PL-18-892RFs °? Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
��oRioA
Permit NO. PL-4-18-892
Permit Type: Plumbing - Residential
Per " t
Work Classification: Addition/Alteration
Permit Status: APPROVED
issue Date.-4/1012018 1 Expiration: 10/07/2018
Project Address Parcel Number Applicant
349 NE 99 Street 1132060135510
Miami Shores, FL 33138- Block: Lot: MIAMI SHORES 349 NE 99 STRE
Owner
Phone Cell
MIAMI SHORES 349 NE 99 STREET 349 99 (786)333-9096
MIAMI SHORES FL 33140-
Contractor(s) Phone Cell Phone
LONCUS PLUMBING CONTRACTORS (305)218-1004
Type of Work: REPLACE BATHROOM FIXTURES AND KITCH
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential Scanning: 1
Fees Due
Amount
CCF
$2.40
DBPR Fee
$2.25
DCA Fee
$2.00
Education Surcharge
$0.80
Permit Fee
$150.00
Scanning Fee
$3.00
Technology Fee
$3.20
Total:
$163.65
Valuation: $ 3,200.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-4-18-67056
04/05/2018 Check #: 1513 $ 50.00 $ 113.65
04/10/2018 Check #: 1517 $ 113.65 $ 0.00
AvailahlP Insnections-
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.
FFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
and zoning.) FuttrT ore, I authorize the above -named contractor to do the work stated.
April 10, 2018
Authorized Sigrtature: Uwner i Applicant i contractor i Agent tea«
Building Department Copy
April 10, 2018 1
Building Department PR 05 2018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 BY
INSPECTION LINE PHONE NUMBER: (305) 762-4949
C20k4
BUILDING Master Permit No. (-A -
PERMIT APPLICATION Sub Permit No� V2 — 9q 2__
❑BUILDIN ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
UMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 3 0 We Q9_ s-�
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type:
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): $A -%A v% bhoteS 349
)JC QC{ S�• CDtp. Phone#:
Address: a Ot7 CO 1 I i" AV
City: j &tA W 2>ear-h State: 'F
zip: 3� 1 q•U
Tenant/Lessee Name:
Phone#:
Email:
CONTRACTOR: Company Name: N l �Gt /� C�� Phone#:
Address: ��(/ d C—
City: State:
Zip: -
Qualifier Name: L%
Phone#: �O
f
State Certification or Registration #: �
Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address:
City: State: Zip:
Value of Work for this Permit: $ 4 uy Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New
❑ Repair/Replace ❑ Demolition
Description of Work: De � 1` CIS M V
A-uC¢) / Y en CI n Y
Specify color ofcolorthru tile:
Submittal Fee $ 5V " Permit Fee $ 1J
CCF $ CO/CC $
Scanning Fee $ Radon Fee $ ` - QZA
DBPR $ 'oZ� Notary $
Technology Fee $ Training/Education Fee $
Double Fee $
Structural Reviews $
Bond $
TOTAL FEE NOW DUE 5 (� • Ej�j
i
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 on 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 qtkchment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection whice o curs se (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not I approvreinspection fee will be charged.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
� G day( of V , 20 * by
who is personally known to
me or who has produced (�� '''' as
identification and who did take an oetfr 0.1'-C --5mo
NOTARY PUBLIC: \
.I
Signature
,m/
CONTRACTOR
The foregoing instrument was acknowledged before me this
a day of 0\Ctr C\o�, 20 l $ , by
whoonally know is ersto
me or who has produced R0 M be_r V4_ _ be- I I h as
identification and who did take an oath.
NOTAR4 PUBLIC[ ARIEL GONZALEZ
_ MY COMMISSION # GG028798
AEXPIRES
September 11, 2020
Sign:
Sign:
Print:
VV
Print:
Seal:
FA
FANNY LEON
Seal:
MY COMMISSION
_4 •'
# GG000706
EXPIRES Jul
fts
c®.00m
APPROVED BY
Plans Examiner Zoning
Structural Review Clerk