PL-17-2474 Permit NO. PL-1 0-17-2474
Miami Shores Village Permit Type-Plumbing-Residential
1oVsVm.s.2nd Avenue wE
'
Miami Shores,rILuo1u8-ouoo Per 10 t
Phone: (305)79e2204
toissue Date. 10118/2017 [ Expiration: 04116/2018
Project
746 NE 94 Street 1132060141660
WILLIAM ARNOLD
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
WILLIAM ARNOLD 746 NE 94 Street
MIAMI SHORES FL 33138-2915
Contractor(s) Phone Cell Phone Valuation: $ 7,500.00
ALDAN PLUMBING INC (305)829-3031 f
Type of Work:NEW ADDITION TO EXISTING HOUSE. Available Inspections:
Type of Piping:
Additional Info: Inspection Type:
Bond Return Top Out
Final
Classification:Residential Scanning: 1 Review Plumbing
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $4.80 Invoice# PL'-10-17-65378
D�PIR Fee $3.94 10/18/2017 CreditCard $234.87 $60.00
DCA Fed $2.63
Education Surcharge $1.60 10/17/2017 Check#:274 $50.00 $0.00
Permit Fee $262.50
Scanning Fee $3.00
Technology Fee $6.40
Total: $2i4—.87
/
-
m consideration of the issuance to me of this permit, | agree to perform the work covered hereunder in compliance with an ordinances and regulations
pertaining thereto and instrict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this ponnx | assume responsibility for all work done by either myself, my aoem, uwmmmo. or employes. | understand that separate pennno are
required for ELE9�R�CAL,PLUMBING, MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWN ERS*,�/u regulating
Buildingconstruction zo
Depaftment Copy
� �\e�a�n�vo ��� � .
3�� x( 0 3 � a ��
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4 ,
R Miami Shores Village REETT " -
F Building Department ao I 2017 ..
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
}. FBC 26
BUILDING Master Permit No—l:?—C-1 4 —�
PERMIT APPLICATION Sub Permit NoDL.(
OBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION ❑RENEWAL
Q■ PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
7
106 ADDRESS: 746 ne 94 st
City: Miami Shores County: Miami Dade Zip:
11-3206-0141660
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder):William A. Arnold & Vivian Gutter Phone#:305 490 7504
1 746 ne 94 st,
Address: E
Miami Shores FI 33138
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email:
Aldan-Plumbing 305 307 6395
CONTRACTOR:Company Name: Phone#:
9600 NW 39 St.
Address:
City:
Cooper City State: Florida Zip: 33024
Qualifier Name:
Alfredo Carmona Phone#: 786 5862242
State CertiCFC 1428171fication or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Ruben PUJol Phone#: 786 344 0439
Address:
12237 SW 204TH Terr City: Miami State: FI Zip: 33161
7,500.00 250
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑■ Addition ❑■ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
New addition to existing house
Description of Work:
1.
Specify color of color thru tile:
Submittal Fee$ ��� Permit Fee$ _ �i7�. CCF$ T' w CO/CC$ T
Scanning Fee$C3 Radon Fee$ 2 DBPR$ el1 Notary$
Technology Fee$ "' ' Training/Education Fee$ 6� Double Fee$
Structural Reviews$ Bond$ 0
i
TOTAL FEE NOW DUE$ 2 .•��
(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. 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.
t "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 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 approved and a reinspection fee will be charged.
Signature L Signature
(OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged beforemethis The foregoing instrument was acknowledged before me this
F7 d y of 4 e 20 /" , by /-day of / V 20 l 7 by
A-
f who is personally known to AP-0,41A,who is personally known to
me or who has produced _ 1 ,� L as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
tnTARY'PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: •' • Print:
,o;iAy Sig
�.
Ww
My COMM4fS810N A FF914M 040 A. LIVAN PEREZ
Seal: Seal: s �:
EXPIRES Stptwn�pt,201E • _ Notary Public-State of Florida
.•-
wi, -o s� r�o�rrau, �s'4 My Comm.Expires Dec 2.2017
� �► t Commission#FF 074071
APPROVED BY � Plans Examiner Zoning
Structural Review Clerk
t
(Revised02/24/2014)