PL-05-240Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: r:: +°a�i�_ 6.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit No.? L -
aster Permit No. �U' 12- C 'i
Permit Type (circle): Building Electrical ( Plumbi ) Mechanical Roofmg
- --
Owner's Name (Fee Simple Titleholder) O S Co 'srtve, nc e FS . rLA Phone #
Owner's Address 231 b 14-6 a.. c..' J w c0 p B L c01>
City 4 w ®® �� ®® State FL Zip 336 2 0
Tenant/Lessee Name Phone #
Job Address (where the work is being done) c 4 co (0
City Miami Shores Villas e County Miami -Dade Zip
Is Building Historically Designated YES NO i(
Contractor's Company Name Rd, t•J Le:::, 110C .-
Contractor's Address 19642- i' g2. ''a- J ® 120 14" C)
City` PAL IAA 5..-rTc BA1 State R_.
Qualifier V ®t.4,44- 0 W ° Sea .4122i-re ice.
Phone # J °�' Z3S �o� 12
zip 3(s 1
State Certificate or Registration No. Certificate of Competency No. ` -- le Ski
Architect/Engineer's Name (if applicable) tit LL4NC, i .. VA .j 45Se C I A.K. Phone # ®� It g -
$ Value of Work For this Permit "1 IMO
Type of Work: ['Addition ['Alteration New
Describe Work: 'PAIN, , rvo, DetAal tfr---
Square Footage Of Work: I (J 300 �,�P ,,, s 4f
❑ Repair/R.eplace ❑ Demolition
o ern?, t 4g'�(ra
**** * *** * * * * * * * * *** *'1 **, �Fee�** * ** *,� * * * * * *,� * * * * * * * * *,� *** * **
o,,
Submittal Fee $ Permit Fee $ (�-
Notary $ �'° Training/Education Fee $ 8 •8Q:
Scanning $ 00 Radon $ Zoning
Code Enforcement $ Structural Plan Review. $
CCF $ 2 40 CO /CC
Technology Fee $
Total Fee Now Due $
(Continued on opposite side)
2,1
Bond $..3C0 W
10707
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 v 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
CO1 jMENCEMENT."
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.
Signature
Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this /ST
day of ,20by day of 20d1,by 4/W. 0c02—.
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:
Sign:
Print:
My Commission Expires:
NOTARY PUBLI
APPLICATION APPROVED BY:
chc 05/13/03
Si '�. �4*""'`'. Deborah F Cockrum
My Co iasion DD3 0
Print: f. ,i a w ." October 23, 2005
My Commission Expires:4,3 /2c
�'. L Plans Examiner
Engineer
Zoning
May 26 2005 1:26PM C tical Path Services 3 0 387468
..r
Me .25 05 04: 08p SKLArchftacture 9E49258282
NOTICE CV COMLENCSO TT
A QED COPY MUST BE POSTED ON THE J08 SITSAT TIME OF FIRST INSPECTION
It
p.8
—. t , Tea Palo No. I I Sod.±C7tota. t Woo
ep�tit� 1d0. ,�-- .
STATE OF R.ORIOA
COUNTY OF MIAM1 DADE In socordsece
•
wt hereby jams mace that linprovements IND be made to certain . %Oaa t provided beds Nape real meaty,
of the and Olga a•
u .__._ 3J .P fit.. _ •'� .,�. �.i.1. i11,9
2 E>ssrxipilon of knisovemenbc
3. Ohaas(s) name end address
Interest In property,, Fee Simla
Name end address affect ample titleholder
4. Contractor's actor's name and eddmes •
6 Surety (Payment bond required by owner from contracier. 2 any)
Name and address: Idot
1 of $ x
S• Lender's name end address:
_
7. Persons wain dui State o Fiarbda by Owner upon whom maces wetter dacunients maybe served is
provided by Sec don 713.13(1)0)7. Fulda
Mane end address Oscar and Ad Mar. 2810Ifoljywaatd Eloulaised. Hallvw a d• IIor
S. In addthort toWeer.0 1M ) to racelveacopia the LisnoesPV eras frovithrd
M Swann 718.15(1 )(b). Ftodds tae. . -
Name ail arddress' . a
Title Insurance Cater... •
9. fir dote of Ws Notice of Canraenc es ent
diffaentdata Is
MSWC. MC
Agi. :1
Swam th eud subscribed biomes es,,,,�.,+1ay
draw 2005.
ataANKOISVCDOPIMENCBVIT.NOT
p
(ate expleatka date Is 1 year from the date of recoeffng trues a
Prepared* Last Ewe
P.A.
t 3,Ayeetre.finibe,280
Made 33131.
Or" OW WM
•
416.0 1903911111119193911n
-se Sationabildlialitifte
•
REV wIthOS
p.1
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/24/2005
Applicant: JAMES
Owner:
JOB ADDRESS: 9450 NE 2
Contractor PLUMMOR CORPORATION
Local Phone:
Parcel # 1132060132780
Plumbing Permit
Permit Number: PL2005 -148
Page 1 of 1
BREEDING
AVE
Contractor's Address: 14260 SW 136 ST #19
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1- 2 -3-4- & 5 BLK 21 LOT SIZE
Fees: Description Amount
FEE2005 -6505 Building Fee $1,440.00
FEE2005 -6506 CCF $28.80
FEE2005 -6507 Training and Education Fee $9.60
FEE2005 -6508 Technology Fee $36.00
FEE2005 -6509 Scanning Fee $3.00
Total Fees: $1,517.40
Total Fee41,517.40
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 11/8/2005 Construction Value: $48,000.00
Work: PLUMBING - GROUND UP CONSTRUCTION /MASTER PERMIT BP2004 -1433
AUG ' z 3 PAID
�flK
5,573
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 Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/16/2005
Mechanical Permit
Permit Number: MC2005 -61
Applicant: JAMES BREEDING
Owner: BREEDING JAMES
JOB ADDRESS: 9450 NE 2 AVE
Contractor UNITED HVAC SERVICES INC. Contractor's Address: 20601 N. W. 28 CT.
Local Phone: 305 - 625 -2401
Parcel # 1132060132780
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1- 2 -3-4- & 5 BLK 21 LOT SIZE
Fees: Description Amount
FEE2005 -6181 Building Fee $350.00
FEE2005 -6182 CCF $6.00
FEE2005 -6183 Technology Fee $8.75
FEE2005 -6184 Training and Education Fee $2.00
FEE2005 -6185 Scanning Fee $6.00
Total Fees: $372.75
Total Fees: $372.75
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 11/6/2005 Construction Value: $10,000.00
Work: INSTALL RTU CURBS - W- CAPS ONLY, UNITS UNDER SEPARATE PERMIT - MASTER PERMIT BP2004-1433
Signed:
(INSPECTOR)
DEC 0 5 PAID
13 19
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: