PL-16-121BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
r.
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
kiED
JAN 1 4 2.016
FBC 20
Master Permit No. 2 C
Sub Permit No. L (6 " 42,1
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
EP(U--MBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: «-d €._ ski
City: Miami Shores County: Miami Dade Zip: 3 3 13 8
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): tptterrewei A. 00- <<i Phone#: 9-.5 5 /1! -9 7 1
Address
City: /-f /1 q( 5e44/ES State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: _�4_3 p (0,u4s1,59_ J tAc. _ c.� Phone#: 305 4.34 216 T <
Address: 77'W Lc) &Vcr 61:11 -a- 3
City: 6-1.,.Eo.,-L State: TL Zip: 3"30(-40
Qualifier Name: cif (..aE) ` DI.,, Phone#: r 93<( .28Sd
State Certification or Registration #: C "'C /<(260 ( Certificate of Competency #:
DESIGNER: Architect/Engineer: , Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ -/" o) /0 quare/Linear Footage of Work:
Type of Work: ❑ Addition E Alteration i♦ New ❑ Repair/Reiilace ❑ Demolition
Description of Work: &.•12tc.P "J.�--t 4-0cK-- 4s%.'o ( t r-z,.i of Fi K''.024 A5 t t- RAILS
Specify color of color thru tile:5
y,t N .. '• ':: .. : ...ram r • -
Submittal Fee $ Permit Fee $ /42 %, i`'�'` CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $' ,) D', Z2_
(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 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
The foregoing instrument,was acknowledged before me this
rLi day of JQr). ,20 /6 ,by
Den'I /YN Let, , who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Print:
Seal:
APPROVED BY
Notary Public State of Florida
Joanna M Feliciano
My Cornmission FF 082753
Expires 01/12/2018
as
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 0v , 20 by
, who is personally known -- to
_ me or who has producedt J1 \ `— Li2��s
identification and who did take an oath.
Seal:
Notary Public State of Florida
Sindia Alvarez
My Commission FF 156750
Expires 09/03/2018
s****ss*lb *****
Plans Examiner Zoning
(Revised02/24/2014)
Structural Review
Clerk
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
SOTO, REYNALDO
PAU PLUMBING CONTRACTOR INC
7740 WEST 2ND COURT, BAY #3
HIALEAH FL 33014
Congratulations! With this Iicen`se you become one of the nearly -
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from architects to yacht brokers, from boxers to barbeque restaurants,
and they keep Florida's economy strong.
Every day we work to improve the way we do business in order to
serve you better. For information about our services, please log onto
www.myfloridalicense.com. There you can find more information
about our divisions and the regulations that impact you, subscribe
to department newsletters and leam more about the Department's
initiatives.
Our mission at the Department is: License Efficiently, Regulate Fairly.
We constantly strive to serve you better so that you can serve your
customers. ,Thank you for doing business in Florida,
and congratulations on your new license!
DETACH HERE
RICK SCOTT, GOVERNOR
(850) 487-1395
; STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND
PROFESSIONAL REGULATION
CFC1426010 . ISSUED: 08/28/2014
CERTIFIED PLUMBING CONTRACTOR
SOTO, REYNALDO --
PAU PLUMBING.CONTRACTOR INC
IS CERTIFIED under the provisions of Ch.489 FS.
Expiration date : AUG 31, 2016 L1408280002409
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION -INDUSTRY LICENSING BOARD
LICENSE -NUMBER
CFC1426010
The PLUMBING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2016
SOTO, REYNALDO
PAU PLUMBING CONTRACTOR INC
7740 WEST 2ND COURT,.BAY #3, -
HIALEAH FL 33014
ISSUED: 08/28/2014
DISPLAY AS REQUIRED BY LAW
001271
Local: Business Tax Receipt
Miami -Dade County, State ' of Florida
-THIS IS NOT A BILL - DO NOT PAY
5916987
BUSINESS NAME/LOCATION
PAU PLUMBING CONTRACTOR INC
7740 W 2 CT BAY #3
HIALEAH FL 33014
OWNER
PAU PLUMBING CONTRACTOR INC
Worker(s) 1
RECEIPT NO.
. RENEWAL
5466453
SEC. TYPE OF BUSINESS
196 PLUMBING CONTRACTOR
CFC1426010
EXPIRES
SEPTEMBER.30, 2016
Must be displayed at place of business
Pursuant to County Code
Chapter 8A - Art. 9 & 10
PAYMENT RECEIVED
BY TAX COLLECTOR
$45.00 07/06/2015
CREDITCARD-15-033275
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license,
permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276.
For more information. visitwww.miamidade.govltaxcollector