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PL-18-1553Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. PL-6-18-1553 Permit Type: Plumbing - Residential Work Classification: Addition/Alteration Permit Status: APPROVED ©ate: ,6/28/2018 Expiration: 12/25/2018 Parcel Number Applicant 1084 NE 97 Street Miami Shores, FL 33138- 1132050170190 Block: Lot: 1084 MIAMI SHORES LLC Owner Information Address Phone Cell 1084 MIAMI SHORES LLC 1084 NE 97 Street MIAMI SHORES FL 33138- (305)767-9693 1265 SABAL TRAIL WESTON FL 33327- Contractor(s) Phone RC PLUMBING CONTRACTOR LLC (754)235-3828 Cell Phone Valuation: • Total Sq Feet: $ 500.00 0 Type of Work: REPLACING FIXTURES Type of Piping: Additional Info: REPLACING FIXTURES Bond Return : Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Penalty Fee Permit Fee Scanning Fee Technology Fee Work without Permit Fee Total: Amount $0.60 $2.25 $2.00 $0.20 $100.00 $150.00 $3.00 $0.80 $150.00 $408.85 Pay Date Pay Type Invoice # PL-6-18-67826 06/28/2018 Credit Card 06/06/2018 Credit Card Amt Paid Amt Due $ 358.85 $ 50.00 $ 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 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo,i';ti� uthermore, I authorize the above -named contractor to do the work stated. fin Authoriz • d • ignature: Owner / Applicant / Contractor / Agent June 28, 2018 Date Building Department Copy June 28, 2018 1 i BUILDING PERMIT APPLICATION ❑ BUILDING ❑ ELECTRIC [PLUMBING ❑ MECHANICAL JOB ADDRESS: 0 City: Miami Shores Miami Shores Village uilding 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 JUN 06 2018 0( FBC 20R- Master Permit No. 2G ( — 552- Sub Permit No. 6 - 1 55 S n ROOFING n REVISION [l EXTENSION ❑RENEWAL ❑PUBLIC WORKS n CHANGE OF (❑ CANCELLATION ❑ SHOP County: CONTRACTOR Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: OWNER: Name (Fee Simple Titleholder): ✓ •' h� Address: i? J -k;z4til S twle % Flood Zone: DRAWINGS NO BFE: FFE: Phone#: 3 3 V 2 Co j/ City: ct`: State: � Zip: 2 �- • Tenant/Lessee Name: Phone#: Email: f� e2 38.28 l��{ CONTRACTOR: Company Name: 1 >~ � of it/ i. Q4J o Phone#: ;46.. > 8D - 36 6 Address:(2,O( Pork Qr 1iJ City: a) tY1 t Qualifier Name: R FGL2 ( 0 State: I" !— Zip: 33f Phone#: ?•• 3- 3L ';2 0 State Certification or Registration #: LFC . ('4 C) 3,3 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 5 0 0 Square/Linear Footage of Work: Type of Work: 11 Addition 11 Alteration ❑ New ❑ Repair/Replace Description of Work: /2 j5/LC,t c - •.C-tl40i • [-1 Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ 1 Scanning Fee $ Radon Fee $ 60 Technology Fee $ Training/Education Fee $ Structural Reviews $ : ( CZ), 00 (Nevi sedO2/24/2014 ) CCF $ CO/CC $ DBPR $ -` t -S Notary $ Double Fee $ ( 3 - o Bond $ TOTAL FEE NOW DUE $ \c - . e 35� . 9 v 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 ail work wilt be done in compliance with all applicable taws 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 o reinspection fee will be charged. Signature OWIER or AGENT The foregoing instrument was acknowledged before me this 1 day of -3-011t , 20 12 , by . C'i lit' W O tv, who is -personally known to me or who has produced k4 IA t Cy i Cl L fr l -[ as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: th� (aIrlacl0 Seal: �igr p� •,; Astrid Camacho aG r. .� .n.COMMIS.SION#FF141$83 &•9y., , EXPIRES: JUL 15, 2018 '•"F "‘0S;• BONDED THRU ****************,rkAi. askstoPUORMIBANOVARY,N.�tt**s******************* Signature J CONTRACTOR The foregoing instrument was acnowledged before me this 20 & e , by , who is personally known to )' day of� me or who has produced tt Ctia as identification and who did take an oath. NOTARY PUBLIC: APPROVED BY Sign: Print: Seal: Plans Examiner Structural Review VANE MOLINA Comimss!en A FF 211230 My C7tmntsS;on Exptres• March 17, 2019 *********** Zoning Clerk (Revised02)24/2O24;