PL-06-224808-02-'13 06:26 FROM-
Ph0n4.,:(10.5)79.5-2Z0'4. F4jr.. P08)70460972
Number.,
Scheduled. Inspedlon
011 2Q 0
(?wb*efe: PERLSARQ, LRN,04D_
Job Address: ...g1.1
Project: 4NONOt-
T-635 P0007/0008 F-814
Pefmitmmticr PL,- .9- 0.0-:$
ftrloltlypeF p(UMb*' In z. R
g Q*jd06jrjgj
- workdktSCation: Gat
Pb*dh#.NwMb.*6r
:Contractor: 61AL PLumgtNp do
p Ph.0n*.-4(30S)22145 49,
*GAS FOR GENERATOR
Ed P) P� "0 GAS
Failed
Corro6ttoti
-Needed
Rib-ins P ectidh
Foe
No Adcflg6oal Insipwi*46 cah be scheduled until
August 01, 2013 For Inspeotfolle please cipil- (406)70-4049
Page. 12 of 12
Inspection Date: 09/20/2006
Inspector: Levrack, James
Owner: PERLBERG, ARNOLD
Job Address: 1411 101 Street NE
Miami Shores Village, FL
Project: <NONE>
12006
Permit Type: Plumbing - Residential
Inspection Type: Rough
Work Classification: Gas
Phone Number (305)754 -6976
Parcel Number 1132050240300
Block: Lot:
Contractor. DIAL PLUMBING Phone: (305)221 -8569
Buildina Deoartment Comments
Tuesday, September 19, 2006 Page 2 of 2
G
sl
I omments
Passed 1i
I
Failed E]_
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Tuesday, September 19, 2006 Page 2 of 2
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Permit Status: APPROVED
Issue Date: 9/12/2006 Expires: 03/11/2007 Permit Number: PL -9 -06 -2248
Owner's Name: ARNOLD PERLBERG one: (305)754 -6976
Permit Type: Plumbing - Residential
Work Classification: Gas
Job Address: 1411 101 Street NE
Miami Shores Village, FL
Contractor(s) Phone Primary Contractor
DIAL PLUMBING (305)221 -8569 Yes
Comments:
GAS FOR GENERATOR
Additional Information
Type of Work: GAS FOR GENERATOR Type of Piping:
Additional Info: Bond Return
Classification: Residential
to me of this permit, I agree
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
Amount
CCF
$1.20
Education Surcharge
$0.40
Permit Fee - Additions /Alterations
$160.00
Scanning Fee
$3.00
Technology Fee
$4.00
Total:
$168.60
Building Department File Copy
Applicant Signature
Total:
Parcel #: 1132050240300
Block: Lot:
Section: PB:
Total Square Feet: 0
Total Valuation: $ 1,200.00
Amt Due
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.
Miami Shores Village
. Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING D L`5' Permit N l._ z-45
SEP O 1 1006 � °'
PERMIT APPLICATION r, Master Permit No.j C
FBC 2004 6 Y. _�1_�?!_ <_ --
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) nAAl "Q Phone #��
Owner's Address
City
Tenant/Lessee Name
State 1. Zip 3 ,3) 3
Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip 3 3 13
FOLIO/ PARCEL # _ // 3 -)-®Y ® 7' y Q -3 D 0 .
Is Building Historically Designated YES NO
Contractor's Company Name Phone #714 / p 7 30S 22.1 IJ4 7
Contractor's Address( , j 1,tj 2. 21 5
City `y'4-;" / State
Qualifier Name /::-/?- /? /&,? ),_,, /—o "'1 �
State Certificate or Registration No.
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ / '0 0
Type of Work: [Addition ❑Alteration
Describe Work: l // a 4Aj A/,/,- Ll ,i? 6
Submittal Fee $ Permit Fee $
Notary $
Scanning $
Bond $
Structural Review. $
Training/Education Fee $
Radon $
Code Enforcement
0
Zip
Phone # 746 'VIZ- 6 7 Z27 3d 20
Certificate of Competency No. /IV-? 1 7
Phone #
Square / Linear Footage Of Work:
❑New ❑ Repair /Replace ❑ Demolition
0 CCF $ CO /CC
Technology Fee $
DPBR $ Zoning $
Double Fee $
Total Fee Now Due $
See Reverse side -a
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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: T 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 roved and a inspection fee will be charged
Signature Signature �-
Owner or Agentj Contractor
The foregoing instrument was acknowledged before me this !0 The forego' g instru ent was acknowledged before me this /�
day of 6persona , 20q4, by day of , 006, by ,
who is ll y known to me or who has produced who is personally known to me or who has produced
As identification an A who did take an oath. identification and who did take an oath.
