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PL-08-1604Project Address 41 NW 109 Street Miami Shores, FL 33168 -4314 JCD PROPERTIES Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores , FL 33138 -0000 Phone: (305)795 -2204 Contractor(s) Phone Cell Phone DONOVAN PLUMBING SERVICE INC (954)931 -7737 Type of Work: PL WORK Type of Piping: Additional Info: Bond Return : Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $185.00 $3.00 $4.62 $193.42 Authorized Signature : Owner / Applicant / Contractor / Agent Building Department Copy Thursday, September 11, 2008 Expiration: 03/1 0/2009 Parcel Number 1121360030290 Block: Lot: Total $ 0.00 $ 0.00 Payment Type : Amt Paid I Amt Due $ 0.00 Applicant Owner Information Address Phone CeII 700 E DANIA BEACH Boulevard DANIA BEACH FL 33004- Valuation: Total Sq Feet: JCD PROPERTIES $ 1,000.00 0 Available Inspections: Inspection Type : Water Main Heater Underground Rough Re Pipe Top Out Main Drain Final Lavatory Water Service September 11, 2008 Date In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all or finances and reg la tx tg 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 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titlel Older) Owner's Address City iNtla 4, &■ Tenant/Lessee Name E -MAIL: S LS State fp Job Address (where the work is being done) 9/ / (4.) City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 1 I —3c, —co - O yi Is Building Historically Designated YES NO Bond $ Architect/Engineer's Name (if applicable) Value of Work For this Permit $ - 760' Submittal Fee $ Notary $ Scanning $ ' bd.)) Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Type of Work: ■ Addition' ['Alteration DNew Describe Work: Rep f A C e S 00..-J .e ( Pa n /7 I OC / n a nd Pci.oce Permit Fee $ Training /Education Fee Radon $ Code Enfor MIAMI SHARES VILLAGE Permit No. FL° 1 b ©4 Master Permit No. itOT" 1602 (fPhone # 9)` V (,):9 l ei 1 0 Zip 33 CO L / Phone # -�— S 7L Phone # Zip Square / Linear Footage Of Work: Contractor's Company Name D ®A © IA% A PA/ M b IN. ce f tJ jelfOse # 9 ! J) 7) 3 7 Contractor's Address T) '71. A w 30 st Cit !' &.doo ( State Y - I , Zip 3 30.2 t / Qualifier Na e VGo j (\ //�� � Phone# 3S' '93/ >7 3, h State Certificate or Registration No. e ti in ? / O Certificate of Competency No. 06 9000 3 E -MAIL: Repair /Replace ❑ Demolition UQ. /t/)1, id Sr�t **& * 4 **** akx *****$ *de poes****kd:xeYvkoY****eFaY***** ww Icww******** *x /1 CCF $ 040 CO /CC Technology Fee $ .4, ID� Zoning $ inep ^r ' r � L_ ___ i Double Fee $ 't Total Fee Now Due $ See Reverse side —+ 3226" Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Signature (Revised 02/08/06) , r C� /1), t State My Commission Expires `'; -- )(,i'-©n Zip 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 Owner or Agent The foregoing instrument acknowledge efore me this day of, /lfal , 20® by 'y cJ PC who is personally known to me or who has produced LJ/ AsideTNARI,1J 1TA9 I,; tit NOTARY PUBLIC: A ^ "�pg JIM Ke ` er E ni ; ' DD4° :' d, .. x� Lr'' 74, 24, 2009 ,, .ter . :v , Co. Inc. Sign:. V � Print: NOTARY PUBLIC -STATE OF FLORIDA Nicholas D. Keller Commission #DD411356 Bones Tit Ad ntie Bonding MAR. 24, C240c Signature Con : ctor The foregoing instrument was acknowledged befo e this )1.0" day of ii 20 etby' 40%4" k (1S who is perso gal known to me or who has produced / ' . as identi whp i ah. �!��� NOTARY PUBLIC: e l w. �.:s Keller a: 24, 2009 ding Co., Inc. Sign: �/ Print: NIL-Iva 4 S My Commission Expires: 3---),4 40 x4exxuxoh tt:Yxux9e t�YxaY sn4xxF. oe 3r tiexueY 4c aYx : *** aYxxdr 4exoYat dr oY eE is &nYx &xxxxxx9e sY w'-aF aY 4z aYxaenY oY aY 4exx4 al 0 / — 0 P Examiner ** tic***** &aY�e****o:4c�Y4: ****** APPLICATION APPROVED BY Of*/ � - Engineer Zoning NAY PUBLIC-STATE OF FLORIDA Nicholas D. Keller Commission #DD411356 Bonded Thru Expires: t dc Bonding Co., O Inc.