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PLC-17-89 Permit NO. PLC-1-17-$9 `SgORES Miami Shores Village ■ Permit Type:Plumbing-Commercial 10050 N.E.2nd Avenue NE Miami Shores,FL 3313&0000 Per 1 Work Classification:Addition/Alteration tiFo� Phone: (305)795-2204 Permit Status:APPROVED FLORIDA Issue Date: 1/23/2017 Expiration: 07/22/2017 Project Address Parcel Number Applicant 9501 NE 2 Avenue 1132060133920 Miami Shores, FL 33138- Block: Lot: DVS LLC Owner Information Address Phone Cell DVS LLC 9400 NE 2 Avenue (305)756-3711 MIAMI FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 25,000.00 TITAN PLUMBING REPAIR LLC (786)487-9288 _w�... _ ._.......,,..__.w..�..._�...__.. .. Total Sq Feet: 0 Type of Work:DENTAL OFFICE TENANT IMPROVEMENTS 2 Available Inspections: Type of Piping: Inspection Type: Additional Info:DENTAL OFFICE TENANT IMPROVEMENTS 2THIS Top Out Classification:Commercial MUSTON Scanning:1 Re Pipe OF Main Drain JOB TIMEHeater Y Water Service p� Final CTION Water Main Lavatory Underground Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $15.00 DBPR Fee Invoice# PLC-1-17-62600 $11.25 DCA Fee $11.25 01/12/2017 Credit Card $50.00 $ 1,615.50 Education Surcharge $5.00 01/23/2017 Credit Card $ 1,615.50 $0.00 Permit Fee $750.00 Scanning Fee $3.00 Technology Fee $20.00 Work without Permit Fee $100.00 Work without Permit Fee $750.00 Total: $1,665.50 Applicant Copy For Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/. Requests must be received by 3 pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT the public records of this county. DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES. January 23, 2017 2 Permit NO. PLC-1-17-89 aEs°? Miami Shores Village ot Permit Type:Plumbing-Commercial 10050 F! N.E.2nd Avenue NE.5 c i ' Work Classification:AdditiolAlteration Miami Shores,FL 3313&0000 PPermit Status:APPROVED Phone: (305)795-2204 f<ORIDp` Issue Date: 1/23/2017 Expiration: 07/22/2017 Project Address Parcel Number Applicant 9501 NE 2 Avenue 1132060133920 Miami Shores, FL 33138- Block: Lot: DVS LLC Owner Information Address Phone Cell LVS LLC 9400 NE 2 Avenue (305)756-3711 MIAMI FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 25,000.00 TITAN PLUMBING REPAIR LLC (786)487-9288 Total Sq Feet: 0 Type of Work:DENTAL OFFICE TENANT IMPROVEMENTS 2 Available Inspections: Type of Piping: Inspection Type: Additional Info:DENTAL OFFICE TENANT IMPROVEMENTS 2 Top Out Classification:Commercial Re Pipe Scanning: 1 Main Drain Heater Water Service Final Water Main Lavatory Underground Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $15.00 DBPR Fee Invoice# PLC-1-17-62600 $11.25 01/12/2017 Credit Card $50.00 DCA Fee $11 25 $ 1,615.50 Education Surcharge $5.00 01/23/2017 Credit Card $ 1,615.50 $0.00 Permit Fee $750.00 Scanning Fee $3.00 Technology Fee $20.00 Work without Permit Fee $100.00 Work without Permit Fee $750.00 Total: $1,665.50 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. January 23, 2017 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy January 23,2017 1 Miami Shores Village JAN 122017 Building Department Y-.V 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201 BUILDING Master Permit No.'P \c PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ©PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: S 3 N ("vc— City: Miami Shores County: Miami Dade zip: Folio/Parcel#: i) - C6 )--� Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder):� Phone#: Address: ay( �(f I� City: ! "1 Ade cs1-0(in State: tL Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 'f k�Pg-J VLJ�XM31yJ(') 2,7,- % LCL Phone#: -7Z 6 ILI r q�- Address: It-IS N.E N.G CCS" S TCL EE's City: M%NS—kk State: Zip: Qualifier Name: Q wg-6 t� - C-,o m-�z. Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: J} City: State: Zip: Value of Work for this Permit:$ 4,5. Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: n 2._ �j , C'' (►•v�v� /} kJ jCWM KT Specify color cd�or thru tib —:.t r.: 1. Iti •� :. A I51 5i? M%4�vp bons Submittal Fee$ Pe�ifiF'ee$ dd' CCF CO/CC$ Scanning Fee$ Radon Fee$ . 2 S DBPR$ Notary$ t o o Technology Fee$ Training/Education Fee$ S Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 16-) ( 15 (Revised02/24/2014) 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 inspec ' n wh h o ven s after the building permit is issued. In the absence of such posted notice, the inspection will n be a d d a reinspection fe will be charged. Sig to Signature E or AGENT CONTRACTOR The f regoing strument was acknowledged before me this The foregoing instrument was acknowledged before me this � 2 day of r , by i l day of �A..Ic1'� 20 7 by 20 „(9,4M 39/`�,who is personally known to A&A L,(JU who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification a d who did take an oath. NOTARY PUBLIC: NOTARY PUB Sign: Sign: Print: Print: Tly, Seal: •'kON . ELIZABETH ELORRIAGA Seal: �� S �� MdrgDitle� MY COMM SION 0 FF9535" 6G0 EXPIRES January 25.2020 « bon aoi��Hc•ti:, :********.* / -*f s***�*�*****�****s****�.*: s***s**ass****s****ss•ss***�*** APPROVED BY 1 �/�" / Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)