DEMO-17-2062Miami Shores, FL
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. DEMO-8-17-2062
Permit Type: Demolition'
Work Classification: Plumbing
Permit Status: APPROVED
Issue bate 812 2017
Expiration: 02/19/2018
Parcel Number
Applicant
1250 NE 91 Terrace CAN
1132050010550
Block: Lot:
GREG BAUMANN
Owner Information
Address
Phone
Cell
GREG BAUMANN
1250 NE 91
MIAMI SHORES FL 33138-
(305)467-8655
Contractor(s)
D'SHIN PLUMBING LLC
Phone
(786)516-5536
Cell Phone
Type of Demo: Plumbing
Additional Info: DEMOLITION OF ALL PLUMBING FIXTURES
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.00
$2.00
$0.40
$100.00
$3.00
$1.60
$110.20
Valuation:
Total Sq Feet:
Pay Date
Invoice #
08/16/2017
08/23/2017
Pay Type
DEMO-8-17-64878
Check #: 1516
Check #: 1547
Amt Paid Amt Due
$ 50.00 $ 60.20
$ 60.20 $ 0.00
1,500.00
Available Inspections /
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.
i Leovtar0o ze/ Yy i
uthorized Signature: Owner / Applicant / Contractor / Agen
August 23, 2017
Date
Building Department Copy
August 23, 2017
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
AUG 16 2017
BY: asi
FBC 2011- Sth
BUILDING Master Permit No. btVYO 11 —1 C13
PERMIT APPLICATION Sub Permit No. IYCYnO ITh wti.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: IZS-c tJF 1 (� Te rr4ce_
City: Miami Shores County:
Miami Dade Zip: 33\31
Folio/Parcel#: / f' 3205 -0 v ! -0556 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: q • _, IFE•
OWNER: Name (Fee Simple Titleholder): t<e_S 4.041 'Se vv:t-tK (eo.4v-•-•.•n
Address: two N• 6o-tay.ore V Ale-. (COS -
City: -k o%vct
Phone#: OS -
State: 'f L Zip: 33132
Tenant/Lessee Name: Phone#: 36$ -M(o1-Vor5
Email: Cm, _e) *.-a04.\ @ g kasAk. Coves
CONTRACTOR: Company Name:, JJ (S r ) %1 Ply h')
Address: //51) (VCA) / i / kf-
Phone#: ` i `v • 510:553
City: M 10 ) State: fl--- Zip: 331 to g
Qualifier Name: D h fl J I LS)1 )hh O(S 't° V Phone#:
State Certification or Registration #: (1 PG I 17__"f Q 53 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State
Value of Work for this Permit: $ // 5DO Square/Linear Footage of Work:
Type of Work: ❑ Additio�nln ❑ Alteration El New ❑ Repair/Replace , Demolition
Description of Work: De,! , lQ I / �Q h a -fa it p Wt-n bi n q -iMr-L5
Specify color of color thru tile:
Submittal Fee $ l r Permit Fee $ O CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ /, nn
TOTAL FEE NOW DUE $ / 0 • .[ 0
(Revised02/24/2014)
4
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) ID 'goal It_
Mortgage Lender's Address gOCIS" fSvscav,e &q�
�''� City aivi c WleS State /'Ft_ Zip 33138
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�estlr'ha
promise in good faith that a copy of the notice of commencement and construQj l
whose property is subject to attachment. Also, a certified copy of the recorded notice o
for the first inspection which occurs seven (7) days after the building permit is issued.
inspection will not be approved and a reinspection fee will be charged.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
19 day of Silly , 20 17 , by
6YCf Macke ui , who is personally known tQ
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
.4.1(170, Michael Feltner
Commission # GG044827
`* Expires: Nov. 3, 2020
Bonded thru Aaron Notary
*****************************************************
APPROVED BY
Signature
e exceeding $2500, the applicant must
roc urr►I be delivered to the person
us be posted at the job site
In the absence of such posted notice, the
CONTRACTOR
The foregoing instrument was acknowledged before
m. me this
IQ dayof1 V U,S'-� ,20 1"1 ,by
hn-e i t L5hi n (MO ; who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: k !i1.?4, DIY Jomolca
% Commission # GG078728
44, �` soya d th moron Notary
********* ravia:*************************************
sW,cct
y arno 1 col
Plans Examiner Zoning
(Revised02/24/2014)
Structural Review Clerk