PL-18-3040Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: PL 10418-3040 Permit IVR Number: 100283
Permit Type: Plumbing - Residential
Work Classification: Addition/Alteration
Permit Status: Approved
Issue Date: 10/10/2018
Parcel Number
Expiration: 04/01/2019
Project
560 NE 107 ST, Miami Shores, FL 33161-7139
L
1122310140030
Contacts
LAWRENCE CIANCIO
560 NE 107 ST, MIAMI SHORES, FL 331387139
Other: 3057836307
Owner
EPOCA CORP
DAVID BRADLEY
Business: 3057785103
Contractor
LAWRENCE CIANCIO
560 NE 107 ST, MIAMI SHORES, FL 331387139
Other: 3057836307
Description: REMOVE AND REPLACE PLUMBING FIXTURES IN
SAME LOCATION AS EXISTING INCLUDING TUB 1 FIXTURES
TOILET AND LAVATORY
04-10-2018
Stop work order issue for failure to obtain permits prior to
the start of construction.
05-29-2018 at 2:55pm-Spoke to Mr. spalding (646)579-8272
and explained the requirements for the project. He needs
to review microfilms, compare to site conditions and
produce plans to legalize any changes and or
modifications made without permits.
Fees
Amount
Application Fee - Other
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Work Without Permit 1st Offense
Work Without Permit 1st Offense
Total:
$50.00
$0.60
$2.00
$2.00
$0.20
$50.00
$3.00
$2.50
$100.00
$100.00
$310.30
Applicant
Valuation:
Total Sq Feet:
$ 800.00
350.00
Payments Amt Paid
Total Fees $310.30
Credit Card $50.00
Credit Card $260.30
Amount Due: $0.00
Inspection Requests:
305-762-4949
Building Department Copy
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 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction __:,�,.,.,��.,,..:.ee . ,: I aut rize the above named contractor to do the work stated.
Authorized Signature: Owner
/ Applicant / Contractor
/ Agent
Date
October 10, 2018
Page 2 of 4
o�,l �� Miami Shores Village
\)\-c) Building Department Rr F1VED
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 OCT 0 3 1018
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 h
FBC 20 I R-
BUILDING Master Permit No. ?1C I' '103
PERMIT APPLICATION Sub Permit No. Pt 1 ' G0
['BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ['RENEWAL
F
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: S-!o O t \ D S1 \ QQ A"
City: Miami Shores County: Miami Dade
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): UAW en C C, 1 CA-AnC,` b
Address: c bo 61 `e e l
zip: •S3-1b\
BFE:
PhoneV
FFE:
City: \v 1\ W“\ S v%Q f
State:
zip:331101
Tenant/Lessee Name: Phone#:
Email: �^
CONTRACTOR: Company Name: •Ep DC a Corp- Phone#:1 �(O "�j 'S 241 O O�
Address:
(60n0 (N,E
City: t DY�Y 1 \J\\vr1\4I State: "FL Zip: Z3I:A
Qualifier Name: D (Av 1 6 Y" ()k , ` Phone#:
State Certification or Registration #. G'-v 'C' ��� t-CA�344 Certificate of Competency #:
111"
DESIGNER: Architect/Engineer: t42.eS- IS Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ OD Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
❑ New
Repair/Replace ❑ Demolition
Description of Work: rQtC O4Q and IPA? 0C12 pluro 2t( tires Ih Sam \ t Co0i0n
OAS Q,x\s \g in c\vdk1of AkA7 l' >vKQS nc fit0oi atTn3 r r
ttrin*tr7-9 L%-cii\50049c4--fzef—\9to-N—
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ f CCF $ CO/CC $
Scanning Fee $ Radon Fee $ Z . 00 DBPR $ ' - • Notary $
Technology Fee $ Training/Education Fee $ Double Fee $ (eD 4 G)
Structural Reviews $ Bond $
C7c►\l-NCCLij ' (CO • eA TOTAL FEE NOW DUE $ '�
(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.
"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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
cj-\IA day of Sp fice,./6pc
LawitAce, C'.nCtO ,who
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
, 20 1 %
, by
Sign: CatlAcke
Print: l ,PS (A r
Seal:
CESAR A. COLLAZO
': Notary Public — State of Flonda
• Commission # GG 179596
T. My Comm. Expires May 21, 2022
BCrCed trc.:0 Naicra Nc afv Assn
to
as
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 1"/l (/( f , 20 `g , by
Gt✓( tJ /c(d (4 , who i to
me or who has produced as
identification and who did take an oath.
r
NOTARY PUBLIC:
ISIS 0. CARRANZA
Commisskm 1 GG 113541
Expires June 11, 2021
Yorbed Thu Yudpettiair S�elolt
Sign:
Print: TS IS r�riGi1�
Seal:
APPROVED BY Cr f G -'7 � Plans Examiner Zoning
(Revised02/24/2014)
Structural Review
Clerk