PL-04-175Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Parcel # 1131010230120
Signed: (INSPECTOR)
Plumbing Permit
Permit Number: PL2004 -175
Printed: 6/14/2004
Applicant: ANTONIO F MANSO DE SOUSA
Owner: SOUSA ANTONIO F MANSO DE
JOB ADDRESS: 162 NW 102 ST
Contractor LASSETER PLUMBING CO INC Contractor's Address: 865 NE 130 ST
Local Phone: 305 - 893 - 7180
Permit Status: APPROVED Permit Expiration: 12/8/2004 Construction Value: $2,300.00
Work: REPIPE HOUSEM WATER SERVICE
Page 1 of 1
JUN 14 PAW
Legal Description: 1 53 41 BONMAR PK ADD A RE -SUB PB 24 -71 LOT 10 & W1/2 11 BLK 2 LOT SIZE
Fees: Description Amount
FEE2004 -6085 Building Fee $160.00
FEE2004 -6086 CCF $1.80
FEE2004 -6087 Training and Education Fee $0.60
FEE2004 -6088 Technology Fee $4.00
Total Fees: $166.40
Total Fees: $166.40
Total Receipts: $0.00
C &t--4 1b7[/
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:
Permit Type (circle): Building Electrical
BUILDING
PERMIT APPLICATION
FBC 2001
Tenant/Lessee Name
4PF 1 9 2004
Type of Work: ❑Addition DAlteration :New
Describe Work: it Ft, /y
_
Submittal Fee S?) .® Permit Fee $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue,lVfiarni Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Plumbing
Permit N) L 0+.
Master Permit No.
City /04 £4i9 4/State 72o Zip 3 3 3
Phone #
A (7 Technology Fee
Notary $ Training/Education Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ S
Mechanical Roofing
Owner's Name (Fee Simple Titleholder) �,o���� /2. r - Phone # � j 7 2 O
Owner's Address g® 99 ,/ /S C /A& aL ae>
Job Address (where the work is being done) �® 99 0 ,..e &y,tJ f e3z `%'
City 1 fiami Shores Village County Miami -Dade _ Zip
Is Building Historically Designated YES NO
Contractor's Company Name " e✓e e 9 ' ' % hone # 76. e-f e/
Contractor's Address 3,rf ® 3 -3 ricLS t_® A %* 7 ,..., 434-71 e_
City f— '° / _ ip- lb► State Pc- Zip 3 4 2.
Qualifier "..4 1e7 e F
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit 6- a Square Footage Of Work:
e pair/Replace 0 Demolition
r
CCF $ , - CO /CC
•
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 CONDMONERS, 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 absenc of rucJl poked notice, the
inspection will not be approved and a reinspection fee will be charged
Signature
State C
Chc 12/15/03
The foregoing instrument was acknowledged before me this
day of 12. `✓0 20 Ql'i by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Co
eL P RA O - 0°C
11 ,
V
tom
' or Agent tZr4
APPLICATION APPROVED
EDUARDO O'TOOLE
Nble
PACarrohdortEctesl
Commission # DD243942
Signature
Sign:
Print:
My Co
* * * * * * * * * * * * * * * * * * * * * * * * * * **
ertificate of Competency Holde
9.-6 Certificate of Competency No.
***** * * * * * * * * * * * * * * * * * * * * * * * *�.,�,� **.*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
6ys f < ouvil Co i act 14/0e.. .-;t roc:1z
The foregoing instrument was acknowledged before me this
day of e / , 20 oQ /, by
who is personally known to me or who has produced F pS L
as identification and who did take an oath.
NOTARY PUBLIC:
Tres: EDUARDO 0700LE
=Aiwa Commission �142
* ** * **
* * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
f
ITEM
BATH TUB
UNIT
•
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
_
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
_
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 FP
STEAM BOILERS
SHOWER
MOTORS QVER 1- 3 HP
HOT WATER BOILERS
SIX, POT /3 COMP.
MOTORS OVER 3- 5 FP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
`
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
_
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES-'
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
'HEATER -NEW INST.
