The URL can be used to link to this page

PL-10-107 Miami Shores Village r, 10050 N.E. 2nd Avenuer Miami Shores, FL 33138 -0000 "M. ®mad Phone: (305)795 -2204 1QR1S?A � apgsrrs�*n r i " " Expiration: 071241201 Project Address Parcel Number Applicant 1640 104 Street 1122320320430 STEPHANIE HORWITZ Miami Shores, FL Block: Lot: Owner Information Address Phone Cell STEPHANIE HORWITZ 1640 104 Street MIAMI SHORES FL 33138 -2668 Contractor(s) Phone Cell Phone THE NEW MIAMI SHORES PLUMBING (305)751 -2446 Valuation; $ 2, 400.00 .786)553 -5424 Total Sq Feet: 0 Type of Work: SEWER LINE REPLACEMENT For Inspections please call: Type of Piping: PLUMBING (305)762 -4949 Additional Info: SEPTIC TANK CONNECTION Available Inspections: Bond Return : Inspection Type: Classification: Residential HRS Approval Abandonment Final Rough Landscaping Fees Due Amo ]50.00 Invoice # Total Amt Paid Amt Due CCF PL -1 -10 -36872 $ 157.80 $ 50.00 $ Education Surcharge PermitFee - Additions /Alterations $1 PL - 1 - 10 - 36872 $ 157.80 $ 157.80 $ 0,00 Scanning Fee Submittal Fee $ Submittal Reversal Fee ($ Technology Fee Total: $157 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. January 26, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Cop January 26, 2010 �� 1 `" Miami Shores Village IVED Building Department JAN 2 2 Tote 10050 N,E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 •r�..•G...�.. BUILDING Permit No. FLI PERRMIT APPLICATION Master Permit No. FBC 2004 Permit Type: Plumbing I _ Owner's Name (Fee Simple Titleholder)p ¢ W s_� yahke Phone # :5 5 88`2663 Owner's Address °IG40 W E 10 S4- City � 1 Q1Y)1 State 4:: ' ( Zip 33 j 8 Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) A —ro 4 0 N E- 10 4 �z City _, Miami Shores Village County M ami -Dade Zip 3 : 5 13 B. POLIO / PARCEL # 1 1 - 2232- 032 - 04 3 0 Is Building Historically Designated YES NO Contractor's Company Name_�AE aPVNII 15kOr2S �tUUIl hone# 3 Contractor's Address 00 rjou 4 4 S'i City r ryll State Zip 3 3 l (o G Qualifier Name MG a Phone # 305 7 State Certificate or Registr ion No. C C ( 2� 5 Certificate of Competency No. E -MAIL: v)r} I Ct0 - GO e-r1 Architect /Engineer's Name (if a plicable) Phone # Squad / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration FINew Re air /Re lace p p n Demolition Describe Work: 9 6291-n ce. 3ec4b 7 Sev- A'er 6 ne. fX / e•^ Submittal Fee $ " to 60 Permit Fee $ "7 CCF $ C CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -3 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 $2506, 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 fior the first inspection which occurs seven (7) days rafter 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. Signatur Si nature `-� ..c �/" � �---- �c�. - -""-` g e ,r- Owner or Agent Contractors The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 by day of l oft u OAA , 201a , by r s mc- Lo u��ltr ,�, who is personally known to me or who has produced who i s_personally known to m e or who has produced As identification and who did take an oath. as iden 1- w1% I m NOTARY PUBLIC: CARMEN A. RIVERA CARMEN A. RIVERA lYt?TARY PUI3LI ' MY COMMISSION # DD75' 3 _ *• • *: MY COMMI IOPO # DD763Ef65 , EXPIRO i4arch 16, 2012 EXPIRES March 16, 2012 Sign: ry8eroice.00m ryssrv�c ®.00m Sign: Print: Print: C(r ve My Commission Expires: 03- My Commission Expires: d 3 - I Co -12 APPLICATION APP R VED BY` l '✓ Plans Examiner Engineer Zoning (Revised 02/08/06) ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING; PERMIT MUST ACCOMPANY THIS ADDENDUM.. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE O DISCIPLINE APPLIED FOR: PERMIT # PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING DISPOSAL IRECEPTACLES A/C (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP UNDERGROUND TANKS CLOTHES WASHER OVEN ABOVE GROUND TANKS SHOWER WATER HEATER U.F. PRESSURE VESSELS SINK. POT/3 COMP. MOTORS 0-1 HP STEAM BOILERS SINK, RESIDENCE. MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3-5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5-8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8 -10 HP ELEVATORS/ESCALATORS WATER CLOSET MOTORS OVER 10-25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25-100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION A/C UNIT A/C WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. STRIP HEATER HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE SPECIAL PURPOSE SEWER CONNECTIONS OUTLETS COMMERCIAL UTILITY- SEWER SIGN TUBES UTILITY -WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES FAINFIELD, 4" TILE/RES. ANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU. FT. VIOLATION CATCH BASIN REINSPECTION DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING . . ............ . . .. ............ Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 ..... .. . . ......... . . Inspection Number: INS P-1 34067 Permit Number'. PL -1 -10 -107 Scheduled Inspection Date: February 03, 2010 Permit Type: Plumbing - Residential Inspector Hernandez, Rafael Inspection Type: Final Owner: HORWITZ, STEPHANIE Work Classification: Septic Job Address". 1640 NE 104 Street Miami Shores, FL Phone Number Parcel Number 1122320320430 Project: <NONE> Contractor: THE NEW MIAMI SHORES PLUMBING Phone: (305)751-2446 Building Department Comments Inspector Comments Passed I Failed Correction lie Needed Re-inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. February 02, 2010 For Inspections please call: (305)762-4949 Page 11 of 22 STO/60612 SH01MRS (1131A NVOS VJV(I 099L 289 008 T YVA T2:60 OTOZ/CO/ZO