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PL-17-318 311, Miami 1s�jO! s i, Miami Shores Village ■ PermsT PIOM616 -Residential 10050 N.E.2nd Avenue NW wot*C1 j sab t :Add4knVAiteration Miami Shores,FL 33138-0000 � � � ' Psimit Status.APPROVE© Phone: (305)795-2204 �a RivA issue©ate:2128/2017 Expiration: 08/27/2017 Project Address Parcel Number Applicant 29 NW 94 Street 1131010340140 Miami Shores, FL 33150- Block: Lot: STEPHEN HARPER ODALYS AC Owner Information Address Phone Cell STEPHEN HARPER ODALYS ACOSTA 29 NW 94 Street MIAMI SHORES FL 33150-2237 i1 Contractor(s) Phone Cell Phone Valuation: $ 700.00 PLUMBING BY SALOMON 305-935-9214 _.. Total Sq Feet: 121 Type of Work:KITCHEN REMODELING,SET KITCHEN SI Available Inspections: Type of Piping: Inspection Type: Additional Info:KITCHEN REMODELING,SET KITCHEN SI Top Out Bond Return: Final Classification:Residential Scanning: 1 Review Plumbing Underground EL�j Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# PL-2-17-62871 DBPR Fee $2.00 02/28/2017 Check#:166 $58.60 $50.00 DCA Fee $2.00 Education Surcharge $0.20 02/07/2017 Cash $50.00 $0.00 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 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. February 28, 2017 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy February 28,2017 1 ' . {. _ r " Miami Shores Village ' FEB 0 7 20177 Buildin g Department artment •p ` I _1 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 4 5�h BUILDING Master Permit No. L -7,3 (6 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL DQ PLUMBING ❑ MECHANICAL F-]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County Miami Dade zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): _S�yt P q AV'2 Phone#:,r30 6 67do Address: 9 All' 41� Xzz. _<_71__1 City: State:State: Zij% c2 P� Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: �. Phone#: 7f,10 311N" 6B 91 ' Address: 104;e A/C City: iA`1/�A 9°• State: F7• Zip: �� 9 Qualifier Name: �11 �I1 �� QC-/,0 , Phone#:`I Sb State Certification or Registration#: q?2::2 '0�ffqq Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ �®®• �'� Square/Linear Footage of Work: 1,f r Type of Work: ❑ Addition ❑ Alteration /� ❑ New Repair/Replace ❑ Demolition Description of Work: �r .v 2�0J=/,N�'► , �� .p`T ��J "-A' �? /l /!�F' � L j�• 0� 54,.�co Specify color of color thru tile: r Submittal Fee$—&Q 1 CI Permit Fee$ s��' CCF$ coo CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ ' go Training/Education Fee$ • 20 Double Fee$ Structural Reviews$ Bond$ g TOTAL FEE NOW DUE$ J[ 0 f RPvicPdn?/?4i?m 41 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ,' Si nature k I Pr-Pt--i. OWNER or AGENT CONTRACTOR The��ng instru t was ackn wledged before me this The forgoing instr ent was ac nowledged before(me this day of 20 by -'- day of .20 11� ' by &V 45yho is personally known to 0 � QU "ho is personally known to 1� me or who has produced r' � — "/ -Sas"® me or who has produced�7/k/r3®—LA0 -?2-9-4s identification and who did take an oath. identification and who did take an oath. N TARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: GL/ e V t Print: P a M.I-p E ' L Commission#FF 03733 Seal: =,�° � Commission#FF 037338 Seal: a Expires October 5,2017 t Expires October 5,2017 �(� °P',. 8o�ad Thru T Fein Imo==8003857018 - -$ d Thru Tr°y Fein Imaetma BA0385d �li�fit� roY kkk��[e�KegeokePega:Fek[ekAeris+k#k+kge'kIeMe###yekak8c$#ole�gs�eK:kkMe#$ie�#��*#dek[ekr8flege$s3a��=k#Ile$9wNgeokk%�[a�gakk�IIt�ffeRekftzk+k&ok&KsYtge#kkkkk*kPkskkkek APPROVED BY Plans Examiner Zoning Structural Review Clerk t P—i-4no Mn hnl Al