Loading...
BP-04-1349BUILDING PERMIT APPLICATIO FBC 2001 Is Building Historically Designated YES NO $ Value of Work For this Permit Total Fee Now Due $ (Continued on opposite side) / 9/. Miami Shores Village Building Department 10050 ! _ •:•ares, Florida 33138 ;OW el 0�1d ! °315) 756.8972 ACT 1 Permit Type (circle): Building Electr' . Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 54 /L 6041 Phone # 3O - .51'`D6'4 9.1 ? -b L?" Owner's Address ( So a) q q ��- �1'�-'z-e City Afilit r motifs State pi_._ Zip . 3 - 11 5 0 Tenant/Lessee Name Phone # Job Address (where the work is being done) 1 5o Aiit) I r City lyfiami Shores Village County Miami -Dade Zip '/ 5p Contractor's Company Name 0 W /1 Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # o Type of Work: ['Addition ❑Alteration ❑New .rRepair/Replace ❑ Demolition Describe Work: *O f CS I f 4( A/k, Li 4 1-46 kJ f tt t t. ****************************F * * ** * * * * * ** ** ei .. ---- Submittal Fee $ 6�` 0 ' Permit Fee $ -g CCF $ ` CO /CC °" Notary $ -,-.--------- Training/Education Fee $ 0 /� Technology Fee $ • 0--" Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Permit No. EL Cif Master Permit No. APO(/' Square Footage Of Work: 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 cpmmenced 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 approv d # I # a reinspection fee will be charged fP/71 Signature Owner or Agent Contractor The foregoing instrument was acknowledge // d before me this / Z - The foregoing instrument was acknowledged before me this day of OCtV.r3¢IL , 20 0� by �- /-�k (( 64 O day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: C Vq4/2.tref---4-1. NOTARY PUBLIC: Sign: Sign: ..'-,, Concepcion larrubia Print: Print: `,, ►n' _,,. ,. urE MYCOMM(55(ON# uutozru wiles r�.aa My Commission Expires: :.4 November 14, 2006 My Commission Expires: , 0., BONDED THRU TROY FAN INSURANCk INC ** * * * * ** * * ** ate************** aY** ************************************************ *** * ** * * * * * * * * * *at * *** * * * * * * * ** *** *** *** *** * * * *** a t e* **&* *** **** *** **** *** **** ** * * ** *** *** *** ** ** ** ** ** *ate * ** ** # APPLICATION APPROVED BY: Chc 05/13/03 Signature r ® Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT 0 FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DIS -MILER RECEPTACLES /v A/C (WINO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS IJCT WORK FLOOR CRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANOE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP - I UNDERGROUND TANKS LAVATORY OVEN 2 ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP ' FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES- ' A/C WINDOW REINSPECTION WATER 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 SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS :SIGN TRANSFORMERS - UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RAKE METER SET (GAS) GAS PIPING " 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.) PLUMBING ELECTRICAL MECHANICAL BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE STATEMENT as .16 frao being the legal property owner, for the property Located at: 1 (.9 AJ \ Legally described as Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7)And I have read and understand the following disclosure Statement, which entitles me tai *work as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contactor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence or a farm out -building. ' You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy- It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with - holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. Title f oregoing instrument Was acknowledged before me this / day of vol 20 0 4 // — B y L % � - who is personally known to me or who has Produced ` e..-..b 300 -713 3 — d 7 as identification and who did take an oath. