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415 NE 102 St (7)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request ctY Date .A\O5 TypeInsp'n 5144 PA/t4/rik Permit No. ®5 j 1 Name [� Address —! / 5 Company - .•e1// "e Phone # Inspection Date Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date5 'T 1 ( `O Type Insp'n hA'*) / G 6 Permit No. / 0 5- L G Name lam/ /02 Address t "! 5 Are $7 Company Phone # Inspection Date Approved Correction Re- Insp'n Fee 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax(3.05)- 756.8972 BUILDING _� Permit No. eL-.P,� -/' 1 / PERMIT APPLICATION FBC 2001 Tenant/Lessee Name $ Value of Work For this Permit Total Fee Now Due $ /.7 o • (Continued on opposite side) Miami Shores Village Building Department aster Permit No. Permit Type (circle): Building Electrical ' lumbin Mechanical ��^p Roofing LL # ' JZ # / _S',6 d!,6L - ,L7 Phone O Owner's Name (Fee Simple Titleholder) Y Owner's Address 0/ 6-/en vt CO&cc o4cc- City /j1 / //n/ sf �S State FL . Zip 3 ' Phone # Job Address (where the work is being done) 7 /S- /0as7. City Miami Shores Village County Miami -Dade Zip 33/3Y Is Building Historically Designated YES NO Contractor's Company Name L J FT } U ,3 /W G Phone # ,34 - 3 ' //e Contractor's Address P J /1/6 , ./3 4 f' City / m /4/0/ State / Zip 33/ ( Qualifier JU /i m L 4 6 / State Certificate or Registration No.e /C 0 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: ['Addition ❑Alteration ❑New Er Repair/Replace ❑ Demolition Describe Work: RFpIPE (,llfi rE ' S /O /,vP / X TtJ.e4�SS «474? ,(lge c. c 4 ppF.' L,JJE -S' _ £EpMe / ✓✓ /T ed#r e ,Vz 4 7 4 ti (9_, E f'`iocv R..4N. * * *n * * * * * * * * * * * * * * * * * * * * *F * * * * * * * * * * * * * * * * * * * * * * * * * * ** /l Submittal Fe U C I d Permit Fee $ `CD c- CCF $ /t. d CO/CC Notary $ ' Training/Education Fee $ ® Technology Fee $ J , 7d Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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 ti ' not be approved and a reinspection fee will be charged. i• W Signature The foregoing instrument was acknowledged before me this 20 D b 54&Lk.. 606Ct?T to me or who has produced As identification and who did take an oath. Chc 05/13/03 day of who is p NOTARY P :LIC: Sign: Print: My Commission Expires: Own r or Agent *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * APPLICATION APPROVED BY: is h. •S ;: Jrt QR S MY COMMISSION # CC 997648 .II Bonaea Thru Notary Public Underwriters Signature,.; The foregoing instrument was acknowledged before me this / day of "c,.2 , 20 O by J 014 At LA.L.0 =7`3C - who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Cr cliSTINA PORRAS '97648 May 30,2005 e ry un c Undetwtlten Sign: 5 Print: e / ra(,.(f7 /A // - My Commission Expires: Contractor ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/11/2005 Parcel # 1132060170780 Plumbing Permit Permit Number: PL2005 -111 Applicant: RITA MCCARTHY Owner: MCCARTHY RITA JOB ADDRESS: 415 NE 102 ST Contractor LASSETER PLUMBING CO INC Contractor's Address: 865 NE 130 ST Local Phone: 305 - 893 -7180 Legal Description: AMD PL OF MIAMI SHORES SEC 4 Page 1 of 1 PB 15 -14 E1/2 OF LOT 14 & LOT 15 Fees: Description Amount FEE2005 -4711 Building Fee $150.00 FEE2005 -4712 CCF $1.80 FEE2005 -4713 Training and Education Fee $0.60 FEE2005 -4715 Technology Fee $3.75 Total Fees: $156.15 Total Fees: $156.15 Total Receipts: $0.00 a (09 Permit Status: APPROVED Permit Expiration: 10/2/2005 Construction Value: $2,400.00 Work: REPIPE WATER LINES TO EXISTING FIXTURES WITH NEW COPPER LINES. REPLACE WATER HEATER AND ONE SHOWER APR 11 PAID Signed: (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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: REQUEST FOR INSPECTION Job Address Inspection Date Ready Time Ready A.M. P.M. BUILDING ELECTRICAL PLUMBING Owner of Building Architect contractor or Builder Legal Description Address of Building Lot , MIAMI SHORES VILLAG F LORIDA- - DATE _PERMIT N° 9892 CONTRACTOR OR BUILDER Work to be performed under this Permit Bl. Subdi- vision Value of Project $ Contractor's License No 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. / • / Signed • 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_ bf Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 195 ( „ Permit No._ 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 �f Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied 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 es 6 "� No Street Registered Architect and /or Er(gineer t j Employing Plumber's Name .Vi i� C tf d Location and Legal Description Lot Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No Lie State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he // u : erstands and accepts his o . ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled G &neral Laws of Florida Perm. -nt 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 hotice 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 are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 facts therein by him stated are true. \r Block ( Signed ) (Signed) No Street , Subdivision___ ) `� 41 -1 Street / 4 Date F " /P- My Commission Expires ' Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TOSS U RINALS CATCH BASIN FLOOR / DRAIN ! DRINKING FOUNT' NS .-t .44 TOTAL FIXTURES C ONT R . / / 2.-- _L CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK 0 Permit No._ 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 �f Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied 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 es 6 "� No Street Registered Architect and /or Er(gineer t j Employing Plumber's Name .Vi i� C tf d Location and Legal Description Lot Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No Lie State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he // u : erstands and accepts his o . ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled G &neral Laws of Florida Perm. -nt 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 hotice 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 are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 facts therein by him stated are true. \r Block ( Signed ) (Signed) No Street , Subdivision___ ) `� 41 -1 Street / 4 Date F " /P- My Commission Expires ' Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.