PL-16-2270• I�"�� E`I`V�L�L�
Miami Shores Village NOV 0 8 1018
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 S
FBC 201q
BUILDING Master Permit No. V, C,
-1:4=13
PERMIT APPLICATION Sub Permit No. P I X (.0— 22;=40
❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
LUMBING ❑ MECHANICAL ❑PUBLIC WORKS Q CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOBADDRESS: 14 k 4 W E 10 `6 SJT
City: Miami Shores County: Miami Dade zip: 33 13
Folio/Parcel#: I (— 3_;L0ro —007 —07 0 Is the Building Historically Designated: Yes NO
Occupancy Type:. Load: Construction Type: Flood Zone: BFE: FFE:
i
OWNER: Name (Fee Simple Titleholder): DA. 12 W L. U N ti AS C.tf Phone#: t�e)o
Arld Tess: T ;ti 1Q Tc ( o -3
City: f' / A t-q I SH eQES State:_ L_
Tenant/Lessee Name: Phone#:
Email
CONTRACTOR: Company Name: rAp Phone#: I�ci
Address
City: � V'lj/���, l State: 1 1L'' Ziipp: ` S—f, .J
Qualifier Name: 1r(? \��e-�, "b Q G e 1z'R Phone#: 766 SV V89
State Certification or Registration #: Ct=C— 1"RUO1iOEI Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $
Type of Work: 1 ] Addition ❑ Alteration
Description of Work:
Specify color of color thru tile:
Square/Linear Footage of Work:
❑ New ❑ Repair/Replace
'r
❑ Demolition
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
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 toning.
"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 afi`br the building permit is issued. In the absence of such posted notice, the
inspection will n be pproved an ,rgjrgpection fee will be charged. `
Signatu
The foregoing instrument was acknowledged before me this
8 �N
day of OV`e vvx ir:� Q-A-- 201 by
UI,AJA(=-, who is personally known to
me or who has produced F1 iD' a (— as
identification and who did take an oath.
NOTARY PUBLIC:
Print:
Signatu
CONTRACTOR
The f r oingiilstrument was acknowledged before me this
day of A)o ve►l 6kL, . 20 / 8 _,by
y&&s 6,Lfj ✓O , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print
Seal: �P„��;
CO(.•
YANIVt Utt I n nmwn
NotaryPubl�c-State ofFbrida Seal:
Commission # GG 081989
•,`��"oc
Comm. Expires Mar 13, 2021
MYComm,
F�.
Bho#Netl WNoWykssn.
###########
Not" Public - Stet of Honda
Commission it GG 0819Y8
My Comm. Expires Mar 13.2021
W*d ft* Nw* Nfty AM
APPROVED BY Plans Examiner Zoning
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHANGE OF CONTRACTOR / ARCHITECT
Permit N.
Owner's Name (Fee Simple Title Holder): DAV- q L- UL24j*SC Phone #: C(,-10) SO % (ia22
Owner's Address: 4 2.4 i`LC I O 3 cSf
City: 4�'i ��M 1-OQE.S State: Zip Code: 33
fob Address (Of where work is being done):
City: Miami Shores
State: —Florida Zip Code: 33 13
Contractor's Company Name: L loyY'-6d "P&t2l!7 6rPPhone #:
Address:ALYL6acl &n 5-7'
City: - State: .)Ci Zip Code:
Qualifier's Name:. rG- C�— Lic. Number:
Architect/ Engineer of Record Name:
Address:
City:
Describe Work:
State:
Phone #:
Zip Code:
hereby certify that the work has been abandoned and/or the contractor/architect
is unable or unwillin omple�e the contract. I hold the Building Official and the
i ji hores a .mless of all legal involvement.
Signature
The foregoing instrument was aknowledged before me
Signature _
this -Z,- day of if,20(e by F)AV AI Who is is personally known to me or who has produced
iE�:2- D2 L- - as indentification.
Notary P lic:
Sign:
Contractor or Architect
The foregoing instrument was aknowledged before me
this day of , 20 by
who is personally known to me or who has produced
Notary Public:
Seal: f ""' �• Seal:
�`�•<Hiy PV••.
YANIVE LIZETH RINCON
Notarypublc-5bteofFonda
`
Commission # GG tt81989
y p�•
My Comm. Expires Ma• 13.2021
BMW ftgi,Nabaainaarywsr,.
as indentification.
Daryl L. Unnasch
424 NE 103rd St.
Miami Shores, FL 33138
Universal Plumbing Corp.
141 E. 601" St.
Hialeah, FI
Atten: Michael Garcia
Hialeah, FL
Dear Sir:
October 16, 2017
For over a year, you have been the plumber designated to perform the plumbing work on the
renovation at 424 NE 103rd St., Miami Shores. For the last eight months no work has been done.
The bathroom remains in need of you to complete your tasks. Mr. Diaz, the contractor has been
replaced by David Hester. I need immediate response from you as to your intentions. Will you
continue working under the supervision of Mr. Hester and can we expect you to resume work within the
next week. If you wish to terminate your responsibilities at my home, please so indicate your decision
within two days of receiving this letter and notify me or Mr. Hester of your decision. If we receive no
communication from you, we shall assume you do not wish to complete the electrical work in my home.
If you opt to continue as my plumber, I need to know how long it will take to complete the work in the
bathroom and what the cost will be.
