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PLC-07-282 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Bill To MSVC LLC Invoice Number: PLC-8-07-29561 Invoice Date: August 22, 2007 MIAMI SHORES, FL 33138-0000 Permit Number: PLC-2-07-282 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 / :::>�: . ::::: . * : : :: : tea: Date Fee Name Fee Type Fee Amount 08/22/2007 Scanning Fee Calculated $3.00 08/22/2007 Revision Fee Calculated $35.00 Total Fees Due: $38.00 01 L, WO V C Wednesday, August 22, 2007 Miami Shores Village `� f �" ° q�6 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 BUILDING Permit No. 9- PERMIT APPLICATION Master Permit No. 0 7'Z,$ FBC 2004 Permit Type: Plumbing Owner's Name(FeeSimpleTitle Elder) VC U— Phone# -f✓rt• X25 ' 1 Z I Owner's Address 3231 City Sta V Zip 4�( J Tenant/Lessee Name e/ 3 Phone# E-MAIL: Job Address(where the work is being done)_ q' Zao City Miami Shores Village County Miami-Dade Zip FOLIO/PARCEL# Is Building Historically Designated YES NO Contractor's Company Name ._0QNA1n) Phone# 5�?I 3 JVA Contractor's Address •0 -1]0 City State_ Zip_ 4�o Qualifier Name Phone# State Certificate or Registration No. CW IZ51&—�4—Certificate of Competency No. E-MAIL: Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ �� Square/Linear Footage Of Work: �. Type of Work: ❑Addition ❑Alteration [-]New ❑ Repair/Replace n Describe Work: V /y 74/ Lc— lovit Submittal Fee$ Permit Fee CCF$ CO/CC Notary$ Training/Education Fee$ Technology Fee$. Scanning$ 25Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ � See Reverse 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 install ions as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will IWe performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit mustsecured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS and AIR(ONDITIONERS, ETC..... OWNER'S AFF[DAVIT: I certify that all the foregoing information is a curate 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 NOT CE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER Y. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to App t: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in g ith that a copy of the notice of commencement and co truction lien law brochure will be delivered to the person whose prop ubject to attachment. Also, a certified copy of the rec ded notice of commencement must be posted at the job site for the first i tion which occurs seven (7) days after the building p rmit is issued. In the absence of such posted notice, the inspection w ll t be approved and a reinspection fee will be charged. Signature S ignrature Owner or Agent Contractor The foregoing ins ument was acknowledged before me this The Ipregoing instrument was acknowledged before me this day of ,20_,by day cjf ,20_,by who is personally known to me or who has produced who s 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: °""'�• Renee Smith .Commission#DD61966 Sign: 04,201 Sign: Prjnt: 5rYl ,••••v in° WWW.AARONNOTARY.co Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BYE: Zans Examiner Engineer Zoning (Revised 02/08/06) I Miami Shores Village MCT-17777141 Building Department FEB 16 2007 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:__�:_......... Tel: (305)795.2204 Fax:(305)756.8972 BUILDING 04- 4 10-7 Permit No. —,2 . PERMIT APPLICATION V4 Master Permit No. —4 FBC 2004 — Permit Type: Plumbing Owner's Name(Fee Simple Titleholder) SJR'I LL-L 1AA # -! Owner's Address 1,310 Ob I woo� City v *--Vj State Zip Tenant/Lessee Name f 1�to }�e �S ��• Phone o1E-71 E-MAIL: rl L �.�Jc ha Q . y�-. Job Address(where the work is being done) (4 06 NC 2 City Miami Shores Villaee County Miami-Dade Zip '?>351 FOLIO/PARCEL# Is Building Historically Designated YES NO Contractor's Company Name V4 AMT `„STS+' Phone# Contractor's Address 7 S 5 City_ w(70 _ State Zip 33y1 b Qualifi Na � I'711:�i Phone State 'aeegistration N L. Cert ate of Competency No. E-M ILPit Arc ct/Es N e(i icable) �p Phone# Value of Work For thi Py�J s �i Square r Footage Of Work: D Type of Work: ❑Addition (,Alteration ❑New ❑ Repair/Replace `6emol Describe Work: 7 60 s }' ( It,�Xor Submittal Fee$ Permit Fee O� �� CCF$ l,J CO/CC Notary$ Training/Educatio ee$ Technology Fee$ 2S Scanning$ Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ 4--j(o.26 ' See Reverse 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 installati ns 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 ecured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS and AIR C NDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is ac rate 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 NOT[ E OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERT . 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 wi h an estimated value exceeding$2500, the applicant must promise in good faith that a colay of the notice of commencement and co ruction lien law brochure will be delivered to the person whose property is s chment. Also, a certified copy of the recor ed notice of commencement must be posted at the job site for the first inspe i occurs seven (7) days after the building p mit is issued. In the absence of such posted notice, the inspection will no ed and a reinspection fee will be charged. Signature Sign ure Owner or Agent Contractor The foregoing instrument was ackZt, wledge�,c efore me this The f regoing instrument was acknowledged before me this day of 20�,by a. -�' day o ,20_,by , who is persona_ lly kno to me or who has produced who i 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: ,•� ►r P�•., Renee Smith NOTARY PUBLIC: !Commission#00619661 " "Expires: DEC. 04,2010 r Sign: .:FF;�`' Sign: Print: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 02/08/06)