GENERATORS TRANSFORMERS
i
HEATER- REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP 8 ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
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
_
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, • •. w'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
t� D� r od ar j jp
1
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: PL2004 -124
Printed: 4/30/2004
Applicant:
Owner:
JOB ADDRESS: 9099 BISCAYNE BLVD
Contractor ALL COUNTY PLUMBING
Local Phone: 305 - 796 -6124
Parcel # 1132060110040
Fees:
FEE2004 -4346
FEE2004 -4347
FEE2004 -4348
FEE2004 -4349
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Total Fees:
Amount
$130.00
$0.60
$0.20
$3.25
$134.05
Total Fees: $134.05 r_
Total Receip . 0 �
Signed: (INSPECTOR)
Legal Description: 6 53 42 ASBURY PARK
Permit Status: APPROVED Permit Expiration: 10/17/2004 Construction Value: $650.00
Work: ADD NEW PUMP
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)
Plumbing Permit
Page 1 of 1
Contractor's Address: 3810 S. STATE ROAD 7, BAY C
PB 4 -110 BEG AT X OF E RNV /L BISC BLVD & S /R/W /L
1qf 27
BY:
MIAMI SHORES VILLAGE
Z BUILDING DEPARTME
/ 305 - 795 -2204
Building Inspection Requ st .. sk. „6
Date Z 1
I(c1 n TO p o
Permit No. q.007-0 P 1 ou ` 1 1 S Name .
Address / t ( � D , l NUJ 1
LO 1L 54—
Company S r
Phone #
Inspection Date
Type Insp)n
Approved
Correction
Re- Insp'n Fee
2A
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical
City / / Jlfebe State f
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Mechanical Roofmg
74 1kr® ,�(�1 3 ne #, 3� 7
Owner's Name (Fee Simple Titleholder)
Owner's Address /6 c2 X a /0
Plumbing
Tenant/Lessee Name Phone #
Job Address (where the work is being done) /& /i2J
City Miami Shores Village County Miami -Dade Zip 3 /3Y
Is Building Historically Designated YES NO
Contractor's Company Name SS ET P6,6, 1 3
Contractor's Address 16.cr , /3 1
City H. in Giro( State -
Qualifier 3 0 bill) L J 7 Fi-
Master Permit No.
Zip 3. /3Y
Phone #
Permit No. i?' )-- 3O®F -- n5
3a,5 7/d'0
Zip 3
/
i
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Type of Work:
Describe Work:
S• e
'4023 a
ddition
Alteration
Submittal Fee $ Permit Fee $
ONew
Square Footage Of Work:
lE( Repair/Replace 0 s emolition
CCF $ an CO /CC
Notary $ K° Training/Education Fee $ Technology Fee $ , D 0
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ ! h C Y 0
(Continued on opposite side)
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 a.proved and a rem ection fee will be charged.
The foreg
day of
who i
ersonally known
K 1'4
NOTARY ' UBB,IC:
Sign: /1111
Print: c Ssr /V4 ,a
My Commission Expires:
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Cho 12/15/03
R gio Bonded 'Mu Notary Public Underwriters
Owner or Agent Contractor
ing instrument was acknowledged before me this /t4 The forego : g instrument was acknowledged before me this Ai +
20 t by thiriathe Phipvso Da`s oom- of --3 20 o9 by bif/1J AU.-4,416 "
me or who has produced who i ersonally kno me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
*x * *. *, **,.***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
ITEM U
UNIT F
FEE I
ITEM U
UNIT F
FEE I
ITEM U
UNLIT F
FEE
SERVICE TEMPORARY -
-_ A
A/C (CENTRAL)
DRINKING FOUNTAIN S
SERVICE SIZE IN AMPS D
DUCT WORK
FLOOR
E IN S
�� R
_ A
S REPAIR/METER CHANGE R
�_ U
REFRIGERATION -
-
LAVATORY �
OVEN ' -
-_ A
ABOVE GROUND TANKS
LAUNDRY O
WATER O
U.F. PRESSURE VESSELS
CLOTHES TIASHER M
MOTORS 0- 1 IP S
STEAM BOILERS ,
,
MOTORS OVER 1- 3 If -
- C H
HOT WATER BOILERS ,
,
SANK, POT /3 COMA. M
MOTORS OVER 3- 511' -
-- M
MECHANICAL VENTILATION 1
1
RESIDENICE M
MOTORS OVER 5- 8 11' -
- -
- T
TRANTSPORT I NG ASSEMflL I ES 1
1
S INK, SLOP M
~_ M
MOTORS OVER 8- 10 I
E
- C
ELEVATORS/ESCALATORS
= 1
1
1111111111111111W111111111
R
DI
R
I
A
ET
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDIF'G PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BET
OBTAINED., THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ELECTRICAL
MECHANICAL