PLC-18-1188Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Issue i32
Permit' No. PLC-5-18-118
Permit Type: Plumbing - Commercial
Work Classification::Addition/Alteration
Petrrut Status: APPROVED
: 5/8/2018
Expiration: 11/04/2018
Parcel Number
Applicant
9501 NE 2 Avenue
Miami Shores, FL 33138-
1132060133920
Block: Lot:
DVS LLC
Owner Information
Address
Phone
Cell
DVS LLC
201 NE 95 Street
MIAMI FL 33138-
(305)756-3711
201 NE 95 Street
MIAMI FL 33138-
Contractor(s)
SUNNY FLORIDA PLUMBING INC
Phone
(786)306-4694
Cell Phone
Valuation:
Total Sq Feet:
$ 3,000.00
0
Type of Work: ROUGH AND INSTALLATION : ONE WASHIN
Type of Piping:
Additional Info: ROUGH AND INSTALLATION : ONE WASHIN
Classification: Commercial
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$2.25
$2.00
$0.60
$5.00
$150.00
$3.00
$2.40
$167.05
Pay Date Pay Type Amt Paid Amt Due
Invoice # PLC-5-18-67412
05/04/2018 Credit Card $ 50.00 $ 117.05
05/08/2018 Credit Card $ 117.05 $ 0.00
Available Inspections:
Inspection Type:
Top Out
Re Pipe
Main Drain
Heater
Water Service
Final
Water Main
Lavatory
Underground
Review Plumbing
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 AFFID IT:
construction and ing
I i t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
e, I authorize the above -named contractor to do the work stated.
L�
A rized-ign:ture: Owner / Applicant / Contractor / Agent
May 08, 2018
Date
Building L epartment Copy
May 08, 2018
1
BUILDING
PERMIT APPLICATION
❑ BUILDING ❑ ELECTRIC
PLUMBING ❑ MECHANICAL
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: 3 c5% 3i3
Folio/Parcel#: Is the Building Historically Designated: Yes NO X
Occupancy Type: 5 ffil Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): ✓ �S'�/ ^ - Phone#:7' /(2 3 - (5�
Address:�// � / (��� � �� •S � OY / �/'
City: L ( '�,i �� -k�(1i ' State: Zip: 33 3 0
5—al
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
FBC 201
Master Permit No. GC ^$ /�" 21
5 4
Sub Permit No. �L� 1% - 1 t88
❑ ROOFING ❑ REVISION
❑ PUBLIC WORKS CHANGE OF
CONTRACTOR
❑ EXTENSION ❑RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
Tenant/Lessee Name: (2iU � C'e� - a c.).)2_ , Cal, ty i
Email: (� `
CONTRACTOR: Company Name: 5c1L..w L. A11 h 9Phone#: 9 o - O( "�p �/ i
Address: 3 G 2-5 j' .cam 6.' C✓L4! 7.
City: /LC/ lis.�� State:
Qualifier Name: �U. ,frt rLLCLCz)
State Certification or Registration #: C ("c- / y27 Z2-66 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Phone#:
Zip: J‘4
Phone#: 7,b,ce - dc.. 4r10 / !�
Li
Address: City: State: Zip:
Value of Work for this Permit: $ � DOO . Oen Square/Linear Footage of Work:
Type of Work:
❑ Addition ❑ Alteration 1-7New❑ Repair/Replace ❑ Demolition
Description of Work: /�O� G-c�r
It.ta� 'fib
-V4 ' a
Specify color of color thru tile:
Submittal Fee $
O.t,�/ -;-4$A
yfy1ct-..c-c OI'�
Permit Fee $ I3-19 .' CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
4
4,
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lenders Address
City a State Zip
e�
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.
"WARN+ING 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 ORAN 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 attachme, e o a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspectio' ' • occurs seven (7) ' . after the building permit is issued. In the absence of such posted notice, the
inspection will d a reinspection fewill be charged.
,,
OW R or AGENT
J.1 $ I,
The fonreg ing : rument was acknowledged before me this The for going instrument was acknowledged before me this
, 20 / , by 3" day,of Ka)" , 20 1(6 , by
why rsonally c wn to CtV ;b M tuko , who is personally known to
'jam
me or o has � • � uced �►J Pi \J`QY ll 11(4fi1$`Q as
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign.
Print: '1t^Qlt Yk._ 0U--t'/Le,
��ttg YPUS LAURA BOURNE BURIOIALTER
* Commission # GG 123588
�, Expires September 8, 2021
io6c f46*' Bonded Tin Iluclge1Nofery9e as
************************************
APPROVED BY
identificatio
NOT RY PU
d to an oath.
Print: NA
° = MY CO SSION # F 4031
a= EXPIRES: March 25, 2019
of..•' Bonded Thru Notary Public Underwriters
/N M�ijApi�l
tnu�
********WPWWSWMWMRIONW
5-1-18' Plans Examiner
*************
Zoning
Structural Review Clerk
(Revised02/24/2014)