PL-17-2966Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. PL-12-17-2966
Permit Type: Plumbing - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 5/712018
Expiration: 11/03/2018
Parcel Number
Applicant
158 NW 94 Street
Miami Shores, FL
1131010330790
Block: Lot:
GUILUZ LLC
Owner Information
Address
Phone
CeII
GUILUZ LLC
158 NW 94 Street
MIAMI SHORES FL 33150-
(305)926-9129
158 NW 94 Street
MIAMI SHORES FL 33150-
Contractor(s)
SLAZAR CONSTRUCTION INC
Phone CeII Phone
(365)412-6355
Valuation:
Total Sq Feet:
$ 1,125.00
0
Type of Work: RENOVATION IN KITCHEN AND BATHROOMS
Type of Piping:
Additional Info: RENOVATION IN KITCHEN AND BATHROOMS
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Penalty Fee
Permit Fee
Scanning Fee
Technology Fee
Amount
$1.20
$3.38
$2.25
$0.40
$5.00
$225.00
$225.00
$3.00
$1.60
Total: $466.83
Pay Date Pay Type
Invoice # PL-12-17-65936
05/07/2018 Check #: 1055 $ 416.83 $ 50.00
12/18/2017 Check #: 1029 $ 50.00 $ 0.00
Amt Paid Amt Due
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 AFF
construction an
ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
hermore, I authorize the above -named contractor to do the work stated.
Authorize ure: Owner / Applicant / Contractor / Agent
May 07, 2018
Date
Building e• artment Copy
May 07, 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
JOB ADDRESS: ISe) NW C;74 ST
City: Miami Shores
County:
Master Permit No.
Sub Permit No.
RECtJVED
DEC 18 2017
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION SHOP
CONTRACTOR DRAWINGS
Miami Dade
zip: 33tGc
Folio/Parcel#: (I - 3l0I - 033 - 0710 Is the Building Historically Designated: Yes NO
Occupancy Type: Q.. Load: Construction Type:
Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder):Cuo 1102. `�C Phone#:3S 26 L2�
Address: Isit t 1'« 3L C . # lots
City: •�t2sniwra State: Zip: 33 L
Tenant/Lessee Name: Phone#:..
Email aty, , inke " a zynalk •Geo Y1
CONTRACTOR:✓Company Name: L p p�L c..c)NSC,T l Ot C Phone#: 3e$S
Address: I03S 1 S l8 C-T •
;City: Mk PC -Mk State: �--
Qualifier Name:
rtAQ- S2SLAZtS12—
Zip: 33 k $Q
Phone#:
State Certification or Registration #: tI Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
_Vatu" of ork o this P mit $ I, 12.e - Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: i X )oval4Cf lf) ¥•t and, barkritionis
Specify color of color thru tile:
LSo pn►
3^
Technology Fee $ 1 • ff ICJ
Submittal Fee $
Scanning Fee $
Structural Reviews $
(Revised02/24/2014)
Permit Fee $
Radon Fee $
2-s
Training/Education Fee $'
CCF $
I • ZU co/cc $
DBPR $ 3.3 Notary $ S
Double Fee $ �ZS
Bond $
TOTAL FEE NOW DUE $ 416 .83
0
Bonding Company's Name (if applicable)
Bonding Campar* 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." I Sb Otd. s+
Notice to Applicant: As a condition to the issuance of a budding 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 co nt must be posted at the job site
for the first inspection which .ecurs seven (7) days after the building permit is issue . In the absen : of such posted notice, the
inspection will not be approveand a reinspection fee will be charged.
ONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument .s acknowledged before me this
p'
_ `
_ day of D �y� �j�'� 20 l , by 1 2 day of ► / e 20 )1 , by
uyyt 1�� w�Fio is ssonallyknoown to Er' I G S/t 71 ( , who is personally known to
me or who has produced '1-1 () �.Q�s2- s me or who has produced Ft D1.i ws LI c 6✓►.
identification and who did take an oath.
—Nt711attrM
Si
Print:
Seal:
APPROVED BY
(Revised02/24/2014)
GONZAI EZ
- MY COMMISSION # GG 044602
* '"" *` EXPIRED Novombor 2, 2020
%Fop r..0f. Bonded Thru Notary Public Underwriters
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: s'p�;;..
�l/ I /Plans Examiner
Structural Review
ANDREW P. DELMAS
Notary Public - State of Florida
Commission K GG 135120
My Comm. Expires Aug 15,2021
as
Zoning
Clerk