PL-17-1306 Permit NO. PL-5-17-1306
t �sNO1s L,� Miami Shores Village t Permit Type:Plumbing-Residential
10050 N.E.2nd Avenue NE �
Work Classification:AdditionfAlteratidrl
Miami Shores,FL 33138-0000 Pot
Phone: (305)795-2204 Permit Status:APPROVED
'°CORLDp'
issue Date:6/1612017 17Expiration: 12/13/2017
Project Address Parcel Number Applicant
1160 NE 98 Street 1132050180390
Miami Shores, FL 33138- Block: Lot: FRANCES P ALLEGRA&MARYI
Owner Information Address Phone Cell
FRANCES P ALLEGRA&MARYBELL 1160 NE 98 Street (305)609-0091
- - -- --- - --- - MIAMI SHORES FL 33138-
1160 NE 98 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone $ 1,437.00
Valuation:
FLORIDA DELTA MECHANICAL INC (866)219-0880
,. ..... _.. ............... _. -.... Total Sq Feet: 0
Type of Work:40 GAL ELECTRICAL WATER HESTER REPL Available Inspections:
Type of Piping: Inspection Type:
Additional Info:
Top Out
Bond Return: Final
Classification:Residential Scanning:3 Review Plumbing
Underground
Fees Due Amo]$2.00
Pay Date Pay Type Amt Paid Amt Due t
CCF
Invoice# PL-5-17-63997
DBPR Fee 05/11/2017 Check#:501715 $50.00 $66.20
DCA Fee Education Surcharge 06/16/2017 Check#:501948 $66.20 $0.00
Permit Fee $1Scanning Fee Technology Fee Total• $11
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 cert" at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoninWutere,I authorize the above-named contractor to do the work stated.
June 16, 2017
Authorized at re:Owner / Applicant / Contractor / Agent Date
Building De rtment Copy
June 16, 2017 1
Miami Shores Village Y 11 2017
==M
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
FBC 20 (LI
BUILDING Master Permit No. �'l� - 130b
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
10B ADDRESS: 1160 ne 98th st
City: Miami Shores County: Miami Dade Zip: k
Folio/Parcel#:11-3205-018-0390 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Marybell Rajo Phone#:305-609-0091
Address:1160 ne 98th st
City: Miami Shores State: fl Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
r
,CONTRACTOR:Company Name: FI Delta Mechanical Phone#: 866-219-0880
Address: 2716 Broadway Center '
City. Brandon state: fl Zip: 33510
Qualifier Name: Dimitre BobevPhone#: 866-219-0880
State Certification or Registration#: CFC1425917 Certificate of Competency#:
t
DESIGNER:Architect/Engineer: Phone#:
;Address: City:. State:- Zip:
437
Value of Work for this Permit:$1. Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑■ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 40 gal. elec. water heater replacement
r
Specify color of color thru tile: r�
Submittal Fee$ i�� Permit Fee$ /�/�(// CCF$ �O CO/CC$
Scanning Fee$ Clf Radon Fee$ 2— DBPRr$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$ --�
Structural Reviews$ _ Bond$ —'
t
TOTAL FEE NOW DUE$
(Revised02/24/2014)
i
Bonding Company's Name(if applicable)
Bonding Company's Address
z ,
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 lienMv brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement mu�be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issu d. f In the absence such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature �� Signature
a
0 NE or AGENT NTRACTOR
The foregoing instrument was acknowledged bQforee thisThe foregoing instr nt was acknowledged before me this '
C. da f Q 20��__,by flay of 20 bpi
i who is ersonally known to imis ersonally kno n to
me r who has produced. as me or who has produced t as
identification and who did take an oath. identification and who did take an oath. ,
NOTARY PUBLIC: NO PUBLIC:
inl
Sn: _ _ Si n:
Print: Pri VA
DANELLE BARBARO
Seal Seal: ;•.' MY COMMISSION#FF972348
NOTARYPUBW
STATE OF FLORIDA EXPIRES March 17,2020 d
. • COIIM11 FFI(MOM -_:,°a a (407)396-0163 Fbridallotary3ervlce.cam
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
i
(Revised02/24/2014)