PL-18-294Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
it
Permit NO. PL-2-18-294
Permit rypeTPlumbirtg - Residential
Work Classification: Add ition/Alteration
PermitStatus: APPROVED
Issue Date: 212312018
Expiration: 08/22/2018
Parcel Number
Applicant
567 NE 96 Street
Miami Shores, FL
1132060171580
Block: Lot:
MICHAEL BYRD
Owner Information
Address
Phone
Cell
ANA BYRD
567 NE 96 ST
MIAMI SHORES FL 33138-2735
Contractor(s)
EPOCA CORP
Phone Cell Phone
(305)778-5103
Valuation:
Total Sq Feet:
$ 3,000.00
0
Type of Work: NEW FIXTURES IN 2 BATHROOMS
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
$1.80
$2.25
$2.00
$0.60
$150.00
$3.00
$2.40
$162.05
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-2-18-66351
02/23/2018 Check #: 1079 $ 112.05 $ 50.00
02/05/2018 Check #: 1100 $ 50.00 $ 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 accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated.
February 23, 2018
Authorized Signature: Oant / Contractor / Agent
Date
Building Departmen Copy
February 23, 2018 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
Master Permit No.
Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION
,PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
JOB ADDRESS: 7 N e q 6'(t1
City: Miami Shores
Folio/Parcel#: Is the Building Historically Designated: Yes
Occupancy Type: Load:
0-14
FBC 201-4
(S-2 )�I
❑ EXTENSION 0 RENEWAL
❑ CANCELLATION
County: Miami Dade
Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): IU) Gf t 45 (, pr!,A ts) T5y
Address: v✓ cpr�, i CIp�' GJC� j / ^�
City: 1 5V 1,O V ) State: `� Zip: �k 3 V
Tenant/Lessee Name: Phone#:
Email:
SHOP
DRAWINGS
Zip:
NO
BFE: FFE:
Phone#:
CONTRACTOR: Company Name: £''c0GA4 '� L� I- ► i /� Phone#: � � 3 a�
Address: 3Co AiE 72-S
City: i cV e- i , State: Zip: 3 311,67
Qualifier Name: �.�� �CG� Phone#: 3 77R*51Q3
G p
State Certification or Registration #: �� � ��- � r Jn Certificate of Competency #:
Phone#:
DESIGNER: Architect/Engineer:
Address: City: State: Zip:
Value of Work for this Permit: $ 's' 0 . gi<O
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New J' Repair/Replace ❑ Demolition
Description of Work: /)4 e ) "z, -e„ !.-, -2_ -z1 f � 1A-O01-v-7 S
Specify color of color thru tile:
Submittal Fee $ �U ' OPermit Fee $
Scanning Fee $ Radon Fee $ - 03
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $ CO/CC $
DBPR $ ' 25 Notary $
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ f 12 • OS
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
Pt -
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 ►yell be charged.
Signature
OWNER or AGEN
The (foregoing instrument
` was
I day of S
Nta I GW Aa
acknowledged before me this
,20 l� ,by
, who is personally known to
t or who has produced as
identification and who did take an oath.
NOTARY 7B11C:
Sign:
P
4Notary Public State of Florida
e%. Jeffry J Yao
My Commission FF 188481
NftpF Expires I1/12/2018
APPROVED BY
Signature
The foregoing instrument w acknowledged before me this
day of ?� , 20 /7 , by
7) 13 �1rN,EY _rsonally kn
me or who has produced
identification and who did take an oath.
NOTARY PU : LIC:
Sign:
Print:
Seal:
Plans Examiner
-��•N`�" _ 'ate of Florida
r _ ion F 979238
,• My Comm. Expires Jul 25, 2020
Bonded through National Notary Assn.
as
Zoning
(Revised02/24/2014)
Structural Review
Clerk