PL-18-445 Permit No. PL-2-18-445
Miami Shores Village Parmit,Type:Plumbing-Residential
10050 N.E.2nd Avenue NE Work Classification:Addition/Alteration
Miami Shores,FL 33138-0000 Perlill Permit,Status:APPROVED
Phone: (305)795-2204
Issue Date:7127/2018 Expiration: 08/26/2018
4
Project Address Parcel Number Applicant
10666 NE 10 Court 1122320280910
Miami Shores, FL 33138- Block: Lot: F-1 PERFORMANCE LLC
Owner Information Address Phone Cell
F-1 PERFORMANCE LLC 530 N SHORE Drive (786)302-8768
-MIAMI BEACH FL 33141-
530
3141-530 N SHORE Drive
MIAMI BEACH FL 33141-
C6ntractor(s) Phone Cell Phone Valuation: $ 5,500.00
UNIVERSAL PLUMBING CORP (305)887-3131
Total Sq Feet: 0
Type of Work:MASTER BATH RENO,REPLACE VALVES, I Available Inspections:
Type of Piping: Inspection Type:
Additional Info: Top Out
Bond Return Final
Classification:Residential Scanning: 1 Review Plumbing
Underground'
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.60 Invoice# PL-2-18-66519
D13PR Fee $3.38
DCA Fee $2.25 02/21/2018 Credit Card $50.00 $193.23
Education Surcharge $1.20 02/27/2018 Credit Card $ 193.23 $0.00
Permit Fee $225.00
Scanning Fee $3.00
Technology Fee $4.80
Total: $243.23
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_uthermore,I authorize the above-named contractor to do the work stated.
February 27, 2018
AuthorizlkdjigrWure:Owner / Applicant / Contractor / Agent Date
Building Department Copy
February 27, 2018 1
J?-)owES 7$6 302 17(o8
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t Miami Shores Village RF
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9A Building Department
I 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
-� INSPECTION UNE PHONE NUMBER:(305)762-4949 p 0-L
FPC ZO I��
BUILDING Master Permit No. V2 C,lY-'%(..
PERMIT APPLICATION Sub Permit No.'RXS' 4 44S
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 10666 NE 10 COURT
City: Miami Shores County: Miami Dade Zip:
folio/Parcel#:11-2232-028-0910 Is the Building Historically Designated:Yes NO X
Occupancy Type: SFR Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):F-1 PERFORMANCE LLC (JOHN BOWES)Phone#:786-302-8768
Address:530 N SHORE DR
City: MIAMI BEACH State: FL Zip: 33141
Tenant/Lessee Name: NA Phone#:
Email: JBOWES.F1@GMAIL.COM
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CONTRACTOR:Company Name: d1on Phone#:
Address: J41 >✓ f9 Lt I
City 9AAW State: FL Zip: 331013
Qualifier Name: U W i��64
Phone#:
State Certification or Registration#: l /7d� 'T Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$X $S O a Square/Linear Footage of Work:
Type of Work: ❑ Addition FE-1 Alteration ❑ New ❑■ Repair/Replace ❑ Demolition
Description of Work:y �7iJi
kw
Specify color of color thru tile:
Submittal Fee$A6•W Permit Fee$ �c�- CCF$ CO/CC$
Scanning Fee$ Radon Fee$ 2 ZS DBPR$ 3 Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ �I 3 • Z3
(Revised02/24/2014)
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. 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.....
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 fiat 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.
Signature 44Z, Signature
I
OWNER or AGENT CONT CTOR
The foregoing instrument was acknowledged before me this The foregoinginstr mentnwas acknowledged before me this
day of �t`-- ,20 17 by dX
day1f 0,M P)&f, 20 1-1 ,by
who is personally'known to A—ILA I who is personally known to
me or who has produced r.. D,4 C� as me or o has produced t��� L�C��� as
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ide ifi . n and who d' k an oath. ntificati n nd who did t th.
Y UC: O R C:
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Print: Print:
=MISSION
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Seal: My COMMISSION 6 GG 0UT0 Seal: � JMY COMMISSION#GO 036970
ror EXPIRES:Ocbbe 6.2020 ., EXPIRES:OcbW 6,2020
r i° Thro Notary Public**MI'm Bonded Thr"Notary Public UndwMilem
*ssssssssssssssssss*ssssssssssssssssls—ss*sass***ssssssssssssssssss***ssssssssssssss*sssssssssssssssssssssssss
APPROVED BY V` r�r Plans Examiner Zoning
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Structural Review Clerk
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(Revised02/24/2014)
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ness Tax Fbceipt
Local BUST
M iam,i-Dade County, State of Florida
—THIS IS NOT A BILL—DO NOT PAY g
6808779
BUSINESS NAM EICOCA TION RECEIPT NO' EX PI R E S
UNIVERSAL PLUMBING CORP RENEWAL SEPTEMBER 3092018
141 E 60 ST 7082282 Must be displayed.at plaice of business
HIALEAH,,FL 33013 -Pursuant to County-Code `
Chapter 8A -Art. 9 8 10
I
OWNER SEC. TYPE OF BUSINESS
PAYMENT RECEIVED
i UNIVERSAL PLUMBING CORP 196 PLUMBING'. BY TAX COLLECTOR
CONTRACTOR 45.00 09/29/2017'
Worker(s) 3 CFC1428421 ECHECK 18-000090'
This local Business Taos Pecefpt only con"rale payment of the Lodi Business Tax.The Rmeipt is not a Ilcertse,
pwMt,or a certi"cats on d the kidder's qual i"cations,to do buss ness.1 d der mist comply iinith any ga+remmental;
or na VoverrNrlontal regul ator`y laws and requi renwite which apply to the busi nesa
fie FMSPT NQ above must be disgayed on all coax wciel vehides-Miami-Dade Conde Sec 8x-218,
MIAFor more information,visit
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