PL-17-2948 Permit No. PL-1,2-17-294$
Miami Shores Village t Petmit Type:Plumbing-Residential,
10050 N.E.2nd Avenue NE � � '
Work Classification:t"aa3
Miami Shores,FL 33138-0000 P(Da, Permit Status:APPROVED
Phone: (305)795-2204
FCORiDp'
issue Date: 12/2812017 Expiration: 06/26/2018
Project Address Parcel Number Applicant
1450 NE 103 Street 1132050310040
VIKTORINEX, LLC
Miami Shores, FL 33138-2626 Block: Lot:
4
Owner Information Address Phone Cell
VIKTORINEX, LLC 1931 CORDOVA RD Road (305)647-6486
FT. LAUDERDALE FL
Contractor(s) Phone Cell Phone Valuation: $'1,200.00
G&L PLUMBING SERVICE 305-551-5090 (786)225-3648
Total Sq Feet: 40
Type of Work:GAS PIPE IN KITCHEN AND LAUNDRY 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 $1.20
Invoice# PL-12-17-65913
DBPR Fee $2.25 12/28/2017 Credit Card $ 110.45 $ 50.00
DCA Fee $2.00
Education Surcharge $0.40 12/14/2017 Credit Card $50.00 $0.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $1.60
Total: $160.45
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. Futhermore, I authorize the above-named contractor to do the work stated.
ece r 28, 2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
December 28,2017 1
\_ � � rte.
�, n� �J � �
Miami Shores Village
Building Department _
10050 N.E.2nd Avenue,Miami Shores, Florida 33138 I C 14 1017
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 01
BUILDING Master Permit No.�� - � 3 I
PERMIT APPLICATION sub Permit No��. ..�� _2,9 46
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING F-1MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF E]CANCELLATION [:] SHOP
1 CONTRACTOR DRAWINGS
JOB ADDRESS: is 1�o.
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name(Fee Simple Titleholder): V I l< j ®R I NCX 1 L LC' Phone#: 156. 5,S-j.
q0 0
tAddress: 101 S I L/-ORt,toy4 Q SUire 1a8
City: FT. �-AV DEP Dlr-rState: �L-- Zip: 33 3 1 (3
Tenant/Lessee Name: Phone#:
Email: Vi KT-ORI NP-Y, LLCGIMA1L , C.t')N► �
CONTRACTOR:Company Name: L !✓ - Phone#:
Address:� / C'-
City: f Q- State: r'� Zip: l
Qualifier Name: �� !r. .R- Phone#:
State Certification or Registration#: Certificate of Competency#:
,
DESIGNER:Architect/Engineer: Phone#:
Address: 9p, City: State: Zip:
Value of Work for this Permit:$ I��� Square/Linear Footage of Work: 1A 0 j'-
Type of Work: ❑ Addition LTJ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
l Tf
Specify color of colorthru tile• $k4P'� S fldlf• J!`1' $J } K''Yg
Submittal Fee$ Permit Fee$ CCF$ CO/CC'$i
Scanning Fee$ Radon Fee$,2 vim' DBPR$ 2 ' -2-S Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address _
City 3 ! State Zip
Mortgage Lender's"Name(if applicable) ? '
"7-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 work1will be perfo mr ed 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."
5 � s
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 appy ved and a reinspection fee will be charged.
t
Signature 7° Signature
OWNER or AGENT CONTRACTOR
The foregoing instrum )Zt�was ac�,,no,/wledged before me this The for(e�oing instrument w acknowledged before me this
day of /�`��`•6- 20 'by ( day of � .20 Z� by
-k
I roaUCa ;who is personally known to � 1�,(� �r ✓ � ��'� ' .who is p rsonalllly known to
me or who has produced /l Y `I L as me or who has produced � �K `/G as
identification and who did take an oath. identification and who did ake an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: /� ` Sign: ^ q
Print: ijki6b /�� Print: / � / pl�
Seal: rpt'."•�::'�% LIRIDAMIRABAL Seal: *��p0.��P•. � LIRIDAMIRABAL
* * MY COMMISSION#FF 159697 MY COMMISSION#FF 159697
* EXPIRES:January 12,2019
N, EXPIRES:January 12,2019 N., ��<* Bonded Thru Budget Notary SOrvic0l
�rEOF F`�Q,P Bonded Thru Budget Notary Servlca0►f1.�
#################################1###########################################################################
APPROVED BY !a'iii-4 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)