PL-16-2063Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Pt3rrrfit' o. •Pt:-7-16- 063
Permit type: Plullribing - Residential
WortkCiassiflcattdta: Addition/Alteration
'Permit Status: APPROVED
Issue:, Date: 8/ 12./2016
Expiration: 02/08/2017
Parcel Number
Applicant
42 NW 101 Street
Miami Shores, FL 33150-
1131010180250
Block: Lot:
DARYL AND MONICA BRANTON
Owner Information
Address
Phone
Cell
DARYL AND MONICA BRANTON
42 NW 101 Street
MIAMI SHORES FL 33150-1267
Contractor(s)
Phone
KINGS PLUMBING SERVICE INC (305)625-5450
5°981
E.D
Valuation:
Total Sq Feet:
$ 4,000.00
0
Type of Work: REMODEL KITCHEN BATH AND LAUNDRY
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential
Scanning: 1
Caltak.9
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Tota l:
Amount
$2_4�
0.80
$5.00
$225.00
$3.00
$3.20
$246.16
In consideration of the issuance to
pertaining thereto and in stric
accepting this permit I ass
required for ELECTRICA
OWNERS:AF' • • VIT:
construction - r z.ning.
Pa Date Pay Type
e # PL-7-16-60706
2016 Credit Card
Amt Paid Amt Due
$ 246.16 $ 0.00
taltS.1.0
Available Inspections:
Inspection Type:
Top Out
Final
Review Plumbing
Underground
his permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
ith the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
ility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
ECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
all the fore
.nze
oing information is accurate and that all work will be done in compliance with all applicable laws regulating
the above -named contractor to do the work stated.
August 12, 2016
Date
Aut • ized Si nature: Owner / Applicant / Contractor / Agent
Building Department Copy
August 12, 2016 1
BUILDING
PERMIT APPLICATION
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
REePrkirfiffr
JUL 21 Z016
BY.
Master Permit No.
FBC 2014
V,G1(0 _ cf
Sub Permit No.1 I (P a(3(03
El BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION 0 RENEWAL
. MBING ElMECHANICAL ❑PUBLIC WORK%j CHANGE OF I:]CANCELLATION ElSHOP
CTOR DRAWINGS
10B ADDRESS: i,:—
kit) (0 s
I iFn
City:
Miami Shores County: Miami Dade
Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
Address:
City:
4/4-eL(L. 64/0/'
f� ,id /o l 'T-
Al (4-M ( State:
Phone#: & -- 6(7
Zip: ✓ / S D
Tenant/Lessee Name: Phone#:
Email4ELLe#:0
CONTRACTOR: Compan rnbr off"
Address: JL/050 10 Co
City: NUS' 1I 1 � jirni State: f . Zip: a916
Qualifier Name: kQ11Yl liene r Phone#` -'5y60
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address: City: State: Zip:
Value of Work for this Permit: $ / f
9400
Type of Work: ❑ Addition L7 Alteration Q w Repair/Replace ❑ Demolition
Description of Work: /�O�j��71O a (j-ter:
Phone#:
Square/Linear Footage of Work:
, ( 2_7*-(1,
( / . C y ) t pNCE1LED'
Specify color of color thru tile: //�� /
Submittal Fee $cli Permit Fee $ ;I `� oC CCF $ • 't O colas
Scanning Fee $ Radon Fee $ - DBPR $ Notary $ G - co
d -siz.Double Fee $ P
Technology Fee $ 3 ' Z C.
Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
Bond $ (�
TOTAL FEE NOW DUE $ `� • (6
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 ECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPR R PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENt " "{ ilitTTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an
promise in good faith that a copy of the noti
whose property is subject to attachment.
for the first inspection which oc
inspection will not be approved a
Signature
OW ER or AGENT
e-o
Iso, a ce
da
estimated value exceeding $2500, the applicant must
mmencement and construction lien law brochure will be delivered to the person
ified copy of the recorded
after the building permi
'II be charged.
The foregoing instrument was acknowledged before me this
OZi day of J V , 20 lir
2 131 A 1 , who is personally kn
me or who has produced
identification and who did take an ON
oatF\k 1T 11Illlll/,
%
•
NOTARY PUBLIC:
Sign:
Print:
Seal:
, by
Signature
n e Trust be posted at the job site
a Ake of such posted notice, the
./z2
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of �1,\P-,\
r who has produced
identification and who did take an oath.
NOTARY PUBLIC:
kok
, 20230 , by
who is personally known to
Sign:
Print: C--a`�
Seal:
as
********************************************************************
APPROVED BY
fi
- � (/ - Plans Examiner
LUIS BARIAS
MY COMMISSION N FF059937
EXPIRES: October 04, 2017
******************
*
*********
Zoning
(Revised02/24/2014)
Structural Review
Clerk