 33138 1 { Te1: (305) 795.2204 Fax: 005) 756.8972 • AID . \ . BUILDING 1i� 1 Permit No /0 411 • PERMIT APPLICATIOiN Master Permit No. FBC 2001 Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES $ Value of Work For this Permit Permit Type (circle): Building Electrical ‘ Plumbing Mechanical Roofing Ali Owner's Name (Fee Simple Titleholder) (fC. J Y v/ riy Phone # ,5 /.V7g,5 Owner's Address _1 .- 7:( i .'it ( R'' City 6r --0 Si° l z) 2 �_`� • State ' Zip 3 Tenant/Lessee Name Phone # l c Lilt County Miami -Dade NO .� , �z ) ,; 22 Contractor's Company Name /9Z-7-7‘7 � Phone # , _ Contractor's Address City - ; � r'" i State Zip /6,5' Qualifier &V) ? � Architect/Engineer's Name (if applicable) Phone # Type of Work: DAddition f ❑Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work �� � � (-7'7ik / /kn ( ( L(t * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * i o Submittal F ee ' 45 ,00 Notary $ Training/Education Fee $ 0 Technology Fee $ Permit Fee $ CCF $ • Zip Square Footage Of Work: Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) 9) 2Ca-I - k,S 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 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 x A n 4.44 Signaturc The foregoing instrument was acknowledged before me this 7� The fore:o day of 200 4, by A4E TAN DR a AGu (RaE , day of who is pers ally known to me or who has produced cJR c v e r r wh is-personally kn it' cent Se As identification and who did take an oath. NOTARY LIC: Sign: Print: My Commission ExpltigtrARY PUBLIC STATE OF FLORIDA COMMISSION NO. DD085247 * * * * * * * * * * * * * * * * ** *'NCO *omik yk f******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** -- 7Certificate of Competency Holder) State Certificate or Registration No. Chc 10/14/03 ent OFIUC'IA1. NO Ara ISAI31:1. C; SUARE-1 / NOTARY P Sign: Print: ng instrument w My Commission Expires: Certificate of Competency No. edged before me this A by laleo /kJ /, o me or who has produced as identificati and'cho did take an oath. * * * * ** * * * * ** * * * * * * * * d c1 ******* * * * * * * * * * * * * * * * * * * * * * * * * **,* * ** * * * ** * * ** * * * * * * * * * * * * * * * ** ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (74 r Plans Examiner / Engineer Zoning i r APt VY / L4 /V9 /Y: h4 rite. • a I0'd 111101 • Land Surveying Services Isin --VeirMINASOMMIMIREMBIEN-- M111. WM MOM M ana° nt► 1lwwae 't e 1wti1u1ot. lets �T� flaMOM-1—.4 ss _ MI/WADE aPaARNIBIL tar COM Mum I0/i0'd 9S4i6L INC. 1 .. wilt .. _uwan rsat ursarasa. r,maslot1s11o1dt "" pltterrxeerrtametttuvo '..lL..3..• 1{ tA6111M DOOM arn4tiERmMluteD1�01t 'Ig11>1M11111=111y :nom x nnriryMIPMV sLAlgi� 1C} NA wOnlrLle■1•MasAfewIIHO1:11Q11A .o/ REME 111111111111111111111,11 ttr,rntt 11o11t1rtal� 111111110111111111111111 911 i millifl 1111vo1a1Mlett aim die 'OM SHEIIFRfld 1DDII1 1® as ob4111 ldQ1ROof mrsanlioiN BOUNDARY SURVEY AftN�111iaf11er .••..Y•w{1111I.iA COMM Pk V is. MICIEW1 4414) 13 1 agaMOOOOR PSALMS alaetstOR1148 a taemot114 %s91 0902 iinktM NAME: MARIA AGUIRRE ADDRESS: 935 NE 99ST MIAMI SHORES Phone 1: 305 733 -8240 Phone 2: 305 375 -2549 CLIENT INFORMATION: Folio: Total Gas Load :100 000BTUH Total Developed Length : 27' CONSUMER GAS PLUMBING CORP. 6 4510 SW 154PL MIAMI FL 33185 305 608 -5400 COMPANY INFORMATION: 1 i . BBQ 30 000 BTUH SOV 3/4" 3/4 "GALV STRAPPED 1' TO THE WALL �/ '\ PRESSURE 11" WC 1 i V \ 3/4 "GALV STRAPPED 19' "\ TO THE WALL .. . ' PRESSURE 11" WC .\ \/ .. LP TANK 80 GALLONS 10' AWAY FROM ANY SOURCE IGNITION ,/ ' , ,' SOV 3/4" RANGE 70 000 BTUH 3/4 "GALV STRAPPED TO THE WALL PRESSURE 11" WC • �� INTEGRAL / 1' REGULATOR - -� CLOUTS BATH TUTS SHOWERS LAVA. TORI[a SINKS SLOP SINKS LAUNOR Tuaa URINALS CATL B ASIN FLOOR DRAIN DRINK FOUNT' NS TOTAL FIXTURE[ CONTR. LIST CHICK SEPTIC TANK SSW IR CONN. DRAIN FIELD SOAKAGI PIT 0 TRAP SOLAR HEATER DRIP WELL SPRKLR. SYSTEM SW IM'O POOL C OHM . LIFT CHICK �- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT x t APPLICATION FOR PLUMBING PERMIT Permit No �54 J ! Date..._.0 �I _....J / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. Owners Name and Address Kl i Registered Architect and /or Engineer / Employing Plumber's Name c- ,/ /A/06' 4 %tJ Location and Legal Description Lot Block Street and Number where work is to be performed —No ' 5 A)/-= State work to be performed and purpose of building (By Floors )____ _ _. - -_ - -_ -_ -_ Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City —WelL 7?7/8 e e Amount of Permit $-.16 1 �v _Type of Tank_ _Dist Feet of Tank of Drain Field from Well ... Size of Soakage Pit Y ale No. l 3 �_lL Street_ Subdivision Street.._. � ........... _ ..... (Signed New Building .._...___.._.. .... ....._.. Remodeling__— __._.__ Addition...___._..__ Repairs ✓ No. of Stories ............... My Commission Expires Notary Public, State of Florida ( Signed) _ 4.1..et _Shi tKo $ 1/4) Plumbing Inspector. 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 5988, Compiled General Laws of Florida Permanent Supplement, and li,cs com- plied 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 sub -contra . . be ... ormed under this permit, as are licensed by Miami Shores Village. aster Plumber. STATE OF FLORIDA, t is. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .. -__ .._.....---- -..... _ _.... —. of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when each eispeedos I. made • nsass -ry by Improper notice for Inspection. or faulty materials and /or workmanship. u1 __S_prinkler� syste> Amount of Permit $__.._t'� My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ Date 1/25/62 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. Owner's Name and Address Dean ClausSen N 1005 - Street 9 Registered Architect and /or Engineer-._. Br_QQk &_ SpI. nkleY'CO 880 NW 54th St . Employing Plumber's Name No..__.._....