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1156 NE 101 St (10)Irtspebtior Nurrnter: IS P46499 Inspection Date: 03/08/2006 Inspector: Levrack, James Owner: GOMEZ, RODOLFO AND SUSANA Job Address: 1156 101 ST we Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, March 7, 2006 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL P one: (305)795 -2204 Fax: (305)756 -8972 Block: Permit lum Lot: P L' -1- 06.146 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)898 -8841 Parcel Number 1132050190250 Page 1 of 2 1 e 1 , , . II Comments Passed ; J Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Irtspebtior Nurrnter: IS P46499 Inspection Date: 03/08/2006 Inspector: Levrack, James Owner: GOMEZ, RODOLFO AND SUSANA Job Address: 1156 101 ST we Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, March 7, 2006 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL P one: (305)795 -2204 Fax: (305)756 -8972 Block: Permit lum Lot: P L' -1- 06.146 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)898 -8841 Parcel Number 1132050190250 Page 1 of 2 i spectoroumbe INtF4499 ermit wuber: PL 1-06 =146 Inspection Date: 03/08/2006 Inspector: Levrack, James Owner: GOMEZ, RODOLFO AND SUSANA Job Address: 1156 101 ST Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, March 7, 2006 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)898 -8841 Parcel Number 1132050190250 Lot: Page 2 of 2 In Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. i spectoroumbe INtF4499 ermit wuber: PL 1-06 =146 Inspection Date: 03/08/2006 Inspector: Levrack, James Owner: GOMEZ, RODOLFO AND SUSANA Job Address: 1156 101 ST Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, March 7, 2006 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)898 -8841 Parcel Number 1132050190250 Lot: Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle) Electric , n Plumbing Mechanical Roofing Name (Fee Simple Titleholder) DU Sand C Dry, L Phone # 305-29 g Owner's Address 1) Sj (, NE City /Vl1 a ✓►7i t.f S tate Tenant/Lessee Name Architect/Engineer's Name (if applicable) Submittal Fee $ Total Fee Now Due $ (Continued on opposite side) 152— 3D Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: !,. �.'_ _ -a. ;�� 56.8972 / 0 / SiY- c -e_"f— $ Value of Work For this Permit - / 000 , Zip Contractor's Company Name Phone # Contractor's Address State Certificate or Registration No. Certificate of Competency No. Type of Work: ['Addition ['Alteration [New ) Repair/Replace e la , b . - sh pan e o A A-S Tele- 64Tt+. • Permit No aster Permit No. 333 Phone # Job Address (where the work is being done) / f sL0 /V E / a / s S'- f- ►---e_e -f- Cit Miami Shores Village County Miami -Dade Zip 33) 3 X Is Building Historically Designated YES NO 1/ City State Zip Qualifier Phone # Square Footage Of Work: 3 U n! ❑ Demolition Describe Work: Rem vi n -£.1/I,s47 v j L s' 0 wed Po a Y ' Pho ln/e/r p c ri 14 0 cud v Permit Fee $ �� / CI CCF $ O. (Or) CO/CC Notary $ 5 - H OC Training/Education Fee $ Zcj Technology Fee $ 3 • 0 Scanning $ a CO 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: 1 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 Owner o The fore oing instrument was owledged before 4e t�is /8 . day o ,2 tT who is personally known to me or who has produced 1 13 NOTA Sign: Print: My Com chc 05/13/03 UBLI As identification and who did take an oath. * * * * *. * * * * * * * * ** APPLICATION APPROVED BY: NOTARY PUBLIC -ST Yo Contractor The foregoing instrument was acknowledged before me this �/ t ►Eayof ,20by who is personally known to me or who has produced PL0PJt *OTARY PUBLIC: rnandez 5 9 Signature as identification and who did take an oath. Sign: Print: My Commission Expires: ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 9 o? Plans Examiner Engineer Zoning (AN A£PLICATION 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 ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL ITEM BATH TU3 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIOET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKIIC FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRW 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 C- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MIDTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP F IRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 NP VIOLATION I It) IRECT WASTES I A/C WINOOYi RE1NSP.ECTION WATER SUPPLY TO: I AIR CONDITIONERS 1 A/C UNIT I STRIP HEATER FIRE SPRINKLER I GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS ' TRANSFORMERS I HEATER - REPLACE I GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL 1 SPECIAL PURPOSE SWIMMING POOL OUTLETS COMAERCIAL WATER SERVICE S IGN TUBES SEWER CONNECT IONS , •SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES -- . SEPTIC TANK ANTE RNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECT ION SOAKAGE PIT J. FT. CATCH BASIN D I SOHARGE WELL DOMESTIC WELL AREA DRAI I ROOF INLET SOLAR WATER HEATER r "IRE STANDP IPE POOL PIPING LAWN SPRINKLER SYSTEI GAS RANEE I I ! I METER, SET (GAS) I GAS PIP1}T } I I (AN A£PLICATION 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 ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL InspectionNumber I Project: <NONE> Inspection Date: 02/28/2006 Inspector: Levrack, James P10682 Owner: GOMEZ, RODOLFO AND SUSANA Job Address: 1156 101 ST NE Miami Shores Village, FL Contractor: HOME OWNER Building Department Comments Monday, February 27, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho e: (305)795 -2204 Fax: (305)756 -897 1 Permit Number: PL -1-06 -146 Permit Type: Plumbing - Residential Inspection Type: Rough Work Classificati n: Addition /Alteration 110W `eot Phone Number (305)898 -8841 Block: 1- 06 Lot: Parcel Number 1132050190250 Page 2 of 2 Passed In s C mments . i • Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until InspectionNumber I Project: <NONE> Inspection Date: 02/28/2006 Inspector: Levrack, James P10682 Owner: GOMEZ, RODOLFO AND SUSANA Job Address: 1156 101 ST NE Miami Shores Village, FL Contractor: HOME OWNER Building Department Comments Monday, February 27, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho e: (305)795 -2204 Fax: (305)756 -897 1 Permit Number: PL -1-06 -146 Permit Type: Plumbing - Residential Inspection Type: Rough Work Classificati n: Addition /Alteration 110W `eot Phone Number (305)898 -8841 Block: 1- 06 Lot: Parcel Number 1132050190250 Page 2 of 2 Issue Date: 1/23/2006 Owner's Name: RODOLFO AND SUSANA GOMEZ Permit Type: Plumbing - Residential Work Classification: Addition /Alteration Job Address: 1156 101 ST Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 01/18/2007 Contractor(s) HOME OWNER Phone Primary Contractor Yes Comments: REMOVING EXISTING SHOWER FLOOR AND SHOWER PAN AND REPLACING SHOWER PAN AND SHOWER FLOOR WITH NEW PAN AND TILE Type of Work: Additional Info: Classification: Residential Type of Piping: Bond Return : 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL 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 construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $140.00 $3.00 $3.50 $152.30 Building Department File Copy Applicant Signature Parcel #: Block: Section: Total Square Feet: Total Valuation: Required Inspections Permit Status: APPROVED Permit Number: PL -1 -06 -146 Phone: (305)898 -8841 1132050190250 Lot: PB: 30 $ 1,000.00 Underground Rough Water Main Top Out Main Drain Lavatory Water Service Re Pipe Heater Final Invoice Number PL - 1 - 06 - 23563 Total: JAN 2 4 PAID Amt Due $152.30 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. I nspection Nu Inspection Date: 03/08/2006 Inspector: Grande, Claudio Owner: GOMEZ, RODOLFO AND SUSANA Job Address: 1156 101 Street NE Miami Shores Village, FL Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, March 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: i rmlt Number; RC -1-06 -145 Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number (305)898 -8841 Parcel Number 1132050190250 Lot: Page 2of2 Passed v Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until I nspection Nu Inspection Date: 03/08/2006 Inspector: Grande, Claudio Owner: GOMEZ, RODOLFO AND SUSANA Job Address: 1156 101 Street NE Miami Shores Village, FL Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, March 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: i rmlt Number; RC -1-06 -145 Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number (305)898 -8841 Parcel Number 1132050190250 Lot: Page 2of2 • BUILDING PERMIT APPLICATI FBC 2001 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Horida 33138 Te p, _ � �. {{ 4 �� _Eax :_( 05) 756.8972 EI Permit Type (circle): Building Electr' al Plumbing Mechanical Q Roofing Owner's Name (Fee Simple Titleholder) Susarl-� C 0►�► Phone # 305 -8 I . p g 1 -) Owner's Address / 1 SLp N e 1 0 I - Sfr -c r_ t Ct City M 1 rY11 S'I O VeJ State FLOP I CJ ek Zip 33) 3y Tenant/Lessee Name Phone # Job Address (where the work is being done) / / S (p /4 C / 0 / S' City Miami Shores Village County Miamy -Dade Zip 33 ► 3 y Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address Architect/Engineer's Name (if applicable) City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. $ Value of Work For this Permit 4 1 00 v Type of Work: ['Addition ['Alteration ['New Repair/Replace Demolition Describe Work: h (Pre tn.) SHOW-R2 AN 6/J d 1, i A) (1A— -C e * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $$ Permit Fee $ 1 CCF $ D. (OO CO /CC Notary $ -5. 