PL-03-235Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/26/2003
Applicant: JOHN YOUNG
Owner: YOUNG JOHN
JOB ADDRESS: 149 NW 100 ST
Contractor HARRIS PLUMBING & REPAIRS
Local Phone:
Parcel # 1131010230300
Permit Status: APPROVED Permit Expiration: 2/17/2004 Construction Value:
Work: ADD BATHROOM TO HOUSE
Signed: (INSPECTOR)
Plumbing Permit
Permit Number: PL2003 -235
Contractor's Address: 209 WASHINGTON DR
Page 1 of 1
Legal Description: BONMAR PK ADD A RE -SUB PB 24 -71 LOT 13 & E1/2 OF LOT 14 BLK 4
Fees: Description Amount
FEE2003 -5159 Building Fee $140.00
Total Fees: $140.00
Total Fees: $140.00
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:
Date ` ®/ U't
Type Insp'n t �.1�o
(�L-
Permit No. f 0 3 S
Name
Address
Company
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305 - 795 -2204
Building Inspection Request
` Sr ^ )to
No, MLA)
Inspection Date ' 7
Approved
Correction ❑
Re-Insp'n Fee ❑
Dat
Type Insp'
Permit No.
Name
Address
Com i any
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
MIAMI SHORES VILLAG
BUILDING DEPAR T
305- 795 -2204
Building Inspection Reque
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical
Owner's Name (Fee Simple Title older
Owner's Address /
City �� 1 J AAA
Tenant/Lessee Name
Job Address (where the work is being done) k1/4- k 1 v u1 100 S
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name b oone # T g 5 V ct 0
r 7 ( 4 e Contractor s Address ( 0
City tate Zip 3 3 ( 3
Qualifier �� w
Architect/Engineer's Name (if applicable) - Phone #
Architect/Engineer's Address
City
Miami Shores Village
g Department
State F \ ck -
State
$ Value of Work For this Permit
******* ** * * ***** * *** *** * **** F ees * ******* ** ***** **** *** * **** * **
)6T
County Escrow Fee ° .� _ Permit Fee $
Education/Training Fee $ Tech $
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
PLa0o3 - a3_
VaetomiTM
Permit No.
Master Permit No. c 003'c.133
Mechanical Roofing
305 1$
Phone # tka3
Zip
Phone #
Zip
Square Footage Of Work:
Number of: Bays Stories Families l Bedrooms Baths
Type of Work: leddi6Rn 0Alteratioi ❑New i ❑ Repair/Replace ❑ Demolition
Describe Work: c ( (D O M K Se
Notary $
Scanning $
Code Enforcement $ Bond $ Struct. $
Radon $
Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite 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 the absence of such posted. notice, the
inspection will not be approved and a reinspection fee will be charged.
ehc7t1103
Signature Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of . 20 by
The foregoing
day of
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.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
NOTARY PUBL
Sign:
Print:
Contractor
trument was acknowledged before me this Zi
20 (93, by fi r, r
as identj an di
= Commission #DD
J
Plans Examiner
Engineer
Zoning
My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
* * * * * * * * * * * * * * * * * * * * * * + * * * * ** ** ** * ** ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Y(L -5,
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.)
3
ADDENDUM TO BUILDING PERMIT APPLICATION
PLUMBING
ELECTRICAL
MECHANICAL
TEM
&TH TUB
UNIT
FEE
ITEM UNIT
SWITCH OUTLETS
FEE
ITEM
SPACE HEATERS
UNIT
FEE
I
T OUTLETS
LIGHT
CENTRAL HEATING
ISHW
RECEPTACLES
A/C (WIND)
ISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
RINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
LOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
CREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
NTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
k
OVEN
ABOVE (ROUND TANKS
.AVATORY
TRAY
WATER HEATER
U.F. PRESSURE VESSELS
.AUNDRY
:LOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
\
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
,;HOPE
;INK, POT /3 COMP.
MOTORS OVER 3- 5 I4P
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 14'
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
,
MOTORS OVER 100 HP
VIOLATION
INDIRECT
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
GRAINFIELD, 4" TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
,
ROOF INLET 6
•
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
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.)
3
ADDENDUM TO BUILDING PERMIT APPLICATION
PLUMBING
ELECTRICAL
MECHANICAL