PL-17-2126Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. PL -8-17-2126
Permit Type: Plumbing - Residential
WorkClassification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 9/1 /2017
Expiration: 02/28/2018
Parcel Number
Applicant
1055 NE 105 Street
Miami Shores, FL
1122320280810
Block: Lot:
NAKUL JATHAR
Owner Information
Address
Phone
Cell
NAKUL JATHAR
1055 NE 105 Street
MIAMI SHORES FL 33138-
Contractor(s)
METROPOLITAN PLUMBING INC
Phone
Cell Phone
Valuation:
Total Sq Feet:
$ 2,800.00
0
Type of Work: REMOVE AND REPLACE FIXTURES IN SAME
Type of Piping:
Additional Info: REMOVE AND REPLACE FIXTURES IN SAME
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$2.25
$2.25
$0.60
$150.00
$3.00
$2.40
$162.30
Pay Date Pay Type
Invoice # PL -8-17-64962
08/23/2017 Credit Card
09/01/2017 Check #: 1172
Amt Paid Amt Due
$ 50.00 $ 112.30
$ 112.30 $ 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 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. F thermore I au • . rize t - . bove-named contractor to do the work stated.
uthorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
September 01, 2017
Date
September 01, 2017 1
2705 40o=
BUILDING
PERMIT APPLICATION
I
❑ BUILDING ❑ ELECTRIC
[PLUMBING ❑ MECHANICAL
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
Master Permit No.
Sub Permit No.
❑ ROOFING ❑ REVISION
❑PUBLIC WORKS ❑ CHANGE 'OF •
CONTRACTOR
JOB ADDRESS: I u S'S
RECEIVED
AUG23 2017
Sh
FBC 20 (-'I
fl -1528
PI i -LIZP
▪ EXTENSION.
❑ CANCELLATION
❑ RENEWAL
El SHOP
DRAWINGS
City: Miami Shores
. County:
Miami Dade Zip:
•
Folio/Parcel#:
4 r p
Occupancy Type: Load:
OWNER: Name (Fee Simple Titleholder):
'Is the Building Historically Designated: Yes . NO
i
Construction Type: Flood Zone:
flaky ( .r
Address: d 0 SS � -
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City: (DIM, ` )hbl/r5 State: r C�
BFE: FFE:
Phone#: 3 # 3 2.) -3
V/1 g
Tenant/Lessee Name: `4//4-
Email: IIli Q1®ymG It( .�
Zip: 313' 0
Phone#:
CONTRACTOR: Company Name: NI ` Val\ (y n0pPhone#: 3C $g
Address: tcc)►(E. 14 61_- f'
Zip: 330c11,1)
Phone#: 3305-"x'$ X100
Qualifier Name:
sue a i-cl n
State Certification or Registration #: I^ —( 3S-11 Certificate of Competency #:
DESIGNER: Architect/Engineer: f s. Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ y. Pre,
Type of Work: ❑ Addition ❑ Alteration
Description of Work:
kerAto ,•eeO es,c4.1
Square/Linear Footage of Work:
❑ New
Repair/Replace ❑ Demolition.
fACe- .(itytA.:14e-y— t rtai 5
Specify color of color thru tile::
it
Bonding Company's Name (if applicable) # e 1
`‘.1%>I�tirA
Bonding Company's Address
City 1 State Zip
Mortgage Lender's Name (if applicable) '
Mortgage Lender's Address
• 1 t .
City ` State 1 Zip
r
t '
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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
ti
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. 1
"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." r�
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 commencemeht'and o struction 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 buildingtpermit is issued. In the absence of such posted notice, the
inspection will .e appro : d and a reinspection fee will be charged.
Signatur
1,
The foregoing instrument was acknowledged beforemethis
day of `I,�LJ���/ ,20 201y, by
6116 I 1_QQ , who ' rsonally kno o
-OWNEirt.51-AGENT
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:`
Print:
Seal:
Notary Public - State of Florida
Commission # FF 916917
(es t. My Comm. Expires Nov 7, 2019
..... Bonded through National Notary Assn
The foregoing instrument was acknowledged before me this
10 day of •kilt ---t , 20 I1 , by
MiSUe-`GuiOrtCit )wh
-me or who has produced as
0
identification andlwho did take an oath.
NOTARY PUBLIC:
Sig r/:;9 `
Print:
Sea l: ''4M'SSip4:P
esp
V N g�1114
y,�
EXPIRES is -
- most1,2019 Qz: —
************************************************************ ******* :last
O ,RONNo�P :
o •
APPROVED BY I� G/ 1% Plans Examiner, 'y�ilC,Sta�e*""•�
(Revised02/24/2014)
Zoning
Structural Review Clerk