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PL-17-1188 d�err i .'P'L- i-' 7418 Miami Shores Village P ,f It Type Plu"ng-ROsidential 10050 N.E.2nd Avenue NE Vttl C Ft.�60!1"Additiont fteratio». '°'• "" Miami Shores,FL 33138-0000 h ° Phone: (305)795 2204 Petm#''*at s:A'1PPR0VEP. �20RNp' 01Expiration: 11/0112 1 Issue 7 Project Address Parcel Number Applicant 1689 NE 92 Street 1132060430100-7 SHORES PLAZA WEST CONDOR Miami Shores, FL 33138-0000 Block: Lot: Owner Information Address Phone Cell LSHORES PLAAZA WEST CONDOMINIUM 621 NE 92 Street r MIAMI SHORES FL 33138 Contractor(s) Phone Cell Phone Valuation: $ 2,500.00 JC PLUMBING SERVICES INC (305)970-1612 (786)251-8027 _.. Total Sq Feet: 70 Type of Work:REPLACED DAMAGE DRAIN PIPE IN THE B Available Inspections: Type of Piping: InspectiLType: L]Additional Info: Top OutBond Return: FinalClassification:Residential Scanning:3 Review PUndergro Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# PL-5-17-63864 DBPR Fee $2.25 05/01/2017 Cash $50.00 $118.30 DCA Fee $2.25 Education Surcharge $0.60 05/05/2017 Cash $ 118.30 $0.00 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $168.30 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. Fu thorize the above-named contractor to do the work stated. May 05, 2017 Authoriz d Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy May 05,2017 1 � �'G � Z6o :S� Ss3 Miami Shores Village BuildingDepartment R E C��V�.� p MAY o , 90050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 RECEIVED INSPECTION'S PHONE NUMBER:(305)762.4949 MAY o 12017 FBC 20H BUILDING Permit No.`F L—1- l l PERMIT APPLICATION Master Permit No. Permit Type: PLUMBING JOB ADDRESS: 689 NE 92 Street City: Miami Shores County: Miami Dade Zip; 33138 Folio/Parcel* Is the Building Historically Designated:Yes NO Flood Zone: /VF OWNER:Name(/Fee Simple Titleholder), �� dA ZA Uegf COU Phone#: Address: , 6g,55 v �- S—r. g 6 City: f"l/ bm l --3,h®A eS State: Fo A Zi 3-? 1 TenanvLessee Name: C®AJO CJ lIeS_. V®A AJ '�_ (� 6�( � �� Phone#: 6 c/"� 9® / 4 Email: 1 L t:�'®M CONTRACTOR:Company Name: JC PLUMBING SERVICES, INC. Phone#: 305-970-1612 Address: 312 BOUGANVILLA TER. City: HOLLYWOOD Ste: FL Zip: 33019 Qualifier Name: JUANCARLOS LEON Phone#: 786-251-8027 t State Certification or Registration#: CFC-1426227 Certificate of Competency#: Contact Phone#: 786-251-8027 Email Address: INFO@JCPLUMBINGSERV.COM DESIGNER:.Architect/Engineer: Phone#: 4-1&Value of Work for this Permit:$_,) 50-b ® SquareUnear Footage of Work: Type of Work: ❑Address ❑Alteration ONew ORepair/Replace ❑Demolition Description of Work: Replace damaged drain pipe in the basement ( around 70 feet ) Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ 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 ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 DVIPROVEMENTS 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 withh an estimated value exceeding.2500, the applicant must promise in good faithh 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 ence of SW?—Jt posted notice, the inspection will the approved and a reinspection.fee will b harged. Signature Si red- Owner or Agent ntractor The foregoing instrument was acknowledged before me this f The fore o' instrument was acknow ge before me this— ,g day of 1`— 1�,20 12,by J 0 k l� S• LA&An C.L day of ,20 22,by serol e�;"! who isyersonallUmown to me or who has producewho is nersonallv known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: k rt S (c��CJC/l lL i Print- My Commission Expires: $ My Commission Expin WCOMMISSION#00080751 s MY COMMG4 6N/GG 0=14 E7t fteu MAR tat hur 17(PM:December 10,2620 Bonded throw 1st State Insurance APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) 5/=17 Detail by Entity Name Divisj01J OF CiORPORATi011 1 Jft 1). �,, Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Not