PLC-07-320Inspection Date: 10/11/2007
Inspector: Levrock, James
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Owner: , JIFFY LUBE
Job Address: 8787 BISCAYNF Rmilavard
Miami Shores Village, FL
Project: <NONE>
E-i
Permit Type: Plumbing'- Commercial
1.
Inspection Type: Final
Work Classification: Addition /Alteration
U0010 Phone Number
Parcel Number
Block:
Lot:
1132060280450
Contractor: FELIX FERA PLUMBING Phone: 954 - 981 -3016
Buildina Department Comments
CONNECT TO SEWER
pCT 1�
Ins a for Comments
Passed
m
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Wednesday, October 10, 2007 Page 2 of 2
iai Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Permit Status: CLOSED
Issue Date: 3/8/2007 Expires: 09/04/2007 Permit Number: PLC -2-07 -320
Owner's Name: JIFFY LUBE one:
Permit Type: Plumbing - Commercial
Work Classification: Addition /Alteration
Job Address: 8787 BISCAYNE Boulevard
Miami Shores Village, FL
Contractor(s) Phone Primary Contractor
FELIX FERA PLUMBING 954- 981 -3016 Yes
Additional Information
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 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
$1.80
Education Surcharge
$0.60
Permit Fee - New Construction
$175.00
Scanning Fee
$9.00
Technology Fee
$4.37
Total:
$190.77
Building Department File Copy
Applicant Signature
Parcel #: 1132060280450
Block: Lot:
Section: PB:
Total Square Feet: 0
Total Valuation: $ 3,000.00
Invoice Number Amt Due Amt Paid
PLC -3 -07 -27779 $190.77
Total: AR I
"A
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
%3W610,11 d Avoiltre
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No.
Job Name I `
Date O
BUILDING CRITIQUE SHEET
Reviewer:
Claudio Grande C.B.O
305 - 795 -2204 Ezt 1430
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Number: PLC -2 -07 -320 Owner Address:
Invoice Number: PLC -3 -07 -27779 PO BOX 2967
Applicant: JIFFY LUBE
HOUSTON, TX 77252
Company Name: COMMERCE PARTNERSHIP #1124 % JIFFY LUBE
W711 na nnn Job Address:
8787 BISCAYNE Boulevard
Miami Shores Village, FL
Date Payment Type Check Number Amount Change
Monday, March 12, 2007
03/12/2007 Check 2828
$190.77 $0.00
Total Payment: $190.77
Page 1 of 1
' ' .-% ADDENDUM TO BUILDING PERMIT APPLICATION
AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE
OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.
PLEASE CIRCLE O DISCIPLINE APPLIED FOR: PERMIT #
=PLUMBING ELECTRICAL MECHANICAL
ITEM
UNIT
FEE
ITEM
UNIT
FEE
ITEM
UNIT
FEE
BATH TUB
SWITCH OUTLETS
SPACE HEATERS
DISHWASHER
I LIGHT OUTLETS
CENTRAL HEATING
DISPOSAL
RECEPTACLES
A/C (WIND)
FLOOR DRAIN
SERVICE TEMPORARY
A/C (CENTRAL)
GREASE TRAP
SERVICE SIZE IN AMPS
DUCT WORK
INTERCEPTOR
SERVICE REPAIR/METER CHANGE
REFRIGERATION
LAVATORY
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
LAUNDRY TRAY
RANGE TOP
UNDERGROUND TANKS
CLOTHES WASHER
JOVEN
IA13OVE GROUND TANKS
SHOWER
IWATER HEATER
JUX. PRESSURE VESSELS
SINK. POT/3 COMP.
IMOTORS 0 -1 HP
ISTEAM BOILERS
SINK, RESIDENCE.
IMOTORS OVER 1 -3 HP
HOT WATER BOILERS
SINK, SLOP.
