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PLC-18-1202Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address 1546 NE 105 Street Number: B9 Miami Shores, FL 33138- Owner Information Address Permit Permit N©. PLC-5-18-1' 202 Permit Type: Plumbing - Commercial Work Classification: Addition/Alteration Permit Status: APPROVED e Date: 7/9/2018 Expiration: 01/05/2019 Parcel Number 1122300530210 Block: Lot: 1546 NE 105 Miami Shores FL 33138-2114 1546 NE 105 Miami Shores FL 33138-2114 Contractor(s) KINGS PLUMBING SERVICE INC Phone Cell Phone (305)625-5450 (786)251-9810 Phone Applicant STEPHEN MENDELL Cell Valuation: Total Sq Feet: $ 5,000.00 0 Type of Work: KITCHEN AND BATHROOM REMODELING , F Type of Piping: Additional Info: KITCHEN AND BATHROOM REMODELING , F Classification: Commercial Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Penalty Fee Permit Fee Scanning Fee Technology Fee Work without Permit Fee Total: Amount $3.00 $3.38 $2.25 $1.00 $100.00 $225.00 $3.00 $4.00 $225.00 $566.63 Pay Date Pay Type Invoice # PLC-5-18-67426 07/09/2018 Credit Card 05/04/2018 Credit Card Amt Paid Amt Due $ 516.63 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Top Out Re Pipe Main Drain Heater Water Service Final Water Main Lavatory 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 tt al construction and zoning. Futher Authorized Signature: Owner the foregoing information�onisaccurate and that all work will be done in compliance with all applicable laws regulating u� riz�Cthe �ve n�� contractor to do the work stated. l�l / Applicant / Contractor / Agent July 09, 2018 Date Building Department Copy July 09, 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 E3 PLUMBING ❑ MECHANICAL 0 PUBLIC WORKS JOB ADDRESS: �rjy(o ►)E City: Miami Shores RE( FBC 201? 6" Master Permit No. Q IS — \Qo Sub Permit No. PLC 18-1 20 2- 0 REVISION ❑ CHANGE OF CONTRACTOR InS 5t 661 County: ❑ EXTENSION ❑RENEWAL ❑ CANCELLATION Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): 5+40_eLev\ J'( v../.d e-( t Address: %ShI (v UE 1 Q S St ( e)ci City: �.�4w�.�, Sh.9v4.4, Tenant/Lessee Name: Email: State: t L ❑ SHOP DRAWINGS NO BFE: FFE: Phone#: Phone#: Zip: CONTRACTOR: Company Name: King's Plumbing Service, Inc Address: 14050 NW 6 CT Phone#: 305-685-5773 City: North miami State: Florida Zip: 33168 Qualifier Name: Diener Kenneth Phone#: 786-251-9810 State Certification or Registration #: CFC1428219 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ )( S O() O. DO Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration p/ ❑ New ElRepair/Replace E Demolition Description of Work: S( V-i tCCVLA. ovkCi. L -1^voovy. {-21n40 .Q ('; Xt•(.vieij G✓`Q•riQ i-epk iz la �e..p+ ,,,,,.� roe44ev.. Specify color of color thru tile: Submittal Fee $ 50 i (1 Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ 2 • a S DBPR $ 3 • ..j"' Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ 2.25 . 10 Structural Reviews $ lCA• 0.7 (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE $ S 1 . G.3 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 S day of i14.1 , 20 IS , by 541-DhRti F(Q.A,k11 , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: zse` ;: PATRICIA FEBLES .;` MY (:OMMISSION # GG009157 EXPIRES July 06, 2020 ************** APPROVED BY as Signature CONTRACTOR The foregoing instrument was acknowledged before me this 01 day of May , 20 18 , by Diener Kenneth me or who has produced , who is personally known to identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Luis Barias Seal: as ***************************** - Y/ Plans Examiner LUIS BARIAS :State of Florida -Notary Public Commission # GG 157779 �„oePc My Commission Expiresmiaaamw. '"" " Noveber 05 2021 �... 0 mew v,. m* Zoning Structural Review (Revised02/24/2014) Clerk