0( Training/Education Fee $ C) . 2.0 Technology Fee $ 2 J Scanning $3. OD Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Phone # Phone # Master Permit No. Permit No. .E„Cc 1 Square Footage Of Work: 30 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR 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. Contractor The foregoing instrument was acknowledged before me this 18 The foregoing instrument was acknowledged before me this day ofJ A N , 20O b}561SAW147T day of , 20 by who is personally known to me or who has produced who is personally known to me or who has produced 1 D As identification and who did take an oath. as identification and who did take an oath. NOTA ' NOTARY PUBLIC -STATE OF FLHOWARY PUBLIC: Sign: y Hernandez Sign: or • ' n: 6455 g Print: _ „ = f���' � .r r ` , il 2 2009 Print: My Commill.1.11111M My Commission Expires: ded - "ZitiMrirm(onding Co., Inc. APPLICATION APPROVED BY: Chc 05/13/03 Y P BLIC: ** I * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Signature * * ** * *** ******************************************************************** * ** * ** **** * * ** ** ** * * * *,t * ** ** ** 0 Plans Examiner Engineer Zoning 5 OWNER BUILDER DISCLOSURE STATEMENT I �titSGc ✓tG� q_tyy-k e � being the legal property owner, for the property Located at: Hsu L / J / 0/ 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),4nd I have read and understand the following disclosure. Statement, which entitles me to 3rork as my own contractor, I 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 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 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 le day ofi4 ; 20 CD Co 1 . L /\ -who is personally known to me or who has Produced • ' 0 Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT DISCLOSURE STATEMENT as identification and who did take an oath. RIDA andez mission # DD476455 Expires: SEP. 27, 2009 Bonded Thru Atlantic Bonding Co., Inc. Issue Date: 1/23/2006 Expires: 01/18/2007 Owner's Name: RODOLFO AND SUSANA GOMEZ Permit Type: Residential Construction Work Classification: Alteration Job Address: 1156 101 Street NE Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: REPLACING SHOWER PAN AND TILE IN SHOWER MASTER BATH Additional Information Type of Construction: Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Certificate Date: 1/18/2006 Occupancy: Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL 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 construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $100.00 $3.00 $2.50 $111.30 Building Department File Copy Applicant Signature Parcel #: Block: Section: PB: Total Square Feet: Total Valuation: Required Inspections Permit Status: APPROVED Permit Number: RC -1 -06 -145 Phone: (305)898 -8841 1132050190250 Lot: 30 $ 1,000.00 Slab Termite Letter Fill Cells Columns Tie Beam Window and Door Buck Window Door Attachment Framing Insulation Drywall Screw Ceiling Grid Final PE Certification Shutter Attachment Shutter Final Invoice Number RC -1 -06 -23562 Total: JAN 2 4PAID Amt Due $111.30 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Permit No. STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $ 1) Owner's Name and Address___/ O !/t►• 8 /9 Al i ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. Registered Architect and /or Engineer Employing Plumber's Name No Location and Legal Description LotLO >• 2 - — Block Street Subdivision L• j ore Street and Number where work is to be performed —No //St Street • E / O / State work to be performed and purpose of building (By Floors) ___ G. _ L � 14/4/ tri°E /4/4 4L E/e New Building Remodeling Addition Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well T Size of Soakage Pit ( Signed )� No/ /' ' /Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understbnds and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General aws of Florida Permanent 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 )/ 0A/PCPRC• : Date_ Repairs No. of Stories Street / / My Commission Expires Notary Public, State of Florida `T 4daster Plumber. 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. 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. .LIST CHECK Permit No. STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $ 1) Owner's Name and Address___/ O !