DEMO-18-843Permit NO. DEMO-4-18-843
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
rmIt
t
Issue; Date: 4/5/201' 8'
Permit Type: Demolition
Work Classification: Plumbing
Permit Status: APPROVED
Expiration: 10/02/2018
Parcel Number
Applicant
1250 NE 91 Terrace
Miami Shores, FL
1132050010550
Block: Lot:
GREG BAUMANN
Owner Information
GREG BAUMANN
Address
1250 NE 91
MIAMI SHORES FL 33138-
Contractor(s)
D'SHIN PLUMBING LLC
Phone
(786)516-5536
Cell Phone
Phone
(305)467-8655
Cell
Valuation:
Total Sq Feet:
$ 1,500.00
0
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
$0.00
$0.00
$0.00
$0.00
$50.00
$3.00
$0.00
$53.00
Pay Date Pay Type Amt Paid Amt Due
Invoice # DEMO-4-18-67002
04/05/2018 Check #: 5528 $ 53.00 $ 0.00
Available Inspections:
Inspection Type:
Final
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 tha all
construction and zoning. Futherm/
Authorized Signature: Owner /vApplicant / Contractor / Agent
regoing information is accurate and that all work will be done in compliance with all applicable laws regulating
above -named contractor to do the work stated.
April 05, 2018
Date
Building Department Copy
April 05, 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
BY:
(1‘,9\_
RE EI[7ED
AP 02 20
�FBC 20
BUILDING Master Permit No. VP140 (9-',
PERMIT APPLICATION Sub Permit No. l»�01 —& lT3
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
(PLUMBING El MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
7� CONTRACTOR DRAWINGS
JOB ADDRESS: 42.50 (k) , q l .kt q -ce
City: Miami Shores County: Miami Dade Zip: 33 rb g
Folio/Parcel#: )I — 5 kO 5 —pot " 0550 Is the Building Historically Designated: Yes NO 4.
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Gilt& el c tNN 1Ft J IkkiA }N Phone#: 305- (41 _ 15655
Address: t tOO N . PoAyb)1 syie '1 PI) 1065
� City: I ( State: fL Zip: 35)52 Tenant/Lessee Name: Phone#: US_ 463, a-6E5
GE?v mWN (YrAm l• ctm
Email:
CONTRACTOR: Company Name: 2,54 IN ornbev- LLL Phone#: 716539 (0 ✓34 7
Address: /150 VW /if:t 2
City: MtGt/71 / State: PL Zip: �/�ii� �P�
Qualifier Name: P nfte.) I Sivriho jrI Phone#: 78'4139• /034o 4
State Certification or Registration #: CRc 1 t,l2q 0S3 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: /� City: State: Zip:
Value of Work for this Permit: $ / 5OD Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace .Demolition
Description of Work: &move ail 4,c4vra A e Ce is
//7.LS i Q -p►
F�C.,zM (T 'E/L/l01-4- 2nG, Z
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ _SO• c CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ S3 • CK)
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State ll Zip
Mortgage Lender's Name (if applicable)
cltob ilolocfllce f,1vd
t{tm 1 5 4impA State
Mortgage Lender's Address
City
zip 3b138
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: 1 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 aed and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
-2"- day of a:
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
, 20 '8 , by 2— day of AA l L , 20 1 r , by
t.Re' emit ni,3-N , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: 4s Co' C'_"''""__- 6
Print: t 1, �'M tla\6vutieuezc
�a• `' % Commission # GG137579
seal::*• Expires: August 24, 2021
(la ' Bonded thru Aaron Notary
1121owl)
1
, who igersor—TalDnown to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: c,��-=- C
Print:
Seal: •
,a C.
rth�l titme z Ma ►ei
Commission # GG137579
' Expires: August 24, 2021
,OFR,`' Bonded thru Aaron Notary
******************.***s****************************************************************************:*******
APPROVED BY
Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review
Clerk