PL-16-2237BUILDING
PERMIT APPLICATION
0BUILDING ❑ ELECTRIC
•PLUMBING ❑ MECHANICAL
JOB ADDRESS: 1516 NE 104 ST
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
❑ ROOFING
❑PUBLIC WORKS
FBC 201 y
Master Permit No. C4G1(7' 13e q
Sub Permit No t ()i 2 23
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#:11-2232-032-0360
Occupancy Type: RES Load:
Is the Building Historically Designated: Yes NO X
Construction Type: PLUM
OWNER: Name (Fee Simple Titleholder): DAVID SHOAF
Address: 1516 NE 104 STREET
Flood Zone: BFE: FFE:
Phone#: 786-877-9820
City: MIAMI SHORES State: FL
Tenant/Lessee Name:
Phone#:
zip: 33138
Email:
CONTRACTOR: Company Name: MARLIN PLUMBING OF MIAMI INC
Address: 20145 NE 16T PLACE
Phone#: 305-652-3031
City: NORTH MIAMI BEACH State: FL
Qualifier Name: EDWARD J WALKER
State Certification or Registration #: CFC048292
zip: 33179
Phone#: 305-652-3031
Certificate of Competency #:
Phone#:
State: Zip:
DESIGNER: Architect/Engineer:
Address: City:
Value of Work for this Permit: $12,000.00
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration New Repair/Replace ❑ Demolition
Description of Work: DISCONNECT AND RESET KITCHEN & BATHROOM FIXTURES
Specify color of color thru tile:
Submittal Fee $ , Permit Fee $
Scanning Fee $ S. • CO Radon Fee $ v -
Technology Fee $ (' 60
Structural Reviews $
(Revised02/24/2014)
CCF $ "9• 2..0
CO/CC $
DBPR $ S • Lf 0 Notary $
Training/Education Fee $ C) Double Fee $ �✓
Bond $
TOTAL FEE NOW DUE$ 3'f3• CO
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 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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 not be approved and a reinspection fee will be charged.
Signature_Octioit
OWNER or AGENT
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
_ day of 4(4q u S 4- , 20 1(p , by 3 day of A1,d u , 20 /(p , by
b4 v 1 d, L Sh �VoJ , who is personally known to ei Q�1i ho iser�son_�lly known to
me or who has produced •DLi as me or who has produced as
idents ica ion an w i ath. identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print7t-F G� ec:f: cPXr
Seal: (1 ,„"',,
THERESA MCCREERY
+: � :° c Notary Public - State of Florida
I,9jr�da•5. My Comm. Expires Dec 6, 2017
APPROVED BY i 6 ;O
(Revised02/24/2014)
NOTARY PUBLIC:
Sign: ..��
Print: 1
Seal:
*****************
Plans Examiner
Structural Review
THERESA MCCREERY
Notary Public - State of Florida
My* �irnal RliO,Pn4aati,
l:srmnlssion # FF 070897
Zoning
Clerk
062->
PROPOSAL
MARLIN PLUMBING OF MIAMI, INC.
20145 N.E.16th PLACE, NORTH MIAMI BEACH, FL 33179
(305) 652-3031 fax (305) 652-3135
License CFC048292
PROPOSAL SUBMITTED TO
Name: David Shoaf
Street: 1516 NE 104 Street
Miami Shores, FL 33138
Phone: 786-877-9826
WORK TO BE PERFORMED AT
Name: SAME
We hereby propose to furnish the materials and perform the labor necessary for the completion of:
Kitchen
Marlin Plumbing to disconnect kitchen sink, dishwasher and ice maker line, will make ready for contractor to demo
floor.
Bathroom Westside of home
Marlin Plumbing to disconnect toilet and lavatory and cap off necessary lines and restore water to Eastside of home.
Upon exposing pipes will need to make any repairs or repipe needed. Work to be done at time and Materials
Marlin Plumbing to reset fixtures and install new washing machine box upon completion.
Plumbers Rate $90.00 per hour
Helper Rate $60.00 per hour
NOTE: Any deviations from scope of work mentioned above will be extra to contract and done at time and
materials, Marlin Plumbing not responsible any landscaping, floors, walls or tile patching. Permits fees are
extra to contract.
50% upon start of work 50% upon completion
All Material and Workmanship is Guaranteed for One (1) Year starting from Completion date.
Note: Marlin Plumbing will not be responsible for any underground water pipes, sprinkler lines, gas or electric lines
while doing any trenching. If needed, Marlin will call for location services to mark services.
All materials and workmanship is guaranteed for one (1) year from the completion date of the contract to be as
specified, and the above work to be performed in accordance with the drawings and specifications submitted for the
above work and completed in a workmanlike manner.
*M the event that the customer fails to make any payments to Marlin Plumbing in accordance with the terms and conditions of this agreement,
Marlin Plumbing shall be entitled to all reasonable attorney's fees on collection and/or litigation or other court proceeding including attorney's
fees on appeal.
Respectfully submitted: Marlin Plumbing of Miami, Inc.
By: Raul Bringas Date 7/26/16
ACCEPTANCE OF PROPOSAL
The above price, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do
the work as specified. Payments will be made as outlined above.
Any alteration or deviation from above specifications involving extra costs will be executed only upon written order and will become an extra
charge over and above the estimate. All agreements are contingent upon strikes, accidts or delays bey.nd our sntrol.
Date: T-1-110 Signature:
Date: (r.' 1 ' 1 /o Signature:
marlinpropdoc/form 1 / 1998
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number
Expiration: 02/25/2017
Applicant
1516 NE 104 Street
Miami Shores, FL
1122320320360
Block: Lot:
DAVID SHOAF
Owner Information
Address
Phone
CeII
DAVID SHOAF
1516NE104ST
MIAMI SHORES FL 33138-2666
Contractor(s)
Phone
CeII Phone
MARLIN PLUMBING OF MIAMI INC 305-652-6108
Valuation:
Total Sq Feet:
$ 12,000.00
0
Type of Work: DISCONNECT AND RESET KITCHEN & BATH
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$7.20
$5.40
$5.40
$2.40
$360.00
$3.00
$9.60
$393.00
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL -8-16-60925
08/29/2016 Check #: 001661 $ 343.00 $ 50.00
08/09/2016 Check #: 2415 $ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Top Out
Final
Review Plumbing
Underground
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 cont actor to do the work stated.
August 29, 2016
Authorized Signature: Owner / Applicant //' ontr or / Agent
Building Department Copy
August 29, 2016
Date
1