PL-16-1695Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number
V
Expiration: 01/17/2017
Applicant
10565 NE 2 Court
Miami Shores, FL
1122310130590
Block: Lot:
YORNET AND SAMUEL COMER!
Owner Information
Address
Phone
Cell
YORNET AND SAMUEL COMERFORD 10565 NE 2 Court
MIAMI SHORES FL 33138-
(305)751-7467
10565 NE 2 Court
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
B & N PLUMBING CONTRACTOR COF (786)236-1256
Valuation:
Total Sq Feet:
$ 15,650.00
400
Type of Work: INSTALL 2 BATHROOMS LAUNDRY ROOM AS
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
$9.60
$8.22
$8.22
$3.20
$547.75
$3.00
$12.80
$592.79
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL -6-16-60243
06/17/2016 Check #: 4079 $ 50.00 $ 542.79
07/21/2016 Credit Card $ 542.79 $ 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 wi he plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsib' ity f{�r all w'' k done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, CH NIC, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: ify ha all going information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. F e ore, I a orize the above-named contractor to do the work stated.
July 21, 2016
Authorized Sign ufe: Owner / Applicant / Contractor / Agent
Building Depa
July 21, 2016
nt Copy
Date
1
BUILDING
PERMIT APPLICATION
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
FBC20 cf
Master Permit No. 42.0-1(2 - 8 T�
Sub Permit No.1L-(C' l fp ! 5
LI BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION El RENEWAL
�UMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ( D S
City: Miami Shores County:
Folio/Parcel#:
Occupancy Type:
Miami Dade
Zip:
Is the Building Historically Designated: Yes NO ,(-4
Flood Zone: BFE: FFE:
Load: Construction Type:
OWNER: Name (Fee Simple, Titleholder): C ® `Pu ✓ c�
Address: ( 09 Cc -
City: " \ La_ L( ( CO -0> State: 1
Tenant/Lessee Name:
Email:
`�1iVt.l�T Phone#: BOS' 2 )s—
Zip:3j (3 e
Phone#:
CONTRACTOR: Company Name: e? , ✓ /d U)Vb/126 Phone#: 706 ;"s /?`56
Address: / 41'040 /14-7 TA OT
City:
Qualifier Name: Gl labeisi
State: /- Zip: 33/g6
-7Er& a3& ia5a'
State Certification or Registration #: e Fe / 100< o 1e:I Certificate of Competency #:
Phone#:
DESIGNE : Archi ct/Engineer: (M Aye& 6bAte(gt uL._ A- .CN`riLt ( Phone#: 3 DS 13'1 Z 31'2'
Address: 1 3 WZ S 7 R-C� / City: V'/A^^' S kl-rAIE 5 State: Zip: 3) 3 t
`cc. S-bPaste
Value of Work for this Permit: $ �' Square/Linear Footage of Work: '
rt�is/
Type of Work: Addition ❑ Alteration n New ❑ Repair/Replace ❑ Demolition
Description of Work: \ -STC t. 2 �e Gt.41-c,� /cc,
vy S ( ✓/ (iiia
a OL p (e ve -7c� j
Specify color of color thru tile:
Submittal Fee $ - 00 Permit Fee $ CCF $ 4:7CO/CC $
Scanning Fee $ ` CJJ Radon Fee $ e ' DBPR $ _8 � ' •� Notary $
Technology Fee $ ' `3 Training/Education Fee $ - Double Fee $
Structural Reviews $ Bond $
(Revised02/24/2014)
„
TOTAL FEE NOW DUE $ 3'4 2
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 absents of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
‘4nature
RACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
, ZO f� by I s� day of q`/ 6i , 20 / (' , by
�; v �� b who is personally known to ( ,'(u c G C1 c4 ti , who is personally known to
e or who has produced as me or who has pro uced as
identification and who did take an oath.
NOTARY PUB .
identification and who did take an oath.
NOTARY PU
Sign:
Print:
Seal:
C:
ibLkief—
ce nuc LAURA FARLEY
*MY COMMISSION FF 188027
EXPIRES; March 18,2019
q4orn.044e Sandadlhru Budget Notary Solos
*****************************************
APPROVED BY
(Revised02/24/2014)
Sign:
Print:
Seal:
40`;:x4tati, LAURA FARLEY
* MY COMMISSION t FF 1: a27
EXPIRES: March 16, 2019
',Q ,, bad Thru auaget Notary Services
*******************************************************************
Plans Examiner
Zoning
Structural Review Clerk