David Hester's email is: hesterbuilder@aol.com. His phone: 786-294-0954
Darr Unnasch's email is: 630-802-4223
Thank you for your prompt attention to this letter.
■ Complete items 1, 2, and &
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailplece,
or on the front if space permits.
1. Article Addressed to:
X^a pAgent
Addressee
B. Received by (Pdiged Name) C. Date of Delivery t
D. Is delivery address dI ferent from item 1? ❑ Yes ,
9 YES. enter delivery address below; p No i
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9590 9402 2911 7094 4097 01
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❑ Collect on DeUvery ResUlcted DNhroty
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2. Arti
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�pS Form 381 T, July 2015 PSN 7530-02-000460
Domestic Retlxn Receipt ;
From:L 1 'M
U. PAID STAG E
MIAMI FL
la 33l 331 h3
Please check box if address has changed Pm — OCAMTO18 U17NT Y
1000 $ 6 . 5 9 f
33013 R230SH129287-03
7017 0190 0000 5217 7133
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331 AA i N i681212411i
3� r' toI I
UNABLE TO FOR WAR D./F:OR REVIEW
**L042**
SC: 33&I5-105141 DIU �tfrivil -tr3 € ii.-'si3-+�i
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Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. PL-8-16-2270
Pe
Permit Type: Plumbing - Residential
rWork Classification: Addition/Alteration
Permit Status: APPROVED
Parcel Number
Issue Date: 8117/2016 1 Expiration: 02/13/2017
Applicant
424 NE 103 Street 1132060170750
DARYL & NARA UNNASCH
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
DARYL & NARA UNNASCH 424 NE 103 Street (857)526-3203
MIAMI SHORES FL 33138-
424 NE 103 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
UNIVERSAL PLUMBING CORP (305)887-3131
Type of Work: STRUCTURAL REVISION PAD FOR THE GEN
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential Scanning: 1
Fees Due
Amount
CCF
$0.60
DBPR Fee
$3.00
DCA Fee
$3.00
Education Surcharge
$0.20
Permit Fee
$200.00
Scanning Fee
$3.00
Technology Fee
$0.80
Work without Permit Fee
$200.00
Total:
$410.60
Valuation: $ 600.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-8-16-60961
08/17/2016 Credit Card $ 410.60 $ 0.00
Avanaoie inspections:
Inspection Type:
Top Out
Final
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 zonipg. Futherm , I authorize the above -named contractor to do the work stated.
Y. U August 17, 2016
A thorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
August 17, 2016 1
Miami Shores Village
Department
10050 ILL2nd Avenue, Mimi Shores6 Ant& 332M
Trek (M) 795-2206 FOM (3%) 756�9T2
wgw1MNLwEPHONE NUM8MMM1
FBC 2014'
BUILDING MMff Pon* ft.-
PERMIT APPLICATION Sub Permit ft
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[jpLUMBjf4G 0 MECHANICAL tdpUBLICWORKS [3CHANGE OF EnCANCELLATION 0 SHOP
CONTRACTOR DRAW N1
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CONTRACTOR: Company Name:
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4iedfy color of color thru tile:__
submit Fee Peradt Fee _CCF$_
scanning Fee$ Raft. Fee $
TedMk4W W Double Fee $
structural rawes Bond
TWAL FM NOW DUE $ L)
z / T: ,ROW
Bondin8 CMWMYs NWft Of applieabb)
Bonding CoMPWWs Address
city state ap
Mortgage Lender's Name Of oppBCeW
me igsge Lender's Address
CILy _ Sate np
APpliWn is hereby made w aWan s "m* to do the worts and ftbftnm as hlMcmm& I mft that no wait ormosbom has;
oammerioed prior to tree, issuance of a perMt and that aN work wtq be performed to meat the girds of aG rrlg s
oona mc&m in this jurbadimL t understand that a separm permit must be mw W for ELECTRIC, PLUMBING, POOLS,.
RMACES, WILMsi HEAW^ TANKSSj„ AIR CONDITIONERS, ETC_
01NHM AFFIOAVIt': l oer* that a8 the fnrep trig k favie oo Is amlraft and that aN wwk W►q be done In cwnp*m with W
appucabie taws regutat n ousbullm and go
"WARNING TO OWNER: YOUR FAILURE TO -A NOTICE OF COMMENCEM MAY'
RESULT IN YOUR PAYMIG'TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. -IF YO INTEND'•,
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE ING
YOUR NOTICE OF COMMENCEMENV
MWw to /ippfrrk As a con tbn to the tswlo w of a b Mft pdnik Kft an a&m td w*m elao oft SZM the owst
proalrse In gwd faM that a copy of On notice of aoamnomment and awstroctron Non taw br xhm wi19 be ddkered the person :
whm property issnb/edto omxhnmt At* aosrWkdcopy of the raecvrdbdtyWwofcomnrsaae nmtmastbepaMd Mejub she
1 w the fan 1►Weedw wbkb 000fm-seem M dap 41or do buWM Pit 4 I. to the obsenoe of such soft the;
►nspft,Mm wig not be oppmwd and a ra%speCom fee wig be ahwge&
signature a1 0,vt_
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daV of A cU,.. , 20 �� by
UNNA �l!"t . who is personatly known to
me rx who i� produosd K:�uE V FfZ as
identl katim and who did tdo an *aft
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who is pit I own -to
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