__.._ Street- Location and Legal Description Lot___..._ _ Block Street and Number where work is to be performed —No 935 State work to be performed and purpose of building (By Floors) ---------.---_--- N Building - _.. Remodeling__._ _Addition____ Repairs No. of Stories. Subdivision NE Street 99th Size Septic Tank_ _- _--- _ -------- _ - -_ -- Type of Tank Feet of Drain Tile-____.__ _______- _moist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well .____.___a____.______.___ ___._Size of Soakage Pit Capacity Gals Plumbing Inspector. 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 Perinanent Supplement, and has com- plied 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 sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed )....&1 -- - ' 1 ' Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, 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 stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. BATH TUBE S LAVA. TORIES SIN 61N SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOU NT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IN '0 POOL - - - CONTR. LIST -- CHECK u1 __S_prinkler� syste> Amount of Permit $__.._t'� My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ Date 1/25/62 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. Owner's Name and Address Dean ClausSen N 1005 - Street 9 Registered Architect and /or Engineer-._. Br_QQk &_ SpI. nkleY'CO 880 NW 54th St . Employing Plumber's Name No..__.._....__.._ Street- Location and Legal Description Lot___..._ _ Block Street and Number where work is to be performed —No 935 State work to be performed and purpose of building (By Floors) ---------.---_--- N Building - _.. Remodeling__._ _Addition____ Repairs No. of Stories. Subdivision NE Street 99th Size Septic Tank_ _- _--- _ -------- _ - -_ -- Type of Tank Feet of Drain Tile-____.__ _______- _moist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well .____.___a____.______.___ ___._Size of Soakage Pit Capacity Gals Plumbing Inspector. 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 Perinanent Supplement, and has com- plied 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 sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed )....&1 -- - ' 1 ' Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, 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 stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. Perailt ...... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or, other strncturs 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 work. Owner's Name and Address .e "'• - -- Q1.. � .-. : -�`_f- .. No._ — Street._ Registered Architect and /or En ineer — _________,____._____ __.__ -- Employing Plumber's Name_ .° { "'4 - ^_ -- No._ _-�__ -.— Street-. Location and' Legal Descriptiprt / Lot.- — Street and Number where work is to be performed —No ? 3 /"Ve 9 .9 Street Amount of Permit $ siate work to be performed and purpose of building (By Floors)_. _ _ _ New Building--_ -.. _' ..__.. _ -- Remodeling__._ —_._ -- Addition._ Size Septic Tank Type of Tank Feet of Drain Tile._-_-_______ _________________.________Dist. Feet of Tank or Drain Field from Well Nature of Water Supp Welll• - -__. • - — _.._Size of Soakage Pit My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Subdivision. Capacity Gals (Signed) - Repairs ( Signed). Date.--- ...... j No. of Stories. - _../ Master Plumber. 'Plumbing I . actor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig tio.: as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perna n' upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ei yed 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 sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, ELL COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, 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 stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made -necessary by improper notice for inspection, or faulty materials and /or worlcmanship. CLOTS S ATH TUBS S ERf LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS V / �( s� TOTAL , FI %TURES • Lire CI #1.CK ' S EPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP - Iwswaa HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL , { � �� —7--- Coir a. LIST CHECK /. __. -. I ' ' _. Perailt ...... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or, other strncturs 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 work. Owner's Name and Address .e "'• - -- Q1.. � .-. : -�`_f- .. No._ — Street._ Registered Architect and /or En ineer — _________,____._____ __.__ -- Employing Plumber's Name_ .° { "'4 - ^_ -- No._ _-�__ -.— Street-. Location and' Legal Descriptiprt / Lot.- — Street and Number where work is to be performed —No ? 3 /"Ve 9 .9 Street Amount of Permit $ siate work to be performed and purpose of building (By Floors)_. _ _ _ New Building--_ -.. _' ..__.. _ -- Remodeling__._ —_._ -- Addition._ Size Septic Tank Type of Tank Feet of Drain Tile._-_-_______ _________________.________Dist. Feet of Tank or Drain Field from Well Nature of Water Supp Welll• - -__. • - — _.._Size of Soakage Pit My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Subdivision. Capacity Gals (Signed) - Repairs ( Signed). Date.--- ...... j No. of Stories. - _../ Master Plumber. 'Plumbing I . actor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig tio.: as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perna n' upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ei yed 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 sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, ELL COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, 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 stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made -necessary by improper notice for inspection, or faulty materials and /or worlcmanship. " f/ v