1290 NE 101 St (5)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Date.
Type Insp'n
Permit No.
MIAMI SHORES VILLAGE
BUILDING DEPARTMEN
305- 795 -2204
Building Inspection Request
Name -__ ,/ rc )c 1: " . 4 d (I
Address taq V
Company P► V ai) eci1 l on.)-
Phone # --S q °C)
Inspection Date � oL _
Approved ► ��,
Correction
Re- Insp'n Fee
4 3;410)
Y J-u
`PI
BUILDING
PERMIT APPLICATION
FBC 2001
Owner's Name (Fee Simple Titleholder)
Owner's Address
Tenant/Lessee Name
Qualifier
$ Value of Work For this Permit
Code Enforcement $
Total Fee Now Due $ b 0
(Continued on opposite side)
„to -i Miami Shores Village
2004 � Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): Building Electrical lum Mechanical Roofing
, /; 4 . Xern tv Phone # Oar) �f9 YexD
4 30 NE / Oifl4 �
City M/0/!7/ J t eEY State ichve
Job Address (where the work is being done) /a 7 /0/ � E
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO /A
Contractor's Company Name ij�e�(�r{YJ 61/ traCt / ; 4 . q, /hC. Phone#
Contractor's Address ' O() SW (I v Lti
City -- 1 1 1-1a- 444 --e, State 1 Zip 33 a,s
Permit No. U �� Q 3
Master Permit No. ,77? — /J'T/
Zip
Phone #
Zip
( d o s ) 7 5 " - 7 0
Architect/Engineer's Name (if applicable) Phone #
Type of Work: ❑Addition ['Alteration ❑New ❑ / 7i Repair/Replace ❑ Demolition
Describe Work: /PEo ?��Eof6 f�l t 7'`2 / 0/i per (0/4 , .P4-w /, d/
e /4 Air �if' 6_/) -sr✓
4,i a a/� rl vn Q/- /I�#v />4 A/e /p eivi.
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Structural Plan Review. $
Square Footage Of Work:
Submittal Fee $0 ,GX) Permit Fee $ / CCF $ 4 , U CO /CC
Notary $ Training/Education Fee $ /, \ 0 Technology Fee $ t 0 0
Scanning $ Radon $ Zoning Bond $
Bonding Company's Name (if applicable) / 4
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
promise in good faith that a copy of the notice of commencement and construction lien law
whose property is subject to attachment. Also, a certified copy of the recorded ' Mice of co
for the first inspection which occurs seven (7) days after the building per ss
inspection will not be approved and a reinspection fee will be charged.
Signature • c*
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 , by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC: •NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires:
Chc 12/15/03
•
tu/A
eeding $2500, the applicant must
will b delivered to the person
nt mu t be • ,este at the job site
sence .f ' 8 I ted notice, the
Ali
i tii II �!iiiiiiIIIIIIfihi
The foregoing ins. nt a .. l :; a me this
day of , 20 � ��
4 i
who is personally known to me or who has produ
as identification and who did take an oath.
Signature
My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
AL Plans Examiner
APPLICATION APPROVED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * , * *; ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
! 4r,, . 'lam -o
y,v
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Printed: 3/24/2004
Parcel # 1132050140010
Signed: (INSPECTOR)
Plumbing Permit
Phone: 305 - 795 -2204 Permit Number: PL2004 -97
Applicant: JULIO & GLORIA SERRANO
Owner: SERRANO JULIO & GLORIA
JOB ADDRESS: 1290 NE 101 ST
Contractor AMERICAN CONTRACTING, INC. Contractor's Address: 9900 S. W. 40 ST.
Local Phone: 305 - 759 -7000
Permit Status: APPROVED Permit Expiration: 9/18/2004 Construction Value: $6,850.00
Work: PLUMBING FOR MASTER ADDITION
Page 1 of 1
Legal Description: 5 53 42 GORDON TRACTS PB 55 -20 TRACT A LOT SIZE SITE VALUE OR
Fees: Description Amount
FEE2004 -3123 Building Fee $280.00
FEE2004 -3124 CCF $4.20
FEE2004 -3125 Training and Education Fee $1.40
FEE2004 -3126 Technology Fee $7.00
Total Fees: $292.60
Total Fees: $2 ��
Total Receipts:
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:
(Rev. 5/8/03)
Address I2 0 NE. tQI Si
City Miami Shores State Florida Zip 33138
This Certificate of Completion is issued for the above address for all permits. This certificate
verifies that the building or structure has, met the requirements of Florida Building Code 106.2.
However, this certificate does not constitute any representation or warranty.
Building Officials Approval:
Miami Shores Village
Building Department
Certificate of Completion
Date 1112,1()5
The following address is issued a Certificate of Completion
10050 N.E.2nd Avenue
Miami. Shores, Florida 33138
Tel: (305) 7,5 -2204
Fax: (305) 756 -8972
PgS /237 Rev 11/79
PROPOSED
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1. LOCATE AND PROTECT ALL UTILITIES IN AREA CF
CONSTRUCTION. UNCLE #1- 800.432.4770
2. RESTORE ALL AREAS TO PRIOR CONDITION.
3. ALL CONSTRUCTION TO FOLLOW JURISDICTIONAL
GOVERNMENT AND PgS STANDARDS.