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12 /9/2004 Applicant: SANTIAGO Owner: GATTO JOB ADDRESS: 150 Contractor Local Phone: Parcel # 1131010240031 NW 99 Signed: (INSPECTOR) Electrical Permit Permit Number: EL2004 -288 GATTO SANTIAGO ST Contractor's Address: Legal Description: 1 53 41 BONMAR PARK Fees: FEE2004 -12338 FEE2004 -12339 FEE2004 -12351 FEE2004 -12352 FEE2004 -12353 Description Building Fee CCF Training and Education Fee Technology Fee Submittal Fee Total Fees: Amount $225.00 $0.60 $0.20 $5.63 ($50.00) $181.43 Total Fees: $181.43 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 4/11/2005 Construction Value: $500.00 Work: REMOVE CROSS WIRING, UPGRADE AND RE -WIRE EXISTING SERVICE - MASTER BP2004 -1349 In consideration of the issuance to me of this permit, 1 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) Page 1 of 1 PB 17 -11 LOT 12 & E25FT OF LOT 11 BLK 1 LOT SIZE bN27PAID BY: CHANGE A/C UNITS RELOCATE AIR DUCT --- 3 1 ,,*, - Passed Inspector Comments PERMIT SINCE 2004. DUE TO PLEASE VERIFY THAT ALL WORK HAS BEEN WELL DONE Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until ; p s . MI WY/ Inspection Date: 03/26/2007 Inspector: Perez, JanPierre Owner: GATTO, SANTIAGO Job Address: 150 99 Street NW Miami Shores, FL 33150- Project: <NONE> Contractor: C & T AIR SERVICES INC Building Department Comments Friday, March 23, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number 305/789 -7687 Parcel Number 1131010240031 Lot: Phone: 305 - 888 -6560 Page 2 of 2 Bill To SANTIAGO GATTO 150 99 Street NW MIAMI SHORES, FL 33150 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date Fee Name 03/23/2007 RENEWAL Friday, March 23, 2007 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: 305 795 -2204 Fax: 305 756 -8972 Invoice Number: imp -3 -07 -27934 Invoice Date: March 23, 2007 Permit Number: MC2004 -206 .................. Fee Type Calculated LIAR 2 3 PAID Total Fees Due: Fee Amount $75.00 $75.00 Payments Date Pay Type Check Number Amount Paid Change 03/23/2007 Check 4513 $75.00 $0.00 Total Paid: $75.00 Total Due: $0.00 a BUILDING PERMIT APPLICATION FBC 2001 Is Building Historically Designated YES NO Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Permit Type (circle): Building Electrical Plumbing Mechani SAN Tr 6-4-- T 7) 3oS- 7 D3 7 2 Owner's Name (Fee Simple Titleholder) Phone #3OS' 8 71' 7 Owner's Address 150 � p A . h. • 6 / S 77e e T City �1101 S /7c'"G S State Tenant/Lessee Name -"" Phone # .__.. Job Address (where the work is being done) /50 0 N- w ' T? 5772_ E E T City M ami Shores Village County Miami -Dade • Zip 3 3 / 5C Contractor's Company Name C 7 /t I A SER V l c , � . Phone # 8 5 ill- 4 4 3- ‘° Contractor's Address go G / V t S I - 2 .577e 5 7 7 City » State fL— Qualifier 75 /n / 5 (!4 5 7e /J S State Certificate or Registration No Ci e ° 5 670 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # L $ Value of Work For this Permit cO'C Type of Work: ❑Addition ❑Alterati.n ❑New 6ftittift • T WAWA r L k C **, t* *it **** *,t ** * * * **** *it *Fees*** *** Permit No. 00(0 ster Permit No. 13P0(4 Zip _33/ csd • Submittal Fee $ • 00 Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Zoning Code Enforcement $ Structural Plan Review. $ * * * * * * * * * * * * * * * * * * ** lea CCF $ CO/CC Technology Fee $ e` Bond $ Roofing 3 ar- 7 K9- -7 F? Zip Square Footage Of Work: ❑ Demolition Bonding Company's Name (if applicable) Bonding Company's Address City 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 whic 'c' rs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be appro j reinspection fee will be charged. P It ! Signature The foregoing instrument w day of' /1/0 1/0 ,20a who is personally NOTARY P Sign: Print: My Commission Expires: * * * * * * * * * * * * * ** * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 State r or Agent acknowledged before me this / by �i9() ]?��w The foregoi instrument was 977 day of 15 * 20 who is personally kno 10 did take an oath. • CASERO Navy Public -*ate of Florida aeeAptO, 2007 melon # 00201947 Bonded 8 National Notary Assn. NOTARY PUBLIC: Sign: Print: 7' My Commission Expire * * * * * * * * * * * * * * * * * ** Contractor r� knowledged before me this // yThi445 e�ts7 A'Q ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * take an oath. Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - '• A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • 1 HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXT1.RES SEPTIC TANK ANTENNA _ RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE • POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS 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 SYSTEM EQUIPMENT AND TYPE OF MATERIAL USED: Be. - «- .