PL-18-1538Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. PL-6-18-1538
Permit Type: Plumbing - Residential
Work Classification: Gas
Perf»it'Status: APPROVED
Issue Date: 6115/2018
Expiration: 12/12/2018
Parcel Number
Applicant
671 NE 105 Street
Miami Shores, FL 33138-2053
1122310120100
Block: Lot:
CAROL INVEST USA INC
Owner Information
CAROL INVEST USA INC
Address
671 NE 105 Street
MIAMI SHORES FL 33138-
671 NE 105 Street
MIAMI SHORES FL 33138-
Contractors)
FELIX FERA PLUMBING, INC
Phone
954-981-3016
CeII Phone
Phone
(305)747-3098
CeII
Valuation:
Total Sq Feet:
$ 3,000.00
0
Type of Work: INSTALL GAS LINE FOR 2 FIREPLACES A
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
Invoice # PL-6-18-67808
06/05/2018 Credit Card
06/15/2018 Credit Card
Amt Paid Amt Due
$ 50.00 $ 112.05
$ 112.05 $ 0.00
Available Inspections:
Inspection Type:
Final
Press Test
Review Plumbing
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 abovcontractor to do the work stated.
Authorized Signature: Owner / Ap . - Contractor / Agent
June 15, 2018
Date
Building Departm a -''Copy
June 15, 2018 1
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
BUILDING
PERMIT APPLICATION
flBUILDING ❑ ELECTRIC n ROOFING
I X I
PLUMBING n MECHANICAL
JOB ADDRESS: 671 NE 105 St.
(4J
FBC 201
Master Permit No. jC—`jam- /Q -- /a97
Sub Permit No.I l ta.JO
REVISION I (;EXTENSION ❑RENEWAL
PUBLIC WORKS n CHANGE OF
CONTRACTOR
CANCELLATION I I SHOP
DRAWINGS
City: Miami Shores
Folio/Parcel#: 11-2231-012-0100
Occupancy Type:
County:
Miami Dade Zip: 33138
Is the Building Historically Designated: Yes NO X
Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Carol Invest, USA
Address: 990 Biscayne Blvd. Suite 801
Phone#:
City: Miami State: FI• zip: 33132
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:.: Company Name:
Address: 5634 SW 25 St.
Felix-Fera Plumbing
City: West Park
Qualifier Name: Anthony Catapano,
State Certification or Registration #: CFC 1426161
DESIGNER: Architect/Engineer: Victor Bru of
Address: 370 NE 101 St.
Value of Work for this Permit: $ 3,000.00
State: Florida
I
Phone#: (954) 929-7473
Zip_ 33023
Phone#: (954) 929-7473
Certificate of Competency #:
Phone#: (305) 310-5030
city: Miami Shores State: FI• Zip: 33138
Square/Linear, Footage of Work: •
Type of Work: n Addition n Alteration n New
Descrip n of work tnstalVgas line for!2:fireplaces and cook top
,PLZA K,k;Ntbi0'
❑ Repair/Replace n Demolition
Speci o • r o co or
t ru tile:
� Submittal Fee $` CC) Permit Fee $ / sa / CCF $
Scanning fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CO/CC$ Y
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ \\
11
(Revised02/24/2014)
����
ire
The foregoing instrument was acknowledged before me this The foregoing ins ument was acknowledged before me this
2 I ,p
, 20 1 , by 31 S day of , 20 f' O , by
If 2h/aQ. -15RJ 2 2"L who is rsonally kno to 41O f 41O , who is personally known to
me or who has produced _ as me r who has produced as.
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
tapano
Bonding Company's Name (if applicable)
Bonding Company's Address
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 o condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In +sence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Marco Bru
Signature. .V`et( �NJA..4k"I,' Signature
OWNER or AGENT
0y day of J u ►tit
:�►""r"i%,t LUCIA G ISASI
MY COMMISSION #FF182628
EXPIRES December 10, 2018
******** p )3980153*** ariti$�1 *** **xR *******�:**************x*****suss***a*******************ts***
identification and who did take an oath.
NOTARY PUBLIC:
CTOR
JAY WEINSTOCK
,rr,
Commis:Ion # FF 923820
a
APPROVED BY
Print:
Seal:
Plans Examiner
My Comm. Elmira; 24,1020
+h�**
6onOodthough Notional Notiry Asti.
Zoning
Structural Review Clerk ,
(Revised02/24/2014)