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PL-08-339'MA4 aror . lib . BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) A.J M79-42_ Phone # i 8 49S: Owner's Address 5 e 1067 S, City 1 S 440212S State Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Type o Describe Submittal Fee $ O`° Notary $A) Scanning $ Z -03 Bond $ Structural Review. $ is Permit $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Fee $ 65,1- lDCo Is Building Historically Designated YES NO Master Permit No. Zip 3 Phone # County Miami -Dade Zip Contractor's Company Name A so Co Contractor's Address pc". 50 11 J') City t� _ State i� L Zip Qualifier Name t rl, etv V, Certificate or Registrati s n 7.. Certificate of Competency No. gineer's Na_ e (if applicable) Phone # 5 " 0 0 Square / Linear Footage Of Work: cc, 01035 lyi_LAGE �e� FE3 2 7 2008 B Y: �-.. Permit No. PtiQc — eZ C I Phone # ' o5 Phone # , 11 DAlteration ['New r Repair /Replace ********* aY*eYU atdret**** dedrdrde **** *****4ea:****F ' ********x s 'reY********xxxaxx *****de* ***xx /6 & CCF $ 0-6 CO /CC Training /Educatianee $ ? ._ Technology Fee $ 4:0, Radon $ Code Enforcetnent Zoning $ 1 'o tal Fee $ Total Fee Now Due $ 55 See Reverse side - [' Demolition 1 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. l 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. Signature Owne* Agent The foregoing instrument was ac owledged be e me this day o r t 20(22r by �0� who is personally known to me or who as produc As identification and who did take an oath. CjSd . / 4 as identification f and who ho is personally k own to me or who has produced NOTAR PUBLIC: y NOTARY PUBLIC: t • v • �'4Gc)�!b"��c� G Sign: Print: Sign: Print: My Commission Expires: APPLICATION APPROVED (Revised 02 /08/06) 4 IRA = Lam ' Signature Cont The foregoing instrument was acknowle / / day of Thb r1 ©8 by My Commission Expires: 2- ed before me this ************** *************** ' , ***** ****x- ****Y*** ********** Plans Examiner Engineer Zoning Project Address 65 NE 106 Street Miami Shores, FL 33138 -2034 Block: Lot: OWDg[.10ffgrpati9n Address Phone CeII DENNYS & ADONAY GONZALEZ(JTRS) 65 NE 106 Street MIAMI SHORES FL 33138 -2034 Contractor(s) Phone Cell Phone A SUNNY PLUMBING COMPANY Type of Work: PLUMBING Type of Piping: PUD PIPE Additional Info: Bond Retum : Classification: Residential Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Building Department Copy Friday, February 29, 2008 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores , FL 33138 -0000 Phone: (305)795 -2204 Amount $0.60 $0.20 $5.00 $160.00 $3.00 $4.00 $172.80 Parcel Number 1121360060300 Total Amt Paid I Amt Due $ 0.00 $ 0.00 Payment Type : MAR 0 3 2998 oionaK o� yak i I I`'1LL Authorized Signature : Owner / Applicant / Contractor / Agent $ 0.00 Applicant .......... Valuation: Total Sq Feet: Available Inspections: Expiration: 08127120€ 8 DENNYS & ADONAY February 29, 2008 Date $ 1,000.00 0 Inspection Type : Water Main Final Water Service Underground Rough Top Out Heater Lavatory Re Pipe Main Drain 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 . 1