PL-12-2424Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. P'L-10-17-2424
Permit Type: Plumbing - Residential
Work Classification: Sprinkler System
Permit Status: APPROVED
Issue Date: 10/13/2017
Expiration: 04/11/2018
Parcel Number
Applicant
Owner Information
Address
445 NE 94th Street
Miami Shores FL 33138
Phone
Cell
Contractor(s)
J & J SERVICES INC
Phone Cell Phone
(954)401-4565
Valuation:
Total Sq Feet:
$ 3,890.00
0
Type of Work: INSTALL NEW SPRINKLER SYSTEM WITH C
Type of Piping:
Additional Info: INSTALL NEW SPRINKLER SYSTEM WITH C
Bond Return :
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$2.25
$2.00
$0.80
$150.00
$9.00
$3.20
$169.65
Pay Date Pay Type
Invoice # PL -10-17-65312
10/13/2017 Credit Card
10/11/2017 Credit Card
Amt Paid Amt Due
$ 119.65 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Underground Sprinkler
Review Plumbing
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 a i, zoning. Futhermore, I au orize the above-named contractor to do the work stated.
fir
Aut 'd Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
October 13, 2017
Date
October 13, 2017
No\o/w`
L.�
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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
QPLUMBING ❑ MECHANICAL (PUBLIC WORKS
JOB ADDRESS: 445 NE 94 St
City: Miami Shores
County:
RECEIVED
OCT 11 7017
F C 201L1
Master Permit No. «P
Sub Permit No.
❑ REVISION ❑ EXTENSION 11 RENEWAL
CHANGE OF ❑ CANCELLATION C] SHOP
CONTRACTOR DRAWINGS
Folio/Parcel#:
Occupancy Type: Load:
Miami Dade Zip:
Is the Building Historically Designated: Yes NO
Construction Type: ' Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Darren Ockert
Phone#:917-573-9022
Address:445 NE 94 St
Zip: 33138
Phone#:
City: Miami Shores State: FL
Tenant/Lessee Name:
Email: darrenockert@me.com
CONTRACTOR: Company Name: J & J Services, Inc
Address: 4620 Fillmore St
Phone#: 954-401-4565
City: Hollywood
Qualifier Name: Luis Del Portal
State: FL
Zip: 33021
Phone#: 954-670-7271
State Certification or Registration #: Certificate of Competency #: 10 -CLS -16853-X
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ ' i g 10. C 0 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration 0 New . ❑ Repair/Replace ❑ Demolition
Description of Work: Install new sprinkler system with city water, existing electrical connections,
controller Rainbird ESP-TS2 will be plugged in on existing outlet.
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ �^1/� CCF $ CO/CC $
Scanning Fee $ Radon Fee $ 0 • OZI ��11 DBPR $ .o . f (2-S Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ \ \=1 '6-5
(Revised02/24/2014)
Londing 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 ;111 be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded noticef commencemen
for the first inspection which occurs seven (7) days after the building permit is isstkd. In the abse
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
2`1
day of,s-e_Q+1 ,20 by
MY If-Cr)elct who is personally known to
me or who has produced PI I i csC�1 1d"- as
identification and who did take an oath.
NOTARY PUBLIC:
ZEr r
Sign �1V%►
Print:
Seal:
;,'•z
MAHA
MY COMMISSION # G(` 044602
EXPIRES: NnvPmbe, 2, 2020
Bonded Thru Notary Public Underwriters
*************************
APPROVED BY
(Revised02/24/2014)
Signature
ust be posted at the job site
of such posted notice, the
CONTRACTOR
The forgoing instrument was acknowledged before me this
jj! S day of 5e,t9 Pe rob r( , 20 / 7 , by
Lv « de 1/ v f f ) , who is1 personally known to
me or who has produced (' ' ( / as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner
/'
Structural Review
s ' 'y• ;., TRILCE L ZAPATA
v "" ?._ MY COMMISSION # FF 168933
=4 .rd� a EXPIRES: November 5, 2018
S'd Rie Bonded Thru Notary Public Underwriters
**********
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305-814-9022
REDPALMDESIGN.COM
REVISIONS
LANDSCAPE DRAWINGS
DRAFT
AUGUST 13, 2017
SITE PLAN
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