IMOTORS OVER 3-5 HP
MECHANICAL VENTILATION
TEMPORARY WATER CLOSET
IMOTORS OVER 5-8 HP
TRANSPORTING ASSEMBLIES
URINAL
MOTORS OVER 8-10 HP
ELEVATORS/ESCALATORS
WATER CLOSET
MOTORS OVER 10 -25 HP
FIRE SPRINKLER SYSTEMS
INDIRECT WASTES
MOTORS OVER 25 -100 HP
COOLING TOWERS
WATER SUPPLY TO:
MOTORS OVER 100 HP
VIOLATION
A/C UNIT
A/C WINDOW
REINSPECTION
FIRE SPRINKLER
AIR CONDITIONERS
HEATER -NEW INST.
STRIP HEATER
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
GENERATORS TRANSFORMERS
SWIMMING POOL
GENERATORS TRANSFORMERS
WATER SERVICE
SPECIAL PURPOSE.
SEWER CONNECTIONS
OUTLETS COMMERCIAL
UTILITY -SEWER
ISIGN
TUBES
UTILITY WATER
ISIGN
TRANSFORMERS
SEPTIC TANK
ISIGNTIME
CLOCK
RELAY
FIXTURES
FAINFIELD, ,V TILE/RES.
ANTENNA
PUMP & ABANDON SEPTIC TANK
TELEVISION OUTLETS
SOAKAGE PIT CU. FT.
VIOLATION
CATCH BASIN
REINSPECTION
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
Miami Shores Village oalcr,�in: ,
Building Department
10050 N.E.2nd Avenue Miami Shores Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No."
PERMIT APPLICATIO FEB 2 12007 Master Permit No.
FBC 2001 BY: - -- B�- - - - - --
Permit Type (circle): Building Electrical Plumbin Mechanical Roofing
Owner's Name (Fee Simple Titleholder) �/ & L v e Phone #
Owner's Address �� fh 8 v X L% 6 %
Ciry W.0 v5 fe 0 State % X Zip 7 z
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 7 J,% ),?/S G q%vj c°_
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name _ Fe i X /-e--,o 10,/ &,Pvp6(*� hone # y'jLf yt- `F f- ? 0 ,9" '
Contractor's Address _ f �1? S� /�- /l� / 9 ff ✓wit
City /!�d 1,,r4 f . State /E t Zip .7 3 l� /
Qualifier y GCL 1u, we or D
z 01
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit 2300
i-
Phone#
Square Footage Of Work:
Type of Work: []Addition ❑Alteration New ❑ Repair/Replace ❑ Demolition
Describe Work: Cv^ .7 G,,� Ap %we,'
Submittal Fee $ Permit Fee $1` 7 (f, CCF $ 'g V CO /CC
Notary $ Training/Education Fee $ ,, ('0 0 Technology Fee $ 4,S-7-
Scanning $ i Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $ �
Total Fee Now Due $ P0,11 2 PA1®
(Continued on opposite side)
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 occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will n9t bAapproved and a rein -•will be charged.
Signa Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this _ZV The foregoing instrument was acknowledged before me this Z
day of fc 20 V/ by �lii''� #G 55 day of 0 d 2001 by �i� J�41 X
who is personally known to me or who has produced who is per_ sw Ilv k M-1 `me or who has produced
As identification and who did take an oath. as identification a ad who did take an oath.
NOTARY PUBLIC: —T--`� OTARY PUBLIC: � o a i gore
Sign: p �,° Gary Kilgore Sign: z° miss*'- # DD518327
Print: oe Expires April 8, 2010 Print: 'F a Both* TMY FW MAW, Ift 990-996.7019 ,
OF f�- BoWed Troy Fain - 19wame, Inc 99G96WT019
My Commission Expires: My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. C �C I �fZ�/ /p Certificate of Competency No.
APPLICATION APPROVED BY: ' r ��'° Plans Examiner
r
Engineer
Zoning
Chc 12/15/03