+ gig-, a c •i!� kitten and insta.,Ll upgraded unit. • SUB -TOTAL $ Term Underground Piping and Drain Line $ ilia Rough Duct Work, inspection $. Ilia °A TAX $ Delivery of Major E nt $ T /f 4•_-._ JOB PRICE $ 500.00 Final Inspection $ n/G %— REMARKS: c: U men to provide roll t ❑ BED RM. ❑BATH RM. IN LIVING RM. ❑ DINNING RM. ❑BREAKFAST RM. jacrrai IN [FAMILY Rill: gADDITICN Rm. C & T AIR SERVICE, INC Alt Conditioning & Refrigeration 2400 WEST 2 Ave_, Bay #2 Hialeah. Florida 33010 Phone: (305) 888 -6560 CUSTOMER :SANTIAGO GATIO :150 N. W. 99 Street ADDRESS drug Miami Shores SIM SERVICE - SALES - INSTALLATION PROPOSAL "FAST SERVICE AVAILABLE" Phone: (305) 888 -6560 Florida 11/2/04 .tostaa �1° 1822 PHONE 30S- 7SR -f6R7 zip 13150 We, C &T Refrigeration propose to furnish, Install and service under warranty (state on reverse side) heating andtar air can oning producas and related RESPONSIBILITIES: The following responsibilities wit be assigned by each party as indicated: and Licenses Foundation Wiring Building Panel to Unit I Control System New Bernal Service Panel CONTRACT This proposal will and subsequently INSTALLATION EDULE We will be ready to in Installation approximately by OWNER PUR R ACCEPTAN SELLER APPROV • Purchaser Seter x X TION: a contract us it accepted by you on or before by ourcredit department. Wel Drew Lines Refrigerant Lines Dryer Exhaust Bathroom Exhaust Kitchen Exhaust .11/10/04 Purchaser Seller i Miami Shores Village Building Department MECHANICAL CRITIQUE SHEET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. v , L� 0 — 26 Job Name Date Z 2.00Z 0_, af Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12/9 /2004 Applicant: SANTIAGO Owner: GATTO JOB ADDRESS: 150 Contractor C & T AIR SERVICES INC Local Phone: 305 - 888 -6560 Parcel # 1131010240031 NW 99 Permit Status: APPROVED Permit Expiration: 5/18/2005 Construction Value: Work: CHANGE A/C UNITS RELOCATE AIR DUCT Signed: (INSPECTOR) Mechanical Permit Permit Number: MC2004 -206 GATTO SANTIAGO ST Contractor's Address: 40 NW 22 ST BAY 4 Page 1 of 1 Legal Description: 1 53 41 BONMAR PARK PB 17 -11 LOT 12 & E25FT OF LOT 11 BLK 1 LOT SIZE Fees: Description Amount FEE2004 -12355 Building Fee $150.00 FEE2004 -12356 CCF $0.60 FEE2004 -12357 Training and Education Fee $0.20 FEE2004 -12358 Technology Fee $3.75 FEE2004 -12359 Submittal Fee ($50.00) Total Fees: $104.55 Total Fees: $104.55 Total Receipts: $0.00 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: S5 WASHER DRYER HOOK UP RUN GAS- MASTER BP2004 -1349 lik 2 7 la Passed Inspector PER Comments IT SINCE 2004. DUE TO PLEASE VERIFY THAT ALL WORK HAS =E WELL DONE Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until r t Inspection Date: 03/26/2007 Inspector: Levrack, James Owner: GATTO, SANTIAGO Job Address: 150 99 Street NW Project: <NONE> Friday, March 23, 2007 Miami Shores Village, FL 33138- Contractor: A YOUNG PLUMBING CORP Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number 305/789 -7687 Parcel Number 1131010240031 Lot: Phone: (305)305 -924_ Page 2 of 2 'Bill To SANTIAGO GATTO 150 99 Street NW MIAMI SHORES, FL 33150 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date Fee Name 03/23/2007 RENEWAL Friday, March 23, 2007 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: 305)795 -2204 Fax: (305)756 -8972 Invoice Number: imp -3 -07 -27936 Invoice Date: March 23, 2007 Permit Number: PL2004 -333 4M 2 3 PAID Fee Type Calculated Total Fees Due: Fee Amount $75.00 $75.00 Payments Date Pay Type Check Number Amount Paid Change 03/23/2007 Check 4513 $75.00 $0.00 Total Paid: $75.00 Total Due: $0.00 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12/10 /2004 Applicant: SANTIAGO Owner: GATTO JOB ADDRESS: 150 Contractor A YOUNG PLUMBING Local Phone: 1- 305 - 924 -2242 Parcel # 1131010240031 NW 99 Plumbing Permit Permit Number: PL2004 -333 GATTO SANTIAGO ST Contractor's Address: 740 NW 91 AVE. Permit Status: APPROVED Permit Expiration: 5/18/2005 Construction Value: $500.00 Work: WASHER DRYER HOOK UP RUN GAS- MASTER BP2004 -1349 Page 1 of 1 Legal Description: 1 53 41 BONMAR PARK PB 17 -11 LOT 12 & E25FT OF LOT 