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PL-03-178Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 12/07/2007 Inspector: Grande, Claudio Owner: LLC, MSVC Job Address: 705 94 Street NE Miami Shores Village, FL Project: <NONE> Contractor: WATER MANAGMENT HOLDINGS & SEWER DEPT Permit Type: Plumbing - Commercial Inspection Type: Anal Work Classification: Addition /Alteration Block: Phone Number 305 -498 -1440 Parcel Number 1132060141960 Lot: Building Department Comments INSTALL WATER MAINS IN ALLEY ER NO. 15730 (PAID EXTENTION 1/28/2004) Passed Inspector Comments permit for Miami -Dade Water and Sewer. ok to close work has been done already. CG 12/07/07 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Friday, December 7, 2007 Page 1 of 2 Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2001 Permit N Master Permit No. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder),Mrami 540IAOs Phone # Owner's Addres'l 1 C. ' />.. � � 4 - �,L,.4 1 " State'-. , Zip. 3 /39 Tenant/Lessee Name Phone # Job Address (where the work is being done) ) ®5 C e 0 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name ./lAtet-41; Phone Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) . Phone # Architect/Engineer's Address City State • Zip $ Value of Work For this Permit Square Footage Of Work: Number of: Bays Stories Families Bedrooms Baths Type of Work: ['Addition ['Alteration DNew ❑ Repair/Replace ❑ Demolition Describe Work: * * ** * * * * a * ** * * ** *+r,r,r**** ** Fees ** * ** * *** ** *** * * *qt *** * *** * * *** 00 County Escrow Fee $ Permit Fee $ Z' t r ---- Notary $ Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) pj QA-4 kto9 4. zeio..oz) 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 AF'EIDAVIT: 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. Signa '� Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by , day of - , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print Print: My Commission Expires: My Commission Expires: * * * * ** * * * ** * * **** * * ** * *, ***** * **** * * * * * * * * * * * * * * ** * *1g ** * * ** ter * * * * * * * * *** *fir * ** * * * * * * * *, teat *** * * *** * * * ** * * ** ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. *************************** * * * ** * * * * ** * * * * * * * * * * * * * * * * * ******************** * * *+x * * * * * * * * * * * * * * * * * * * * * * * *** APPLICATION APPROVED BY: ia`■rr'` Plans Examiner Nw- Engineer �j �i 7,f /a, Zoning Chc7/7 /03 Mimi Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1 /28/2004 Applicant: Owner: OSORIO JOB ADDRESS: 705 NE 94 Plumbing Permit Permit Number: PL2003 -178 FLORANGEL ST Contractor MIAMI DADE WATER & SEWER DEPT Contractor's Address: Local Phone: Parcel # 1132060141960 Page 1 of 1 Legal Description: 5-6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 15 & W1/2 OF LOT 16 BLK 67 LOT Fees: Description Amount FEE2003 -4106 Building Fee $29040 FEE2004 -856 Renewal /Extension Fee ( $290.00 Total Fees: Total Fees: $580.00 Total Receipts: $580.00 Permit Status: APPROVED Permit Expiration: 10/4/2004 Construction Value: Work: INSTALL WATER MAINS IN ALLEY ER NO. 15730 (PAID EXTENTION 1/28/2004) cp(Alg. JAN 28PAID 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: MIAMI -DADE WATER AND SEWER DEPARTMENT POOLED CASH FUND P.O. BOX 330316 • MIAMI, FLORIDA 33233 -0316 CHECK NO. 241280 DATE PAYEE NAME /1/15/2004 T T SHt FS VILLAGE INVOICE DATE INVOICE NUMBER AMOUNT NUMBER PURCHASE ORDER DESCRIPTION )i -08 -2004 PERMIT 157 TOTAL 0 290.00 290.00 The attached check represents as shown on file In the Clerk's Office. 0P017631 the amount due you from For additional Information, Miami -Dade County contact (305) 665 -7471. SERVE © CONSERVE June 5, 2003 MIAMI -DADE WATER AND SEWER DEPARTMENT P.O. Box 550316, 1,'Jami, Honda 33233 -0316 o 3575 S. LeJeune Road o Tel: 305 - 665 -7471 Mr. D. G. Traill, D. ° ctor Miami Shores lage Public Wo = Department 10050 ► ' Second Avenue Mi. "Shores, Florida 33138 -2382 C�c�`45 6-`J Subject: Installation of 8" D.I WM in NE 94th Street from Club Drive NE. 8th Ave. ER No. 15730 As a result of your letter of August 2, 2001 to Luis Aguiar, see attached, the Department is proposing the subject improvement within the Village. Please advise if there are any objections to these improvements, specially the location of the proposed water mains. We look forward to hearing from you as soon as possible so that we can proceed with the project. Since `—i Utility Design gineer Attachments