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PL-18-3573Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date:12/10/2018 Location Address Parcel Number 1122 NE 98TH ST, Miami Shores, FL 33138 1132050180370 Contacts Permit No.: PL-92-18-3573` Permit Type: Plumbing - Residential Work Classification: Alteration Permit Status: Approved Expiration: 06/03/2019 HAKKI YEMENICILER Owner PSG PLUMBING SERVICES, INC Contractor 112 PEDRO GUZMAN 3892 NW 125 ST, OPA-LOCKA, FL 33054 Business: 3057967304 camilotamayo@ymail.com Inspection Requests: _ Description: REPLACING TOILET, NEW SHOWER AND SINK, Valuation: $ 3,500.00 Inspec ion Re NEW KITCHEN SINK INSTALLATION 49 Total Sq Feet: 1,100.00 Fees Amount Application Fee - Other $50.00 CCF $2.40 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee $72.50 Scanning Fee $9.00 Technology Fee $3.06 Total: $141.76 Payments Date Paid Amt Paid Total Fees $141.76 Credit Card 12/03/2018 $50.00 Credit Card 12/10/2018 $91.76 Amount Due: $0.00 Building Department Copy 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 AFF AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regVlaVr ns ctioryand zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date December 10, 2018 Page 2 of 2 Miami Shores Village I EAo 3 o18'� 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 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING ;4LUMBING MECHANICAL PUBLIC WORKS JOB ADDRESS: / � � & 9 FBC 20 Q Master Permit No. Sub Permit No. L I ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF CONTRACTOR ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip. l Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titlehold r):. C� Address: O '�57 City: Ld A1 State: Tenant/Lessee Name: Email: CONTRACTOR: Company Name: js & 2/V /--7 /lam q SC.Jl W'CcS ne#: % `3 V8 5 Address: 3p9a '66y � City: D Nfi' L Cx /CP% 1:�/ State: Qualifier Name: State Certification or Registration #: 44_2�L *2- re 7) DESIGNER: Architect/Engineer: of Competency #: Address: City: Value of Work for this Permit: $ 3�cX_ Square/Linear Footage of Work: Type of Work: ❑ Addition [Alteration ❑ New ❑ Repair/Replace Description of Work: �t/✓� c.�ti—•t /a — r Z---.1 S4�29 Zip: 33©.S-y Zip: ❑ Demolitio Specify color�of color ihdi tile: r ! Submittal Fee $ i Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (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 absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or GENT NTRACTOR The foregoing instru en was acknowledged before me this The foregoing inst m nt was acknowledged before me this �t0 ay of � 20 f � by L da of ( 201 . by L filY �C ho is personally known to �O k cLv` who is personally known to me or who has produced as me or who has prod ced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: vv� identification and who did to NOTARY P Sign: I Print: Seal: roe.,"::6�� LAURJFARLEY �r�,YP U(URAFARLEY * MY Comm ON . 418W27 Seal: :.• ;; * nrc� fiat^.h 16, 2019 , * MY COMMISSION # FF 188027 EXpl '` EXPIRES: Match 16, 2019 Een::j t, , J iradet Nobry Se"W of aanded41 NOWY Senim ihrvBud# APPROVED BY a/'G� �� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)