/t►• 8 /9 Al i ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. Registered Architect and /or Engineer Employing Plumber's Name No Location and Legal Description LotLO >• 2 - — Block Street Subdivision L• j ore Street and Number where work is to be performed —No //St Street • E / O / State work to be performed and purpose of building (By Floors) ___ G. _ L � 14/4/ tri°E /4/4 4L E/e New Building Remodeling Addition Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well T Size of Soakage Pit ( Signed )� No/ /' ' /Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understbnds and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General aws of Florida Permanent 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 )/ 0A/PCPRC• : Date_ Repairs No. of Stories Street / / My Commission Expires Notary Public, State of Florida `T 4daster Plumber. 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ,/,,S /9)v Application is jlereby made for the approval of the detailed statement of the plans and specifications herewit ubmitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Permit No Owner's Name and Addres Registered Architect and /or . neer ' Feet of Drain Tile Nature of Water Suppl STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Nam ___ No ?,� Street__ Location and Legal Description Lot _ Block �_7 Subdivision____ft2�z?„___' Street and Number where work is to be performed —No +Z�_ �3 Street__ 1_1/ • State work to be performed and purpose of building (By Floors) New Building Remodeling Addition \ReKus No. of Stories Size Septic Tank$_____5_0 Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well ell Size of Soakage Pit Amount of Permit $____) 1` 7 - -- ( Signed (Signed) No. Street ng Inspector. The undersigned applicant for this building permit does hereby certify that he u per• ands and accepts his obligatioryg s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gen r. Laws of Florida Permanent 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. Date My Commission Expires Notary Public, State of Florida 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS B ATH T UBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDR TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST / 2 2 --1-- / - -- CHECK \ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP 4919111PMIr HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL 1�/, ,. CONTR. LIBT ? _ 2 CHECK ,/,,S /9)v Application is jlereby made for the approval of the detailed statement of the plans and specifications herewit ubmitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Permit No Owner's Name and Addres Registered Architect and /or . neer ' Feet of Drain Tile Nature of Water Suppl STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Nam ___ No ?,� Street__ Location and Legal Description Lot _ Block �_7 Subdivision____ft2�z?„___' Street and Number where work is to be performed —No +Z�_ �3 Street__ 1_1/ • State work to be performed and purpose of building (By Floors) New Building Remodeling Addition \ReKus No. of Stories Size Septic Tank$_____5_0 Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well ell Size of Soakage Pit Amount of Permit $____) 1` 7 - -- ( Signed (Signed) No. Street ng Inspector. The undersigned applicant for this building permit does hereby certify that he u per• ands and accepts his obligatioryg s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gen r. Laws of Florida Permanent 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. Date My Commission Expires Notary Public, State of Florida 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. 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. BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE ' PERMIT N° 9197 Work to be performed under this Permit Owner of Building Bl. Subdi- vision Value of Project $ 195 ; Contractor's License No Amt. of Permit 1 BY AUTHORITY 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 in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. / 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. aN�► BUILDING ELECTRICAL PLUMBING Owner of Building Legal Description Address of / Building 1 Lot MIAMI SHORES VILLAGE, FLORIDA DATE y c. +, 1 / Contractor's License No PERMIT N° 9653 Work to be performed under this Permit � i /.. / \ .-/ Architect Contractor ,' / f",,✓ or Builder - ,,, Bl. Signed: In consideration of the issuance to me of this permit I agree to pert() pertaining thereto and in strict conformity with the plans, drawings, stateme In accepting this permitassume respo`�'�ibility for all work done by either' l i CONTRACTOR OR BUILDER ;� Subdi- vision Value of Project $ Amt. of Permit $ e <• c 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 thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or d .. ings or in the statements o specifications and that he assumes responsibility for work done by his agents, servants or employees. BY INSPECTOR m the work covered hereunder in compliance with all ordinances or specifications submitted to the proper authorities of Miami myself, my agee t, �. sservant or employee. BY - AUTHORITY 195 and regulations Shores Village.