11 BLK 1 LOT SIZE Fees: Description Amount FEE2004 -12379 Building Fee $170.00 FEE2004 -12380 CCF $0.60 FEE2004 -12381 Training and Education Fee $0.20 FEE2004 -12382 Technology Fee $4.25 FEE2004 -12383 Submittal Fee ($50.00) Total Fees: $125.05 Total Fees: $125.05 Total Receipts: $0.00 co il 2 7 PAID Signed: (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 accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: mik BUILDING PERMIT APPLICATION FBC 2001 cc (Continued on opposite side) Total Fee Now Due $ 5-e Miami Shores Village Building Department 10050 N.E.2nd Avenue, Nfiami Shores, Florida 33138 Tel: (305) 795.2204 Fax: 305 756.8972 EC10 V[ED GOOV 19 804 Permit No. P1 (34 _ 333 aster Permit No. t )5gq Permit Type (circle): Building Electrical numbing ) Mechanical Roofing Owner's Name (Fee Simple Titleholder) _.4/k.i /14bo 674 Phone # 76 - i - 0 - 7 ZA. Tenant/Lessee Name ,k) /4 Phone # AIM' Job Address (where the work is being done) )50 /thij fq . rft- ( qqr City IVfiami Shores Village County Miami-Dade zip - 55/50 Is Building Historically Designated YES NO..../__ \ r-v — ..P5 1-(3 -° \ Contractor's Company Name A r ge ,a0 tu.1 Phone ,(4sz. 433- ( . e-- ) Con ctor's Address it? it'IOUD °‘, 1 IN Qualifier . State Certificate or Registration No. It Foo (a '- Z e Certificate of Competency No. g $ !� C Z z 8 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit S d 0 Square Footage Of Work: :E Type f �, r Alteration Er1 'ew argrIrt er Replace ❑ Demolition `ibe�Vor r � 0/ � 1 d, iL 1 - rr�r�t � '7 ^52 ` 9a'�1 ..',. I T �` Desc1 . . ltd t,?1,11,a:. - Y' S rt:. ! ****************************F Submittal Fee $ 50 ' Permit Fee $ J 1 '7 ® CCF $ 0 ' � CO/CC Notary $ 0 Training/Education Fee $ a Technology Fee $ 44 d -6 Scanning 8 '---------_ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ �` * 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 attach ent. A o, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which % i : en (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approve % / a reinspection fee will be charged. i • ' l er or Agent The foregoing instrument w acknowledged beforsjue this /7 bSf1-N � (f1& 1 11 . -• • ••A . •.• day of NOV , 200 who is personally own NOTAR Sign: Prim . 1 My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * ** ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Cho 05/13/03 d who did take an oath. Signature ctor The foregoing instrument wa knowledged before me this /P day of Na i/ • , 2 , b U: • r ' 04 • = Commission Expires Apr 10, 2007 Commission # DD201947 who is personally known e : , .�;;+4 , ...::: . n nand 4did take an oath NOTARY PUBLIC: / Print: �� �71/� F , . �� !` ., CASERp y..:; . My Commission E , Ill = * * * * * * * * * * * * * * ** ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** - tans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UImERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER % MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 If HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL ` MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES- A/C WINDOW REINSPECTION WATER SUPPLY T0: M A1C9E E. 1 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 SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE i METER SET (GAS) GAS PIPING 1 _ OS 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.) PLUMBING ELECTRICAL MECHANICAL REMODEL KITCHEN PER ATTACHED FLOOR PLANS MAR 2 8 2007 g birlq) Passed Inspector Comments PERMIT SINCE 2004. DUE TO PLEASE VERIFY THAT ALL WORK HAS BEEN WELL DONE 4t...if C 1.3/C.,, cA.A.4_ 6.--P Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 03/27/2007 Inspector: Grande, Claudio Owner: GATTO, SANTIAGO Job Address: 150 99 Street NW Project: <NONE> Contractor: Miami Shores Village, FL 33138- Building Department Comments Friday, March 23, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CL Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number 305/789 -7687 Parcel Number 1131010240031 Lot: Page 1 of 2 Bill To SANTIAGO GATTO 150 99 Street NW MIAMI SHORES, FL 33150 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Invoice Number: imp -3 -07 -27937 Invoice Date: March 23, 2007 Permit Number: BP2004 -1349 Date 03/23/2007 RENEWAL Friday, March 23, 2007 Fee Name A 2 3 PAID Fee Type Calculated Total Fees Due: Fee Amount $75.00 $75.00 Payments Date Pay Type Check Number Amount Paid Change 03/23/2007 Check 4513 $75.00 $0.00 Total Paid: $75.00 Total Due: $0.00 NED IR Li ACT BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) 501 n AGE f' 1.2 Pd1 O Owner's Address / 7° " U 1'4 S li City n (4 ( woofs state P L Zip 3 / so Tenant/Lessee Name Phone # Job Address (where the work is being done) / 5 0 4/ t&) q l ' / City Miami Shores Village County Miami -Dade Zip .' 