For Profit Corporation SHORES PLAZA WEST CONDOMINIUM, INC. Filing Information Document Number 726431 FEI/EIN Number 59-1570223 Date Filed 05/17/1973 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 02/14/2011 Principal Address 637 N.E. 92ND ST 9C MIAMI SHORES, FL 33138 Changed: 03/02/2016 Mailing Address 637 N.E. 92ND ST 9C MIAMI SHORES, FL 33138 Changed: 03/02/2016 Registered Agent Name&Address KILPATRICK,JOHN S 2851 Leonard Drive J 402 Aventura, FL 33160 Name Changed: 02/14/2011 Address Changed:01/31/2014 Officer/Director Detail Name&Address Title PD KILPATRICK,JOHN S http://search.sunbiz.org/Inquiry/CorporaUonSearch/SearchResultDetail?i aqui rytype=En*N ame&direcbonType=Initial&searchNam eOrder=SH ORESPLAZAW... 1/3 5/1=17 Detail by Entity Name «sua Leonaru unve J 402 Aventura, FL 33160 Title Secretary, Director GOMEZ, MARCO 637 N.E. 92nd St.Apt. 9C MIAMI SHORES, FL 33138 Title STD LIU,ANA 2999 Point East Drive C-304 Aventura, FL 33160 Title D VELEZ, CRISTINA 2121 BAYSHORE DR. 1413 MIAMI, FL 33137 Title D Kilpatrick,John C. 621 N.E. 92nd Street 3A MIAMI SHORES, FL 33138 Title D FRANCISCO, CAROL 637 N.E. 92 ST 10C MIAMI, FL 33138 Title VP Mora,Albert 645 NE 92nd St 14D Miami Shores, FL 33138 Annual Reports Report Year Filed Date 2015 02/11/2015 2016 03/02/2016 2017 02/01/2017 Document Images 02/01/2017—ANNUAL REPORT View image in PDF format http://search.sunbiz.orgAnquiry/CorporabonSearciVSearchResultDetai[ iaquirytype=EntityName&directonType=lnitial&searchNameOrder=SHORESPLA7-AW... 213 5112017 Detail by Entity Name • 03/02/2016—ANNUAL REPORT View image in PDF format 02/11/2015—ANNUAL REPORT View image in PDF format 01/31/2014—ANNUAL REPORT View image in PDF format 03/29/2013—ANNUAL REPORT View image in PDF format 04/12/2012—ANNUAL REPORT View image in PDF format 02/14/2011—REINSTATEMENT View image in PDF format 01/09/2009—ANNUAL REPORT View image in PDF format 03/14/2008—ANNUAL REPORT View image in PDF format 03/12/2007—ANNUAL REPORT View image in PDF format 01/17/2006—ANNUAL REPORT View image in PDF format 01/14/2005—ANNUAL REPORT View image in PDF format 02/02/2004—ANNUAL REPORT View image in PDF format 01/13/2003—ANNUAL REPORT View image in PDF format 02/13/2002—ANNUAL REPORT View image in PDF format 01/11/2001—ANNUAL REPORT View image in PDF format 02/08/2000—ANNUAL REPORT View image in PDF format 02/24/1999—ANNUAL REPORT View image in PDF format 01/16/1998—ANNUAL REPORT View image in PDF format 01/29/1997—ANNUAL REPORT View image in PDF format 04/04/1996—ANNUAL REPORT View image in PDF format 05/01/1995—ANNUAL REPORT View image in PDF format F[-da Daperr nen;GI S'al p=,t, ,.,o _vL-a4 httpl/sewcKsunbiz.orcf nqd ry/CorWiUon,%arch/SmehResultDotail?inqui ryWe=EnUtyName&directonType=lnitial&searchNameOrder=SH ORESPLAZAW... 313 Shores Plaza West Condo P.O. Box 530428 Miami Shores, Fla. 33153-0428 (305) 692-9054 May 1, 2017 Miami Shores Village BuildingDepartment 10050 N.E. 2"d Ave, Miami Shores, Florida 33138 Re: Plumbing work under 689 N.E. 92"d Street., Miami Shores, Fla. Gentlemen, This letter serves as permission from the Shores Plaza West Condominium, Inc. for J C Plumbing Services, Inc. 312 Bouganvilla"Terrance Hollywood, Florida 33019 Juan Carlos Leon, qualifier to do the repair and replacement of the sewer lines under the above building at 689 N.E. 92nd Street. These sewer lines lead to the septic tank outside the perimeters of the building. The sewer lines service the four (4) units contained in this building; 9G, l OG, 11 G and 12G. Thank you for issuing a permit so that we can do this work. ince e , 1 flu Ki palric<, ident an4Ristered Agent sores Plaza West Co ominium, Inc. F -I/EIN # 59-1570223 7zst 1% v RECEIVED pLIP ID MAY 01 017 09 11 3 v vvr—cCe e h I FXJ . . . .... ...... . . G u �� ..•..e • •..... 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