PL-07-1106Date
Friday, June 1, 2007
06/01/2007 Check
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Number: PL -5 -07 -1106
Invoice Number: PL -5 -07 -28664
Applicant: RAYMOND MATEO
Company Name:
Owner Address:
1140 NE 100 ST
MIAMI SHORES, FL 33138•
Job Address:
1140 100 Street NE
Miami Shores Village, FL
Payment Type Check Number
16799
Amount
$183.85
Change
$0.00
Total Payment: $183.85
Page 1 of 1
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
1140 NE 100 Street
Miami Shores Village, FL
1132050190430
Block: Lot
RAYMOND MATEO
Owner Information
RAYMOND MATEO
1140 NE 100 ST
MIAMI SHORES FL 33138 -2602
Valuation:
Total Sq Feet
$ 2,000.00
Contractor(s)
SEROTA PLUMBING CO
Phone Cell Phone
(305)672 -7252
Type of Work: PLUMBING
Type of Piping: GAS LINE
Additional Info:
Bond Retum :
Classification: Residential
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$0.40
$5.00
$170.00
$3.00
$4.25
$183.85
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: 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. Futhermore, I authorize the above -named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Address
a - 7 0
PROVED
Expiration: 11/27/2007
Parcel Number
Phone
Total I Amt Paid I Amt Due
$ 0.00 $ 0.00 $ 0.00
Payment Type:
rk€16
Applicant
Available Inspections:
Inspection Type:
Press Test
Final
ROW
May 31, 2007
Date
Cell
Thursday, May 31, 2007 1
Miami Shores
O ?/
ores Village l
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING F « .,
� � ,, Permit No. 0 (X9
PERMIT APPLICATIONI ' MAY 3 0 2007 g Master Permit No. (e - 7
FBC 2004
BY : _�
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder) Roy. 1 kw M a,1`'�O Phone # (4' ") 7 7 Y" r e S°
Owner's Address 11 N, E. /as o '' -14% STres t
City M t o-nw S iM1oNe S State Pi a Zip 3b13 S
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done 1 11 4 10 pJ. l . / S I' Pawl
City Miami Shores Village County Miami -Dade Zip 331 38
FOLIO / PARCEL #
Is Building Historically Designated YES
NO V
Contractor's Company Name Sa,,r k0.. P (Vr»b.w5 C o . Lic. Phone #0 o.) f, /t g 4
Contractor's Address 843 ,J. F. 79 ST.
City M Static t' (a. Zip 3 3 1 31
Qualifier Name ko", Ve,..,k Phone # (e') G72- } SYJ
State Certificate or Registration No. C. Fc- 14 1+ (.o A. 3 Certificate of Competency No.
E -MAIL:
Architect /Engineer's Name (if applicable)
at
Value of Work For this Permit $ r S00 .
Type of Work: FrAddition L!lAltieration! DNew
Describe Work: rvx S to, Lt n,qt -t✓ d‘ ( I ! 3 4.S 1 • 1"t.
( bc , o;f on *� 1— wol.'te 1 ke $ev- r ..T) 1..l.+e
1- Dr. r ,r. (cL.tl.,.$)
1
Phone #
Square / Linear Footage Of Work:
❑ Repair /Replace ❑ Demolition
"Fronts. n , gm)
1 Gq.s R•.w� e / s t,,,re 'adr
**** ** **** b****** x**x***x x x x**** ***xx *aY Epps **** *** *****x****x xxxxx xx*rx xetx****xx** *x***
Submittal Fee $ Permit Fee $ 176 CCF $ , -(:90 CO /CC
Notary $ Training /Education Fee $ 0•4Q Technology Fee $
Scanning $ 3.00" Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $ e kttirq
Structural Review. $ Total Fee Now Due $ )/53 ! JUN 0 i PAID
See Reverse side
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In tire' absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature s
g Signature t;,e
Owner or Agent h J ��^
Contractor;
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 3
day of , 20 , by , day of , - MAY , 20 0 ? , by j d iJ V e.wko
who is personally known to me or who has produced who is personally known to IN or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC: NOTARY PUBLIC -STATE OF FLORIDA
Barry C. Cerrato
Sign: Co ; :' #DD507118
s: JAN 16, 2010
6 /I / c Bondet'ta 1 onding Co., Inc.
My Commission Expires: My Commission Expires: SRN . Co, ( P.° C
Print:
APPLICATION APPROVED BY:
(Revised 02/08/06)
Sign:
Print:
xxie****xxxx'** **************** ** ' x x' ncxse eY de aYxxx t$xxx a' r*xxxetdcoexdexx6edeoY**wasxxx** red :********xe:xdest*xxxxxnkxxxxxx
I � � L �� Plans Examiner
Engineer
Zoning
PLUMBING AND HEATLNG • ••• • • • • • 672.2585
CONTRACTORS •• •• • • • •• ••
• • • • • • • • • PHONES { 672 -7252
• • • ••• • •
• • • • • • •
• • ••• • • • • • •
• • • • FLROTA •PLUMBING COMPANY
•••
• • •• • • •
N.E. 79 STREET
• • • • • • • • • • MIAMI. FL 33138
ELECTRIC SEWER CLIMNINC • • • • • • •
•• • • • • • • •• ••• •, •
• • {
• • • -' f
•• • • • • • ••• ••
MAY 3 O 2007 tj
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1341 400 eirO
INSTALLATION, MAINTENANCE
AND REPAIRS
24 HOUR SERVICE