584 NE 102 St (9)Date gACA Job Address
Legal Description LOT 2 E3(-OGIC 94) s'EcT, 4 of MIAMI 5}4O(2ES Master Permit ifr3 /���
Owner's Address 58+ µE 10q-
Contracting Co. TAM !{A22(5 PU i Address
Qualifier/,jr-1 h SS# Phone )s - q/3
State# Competency# be Ins. Co.
Architect /Engineer Address
Bonding Compaay Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL
1 PAIZZS To ft.umg'N6 $Q,EA1L.
WORK DESCRIPTION
Square Ft. Estimated Cost . a9. °°
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
DO SO 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).
Application is hereby made to obtain a permit
on the attached addendum (if applicable).
standards of all laws regulating cons
permits are required for ELECTRICAL
Si
Date:
Not
My
*
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
S54 NE 102 s rrz-.
/ Lessee / Tenant 11.4c'Y4AS S. LAUg.ENT PL
OW? LINE6.
re of Ow
a to
0
y Owner and /or Cond g President
mm Expires:
y
PERMIT FEE: APPROVED:
Zoning
Mechanical
/or Condo President
Tax Folio // J FI /° /2 / v{
Si- 7 c/ /g
Phone
(� &.
MECHANICAL PAVING FENCE ST :;
Rou t.4E1.4, U4E5 Tb t'-EPtAcE
to do work and installation as indicated above, and
certify that all work will be performed to meet the
this jurisdiction. I understand that separate
SIGNS, POOLS, ROOFING, and MECHANICAL work.
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.
Furthermore, I authorize the above -named contractor to do the work stated.
Fire
Building
umbing
Sig a ure of Contractor or Owner - Builder
Date:
12 41
0( ���
Noty a to Contractor o Ow er- Builder
My ommission Expires :Lf if
* * * *
Other
Electrical
q/ L
/ ,r /t gineering
*
,.., °
1_a
,1/
4
DEC 2 1 MS
Passed
t
r Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
'Inspection Number: INSP -3327
Permit Number: PL -12 -05 -1267
Inspection Date: 12/20/2006
Inspector: Levrack, James
Owner: THOMPSON, REX
Job Address: 584 102 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: AFFORDABLE IRRIGATION, INC
Buildinct Department Comments
Tuesday, December 19, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Sprinkler System
Phone Number
Parcel Number 1132060171021
Lot:
Phone: 305 - 681 -6322
Page 2 of 2
BUILDING
PERMIT APPLICATION
FBC 2001
Qualifier M RCo $ O
$ Value of Work For this Permit
Total Fee Now Due $ ! V00 100
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue,. Miami Sh
Tel: (305)I79 A41»: ( 1G
r , t.
a 33138
:8972
Permit No. 1 ZG
-astir Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Rex ex I . - Thorn pso NI Phone # 305 - (01.3- 0 q 5
Owner's Address 5 D le 4 N £ 102- fee 4`
City Mi q(f∎ kOre S State rl- Zip 3313 '
Tenant/Lessee Name
Phone #
Job Address (where the work is being done) S8 LI NE /0 2 S-h(ee -f-
City Miami Shores Village County Miami -Dade Zip 33 ►3
Is Building Historically Designated YES NO
Contractor's Company Name Qrdable 1 221 o -F /Dr► Phone #
Contractor's Address C ie u 10(O I3 R r ,
City ml to rn i State L Zip 33) (0 0
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
r
�C 5
4021- g1- Co 322
q(o3Jal
Type of Work: ['Addition ]Alteration ['New
❑ Repair/Replace 11 Demolition
Describe Work:
IQ( )j,1 pRinkle2 in34 iio-I-iDm
****************************F
Submittal Fee $ Permit Fee $ -r) V7/ CCF $ CO /CC
Notary $ Training/Education Fee $ (U Technology Fee $
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 will not be ap.roved and a reinspection fee will be charged
Signature
NOTARY PUBL
Sign: d;i oet)
Print: A7/4/1-- lv
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * **
chc 05/13/03
RO i• p I / . � sI Q . ww .N QQ NNNN � N
SAS
Signature
Owner or Agent ontractor
The foregoing instrument was acknowledged before me this j/ ' The foregoing instrument was acknowledged before me this / 7
day of ' 7 c(— , 20 OS , by / 7-'. , ►‘1 7 ..5,iv , day of Per 20 ° S by ' S
who is personally known to me or who has produced (Who is personally known to ale o? who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
M. C . ission Expires:
., Comm# DD0238491
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Flo t: p.. •
;orge Toledo
.r�e. Expires; AUG, 22, 2048
Bonded . hru
i,, OF r;o;s` Atlantic Bonding Co., Inc.
* ** ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * **
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
Issue Date: 12/20/2005
Owner's Name: REX THOMPSON
Permit Type: Plumbing - Residential
Work Classification: Sprinkler System
Job Address: 584 102 Street NE
Miami Shores Village, FL 33138
Contractor(s)
AFFORDABLE IRRIGATION, INC
Phone
305 - 681 -6322
Primary Contractor
Yes
Comments:
LAWN SPRINKLER INSTALLATION
Additional Information
Expires: 12/19/2006
Type of Work: SPRINKLERS Type of Piping:
Additional Info:
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.
Fees Due
CCF
Education Surcharge
Miscellaneous Fee
Permit Fee - Additions /Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$0.40
$60.00
$100.00
$3.00
$4.00
$168.60
Building Department File Copy
pplicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: PL -12 -05 -1267
Phone:
1132060171021
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 1,500.00
Required Inspections
Underground Sprinkler
Final
Invoice Number
PL - 12 - 05 - 23182
Total:
DEC 21 PAID
Amt Due
$168.60
Amt Paid
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
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, Expires; AUG, 22, 2008
;ib Bonded Thrn
0 ,0 Atlantic Bonding Co., Inc.
• •. •
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CC# 96P000219
Affordable Irrigation, Inc.
198 NW 139 Street
Miami, FL 33168
Tel: (305) 681 -6322
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
J
MIAMI SHORES VILLAGE, FLORIDA
Contractor'
License No.
Work to b performed under this Permit
PERMIT N? 5097
Amt. o
, ,
Permit
This permit /builder granted to the contractor builder named above to construct the building or to install the equipmen oN' r Qevic escribed in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performe 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 re ponsibij• y for.a knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings the st rn- s or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. # ' 4i*� ��G•*
Signed " - By 1t
e
ECTO�I
In consideration of the issuance to me of this permit I agree to perform the work coverec}4iereunder in compliance witl1i ordinances an4 r uu&�tions
y with plans, tio
pertaining thereto and in strict conformitith the pl drawings, statements or specificans submitted to the proper autlfd s of Miami S11b V 'fllage.
In accepting this permit I(assume responsibility for all work done by either myself, my agent', servant or employee.
. PO
RACTO OR BUILDER a BY
f
alue of
Project
DAT E
194
AUTHORITY
i
Permit No. _
Application is herebjn4le for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
stricture 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 of 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 he kept at
building during progress of work.
11
Owner's Name and Address _
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and /or Engineer
Employing Plumber's Name No._ Sheet
Location and Legal Description Lot _________________________ Block Subdivision
Street and Number where work is to be performed- -No —L_ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Size Septic Tank Type of Tank
' ei-uf'Drain Tile Dist. Feet of Tank or Drain Field from Well
Ansunt of Permit
My Commission Expires
Date ___
No. Street_
Capacity Gals
Nature of Water Supply: City —Well Size of Soakage Pit
(Signed)
Plumbing Inspector.
he undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
unclothe Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied' `th the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
perforhd under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
require by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensedy Miami Shores Village.
(Signed) _i
STATE °FLORIDA,
ss.
COUNTY ' DADE.
Before 1 the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments,
. No. of Stories___ ..____
to me well knt and who, being by me first duly sworn, upon oath deposes and says that he is the __.________ _..____
lribed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
of the above _ _ _ __ _ _
therein by hi ,d are true.
Notary Public, State of Florida
Master Plumber.
personally appeared
NOTE: A re• ction fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or Wanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOLINT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR. SWIM'G
SYSTEM POOL
CONTR.
LIST
.
CHECK
i
Permit No. _
Application is herebjn4le for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
stricture 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 of 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 he kept at
building during progress of work.
11
Owner's Name and Address _
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and /or Engineer
Employing Plumber's Name No._ Sheet
Location and Legal Description Lot _________________________ Block Subdivision
Street and Number where work is to be performed- -No —L_ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Size Septic Tank Type of Tank
' ei-uf'Drain Tile Dist. Feet of Tank or Drain Field from Well
Ansunt of Permit
My Commission Expires
Date ___
No. Street_
Capacity Gals
Nature of Water Supply: City —Well Size of Soakage Pit
(Signed)
Plumbing Inspector.
he undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
unclothe Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied' `th the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
perforhd under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
require by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensedy Miami Shores Village.
(Signed) _i
STATE °FLORIDA,
ss.
COUNTY ' DADE.
Before 1 the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments,
. No. of Stories___ ..____
to me well knt and who, being by me first duly sworn, upon oath deposes and says that he is the __.________ _..____
lribed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
of the above _ _ _ __ _ _
therein by hi ,d are true.
Notary Public, State of Florida
Master Plumber.
personally appeared
NOTE: A re• ction fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or Wanship.