PL-18-1779Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit NO. PL-6-18-1779
Permit Type: Plumbing - Residential
ePermit Addition/Alteration
Permit Status: APPROVED
Parcel Number
II
te: 6I28/2018
Expiration: 12/25/2018
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)
ALL TECH PLUMBING INC
Phone Cell Phone
(305)345-4368
Valuation:
Total Sq Feet:
$ 6,600.00
0
Type of Work: REMODEL KITCHEN AND BATH
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
Permit Fee
Total:
Amount
$231.00
$231.00
Pay Date Pay Type
Invoice # PL-6-18-68084
06/28/2018 Check #: 1519
Amt Paid Amt Due
$ 231.00 $ 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 that all the foregoing information is - ate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-nam co tor to do the work stated.
June 28, 2018
Authorized Signature: Owner / Applicant / ontracter' / Agent
Date
Building Department Copy
June 28, 2018
1
BUILDING
PERMIT APPLICATION
❑ BUILDING
Miami Shores Village
Building Department UN 2$ 2018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC2010
Master Permit No. . ( ()
•� •i •'L 1
Sub Permit No. -fit.,._ l a = iw..._-0.
❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION FkENEWAL
IV UMBING ❑ MECHANICAL ❑PUBLIC WORKS [CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ) 2. ' 3 " i 1 ® r 5
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): C l a. cam` : Q 2.OF�rl' J .p`.,PL`Z Phone#: S . (6 .-2 -2Z
�q�
Address: 17 C ' h V l� / CJ 5 )
City: 1 L, 5 (,i„p e -5 State: r 1 Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: LJ' /'veiz ,9 72/b06l 7LZ Oc
Address: l �� G� �j o sr -
City: / A6ei4 G^i / " G State:
(C
Phone#:
Zip: 3.30 /5
Qualifier Name:,,,G/,G'Gle( 6;7iq4.--G,'r4 Phone#: 711' . '.le, CIL('C,ii
State Certification or Registration #�"�C. " /S/,r2• i?yd/ Certificate of Competency #:
DESIGNER: Architect//Engine^er:►� IR [' V1 k..c.f pzi (� Phone#: �� (. _S �i Y'- �• 5 S
Address: 1 d � 12- • I.. I� 1 4 S +, City: 16 . P1 k State 1` (, Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Des,tion of Work: ✓ � VL Q-. u'' ? ... r— b•.� t± — 47€..
✓t d l�✓t-
r ; .. . e . I A. vt, q.- c U r o . U 7-0.T'JjaV"--F5--e--g_1\ i
v� L 1L -2'31
Specify color,of color-thrt tiles.
Submittal Fee $�' ' r ' ° . Permit Fee $ 2 J \ ' 07) CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $. Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ /�
TOTAL FEE NOW DUE$ 0-31
it
(Revised02/24/2014)
Bonding Company's Name (if applicable)
t•6
Bonding Company's Address
Cit --- -• -•�`al State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
?City) _ , . A % , r I - 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 $2500,2 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 approvreinspection fee will be charged.
Signature
OWNER or AGENT
I
t#
The foregoing instrument was acknowledged before me this
:4 �day1 of rUO'v�- , 20 by
Oa U 0 T-Zdr
, wh r- is nown to
me or who has produced . 11 I j(0�s
-y
identification and who did take an oath.
NOTARY PUBLIC:
Sig ��/►'�
Print:
Seal:
'"mow
I*; .P_ AHAR4
Jet
tK
;* MY CO,, .GONZAL
Bonded Thai Thai Notarymbe G 044602
Nove
2, 2020
puhlic Underwriters
*********************************
APPROVED BY
******
*
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day.of(/v!?C `. ,....20 / , by
li`lh_�g'p_r-e.,..
,� i 2. , who is personally known to
me or who has produced
t I.' ,
identification and who'did take an oath.
NOTARY PUBLIC:
Sign:
Print
Seal:
Plans Examiner
as
�o v1 de
nr�nr - N//??
Notary Public State of Florida
Lourdes Marin Rivera
at MY Commission GG 1246311
dr Expires 07/1tH2O21
Zoning
(Revised02/24/2014)
Structural Review
Clerk