PL-17-1219 '15
� . Pt�it n �.- - " -' ' '
Miami Shores Village I[I 0b 0,9.-RjDs1dential
10050 N.E.2nd Avenue NE
Work ctsuftafton.
Miami Shores,FL 33138 0000 er
Permit$tatuS.APPROVED
Phone: (305)795-2204
roo
,6t2tl�i Expiration: 11/04/2017
Project Address Parcel Number Applicant
761 NE 95 Street 1132060142150
LOURDES&ERIC CRAVELLO
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
LOURDES 8&ERIC CRAVELLO 761 NE 95 Street
MIAMI SHORES FL 33138-2514
Contractor(s) Phone Cell Phone Valuation: $ 350.00
BIONIC PLUMBING CORP. 305-498-9100
_..... Total Sq Feet: 0
r
Type of Work:GAS VENT Available Inspections:
Type of Piping:
Inspection Type:
Additional Info: Final
Bond Return: Press Test
Classification:Residential Scanning: 1 Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
Invoice# PL-5-17-63897
DBPR Fee $2.00 05/03/2017 Credit Card $50.00 $58.60
DCA Fee $2.00
Education Surcharge $0.20 05/08/2017 Credit Card $58.60 $0.00
Permit Fee $100.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $108.60
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate )dthalwork
thall work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-named ntracto to stated.
May 08, 2017
Authorized Signature:Owner / Applicant / ontractor Agent Date
Building Department Copy
May 08,2017 1
J �
i
' Miami Shores Village 17f
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
J
FBC 20
BUILDING Permit No.7
PERMIT APPLICATION Master Permit No. 1-��`
Permit Type: PLUMBING
JOB ADDRESS: ✓z/
City: Miami 4hore's County: 4 Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address:��2 l or /y
City: 1.,^1 A State: *(-A- Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: (J SOA lr-- .. 9 o (9,-ja Phonek -4 2 17 10
Address: ®� S S ,�J �3 �_G 7 vYi 4&
City: 412 4q i State: Zip: 3/7�
Qualifier Name:�A� v( a c:lC Phone#:
State Certification or Registration#: Certificate of Competency#:
Contact Phone#: Email Address: e� e�
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ :2 C22 Square/I.inear Footage of Work:
Type of Work: OAddress //DAlteration DNew 0%Qair/Replace ODemolition
Description of Work: 8 C, 0r-�-i o
Submittal Fee Permit Fee$ r CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ •OA Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
Boni hg 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
IlViPROVEMENTS 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.
Signa Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged befo this The forego' g instrument was acknowledged before me this 71)3
day of—S�,20 day of `� ,20 a,by GaV-Y rel
,,u a'•..
who is personally kno who h LOCK who is personally known to me or who has produced
NO ApY P "TATE OF
ation�i it an o U0<161 i as identification and who did take an oath.
.EXPIRES 11-Oe..ZptS
NOTARY PUBLI MY COMMNOT PUBLIC:
Sign: Si
Print o O Print JI 1b('C'
My Commission pires:����90ti Awvo My Con st E�¢lhfQS*ubiic State of Florida
NOMENNONOWs� , 3india Alvarez
a AAY Commission FF 156750
mc, Expires 09/03/2018
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012)(Revised 07/10/07)( rAmd 06/10(2009)(R"ised 3115/09)