PL-15-1916Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. PL-7-15-1919
Permit Type: Plumbing - Residential
Work Classification: Gas
Permit Status: APPROVED
Issue Date: 11 t2/2015
Expiration: 04/30/2016
Parcel Number
Applicant
1263 NE 101 Street
Miami Shores, FL
1132050250040
Block: Lot:
CLAUDIO RODRIGUEZ
Owner Information
Address
Phone
Cell
CLAUDIO RODRIGUEZ
1263 101 Street
MIAMI SHORES FL 33138-
1263 101 Street
MIAMI SHORES FL 33138-
Contractor(s)
JZ PLUMBING CORPORATION
Phone
(305)218-8078
Cell Phone
CANCELLED
,250.00
Valuation:
Type of Work: RUN NEW GAS LINE FROM EXISTING METE
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential
Scanning: 2
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.25
$2.25
$0.40
$150.00
$6.00
$1.60
$163.70
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-7-15-56526
11/02/2015 Check #: 1388 $ 163.70 $ 0.00
Available Inspections:
Inspection Type:
Final
Press Test
Review Plumbing
Pltirgbing
1Rlieiv
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 tha
construction and zoning. F
er •re,
the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
uthorize the above -named contractor to do the work stated.
November 02, 2015
Authorized • nature: Owner / Applicant / Contractor / Agent
Date
Building Department Copy
November 02, 2015 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
Y '
FBC 20 13
Master Permit No. cj 1 - t (4
Sub Permit No. �"T�(._I S- 9 / 0
❑B LDING ❑ ELECTRIC El ROOFING ❑ REVISION ❑ EXTENSION
I
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION
CONTRACTOR
JOB ADDRESS: C(()
RENEWAL
❑ SHOP
DRAWINGS
City: Miami Shores County: Miami Dade Zip: 3313
Folio/Parcel#: Is the Building Historically Designated: Yes NO ii
Occupancy Type: Load: Construction Tyse: FFE:
V+
OWNER: Name (Fee Simple Titleholder): iQfJ^("`,
C , Pone#: �J.:7i _ �a, 4
Address:
City:
Tenant/Lessee Name:
Email:
State:
Flood Zone:
1ft
Phone#:
Zip:
CONTRACTOR: Company Name: 3 • 1' ( vtAbli 5 Co - •
, , ` y
Address: I 1-1q W ZI � V. CST
City:
Qualifier Name: �• 10/
U
State: 1L
Phone#: )5' 9'& to go
Zip: �3O� 5
`,ZS
Phone#: 3b5J q 1s 6 �� v
State Certification or Registration #: C C.$ /'t Z.(o-3 2 7 Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address:
Value of Work for this Permit: $
CANCELLEO
Phone#:
City: State: Zip:
425° Square/Linear Footage of Work:
Type of Work: Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work: i'•V%•) t IS-1-i 3 5
3 p. 4k Jc' 5 .
❑ Demolition
rl t'TEiZ- i U
Specify color of or thru tile:
Submittal Fee $ Permit Fee $ 1 /5.or. '`Y CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ r\
TOTAL FEE NOW DUE $ (6-' V
(Revised02/24/2014)
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 wilt 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
Signature
reject I Cet tT.
Signature
NTRACT
Theforegoinginstrument was acknowledged before me this The foregoing instrument was ackno -dged before me thi
`) day of VU ,20 I5 ,by
ala.Udlo RDdrlgue, , who is personally known to
me or who has produced as
identification and w
NOTARY
Sign:
Print:
Seal:
OWNER or AGENT
.. :l.
INIMEW
m=mmai
A_Milir4.*
F77.
' • •1 My Comm. Expires Nov it20111
Commission 0 FF 177323
.,�� �°` r�. BondedthrouO olio l Natty Assn.
e an oath
TIFFANY JO RESTER
me or who has produced as
identification and who
n oath.
NOTARY P C: /
Sign:
Print:
Seal:
w
.
Notary Public - State of Florida
, Commission # EE 173842
,f �F F,°P
Bonded Through National Notary Assn.
************************************************************************************************************
APPROVED BY
Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review Clerk
1
L
APPROVED
ZONING
PLUMBING
i MECHANICAL
BUILDING
1reaseMaao••••0••••=1•MOIMOM•it1
1
SUBJECT TO COMPLIA`3CE WITH
ALL FEDERAL, STATE AND COUNTY
L I
RULES AND PEG11_ AT''�1�
FAMILY] MEDIA ROOM
3/4"t
• J%- yy'J`I+�ss
18"d. Shelves
12"t'
AAN ads-- aAf- OAS-- ads- C1646---- CIA
N2t 0I'S
POOL
EXIST. POOL
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GAS
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valve
GAS
METER