E
J
SECTION
M - /2
SCALE
/VT5
DWG. BY
7 -e4 //,
�eoples GAS SYSTE , Inc.
/290 /V6 /0/ s ' 67/26-67
/0/.4 Shoes
DATE
2- /9 - 90
SHEET
/ of /
74
A. F. E .O /0/ 70000/04
THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT
❑ WITH NO VARIANCES ❑ WITH VARIANCE(S) LISTED IN "REMARKS"
NO OTHER DEVIATIONS FROM THE ,M!A ":^I SHORE BUILDING AI'D ZONING
ORDINANCES WILL BE PERMITTED. UNLES: SPECIFICALLY LISTED BELOW.
ALL OTHER APPLICABLE STATE AND COU;sTY LAWS MUST BE COMPLIED
WITH BY ALL PARTIES.
FIRE DEPARTMENT
PUBLIC WORKS
POLICE DEPARTMENT
BUILDING DIRECTOR
PLANNING & ZONING BOA ;;;.'
VILLAGE COUNCIL
PRELIMINARY:
REMARKS:
Aut'°o-i'e1 S'gn °tore Bite
APPROVAL
FINAL:
COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQUIRED. T! ARCHITECT, BU'! DER &
SUB CONTRACTORS ARE f."- ':;err'? ".'!" ' f r. • ,
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.
Val„
Name of employing i*oalaer--
Name of journeyman plumber
CITY OF Hhi P Ri S
DADE COUNTY, FLORIDA
DIVISION OF PLUMBING INSPECTION
Date 2 9 1953
( New,/ Old Remodeled Repaired
Fora (
( Residence Duplex Business Hotel Restaurant
Apartment Hous
'7 A
Name of Owner Pt,y A...) Address C. (° I t
Name of General Contractor
Address where work is to be done • E. • / ° sA1
Septic Tank Drainfield
(Capacity) (Length)
Water Heater Drainage Well
(Type)
Number of fixtures as shown on attached plan of proposed plumbing
. 5 .a
BUILDING ❑
ELECTRICAL
PLUMBING ❑/
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ , PERMIT N? 14593
❑ Work to be performed under this Permit
Lot
CONTRACTOR OR BUILDER
.-
� m .
Subdi-
vision
Value of
Project $. .•
DATE 195
Contractor's
License No
Amt. of
Permit $
rr"
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: « 1 , . BY
INSPEC
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.
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE -- 195
❑ PERMIT IT? 13995 Contractor's
n License No
❑ Work to be performed under this Permit
Architect
Contractor
or Builder M.
Legal Lot Bl.
Description
Address of
Building
CONTRACTOR OR BUILDER
Signed•
Subdi-
vision
Value of
Project $
Amt. of
Permit $
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.
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.
BY AUTHORITY
Permit No. t Date i — '-sc- ...
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 Divisior
. of Miami Shores Village shall be comp d with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ....a x., No.__._.._ Street
Registered Architect and /or Engineer
r
Employing Plumber's Name Q No.___._._ _ .. ._ Street_
Location and Legal Description ot.- ___._.__._ Block —_ _ _..- . _-- ____._ Subdivision
Street and Number where work is to be performed —No _AK . q 0 . street._ .4 4C / o / ' "" I- U
State work to be performed and purpose of building (By Floors)_
<New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank _ 7
Feet of Drain Tile 42....r
Nature of Water Supply:
Amount of Permit $
Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank_
Dist. Feet of Tank or Drain Field from WelL
1• d _ Size of Soakage Pit
Capacity Gals.
( Signed ) _
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 art
licensed by Miami Shores Village.
STATE OF FLORIDA, 1 ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare
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 fay
therein by him stated are true.
My Commission Expires Notary Public, State of Florida-
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul
mat 'als and /or workmanship.
ir
CLOSETS
BATH
TUBS
SHOWERS
LAVA
TORIES
NK0
SINKS
SLOP
SINKS
LAUNDRY
Twos
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU
Q/ 0,4*
--
TOTAL
FIXTUREI
-
ONTR
LIST
y
1
r7
#.3
1
Y
/
7s-
y
_
SEPTIC
TANK
SEWER
CORN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOMME
HEATER
DEEP
WILL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
/00
/ /),Z
/.�
L 6J
Permit No. t Date i — '-sc- ...
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 Divisior
. of Miami Shores Village shall be comp d with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ....a x., No.__._.._ Street
Registered Architect and /or Engineer
r
Employing Plumber's Name Q No.___._._ _ .. ._ Street_
Location and Legal Description ot.- ___._.__._ Block —_ _ _..- . _-- ____._ Subdivision
Street and Number where work is to be performed —No _AK . q 0 . street._ .4 4C / o / ' "" I- U
State work to be performed and purpose of building (By Floors)_
<New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank _ 7
Feet of Drain Tile 42....r
Nature of Water Supply:
Amount of Permit $
Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank_
Dist. Feet of Tank or Drain Field from WelL
1• d _ Size of Soakage Pit
Capacity Gals.
( Signed ) _
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 art
licensed by Miami Shores Village.
STATE OF FLORIDA, 1 ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare
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 fay
therein by him stated are true.
My Commission Expires Notary Public, State of Florida-
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul
mat 'als and /or workmanship.
ir