NOT
Sign:
Print:
My Commission E S. y. M10
APPLICATION APPROVED BY:
(Revised 02108/06)
NOT
� / rrrrrV.-r,7
My Commissions iz•
Plans Examiner
Engineer
Zoning
r
SITUATEb IN 10N
4ir.
1
i •�6/y r0 /+�,, '�t i4� t•U• 7A7 / /:n'` ,/. i,'arY �'•� .
Al_===c K. Aa. �c� i � r .• � ,.
tt, ,. ti.tiF; ', f/, �.�. -•• lrl �:•O �,, y ' �•r i �',t
` +� r kr I
t ! p1 . r ! trl • i': t
'' � . i�'A1�� ;8t+ �(C�iR• 1,06ss
~�sl O' t• • , t7� ^ �;, r -• /,•yet
Iv— AL!Ei
� r :' •;c: -sij,v -'� ✓ f`�� /; sue'
1—r,
v �'��� _
S P 0 S 2006
It
tAf
tt
,lO� ��� ,r tip ?i,. + . •:' . � .t. � �. _ '�,� �' �' •1}
t /•• \. /Q d r /jam • (Op�', i ' + cA/ . °," .� ..
�y , ==- --'T Us property d scribed a:
Cy, r� Y,7� _ "7, '• _ ." Lot 13 , Block 3 ,
RUPLAT UP TRACT A of M AMx
,.'• � 0� l '
SHORES BAY PARK ES','A E.E3.
according :t0 the Plat
'�W �T1' •- ° •err, ,,�,�..�— triereof , as recorcle:d in
Plat Book 56, Pagr; 8.6
NOT : Uiulorground encroachments, of the Public Itccar ci:5 of
if ally, not locatccl.
Dade County, Flur.'ida.
PROPERTY OF. PerlLErq, Arnold I'd. irurtl, 141.1 rd:t•.. 101st Strcrc:., rMifami q}ic>r.c.�
'�qnt,vafIt! untcts embossed,
- F Lo lc}a v
L A N .N E S and E A R C ! As I N:
W`Li1 �VfY�j(Q�S• eal.
� � idhliRY suxvtr
".
I hereby renrty that the survey repre-
hereon
ENGINEERS - LAND: SURVEYORS- PLXNNrRS
.
ys'
semen meets the minimum
.:LAND
yo •tN. ,� , %;
technical slandartli set forth by the
5uard of Lind Surveyors pursuant to
Office address.::, 4080 $..W. tl4ftt Avenue, +liarni Florida 33155
-ttun 472.027', Ia. watut�s: there a
Swerc
, -
��'1 ,. •
F? r • r ;' i :. -- •' •� '`
h K �� ' '�'
pnencrts ents.overl s,ease,rwits
appe,u on the Pl .. other than as
show
Mailing .address: P.O. Box .$61.131- Miami, florida 33156
Isetgta. ;•'
iEy kt•ft `t,:
i
tdit}S4r \l•YU7
1E
SCAL£
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s
4.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 7952204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: PLVMBING
JOB ADDRESS: /'//j I ) r /,01
5)mumg
w JUL 2 3 263
FBC 200®
Permit No.0
Master Permit No.
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: --/ / 3 2 o�i 0 Z q r)3 o e)
Is the Building Historically Designated: Yes NO
OWNER: Name (Fee Simple
Zone:
C—
City: fqft2,kA,1 C-3111w-ed State.- t • ZIP,
Tenant/Lessee Name: 44LJ
Email:
. / m
CONTRACTOR: Company Nam. e): 16- ( / Phone #: 79,L / / 97-2
Address: �� l s' -5 E� 0 ,�b
city (G� 1 State:
r-olv7t-&B-014 Phone#: 734 /�, 47Z�
State�ertt�eatsa or- ICegistration�: �l� U � � � � � _
Cen amt Phoae#l: �� % �a email =A4dros.
DESIGNER: Architect(Engineer: Phone#: L
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: DAddress DAlteration ONew ORensirMenlace
Submittal Fee $ Permit Fee $ �� ci' — CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Doable Fee $ Structural Review $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 " ccurs seven (7) days after the building permit ' as ed. In the absence of such posted notice, the
inspection will not be appro and a reinspection fee will be charged.
Signature �.__, -� Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this
day of M , 20 _)3, by ►lt-{ ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY P IC:
Sign: % ✓/
Print: R � 11"a t.®Vl xi y
My Commission Expires: ,,;qz WILLIAM QOIZALEZ, JR.
