PL-03-126 PERMU APPLICATION FOR AHAMI SHORES VILLGNAY " 2003
10050 N.E.2 Miami
Avenue• Shores,Florida 33138•Phone:305-795-2204• F :305-7
Date 05 0 Job Addre Was me f WQ A M;!'G.Tax Folio
Legal Description Historically Designated. Yes ^ No
�4erlt,essedTenet 1 1 ter Permit#
X71r's Address J181 A!W S2 Ake- Phone -&QS - ;2&M- 186,9
Contracting Co. � le,041�1 B /� /S �G. Address /3-� A!l .�r
Qualifier �.E"R� do �'��(y�- SS# Phone
State'# /DG Municipal# Competency# Co.
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IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON JOBS FOR SP CTORS TO VERIFY,
THERE WILL BE NO INSPECTION.RE-INSPECTION FEE IS$50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Pet Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
RK DESCRIPTION: eaW dA'J 15tWIWAJ
Square Ft. lm4t Cost(val
/
WARNING TO OWNER:YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
a` YOUR PAYING TWICE FOR IlVIPROVEMENTS TO YOUR PROPERTY(IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above,and on the attached addendum(if applicable).I certify that
all work will be performed to meet the standards of all laws regulating construction in this jurisdiction.I understand that separate permits are required
for all disciplines.
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.FuAermore,I authorize the above named contractor to do the work stated.
n VAI -M
XSie o own - Date gnu for or Owner Builder Date
19
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner Builder 01 Date
My Commission Expires My Commission Expires
FEES:PERMIT RADON C. NOTARY BOND
APPROVED: TOTAL DUE
Zoning Building Electrical
Mechanical Plumbing Structural Engineer
Miami Shores Village Plumbing Permit
10050 NE 2nd Avenue
Phone: 305-795-2204 Permit Number: PL2003-126
tOR�'
Printed:5/9/2003 Page 1 of 1
Applicant: LATIN AMERICAN INVESTMENTS
Owner: INVESTMENTS ` LATIN AMERICAN
JOB ADDRESS: 9495 BISCAYNE Blvd.
Contractor QUALITY PLUMBING CONTRATOR Contractor's Address: 1565 w 35 place
Local Phone: 305-821-0104
Parcel# 1132050070010 Legal Description:
r
Total Fees: $0.00
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 11/5/2003 Construction Value: $3,000.00
Work: NEW CONSTRUCTION
ar detalle
ti {�
- doeaaren t: See'baek 5
8ecarit enbanced
/ r
CARIBBEAN CORPa63-071670
6740 SW 28TH TEFtR r y 0t, .
WWI FL 33155 DATE
i i �O.(:�,O
.�.
Sin PAYHE p LLARS t3 °"
i ORDE OF d
In consi tion of the iss nce m }
conformi th the plans,drawings,sty
done by either myself,my agent,serve
FLORLIRA BANK
7171 catal Way 1
MwaFL3315b
igned " V r„)
® FOR
---_ �'
Miami Shores Village Plumbing Permit
10050 NE 2nd Avenue
Phone: 305-795-2204 Permit Number:
Printed:11/16/2005 Page 1 of 1
Applicant: LATIN AMERICAN INVESTMENTS
Owner: INVESTMENTS LATIN AMERICAN
JOB ADDRESS: 9495 BISCAYNE Blvd.
Contractor QUALITY PLUMBING CONTRATOR Contractor's Address: 1565 w 35 place
Local Phone: 305-821-0104
Parcel# 1132050070010 Legal Description:
Fees: Description Amount
FEE2003-2912 Building Fee $180.00
FEE2003-2918 CCF $1.20 �'otal Fees:$361.20
FEE2005-14605 Renewal/Extension Fee $180.00 Total Receipts:$361.20
Total Fees: $361.20
Permit Status: APPROVED Permit Expiration: 12/31/2006 Construction Value: $3,000.00
Work: NEW CONSTRUCTION
-NOV16 PAID
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
BUILDING DEPARTMENT
305-795-2204
Bui I
dig Inspection Re u
Date
Type Insp'n
Permit No.
Name (ow'—L
Address �I `'1����•
Company CC
Phone# -IM - ��J'`` SS SZ
Inspection Date
Approved
Correction ❑
Re-Insp'n Fee ❑