PL-18-2331Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
m1t
Permit NO. PL-8-18-2331
Permit Type: Plumbing - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 8/3112018
Expiration: 02/27/2019
Parcel Number
Applicant
145 NE 101 Street
Miami Shores, FL 33138-
1132060131940
Block: Lot:
PHILIP & LISSET KEATING
Owner Information
Address
Phone
Cell
PHILIP & LISSET KEATING
145 NE 101 Street
MIAMI SHORES FL 33138-
(305)336-1715
145 NE 101 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
SOUTH BEACH PLUMBING CONTRAC (786)337-1582
Valuation:
Total Sq Feet:
$ 500.00
0
Type of Work: KITCHEN RENOVATION, SINK, DISHWASHE
Type of Piping:
Additional Info:
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
$2.63
$2.00
$0.20
$175.00
$3.00
$0.80
$184.23
Pay Date Pay Type
Invoice # PL-8-18-68743
08/30/2018 Credit Card
08/31/2018 Credit Card
Amt Paid Amt Due
$ 50.00 $ 134.23
$ 134.23 $ 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 AFFIDAVIT: I certify thall the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and z. ng. Futhermo - I . orize the above -named contractor to do the work stated.
Authorize
ner Applicant / Contractor / Agent
August 31, 2018
Date
Building Department Copy
August 31, 2018 1
(KO
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
MBING ❑ MECHANICAL
JOB ADDRESS:
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.
Sub Permit No.
ECEI VED
AUG 3p101
FBC20n
Rc12? V08yf
?Li 43-25�
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION
CONTRACTOR
Ion
❑ SHOP
DRAWINGS
City: Miami Shores County: Miami Dade
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
Address: 145 COI
City: rt" State: -c1 Zip: 3313
Tenant/Lessee Name: Phone#06e) 3'6 f - CC55--
Email:
Zip: 331 3'a
Phone#:
CONTRACTOR: Company Name: -� M 9,->Q0 1 R\OC cNVre1,Q�.~`�� _-6 hone#:
Address: (D-V' 0 rX147
City: \SL1oN.S1.%4 State:
Qualifier Name: r?-F- badt, /5Q /O
Zip: ' 31
Phone#:
State Certification or -Registration #: ..,vt.k2s3_Voci Certificate of Competency #:
DESIGNER: Architect/Engineer:,: -3';; � 5, < 'v+r[ n (KC'T\)&'Z, one#( o)3��1�15 3i
di �����;u
Address: I� ° .r-At;
: W �" " -422Oi City: & V1/444.6-4— �If ( Zip: 59361-1
Value of Work for this Permit:
Type of Work: ❑ Addition ❑ Alteration
Description of Work: k6-CtiE11. f/1tC-0 S\ � �As�tEIK O L
Square/Linear Footage of Work: •
❑ New ❑ Repair/Replace
Demolition
c,"1-
Specify color of c000llyo����r thru tile:
Submittal Fee $ �� U" K'0 Permit Fee $ I i 7 • " CCF $ CO/CC $
Scanning Fee $ U "r Radon Fee $ 2- • W DBPR $ a' 6.3 Notary $
\
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ TOTAL FEE NOW DUE$ 13 I 4 ' Z-3
(Revised02/24/2014)
E f�
Bonding Company's Name (if applicable)
Bonding Company's Address
City 1 State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City t
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 • •p •ved and a reinspection fee will be charged.
Signature
OWNER . r AGENT
Signaturet'
CO
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowle. • ed before me this
17:2j day of U �\ , 20 , by day of
�1' who is personally known to
�� � P Y
me or who has produced
identification and who did t. an oath.
NOTARY PUBLIC:
Sign:
Print:
as
identific.
$ SA
Sign: Sign:be 134
Print:
NOTARY PUBLIC:
S ��+Q\Seal:
00
aa�
-: R�;�..,.,. �.
.2
C.
g
r,: •, // r
• `.STntEt•ciP ,, 7 ' ` 41
*** s*'o,1�*T************************************************************************************************
, ..d-w
—� ��3G/rao Plans Examiner Zoning
Structural Review Clerk
by
y known to
as
APPROVED BY
(Revised02/24/2014)