PL-04-155Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: PL2004 -155
Printed: 6/8/2004
Applicant: JOSEPH DAY
Owner: DAY JOSEPH
JOB ADDRESS: 1032 NE 98 ST
Plumbing Permit
Contractor EMPIRE PLUMBING COMPANY Contractor's Address: 1853 WEST AVE
Local Phone:
Parcel # 1132050180320
Legal Description: REV PL MIAMI SHORES SEC 8
Page 1 of 1
PB 43 -69 LOT 15
BLK 180 LOT
Fees: Description Amount
FEE2004 -5746 Building Fee $180.00
FEE2004 -5747 CCF $1.20
FEE2004 -5748 Training and Education Fee $0.40
FEE2004 -5749 Technology Fee $4.50
Total Fees: $186.10
Total Fees: $186.10
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 11/21/2004 Construction Value: $2,000.00
Work: REMODELING OF BATHROOM AND GARAGE
AUG 0 5 PAID
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, 1 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:
[ CElVED
QQpp Y
? 2004
tc
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
cidd
Permit No. P2-21-10 1— 153--
Master Permit No. 0 0 3 - 10 �! D
Permit Type (circle): Building Electrical Mechanical Roofing
Owner's Name (Fee Simple Titleholder) a 7-et b C y Phone #
Owner's Address 103Z^ NE q gr s`
City '(ThQm t r cS State
Tenant/Lessee Name
Zip a3 13S
Phone #
Job Address (where the work is being done) \ D 32 1•E �t E '1'14 sf
City Miami Shores Village County Miami -Dade Zip 1/43313(2)
Is Building Historically Designated YES NO (--'---
Contractor's Company Name er 1" I r e k v rT 1 to A n a Co Phone # 3 05— 531 — �l (r:"
Contractor's Address l 5 �..s. e t)t Q ve- v
City V1\ Q Y1n % .b e? 0.Ckl State V L... Zip 3,139
Qualifier 1\\ber-t E 1 z cF Cr CD-2.9- 5 l Co
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit d / vG Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: gemODet) N 0 BATHpl:CtrA elpipfirc,
* * * * * * * * * * * * * * * * * * * * * * * * **
F
Submittal Fee $ Permit Fee $ % CCF $ it , a 0
Notary $ Training/Education Fee $ e ti 0 Technology Fee $ CI, S
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ L 6 4 ))
(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 approved and a reinspection fee will be charged.
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 , by
who is personally known to me or who has produced
As identification and who did take an oath.
Signature
Contractor
The foregoing instrument was acknowledged before me this t
day of m Ov i. , 20041, by •fibe.<k
yha i „person a1lly k„own to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print: / Q ■t r °-
My Commission Expires:
• . ^� . �. r r�.xr:
NOTARY SEAL
► �YAJAIRA SMITE OF E O F
N � LIC S FLORIDA
My Commission Expires: 'Z het 9 I o co
(Certificate of Competency Holder)
State Certificate or Registration No. C.�C e..- c -' S l Co Certificate of Competency No.
FEB.
19
006
* * * * * * * * * * * * * * * * * * * * * * * * ** ***fir ***v ****************************** * * ** * * *t* * * * * ** * * * * * ** ** * * ** * **
APPLICATION APPROVED B /, �� 1 % ` r�Plans Examiner
Chc 10/14/03
Engineer
Zoning