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PL-16-2237 (3)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 BUILDING PERMIT APPLICATION El BUILDING ❑ ELECTRIC ❑ ROOFING ❑■ PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: 1516 NE 104 ST RE -C 7r•"-1 AU 0:' 2016 BY: .4 . _ n FBC 20( LI Master Permit No. ffC-1(9- 134 q Sub Permit No ❑ 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: Email: Zip: 33138 Phone#: 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 zip: 33179 Phone#: 305-652-3031 State Certification or Registration #: CFC048292 Certificate of Competency #: Phone#: City: State: Zip: Square/Linear Footage of Work: DESIGNER: Architect/Engineer: Address: Value of Work for this Permit: $12,000.00 Type of Work: ❑ Addition ❑ Alteration ❑ New • Repair/Replace ❑ Demolition Description of Work: DISCONNECT AND RESET KITCHEN & BATHROOM FIXTURES Specify color of color thru tile: 360e CCF$ `s) Submittal Fee $ Permit Fee $ Scanning Fee $ 3 • GO Radon Fee $ Technology Fee $ 9 • 60 Structural Reviews $ (Revised02/24/2014) CO/CC $ 5 1/41/0 DBPR $ 5 Notary $ Training/Education Fee $ • C.) Double Fee $ Bond $ TOTAL FEE NOW DUE $ 3q3 • O/ 0 p 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. OWNER or AGENT The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this _a_ day of 444t, LJS T , 20 1( , by 3 day of _ rq4 E4- , 20 /� , by t I , L. S, v� i4 , who is personally known to � ,� W4 (M`+Q4'who isersonally known to me or who has produced -DL identi ica ion an w ath. NOTARY PUBLIC: Sign: sem_ o e le/M/04 Print:tE.,fe5G6 M ee-ir Seal: as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: of POB�;aL THERESA MCCREERY • ♦ � _' « „� , c Notary Public - State of Florida ui o Pc My Comm. Expires Dec 6, 2017 ypp�•• STN ak ok�l,> �itt��}I�k* APPROVED BY (Revised02/24/2014) k Sign: Print: Seal: Plans Examiner Ase ~��Pp°(; THERESA MCCREERY Notary Public - State of Florida My C* a*iiig1�?+>I<FR>�Zlalk OF Fly•, '"ommission # FF 070897 Structural Review Clerk ®jG¢-, 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. *In 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 •ntrol. Date: tr1 ' 1 4)Signature: Date: 4r.'" 1 ` L b 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 1516 NE 104 ST MIAMI SHORES FL 33138-2666 Contractor(s) MARLIN PLUMBING OF MIAMI INC Phone 305-652-6108 CeII Phone 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 contractor to do the work stated. Authorized Signature: Owner / Applicant / or / Agent Building Department Copy August 29, 2016 August 29, 2016 Date 1