3 / Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: Describe Work: Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village ��P • 0 I�I���� Building Department 0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 * * * * * * * * * * * * * * * * * * * * ** Electrical Plumbing ❑Addition teration ['New ❑ Repair/Replace ❑ Demolition fL e' *® - /n om f' '& A-Mi-e "1 6 Aye, 1, s Submittal Fee $ Permit Fee $ I Notary $ "°� Training/Education Fee $ 4 — Scanning $ Radon $ Permit No. Master Permit No. Phone # * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF$ ca Structural Plan Review. $ Mechanical Roofing Phone# 3 ° 513 17' %j „(v,f3 _ /3 Square Footage Of Work: CO /CC S Technology Fee $ 1. "--"- Zoning Bond $ 34f 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 b s a Aproved and a reinspection fee will be charged. Chc 05/13/03 Signature / Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this /2- The foregoing instrument was acknowledged before me this day of oC'Md*rti , 204r9 `i, by , Y1 // M. (yl 2 A day of , 20 by whersonally known to me or who has produced who is personally known 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 PUBLIC: Sign: ( P '`'"""'S Sign: Print: Concepcion iambic: Print: MYCOMMISSION# 00162907 EXPIRES My Commission Expires: ,�,- ° November 14, 2006 '° Q�.` BOP�TFiRU TROY FAIN INSURANCE, INC * 3e: F�Y3ea43c�Y�FaY3eo2*** c�Y�t9i�lc�hi�ik�Y: 6�k�e* wi#& a4Fcie*aY4c*S 4a4ak**** 3e9ea49c: k**acaha4akak** de**9c& *9r*** * *****aY***Yca49erdcat*4eaY*a * **X**9e3csY***a2z43c9:aY3*** My Commission Expires: * * * * * * * * * * * * * * * * * ** *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ; * * * * * * * * ** ** * * * * * * * * * * * * * * * * * * * * ** TIN APPROVED BY: � to 2 n APPLICA O APP OVE Plans Examiner Engineer Zoning Type Insp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 6` `— `7' S — r6Y49 ( G eLlp Address ` 5-6 /cs L S� Company 0 Lj ° --- Phone # Inspection Date J — S X Correction Re- Insp'n Fee Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12 /9/2004 Applicant: SANTIAGO Owner: GATTO JOB ADDRESS: 150 Contractor Local Phone: Parcel # 1131010240031 NW 99 Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2004 -1349 GATTO SANTIAGO ST Contractor's Address: Legal Description: 1 53 41 BONMAR PARK Permit Status: APPROVED Permit Expiration: 4/11/2005 Construction Value: $20,000.00 Work: REMODEL KITCHEN PER ATTACHED FLOOR PLANS Page 1 of 1 PB 17 -11 LOT 12 & E25FT OF LOT 11 BLK 1 LOT SIZE Fees: FEE2004 -12330 FEE2004 -12331 FEE2004 -12332 FEE2004 -12333 FEE2004 -12334 FEE2004 -12335 FEE2004 -12336 FEE2004 -12337 Description Building Fee CCF CO /CC Training and Education Fee Technology Fee Scanning Fee Submittal Fee Builders Bond Total Fees: Amount $600.00 $12.00 $50.00 $4.00 $15.00 $30.00 ($50.00) $300.00 $961.00 Total Fees: $961.00 Total Receipts: $0.00 JAN 2 7 PAID 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. BY: OWNER BUILDER DISCLOSURE .STATEMENT 64 Ki T( 4 10Arli /r being the legal property owner, for the property Located at: / 50 k 9q Tr Legally described as , Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),.gnd I have read and understand the following disclosure Statement, which entitles me td Vork as my own contractor, 1 further understand that I as the owner must appear in person to complete all applications. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence or a farm out - building. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not Icensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. Tlie foregoing instrument Was acknowledged before me this / D day of , 20 0 (/ By ` A-770 who is personally known to me or who has • Produced ^ L.. b - 4D'' 3 -037 as identification and who did take an oath. t, Owner Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT DISCLOSURE STATEMENT , .44., GinnyH Gonell •Commission #DD323870 �. .' Expires: May 26, 2008 '�9jecv p Bonlarrinn "i i " Atlantic Bonding Co., Inc. wilding Miami Shores Village Building Department BUILDING PERMIT APPLICATIO FBC 2001 Mechanical Roofing Owner's Name (Fee Simple Titleholder) sA u TI Abfro Rct1-0 Phone # 3 - - 0 68 1 -Af -414 Owner's Address /5 Nn(-) if S /7/Lee r Cit ki 4"( 5t'4 State .- Permit Type (circle): Total Fee Now Due $ (Continued on opposite side) Electrical nue Miami Shores, Florida 33138 , ( - j95) 756.8972 Permit No. Ga, —% Master Permit No i5 0, ��2 3 Plumbing Zip 3 3/ cr.D Tenant/Lessee Name Phone 11 Job Address (where the work is being done) ® '. A/ w t sT yl r City Miami Shores Village County Miami -Dade Zip 3 3/3 Is Building Historically Designated YES NO er Contractor's Company Name O W meg- 0 0 eltour Phone # Contractor's Address City Qualifier State Certificate or Registration No ertificate of Competency No Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace P emolition Describe Work: 1 ii - J Ownl 2 (N rte' -ta- kAS 5 Lg-4e' t/ kik or ffev9 45 Alleof 61= FDtL - wlpui✓6 -. Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ $ Technology Fee $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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 approve d a reinspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this / The foregoing instrument was acknowledged before me this day of 0 C hO L 20 9 W, by 54' tai 14 rc ye ,/f6 i , day of , 20 , by who is personally known to me or who has produced who is personally known 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 PUBLIC: i Sign: �p �8—c� -p, Z"444-4.4l Sign: Print: s ..o f nncepcinn i arruhirs Print: ��. r ' MYCOMMISSION# DD162907 EXPIRES My Commission Expires: :: r g November 14, 2006 Chc 05/13/03 Signature pp�N My Commission Expires: :: Y3c�Y�caYat��cs��k :t��t�cic *******�*** *to:***inr iFa� Y �+c'fe'�tsMRFYi****stc* ***: k** ***3e**acaY*aY*&***aYaY**ae3c*******fie *** ******** **** ***************************************************************************** * * * * * * * *** * * * * ** * * * * *** * ** ** * ** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE .STATEMENT I 54volltkao 1. lo rr`o being the legal property owner, for the property Located at: /C O Ai Vi C Legally described as Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),,sgnd I have read and understand the following disclosure Statement, which entitles me to *ork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence or a faun out - building. You may also build or improve a commercial building at a cost of 525,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to snake sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. initial of reviewing clerk. Tlie foregoing instrument 1 � of O (o ,20 who is personally known to me or who has �� Q .300 - 7�I 3 may- ,97 identification and who did take an oath Proof of ownership provided ( ) . Was acknowledged before me this By Produced BUILDING DEPARTMENT PpV Pe( Ginny Gonell = ?�.- U Commission #DD323870 QQ Expires: May 26, 2008 i9 '...•• @�� Bonded Tluu llllll " Atlantic Bonding Co., Inc. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofmg Owner's Name (Fee Simple Titleholder) 4g741 0 ePATN 0 Phone # Owner's Address i °U -' Si e g t$ r City • Cifautts State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address $ Value of Work For this Permit Describe Work: Code Enforcement $ Total Fee Now Due $ 1 1 1 • 30 (Continued on opposite side) Miami Shores Village Building Department 10050 N.Evenue, Miami Shores Iorida Tel: ( dA 0k '� 5 .8972 33138 O 0 20 ��A•' 9 tY,1L Structural Plan Review. $ aster Permit No.06 — 134 Z ip - S I Permit No. E LC6 - 3f==.) Phone# %as- 436 Phone # City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ['New ❑ Repair/Replace ❑ Demolition 1) Ora- eik oetacc * * ** ** * * * * * * * * * * * * *** * * ** * ** F ees * * * * * * * * * * * * * *** * * * * * * * ** * * *** Submittal Fee $ Permit Fee $ f ®® CCF $ e • EC- CO /CC Notary $ Training/Education Fee $ • 2_0 Technology Fee $ 2 . Scanning $ 3 • CO Radon $ Zoning Bond $ 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 A1'I''L)AVIT: 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 n, , :roved and a reinspection fee will be charged Thr Signature Signature Contractor The foregoing instrument was acknowledged before me this 2-0 The foregoing instrument was acknowledged before me this day ofC — , 2�, by& jO Go41-0 day of , 20 _, by who is personally known to me or who has produced who is personally known to me or who has produced as identification and who did take an oath. As iden Owner or Agent NOTARY P, : LI q : Sign: Print: My Comm' . sion Expires: ation who did take an oath. RON1DA dez * * * * * * ** ****,,**,,* * * * * * * * * * * * * *** * * * * * *** **** * ** ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** c APPLICATION APPROVED BY: Chc 45/13/03 My Commission Expires: Engineer Zoning NOTARY PUBLIC: Sign: Print: ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner METER, SET (GAS) AN A'PLI CAT ION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM• IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUr"I. IT APPLICATIONS. ) TEM PLUMBING ATH TL8 I DET ISHWASHER 11 SPOSAL IR INK INC FOUNTAIN 'LOOK ORA I N ;REASE TRAP I NTERCEPTOR .AVATORY _ :UNDRY TRAY 1OTHES WASHER 1FOWER 31W, POT /3 COMP. SI NK, RESIDENCE INK, SLIP TEMPORARY WATER CLOSET URINAL WATER CLOSET NOIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER 'HEATER -NEW I NST . HEATER - REPLACE LAWN SPRINKLER -WELL SWING POOL WATER SERVICE SEWER CONNECTIONS LIT I L 1 TY -SEWER UTILITY -WATER SEPTIC TANK RELAY I tAINFIELD, 4 TILE/RES. PUMP 8 ABANDON SEPTIC TANK SOAKAGE NT CU. FI. CATCH BASIN DISCHARGE WELL !JOKIEST IC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER F IRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM! GAS RAKE GDS PIPIN: ADDENDUM (U bU1 LUINU rammi ► �� 1 �n ` j",• ELECTRICAL LINIT SERVICE REPAIRAETER CHANGE FEE LIGHT OUTLETS RECEPTACLES APPLIANCE OUTLETS RANGE TOP OVEN WATER HEATER ITEM SWITCH OUTLETS UNIT SERVICE TEWORARY SERVICE SIZE IN AMPS MOTORS 0- 1 If MOTORS OVER 1- 31P MOTORS OVER 3- 5 If MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 H? MOTORS OVER 10- 25 IP MOTORS OVER 2:-100 I-P MOTORS OVER 100 EP A/C WINDOW AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATORS • TRANSFORMERS GENERATORS TRANSFORMEEP.S SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TUBES • SIGN TRANSFORMERS SIGN TIME CLOCK F I XTLRES TELEVISION OUTLETS VIOLATION PROCESS AND PRESS PIPING I ANTENNA FEE RE I NSPECT I ON ITEM SPACE HEATERS UNIT FEE CENTRAL HEATING A/C (WIND) A/C (CENTRAL) DIET WORK REFRIGERATION UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEFE COOLING TOWERS VIOLATION RE I NSP.ECT JON j MECHANICAL 1 BUILDING AND ZONING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138 -2382 TELEPHONE 13051 795-2204 FAX 13031 756 -8972 AFFIDAVIT FOR 30 DAY TEMPORARY ELECTRIC SERVICE (To be matted by Owner and/or Tenant, Batting de Electrical Contractor) NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED It is understood that the temporary- electrical approval by the Miami Shores Village, Building & Zoning Department given in connection with the building being constructed under. Building Permit No. I 0'0 s I 1 0 Electrical Permit No.E L©'6 — v 1 at address: /s O W q' c r for owners: is being given only for construction purposes or for testing the following installations being made in said structure: Sub - paragraph 45013 (d) (3) of the South Florida Building Code provides for a 30 day maximum approval only in an URGENT NECESSITY for electric current exists. Necessity shall include the use of current for irrigation, security, humidity control, emergency power and lighting, such as for testing or constriction purposes, provided the Electrical Contractor and owner do hereby agree to assume the responsibility of maintaining the installation in such a manner that there is no hazard to life and property. Such approval is in no event to be considered a release of said structure for purposes of use and occupancy, and no occupancy shall be granted or permitted until final inspections have been called for and approved by the inspection divisions concerned, and an occupancy permit obtained. The