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PL-18-2456
Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. PL-9-18-2456 Permit Type: Plumbing - Residential Work Classification: Gas Petrnit'Status: APPROVED Issue Date: 9/19/2018 Expiration: 03/18/2019 Parcel Number Applicant 318 NE 105 Street Miami Shores, FL 33138- 1121360130060 Block: Lot: LISA AND EREZ SHARONI Owner Information Address Phone Cell LISA AND EREZ SHARONI 318 NE 105 Street MIAMI SHORES FL 33138-2022 318 NE 105 Street MIAMI SHORES FL 33138-2022 Contractor(s) BIONIC PLUMBING CORP. Phone 305-498-9100 Cell Phone Valuation: Total Sq Feet: $ 500.00 0 Type of Work: GAS VENT 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 $0.60 $2.00 $2.00 $0.20 $100.00 $3.00 $0.80 $108.60 Pay Date Pay Type Amt Paid Amt Due Invoice # PL-9-18-68893 09/19/2018 Credit Card $ 108.60 $ 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. Futherm I authorize the above -name ontractor to do the ork s ted. /1( � ( 0 September 19, 2018 Authorized Signature: 0 er / Applicant • Contractor / Agent Date Building Department Copy September 19, 2018 1 BUILDING PERMIT APPLICATION ❑ BUILDING ❑ ELECTRIC PLUMBING ❑ MECHANICAL JOB ADDRESS: 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 Master Permit No. Sub Permit No. ❑ ROOFING ❑ REVISION k-c4,/v SFpI� Zoe �a FBC 200 64-11 I '20S ❑ EXTENSION ❑ RENEWAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS IS irE I ©S-iwl City: Miami Shores Folio/Parcel#: Occupancy Type: 4,t,, Load: OWNER: Name (Fee Simple Titleholder): � Address: 3 \ Q d„" E 10,SehA County: Miami Dade Zip: �313 (J • Is the Building Historically Designated: Yes Construction TypeffP(,»„ 1,11,13 Flood Zone: GZ St -MAD Ai to NO BFE: FFE: Phone#: 3O. �7S g' C.4( (Li City: r1&'t_ — SvY`e_tk, State: V3' Tenant/Lessee Name: Phone#: Email: .A.v. 22t CONTRACTOR: Company Name: Address: ce 0/( v 9 C 7 City: k.- State: Value of Work for.this Permit: $ Type of Work: `❑r Addition 1-1Alteration Description of Work: • . 0.41 Phone#: 50 S c� p g cjl• Zip: , 3 / ---7_____.Qualifier Name: ( Pa P 0. 4, (c ,Phone#: 3 v S c/7 Q)? c, a, / LS State Certification or Registration #: Certificate of Competency #: p. -, y 7 , -‘7 .;>..t:a,MN•N*wilo..b..Mva*,..,"..a+.. isa.n.-...-�..;....r,..:- DESIGNER: Architect/Engineer: a ::43'')WDC Phone#: „.•, •.., r Address: City , ,.,r . State: ` . ip 1 O- A . • - i �gt 'of Work , y}.� '4i Square/Linear*Fq. ❑ New ❑ Repair/Replace n Demolition Specifycolor of color thru tile: 4 Submittal Fee $ Scanning Fee $ Permit Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 10 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City C ' 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 $2500, the applicant must promisein good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection -will not be approved and a reinspection fee will be charged. Signature WICieri or AGENT The foregoing instrument was acknowledged before me this me or who day of ,20/2-- ,by own to GARY ROBUL ca.o., o,iai iraFfLOA1PA identificatio < , :' did t'ak&Gii11$agfgr11BT ' MY coMM. EXPIRE$1 NOTARY PUS!Pt. _.. Sign: Print: Seal: ************** APPROVED BY as Signature The foregoing instrument was acknowledged before me this day of ,20 1� , by �l3 V personallyto me or who has produced as identification and who did fake an oath. NOTARY PUBLIC: Sigri: Print: Seal: Plans Examiner 01111111/00 },bd1ON oa '• _ IS .m__ ///4„,IrI1111111 ``'��o ************************************ Zoning Structural Review Clerk (Revised02/24/2014)