PL-17-1892Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. EPL-7-17-1892
Permit Type: Plumbing - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 811 /2017
Expiration: 01/28/2018
251 NE 98 Street
Miami Shores, FL 33138-
Parcel Number
1132060134410
Block: Lot:
Applicant
Owner Information
Address
Phone
PANPER LLC
Cell
PANPER LLC
700 E DANIA BEACH Boulevard
DANIA FL 33004-
700 E DANIA BEACH Boulevard
DANIA FL 33004-
Contractor(s)
UNIVERSAL PLUMBING CORP
Phone
(305)887-3131
CeII Phone
Valuation:
Total Sq Feet:
$ 8,000.00
0
Type of Work: REPLACE OR REPAIR EXISTING PIPES AN
Type of Piping:
Additional Info: REPLACE OR REPAIR EXISTING PIPES AN
Bond Return :
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
ti
Amount
$4.80
$4.50
$4.50
$1.60
$300.00
$9.00
$6.40
$330.80
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-7-17-64672
08/01/2017 Credit Card $ 280.80 $ 50.00
07/25/2017 Credit Card $ 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 ce
construction and zoni.9,4
t all
I
oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
thorize the above -named contractor to do the work stated.
August 01, 2017
ed Sign
wrier / Applicant / Contractor / Agent
Date
Building ' epartment Copy
August 01, 2017 1
e)
Ai).\kVAtA,01
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
RECEIVED
JUL 2 51011
FBC 20"
Master Permit No. C (, - e`? Z
Sub Permit No. PI - Z' 2-
0 BUILDING ❑ ELECTRIC n ROOFING ❑ REVISION
LUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
JOB ADDRESS: 2—S t N c -t 1S
City: Miami Shores
County: Miami Dade
E EXTENSION ❑ RENEWAL
❑ CANCELLATION
Zip:
❑ SHOP
DRAWINGS
Folio/Parcel#: - 00? - 44 10 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
TO�WNER Name (Fee Simple Titleholder): Z.-) P f l (
Address: f' --O 0 0/17/1 fA- 6 elitei, l3( ct
,City:, % State:
Tenant/Lessee Name:
Email:
SF � 3?r 2 3 °Phone#:
Phone#:
Zip: 73 O O y
CONTRACTOR: Company Name: (..1//lr`/./2/254L / f e4'bf'1 6l2 e Phone#,00 q CC/ R t—(
Address: L 7 [ l� IS T^ 7-----
City(74 (e' r..rrv 3 State: Zip:33t' 3
Qualifier Name: Ci ' C (/ 6V/P/C- /3 Phone#: / .2C/ -7/ 3/
State Certification or Registration #:� .( —�' �67 Lr(q ? Certificate of Competency #: ../
DESIGNER: Architect/Engineer: �� Phone#:
Address: Etty: State: Zip:
Value of Work for this Permit: $
fog I'
Type of Work: ❑ Addition n Alteration
eA 2-e. (ZC:e oc (Zia ojr
Square/Linear Footage of Work:
❑ New
E Repair/Replace ❑ Demolition
escription of Work:
e cC3. 1-1: ,w(o p; Q ((_s a n cQ & rf s,
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ , • CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ a • 5•51-
(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 reinsre ion fee will be charged.
Signature
OWNE • ENT
The foregoing instrument was acknowledged before me this
' day of A/. , 20 _ , by
dU Z(,'r , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
dr'
440/sua-01e3
• s MY COMMISSION # FF964004
EXPIRES February 23, 2020
Flondallom wiee.00m
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of �l 20 r?— , by
itt[ci,. ( G?rC, •Z , who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
400 3Y8.01 3
MARTIN—
k.14R SIi i
February 23, 2020
rwnaallou,s„v,w.w,,,
MY
COMMISSION !i FF964004
EX
PIRES
as
************************************************************************************************************
APPROVED BY
Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review
Clerk
POWER OF ATTORNEY
The undersigned hereby authorizes Mr. Bruno Halimi to act as my representative in
regard to the property located at 251 NE 986 Street, Miami Shores, Florida 33138.
Owner
Sworn to and signed before me. this day of
Miami. Florida USA
Maitre Jacques BERAT, Notaire Associe
d'une SCP. Titulalre d'un office notarial
51, rue Bugeaud 69006 LYON
Certifle veritable la signature do
C> • tD��)>
appou6e cklessu
1 V tn-14-- .2017
Notary Public, State of Florida.
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