PL-18-1601Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit'NO. PL-6-18-1601
Permit Type: Plumbing - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue oate: 6/12/2018 I Expiration: 12/09/2018
Project Address Parcel Number Applicant
29 NE 98 Street 1132060131120
GLENN DAIDONE
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone ten
GLENN DAIDONE 54 NE 97 Street (305)788-2711
MIAMI SHORES FL 33138-2331
54 NE 97 Street
MIAMI SHORES FL 33138-2331
Contractor(s) Phone Cell Phone
D&D PLUMBING CORP (305)979-0516
Type of Work: ROUGH + SET 3 TOILET 4 LAVATORIES 3
Type of Piping:
Additional Info: ROUGH + SET 3 TOILET 4 LAVATORIES 3
Bond Return :
Classification: Residential Scanning: 1
Fees Due
Amount
CCF
$4.80
DBPR Fee
$3.91
DCA Fee
$2.61
Education Surcharge
$1.60
Permit Fee
$260.75
Scanning Fee
$3.00
Technology Fee
$6.40
Total:
$283.07
Valuation: $ 7,450.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-6-18-67890
06/12/2018 Credit Card $ 233.07 $ 50.00
06/11/2018 Check#: 3899 $ 50.00 $ 0.00
AvanaDie
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 r sponsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLU B G, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning Futher or , I authorize the above -named contractor to do the work stated.
_,1�, uil June 12, 2018
Authorized Signature: qwn4r / Applicant / Contractor / Agent Date
Building Department Copy
June 12, 2018 1
Miami Shores Village RE
Building Department UN 1
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: --
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FpB�C 20
BUILDING Master Permit No. , -z-
PERMIT APPLICATION Sub Permit No. is — 160
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
)6PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Z
Av6
City: Miami Shores County: Miami Dade Zip: 13
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): �� �,/� h'sn (N'yj1L Phone#: IYU
Address:
City: V AnC V 1 State: %�- Zip:
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name:
Address: 319(7 A -A
City: 4 "!
Qualifier Name:
J
a
Phone#:
one#:
r
Zip
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State
Value of Work for this Permit: $ l/ 7, `7 s-b Square/Linear Footage of Work: _
S --;,, )
Zip:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ JG SQ i Permit Fee $ a 17. CCF $ 4 9d CO/CC $ _
Scanning Fee $ 3 Radon Fee $ Z • ( DBPR $ 3 . 9 Notary $
Technology Fee $ .4a Training/Education Fee $ 1.60 Double Fee $
Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ 232 •0-7
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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
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 such posted notice, the
inspection will not be ap roved anTreiction fee will barged.
i
r
Signature Signature
OWNER or AGENT
CONTRACTOR
The foregoing instrument was acknowledged before me this The f9rree�going instrument was acknowledged before me this
day of 21�- J day of 20 � by
o is.tersonally known o is personally know
me or who has produced _
identification and who did
NOTARY PUBLIC:
Sign:
Print:
as me or who has produced
as
ntification and who did to
ALICU\ L. VANDAMA ,N'"'•'"•• ALICIA L. VANDAMA
MY COMMISSION # GG 115825 TARY PUBLIC: iA's
EXPIRES: October 18, 2021 = f MY COMMISSION # GG 115825
EXPIRES: October 18, 2021
Pubwc U^derwrhers ''• P , Bonded Thru Notary Pubk Uriftwdmrs
Sign:
Print:
Seal: Seal:
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
PLEASE GIVE
FILE BACK TO
YANI
WHEN DONE
REVIEWING
THANK YOU O