PLC-17-2687 Permit�ivo.,PLCA 1-17-26$7
Miami Shores Village Permit Type:Plll robing-Commercial
10050 N.E.2nd Avenue NE
.� � '� •,•,� 2 � �� � IL Wo*Classification:Addition/AlterationMiami Shores,FL 33138-0000 - Permit Status:,APPROVE,D
Phone: (305)795-2204
F�ORtDp'
issue Date:111-1612,017 Expiration: 05/1412018
Project Address Parcel Number Applicant
9705 NE 2 Avenue 1132060134230
COCHRAN MIAMI SHORES LLC
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
COCHRAN MIAMI SHORES LLC 1800 ELLER Drive
FT. LAUDERDALE FL 33316-
1800 ELLER Drive
FT. LAUDERDALE FL 33316-
Contractor(s) Phone Cell Phone Valuation: $ 10,000.00
PLUMB TECH GROUP INC (305)428-8685
Total Sq Feet: 0
Type of Work:ROUGH AND SET 2 WATER CLOSET,2 LAV Available Inspections:
Type of Piping: Inspection Type:
Additional Info:
P Out
Classification:Commercial Re Pipe
Scanning: 1 Main Drain
Heater
Water Service
k Final
Water Main
Lavatory
Underground
Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $6.00
DBPR Fee Invoice# PLC-11-17-65629
$5.25 11/15/2017 Credit Card $332.75 $50.00
DCA Fee $3.50
Education Surcharge $2.00 11/13/2017 Credit Card $50.00 $0.00
Notary Fee $5.00
Permit Fee $350.00
Scanning Fee $3.00
Technology Fee $8.00
Total: $382.75
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 AFF VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an Hing. Futhermore,I authorize the above-named contractor to do the work stated.
I _ November 15, 2017
' Authorize1d Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
November 15,2017 1
}
Miami Shores Village ET Building Department "
10050 N.E.2nd Avenue,Miami Shores, Florida 33138 BY•
Tel:(305)795-2204 Fax:(305)756-8972 1
INSPECTION LINE PHONE NUMBER:(305)762-4949 + [�
FBC 20(`4
BUILDING Master Permit No. X
E:
PERMIT APPLICATION Sub Permit No. j)j. f
r
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
�UMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑SHOP
✓� ` rvf n /J,�/�
CONTRACTOR ., DRAWINGS
r JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: �//) ' �24C)40 ' C-I 13�2"Sa Is the Building Historically Designated:Yes NO 1�
Occupancy Type/r'2 Load: Construction Type: Flood Zone: BFE: FFE:
• OWNER:Name(Fee Simple Titleholder): RA Ail We, Phone#: k
Address: 19,�Do.a�V" DC 4V?i12
City: �Ef_ LAMDfflVA&. State: Zip:3 ?z�
Tenant/Lessee Name: w Phone#: rJ•'rI t1• (�1�
Email: p•
CONTRACTOR:/C'ompany Name: �lS(( l •�1 �V27 c�. f C Phone#:
Address:71�`-f s(JJ 4
I City: M /psi�kj I State: Zip: 3.5 S�
Qualifier Name: Ra y a _ Phone#:2)0
State Certification orjRegistration#: CW_
I Certificate of Competency#: 2 �+
DESIGNER:AIrcchitect/Engineer: 1 RAN
u_ Phone#: V�•1�, 6� 1
Address:_�ol 'k �q5�. City:F'1 N S&M State:fi- Zip: 33134'
Value of Work for this Permit:$ ���/f 6-uSquare/Linear Footage of Work:
Type of Work: ElA dition L,—J Alteration ❑ New ❑ Repair/Replace EJ Dem`olition
Description of Work: K0O q c\A Wct C SeAS ( ,C NC,i S-e(�ok
Specify color of color r'u tile: '" `
A, � ,q1 �y � R
Submittal Fee$G.0• y Permit Fie$' 3,P, lr CCF$ 'CO%CC
w::
Scanning Fee$ ��Q Radon Fee'$ 3' D B P R$`�. 2 S Notary$ q
Technology Fee$0 • C0 Training/Education Fee$ 2• Q7 Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 32• 5
(Revised02/24/2014)
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W
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Bonding Company's Name(if applicable)
Bonding Company's Address a
i�
,... City .. State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address r
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.....
• r
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 BEFORE1RECORDING
YOUR NOTICE OF COMMENCEMENT." r
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 commence nt m t'biposted at'the job site
for the first inspection which occurs seven (7) days after the'building permit is.•issued. Jn,,the,a sence f such posted notice, the
inspection will not be approved and a reinspection fee will be charged' ' ►
" r
Signature fv% 1 V b`l�• Signature r7
OWNER or AGENT — CONTRACTOR
The.foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ti vy�n.bt( 20 1 by �'3_ day,of N M�� 20 1� by
i DA fr-lov cr- who is rsonally kno n to MO SuDl��0 fio is personally known to
me or who has produced as me or who has produced L��- � arJs
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUB C:
61 fir r ►�jUt, �`�
Sign: pp nn Sign:
c Print: �SfMme. H-.1 '-VCA UI\? 4 } `,Print:
Y
Seal: Seal °s Notary Public State of Florida
�.,�f r°
�. � � Sindia Alvarez {
ISmaei A P'db011;+' My Commission FF 156750
Commission#GG082183 �oF� Expires 0910312018
i
Bond d thru Aaron Notary ,
APPROVED BY �'� �� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)