*: ?+ MY COMMISSION HE 830443
S. August 28 2016
��� ThN
N�Pu*Umferwriters
The foregoing instrument was acknowledged before me this tc;;'
day of 'mil 20 by _��-� t Q
who is personally known to me or who has produced P17 L
V- _?� Z4l -��t- as identification and who did take an oath.
NOTARY PUBLIC:
APPROVED BY � 71 - 2-513 Plans Examiner
Structural Review
(RvAsed3 /12/2012XRevised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Print: t--'G --'
My Commission Exp Ewdgliv MY COMMI SSION # EE 883409 EXPIRES: Match 13, 2017
oded twu No" Public Urdenw a I'l
Zoning
Clerk
STATE FLORIDA.
AC# 5755684
D PAR 0
TTONSTI YSIOIMX"R?ROLVIg ESNSi?N4AGL HAW
R
RICK SCOTT
GOVERNOR
DISPLAY AS REQUIRED BYLAW
SEW 1,11091700352
KEN LAWSON
SECRETARY
CB
Construction Trede6 TQQualifyIng Board
BUSINESS CERTIFICATE OF COMPETENCY
000014319
DIAL PLUMBING CORP
D.B.A.:
FONTEBOA FRANK A
Is cerlifled under the pwbbm of Chaffer 10 of Min ode
PI W42ASS
U.S. POSTAGE
PAR)
PERiID'1 I�IM . M
TFJS rb MT A M.— DO I'k0 T PAY
100488-6 RENEWAL
BUSWESeNAIIFE/LOCAMON RECEWT NO. 100488 -6
DIAL PLUMBING CORP CC * 000014319
9940 CORAL WAY
33165 UNIN DADE COUNTY
oWNER
DIAL PLUMBING CORP
Ser- Time of sushms WORKER /S
- 1 .96_ MUMBING CONTRACTOR 10
mo IAW OF IM
DO NOT FORWARD
w c
DIAL PLUMBING CORP
UMMBY[AM Is
FRANCISCO FONTEBOA PRES
r
9940 SW 22 ST
IL
MIAMI FL 33165
Uur
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08/22/2012
0 0075 0001
111 lift 1111 111111 11111 i1i1111111i1i111111111111h11111113 11
SEE OTHER SM i
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TrUSIS NOT AIL. —DO sNOT PKf
FIRUPCLASS
U.S. POSTAGE
PAID
SOMA A-
PEum m m
ECEIPTNO. 30- 1004886 CC. NO: 00014319
USINESS NAME / LOCATION RECEIPT HOLDER MAY DO
DIAL PLUMBING CORP SPEC�RED
9940 CORAL WAY
OWNER :DIAL PLUMBING CORP
SEE BACK OF RECEIPT FOR- PLUMBING CONTRACTOR
A LIST OF NONPARTICIPATING
MUNICIPALITIES
e DO NOT FORWARD
twowa hotD DIAL PLUMBING CORP
Caere arrnk is to I�
Me. FRANCISCO FONTEBOA PRES
9940 SW 22 ST
MIAMI FL 33165.
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Ili CERTIFICATE IS ISSUED AS A AMATTEii OF INFORII+lam ONLY AND CONFERS NO IBQHTS UPON THE CERTIFICATE Hamm THIS
ERTIFICATE DOES NOT AFFUMTM &Y OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
°LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
MMSENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER
PORTANT: WOW G81111100110 bald& N art ADDITIONAL � . the pollag(bai must be endorsed. B SUBROGATION (S WANED, subje+et m
it terms and candMM al tho poft cwtalm policlos may r mpft ao eralor nm& A statev nt an Ole a %fists does not umdar rids to Ow
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VCATED. NOTWITHIPMO ,Itti ANY REOUHMMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THUS
E R71FICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUWECT TO ALL THE TERMS,
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w1mr- -ATC l4ralwo CANCELLATION
VILLAGE OF MIAMI SHORES
10050 NE: 2ND AVE
MIM SHORES FL 33138
ORD 2512NWW OF
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BMLLY R&MY (Pei epddY a
FACH OCCURRENCE S
SHOULD ANY OF 7M ABOVE QBSCRUM POLICES BE CANI23.L® BBFORE
THE EXPIRATION DATE THERNW, NOTR:E WILL RB DEt.1VOM IN
ACCORDANCE WITH THE POLICY PROM$dONS.
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0 TINS -M10 ACORD CORPORATION. All 0" maiw►ed.
The ACORD rmme mW logo am ragged marks of ACORD