PL-18-1745Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
mit
Permit NO. PL-6-18-1745
Permit Type: Plumbing - Residential
or* Classification: Addition/Alteration
Pennit Status: APPROVED
ssue, Date: 6128/2018
Expiration: 12/25/2018
Parcel Number
Applicant
535 NE 95 Street
Miami Shores, FL 33138-
1132060140730
Block: Lot:
GARRETT & NAYLA MOFFETT
Owner Information
Address
Phone
CeII
GARRETT & NAYLA MOFFETT
535 NE 95 Street
MIAMI SHORES FL 33138-
(305)409-2770
535 NE 95 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone CeII Phone
THE NEW MIAMI SHORES PLUMBING (305)751-2446 (786)553-5424
Valuation:
Total Sq Feet:
$ 2,300.00
0
Type of Work: MASTER BATHROOM REMODEL
Type of Piping:
Additional Info: MASTER BATHROOM REMODEL
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$3.38
$2.25
$0.60
$5.00
$225.00
$3.00
$2.40
$243.43
In consideration of the issuan
pertaining thereto and in stric
accepting this permit I assu
required for ELECTRICAL, P
OWNERS AFFIDAVIT: I cert
construction and zoning. Futh
Authorized Signature:
e t•
nfo
Building Depart
June 28, 2018
Pay Date Pay Type
Invoice # PL-6-18-68047
06/26/2018 Credit Card
06/28/2018 Credit Card
Amt Paid Amt Due
$ 50.00 $ 193.43
$ 193.43 $ 0.00
Available Inspections:
Inspection Type:
Top Out
Final
Review Plumbing
Underground
me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
mity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
onsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
G, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
I authorize the above -named contractor to do the work stated.
er / Applicant / Contractor / Agent
nt Copy
June 28, 2018
Date
1
(cN sg-
//e'
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION
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
Master Permit No.
RECEIVED
JUN 2 6 2018
FBC 201
Re- c- I - 1160
Sub Permit No. P) c&
21 LUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF
CONTRACTOR
JOB ADDRESS:
City: Miami Shores
Folio/Parcel#:11.3Z 067 • v1 q • 0730
Occupancy Type: Load:
County:
Construction Type:
Miami Dade
❑ EXTENSION
❑ CANCELLATION
❑ RENEWAL
SHOP
DRAWINGS
Zip: J M
Is the Building Historically Designated: Yes NO
Flood Zone:
OWNER: Name (Fee Simple Titleholder): C,a« 1 /�%a�//� gef- e.T-
Address: C 3S E 1c-
BFE: FFE:
Phone#:
City: / tcrni' �Iire5
State: F L
zip:
Tenant/Lessee Name: Phone#: at)
Email:
CONTRACTOR: Company Name: ► rtt OW �1 a �hoPI UmU i(Yp.}ione#s3OS • ! S I •zgc4 (0
Address: C00 01/3 I Li LI
City: M 1 okr it State: FL zip. 3±3 I Le 8
Qualifier Name: Denn 1-S NClau qh I Ill t Phone#: 151 'Z,t-qU (,
State Certification or Registration #: U^ F_0i♦2-0,5 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $
2,300
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work: .» .,�// C S C�� Behromi rcAka(2k'{ •
4.6
❑ Demolition
'�i'br�'1.f`:7 r..}v'.. !b 7„.�•.tr3;: • .yd'--': s^ s•\..,:+^z..,
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ 2 /O CCF $
Scanning Fee $ Radon Fee $ 2. 2 - S DBPR $ 3
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE$ • 443
CO/CC $
Notary $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
•
City State Zip
Mortgage Lender's Name (ifapplicable)
Mortgage Lender's Address
City State Zip
t f
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 bedeli ered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of • cement must : pasted at the job site
for the first inspection which occurs seven (7) days after the building permit is ued. In t e absenc• of su posted notice, the
inspection will not be approved and a reinspection fee will be charged.
OWNER or AGENT
,al
The foregoing instrument was acknowledged before me this
Seal:
APPROVED BY
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day•of ak V .I , 20 , by ZS _day of ark: .t 1 `• ' , 20 I ? , by
•
Nav\ \ OI trn f +5 who is personally known to p 5 /.4(1 ugh,L)who is personally known to
me or who has produced r' 1 IC S� as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
K. GONZALEZ
Print: , r°�vvue MAHARAIK.' �`_.�2
u� ig
:EXPIRES: November 2, 2020
;F••-• o?; Bonded 7hruNotary Public Underwnters
identification and who did take an oath.
Seal:
Plans Examiner
C:
...Doyens Perez
Expires 08/29/2021
Zoning
(Revised02/24/2014)
Structural Review Clerk