PL-18-1507Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. PL-6-1 8-1507
Permit Type: Plumbing - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 6/8/2018 Expiration: 12/05/2018
Parcel Number
Applicant
1700 NE 105 Street Number: 204
Miami Shores, FL
1122300500230
Block: Lot:
MARGARET JENKINS
Owner Information
Address
Phone
Cell
MARGARET JENKINS
1700 NE 105 ST #204
MIAMI FL 33138-2139
Contractor(s) Phone Cell Phone
WM PLUMBING SEPTIC TANK & GRE4 (305)495-0629 (305)495-0629
Valuation:
Total Sq Feet:
$ 300.00
0
Type of Work: REPLAcCING EXISTING KITCHEN CABINET
Type of Piping:
Additional Info: REPLAcCING EXISTING KITCHEN CABINET
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.00 '
$2.00
$0.20
$100.00
$3.00
$0.80
$108.60
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-6-18-67776
06/08/2018 Credit Card $ 58.60 $ 50.00
06/01/2018 Credit Card $ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Top Out
Final
Review Plumbing
Underground
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 A
constructio
zo
IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
ing. Futherm e, I auutthoorile t Above -named contractor to do the work stated.
June 08, 2018
orized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
June 08, 2018 1
Miami Shores Village
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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
Master Permit No. \<-.- - `Zet 2--
Sub Permit No. in 16 - 1SV�
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
DRAWINGS
JOB ADDRESS: I / 00 - E (05 ` F 2c,"k ^�
City: Miami Shores County: Miami Dade Zip: 3 J ` 3 3
Folio/Parcel#:
Occupancy Type( Load: Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder):/if44
Ter.) K: N$ Phone#: �� — 3 9 y —335 Z
Address: (1)00 N . 0 ( 5a\{ - Zog
City: f ` .k.‘ 4M t S ho ( 'D ' State: \ ' Zip: 3 3 l 3 i
Tenant/Lessee Name: Phone#:
Email:
Is the Building Historically Designated: Yes NO
BFE: FFE:
CONTRACTOR: Company Name: (AM P / art4h' q / //, C
Address: / a- - P u— - Le 9► \ c •
City: C.61/"Ci1( L I e S State: F /-
Qualifier Name: (�1 G b � {%i f— ►� C�
cFC 0-I ).770 / Certificate of Competency#:
Phone#:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Pe
Address:
Value of Work for this Permit: $
Type of Work: ❑ Addi
Description of Work:
Alteration
C�
Phone#: 30r y 7 s 06 2-7
Zip: 33 / 3 "/
Phone#: 3c_ 7 % - 64 27
City: State:
Zip:
Square/Linear Footage of Work:
❑ New Elepair{lieplace ❑ Demolition
�d.(c ♦ u
Z Coin Ce(
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ /G'C'' CCF $
Scanning Fee $ Radon Fee $ Z • Q DBPR $ 2 • C.
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ C
TOTAL FEE NOW DUE $ c�8' GO
(Revised02/24/2014)
CO/CC $
Notary $
{
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.
"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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice„ 6f 2gmmencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is I sued. In the absence of such posd tice, the
inspection will not be approved and a reinspection fee will be charged.
Signatur
OWNER or AGENT
The foregoong instrumen was acknowledged before me this
((QQ day of6.�
,�/� 4 20 1O by
1
' ts"..., ' o is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:V0.1R*j
Seal: i�� MYCOMMISSION 600005526
EXPIRES: *Umber 6, 2020
600kiltroy 6ubONO ',$ M I
140'!%,
APPROVED BY
(Revised02/24/2014)
as
Signature
The egoing ins
day of
me o
CONTRACTOR
instrument ��1as .cknowledged befo this
�__ 20 , by
1 T . O.ersonally known to
r who has produced • as
identification and who did take an oath.
NOTARY P
Sign:
Print:
Seal:
Plans Examiner
Structural Review
rj n d _�•t MY COMMISSION #FF180686
AQr
.10�.•, EXPIRES December 3, 2018.
*07) 3le•0153 FlorldallotaryServlce.com
Zoning
Clerk