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PL-06-721Issue Date: 3/28/2006 Expires: 03/20/2007 Owner's Name: JOHN AND JENNIFER BOLTON Permit Type: Plumbing - Residential Work Classification: Gas Job Address: 1202 101 Street NE Miami Shores Village, FL 33138 -2609 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Contractor(s) MARBAR PLUMBING CO INC Phone 305 -681 -0009 Primary Contractor Yes Comments: INSTALLATION OF GAS LINE FOR CONNECTION TO WATER HEATER, DRYER AND BBQ GRILL Additional Information Type of Work: GAS LINE Additional Info: Classification: Residential Type of Piping: Bond Retum : 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 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 Permit Fee - Additions /Alterations Scanning Fee Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $160.00 $3.00 $3.00 $4.00 $170.80 Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL -3 -06 -721 Phone: (305)754 -2136 1132050210030 Lot: PB: Total Square Feet: 0 Total Valuation: $ 950.00 Required Inspections Press Test ROW Final Invoice Number PL -3-06 -24203 Total: MAR 2 9 PAID 0444 Amt Due $170.80 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. l.a Passed • ec ' r ' o , ents i Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: I NS P- 12709 Permit Number: PL -3 -06 -721 Inspection Date: 07/18/2006 Inspector: Levrack, James Owner: BOLTON, JOHN AND JENNIFER Job Address: 1202 101 Street NE Miami Shores Village, FL 33138 -2609 Project: <NONE> Contractor: MARBAR PLUMBING CO INC Building Department Comments Monday, July 17, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 JUL 1 9 RECD Block: Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Gas Phone Number (305)754 -2136 Parcel Number 1132050210030 Lot: Phone: 305 - 681 -0009 Page 1 of 2 J - , L / Passed spec . 9 _ . ii ., 3 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 04/06/2006 Inspector: Levrack, James Owner: BOLTON, JOHN AND JENNIFER Job Address: 1202 101 Street NE Miami Shores Village, FL 33138 -2609 Project: <NONE> Contractor: MARBAR PLUMBING CO INC Building Department Comments Wednesday, April 5, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho 05)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Press Test Work Classification: Gas Phone Number (305)754 -2136 Parcel Number 1132050210030 Lot: Phone: 305 - 681 -0009 Page 1 of 2 rough gas ,c'' 0 /� y (� 10,- Passed Inspector Comments lr- iv //A/ E 0 4/2 y 0 t `L. I I 4 N E, 'E 0 Failed Correction Needed Re- Inspection 7 Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 04/05/2006 Inspector: Levrack, James Owner: BOLTON, JOHN AND JENNIFER Job Address: 1202 101 Street NE Miami Shores Village, FL 33138 -2609 Project: <NONE> Contractor: MARBAR PLUMBING CO INC Building Department Comments Tuesday, April 4, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phorje: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Press Test Work Classification: Gas Phone Number (305)754 -2136 Parcel Number 1132050210030 Lot: Phone: 305 - 681 -0009 Page 2 of 2 Permit Receipt Permit Number: PL -3 -06 -721 Invoice Number: PL -4 -06 -24384 Applicant: JOHN AND JENNIFER BOLTON Company Name: Wednesday, April 5, 2006 Date 04/05/2006 Payment Type CheckNum Check 9435 Amount $75.00 Total Payment: $75.00 Page 1 of 1 Miami Shores Village Building Department 3 )zci j05O N.E.2nd Avenue, Miami Shores, Florida 33138 .��LL-.-. !' - ) 76.8972 MAR 2 0 2005 BUILDING PERMIT APPLICATIO FBC 2004 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) _ Owner's Address / Z 0 2- IV City 1/11, ( WM State Tenant/Lessee Name Phone # Job Address (where the work is being done) 1t)' 0 .)' t1/4f ° e I 01 City Miami Shores Village County . Miami -Dade Zip FOLIO / PARCEL # 11 3)-05-0 ( - 003 0 Is Building Historically Designated YES NO Contractor's Company Name 14a V ( DO V P ((1 leY1 l h v" Phone # 3 © co. 'l CO 0 � Contractor's Address Y (40' / 1\1 C 2 1 (Y� e ' City (, State F (_ Zip Qualifier Name Q WZ CS k ° 4 /9 State Certificate or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: Describe Work: Submittal Fee $ Notary $ Scanning $, Bond $ 9s Electrical * ** Addition * * * * * * * *** * * * * * * * * * * * * * * * Permit Fee $ Training/Education Fee $ Radon $ Plumbing 0 ti vl 4 rJeti in I e. tot sh'-e f Fi_ Zip33 /30 -; c, Q q .30s--(470 - .5 - 7 7 / Code Enforcement $ Structural Review. $ Permit No. U°' ° 70 1 Master Permit No. .3 31 // Phone # 3 Q S CP ? r QCO9 Certificate of Competency No. (� C �� 3 (p �� �� , nical Roofing one 305-4-7o-5171 Phone # ?co c/ Square / Linear Footage Of Work: ['New D Rpair/Replace 0 Demolition as // ki l r) CO A -eC 7 een ` z) * F e � ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * .. /10 CCF $ �. ,C • CO /CC . �® Technology Fee $ 4-00 DPBR $ Zoning $ Double Fee $ Total Fee Now Due $ 1 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 Al+'I IJAVTT: 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 wTTH 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 ins which occurs seven (7) days after the building permit is' sued. In the absence of such posted notice, the inspection w not b - ap roved and a reinspection fee will be charged. Owner or Agent The fo _ ; j� g instrument was ackn p wed b r� day of / ' 20 OC,, by �l I/1 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: sign: Print: My Commission Expires: APPLICATION APPROVED BY: {Revised 02108/06) NOTARY PUBLIC - STATE OF FLORIDA COMMISSION # DD211637 EXPIRES 06/25 /2007 BONDED THRU 1-888- NOTARVI ** ******9; *4 ** ** ** *** **** Contractor The fore going instrument was acknowledged before e this 1 6 dayo 2aD(� by r i — ahleg - who is rso who has produced pe pally k„num rn me or as identification and who did take an oath. NOTARY PUB IC: My Commission Expires: UlCKE Print: NOTARY P LIC - STATE OF FLORIDA COMMISSION-# DD211037 EXPIRES 06 /25/2007 BONDED THRU 1- 888- NOTARVI ******** * * * ************* ** * **** ******** ******** ***** 45 0 Plans Examiner Engineer Zoning 1 FIELD CEPVED MAR 2 0 2005 ----------- • • • • • • • • • 1 1 1 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • IS* • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • MARBAR PLUMBINta CO., NO. CP. CO 35885 881 N.W. ii 8 Street Nat'l Want, Rowe 3318e CEOVED MAR 2 " 20O5 Y • • ••• • • • ••. •• •• • • • •• .. • • • • • • • • .. • • • • ••• • • • • • • • • •• • • • • • • ••• • • • • ••• • ••• • •, • •• • • • • • • • • •• • •. • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • •• • • • •• ••• •• • • • • • • • • . . . • • ' • • • •• • • • • • ••• •• � - 1 sciel 1 )" latoa :r. 0) 5r ` 5h o eS ( ' C co ""a � . �Yj j 1 N.W. 118 North Meat Street Florid33188