undersigned also understand that the temporary- electric approval is subject to rescission and cancellation, and electric power can be cut off at the discretion of the Building and Zoning Department and will be disconnected if the building concerned is occupied before final inspections are approved and occupancy permit obtained. sA tl to T t..J rl 6 ,Vrto depose and say that I am the owner of the above described property, an agreement shall not be occupied until the budding contractor has obtain Sworn and subscribed before me this a0 day of 0 C.. , D6 Notary Public, State of Florida at Large My Commission Expires: - Page I of 2 being f rst duly sworn, d tha t' v . that the structure covered in this i at of final inspections_ h et. TURE OF WNER SIGNATURE Melly He Commission # DD476455 Bonded Th Man tic Borg Co., 30 DAY TEMPORARY-ELECTRIC SERVICE (continue) , being first duly sworn, depose and say that I am the Electrical Contractor for the above described property and that the electrical installations as now existing will not create a safety hazard if temporary- service is connected. Sworn and subscribed before me this day of Notary Public, State of Florida at Large My commission expires: , being first duly sworn, depose and said that I am the Building Contractor of the above described property and that I will not permit occupancy of this building until final division obtained and that I have the authority insofar as the owner of said property is concerned to prohibit occupancy until such final inspections are obtained. Sworn and subscribed before me this day of Notary Public, State of Florida at Large My Commission Expires: SIGNATURE OF ELECTRICAL INSPECTOR Date: Page 2 of 2 Release to FLORIDA POWER SE LIGHT CO. by: ( name) Date: SIGNATURE OF ELECTRICAL CONTRACTOR SIGNATURE OF NOTARY PUBLIC SIGNATURE OF BUILDING CONTRACTOR SIGNATURE OF NOTARY PUBLIC To: (name) TEMPORARY ELECTRIC SERVICE MAR 2 7 2007 Passed Inspector Comments , Ai / 6/ S- lir' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -44045 Permit Number: EL,200 5 -361 Inspection Date: 03/23/2007 Inspector: Devaney, Michael Owner. None, None Job Address: 150 99 Street NW Miami Shores, FL 33150- Project: <NONE> Contractor. Building Department Comments Friday, March 23, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1131010240031 Lot: Page 1 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10/21/2005 Applicant: SANTIAGO Owner: GATTO JOB ADDRESS: 150 Contractor Local Phone: Parcel # 1131010240031 NW 99 Signed: (INSPECTOR) Electrical Permit Permit Number: EL2005 -361 GATTO SANTIAGO ST Contractor's Address: Legal Description: 1 53 41 BONMAR PARK Permit Status: APPROVED Permit Expiration: 4/18/2006 Construction Value: $500.00 Work: TEMPORARY ELECTRIC SERVICE Signed: (Contractor or Builder) Page 1 of 1 PB 17 -11 LOT 12 & E25FT OF LOT 11 BLK 1 LOT SIZE Fees: FEE2005 -13832 FEE2005 -13833 FEE2005 -13834 FEE2005 -13835 FEE2005 -13836 FEE2005 -13837 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $100.00 $0.60 $5.00 $0.20 $2.50 $3.00 $111.30 Total Fees: $111.30 Total Receipts: $0.00 NOV, 14 PAID r 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. BY: REMOVE CROSS WIRING, UPGRADE AND RE -WIRE EXISTING SERVICE - MASTER BP2004 -1349 LIAR 2 7 2007 Passed Inspector Comments PERMIT SINCE 2004. DUE TO PLEASE VERIFY THAT ALL WORK HAS BEEN WELL DONE 14. `Q `PIS 1 J'ze* P, C� ) /rP/2 s /— i ve " ' GPI CYPv <` c---/ P 1- "h ° Failed Correction Needed IV Re- Inspection ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 03/26/2007 Inspector: Devaney, Michael Owner: GATTO, SANTIAGO Job Address: 150 99 Street NW Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Friday, March 23, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number 305/789 -7687 Parcel Number 1131010240031 Lot: Page 2 of 2 Bill To None None Return to: I Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Invoice Number: imp -3 -07 -27935 Invoice Date: March 23, 2007 Permit Number: EL2004 -288 Date Fee Name 03/23/2007 RENEWAL Friday, March 23, 2007 LIAR 2 3 PAID Fee Type Calculated Total Fees Due: Fee Amount $75.00 $75.00 Payments Date Pay Type Check Number Amount Paid Change 03/23/2007 Check 4513 $75.00 $0.00 Total Paid: $75.00 Total Due: $0.00