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PL-17-613�` SgORES D�! �'�ORLDA Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Parcel Number Permit NO. PL-3-17-613 Permit Type: Plumbing - Residential work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 6/2/2017 1 Expiration: 11lZuEZU1 i Applicant 36 NW 101 Street 1131010180240 Miami Shores, FL 33150- Block: Lot: JUAN RIVEROS Owner Information Address PhnnP r.Pn JUAN RIVEROS 36 NW 101 Street MIAMI SHORES FL 33150- Contractors) Phone Cell Phone MITO PLUMBING CORP (786)553-5003 of Work: REMOVE AND REPLACE KITCHEN SINK of Piping: onal Info: Return : ification: Residential Scanning: 1 Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $0.80 Work without Permit Fee $100.00 Total: $208.60 Valuation: $ 225.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # PL-3-17-63224 03/08/2017 Check #: 5404 $ 50.00 $ 158.60 06/02/2017 Credit Card $ 158.60 $ 0.00 Avanaoie inspections: Inspection Type: Top Out Final Review Plumbi 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: Ifi y that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zog erry(ore, I authorize the above -named contractor to do the work stated. June 02, 2017 Authdrvzed Signature: Owner / Applicant / Contractor / Agent Building Department Copy June 02, 2017 BUILDING PERMIT APPLICATION Miami Shores Village RECEIVED Building Department MAR 08 017 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 FBC 2014s�- ^� t"? Master Permit No. 5 I It7-r-2L- Sub Permit No.'a— 11 — Q:A ❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Q 0 Iw 3 1 S0 Folio/Parcel#: 1 t] 10 1y O�L-q Q Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): JU ►� l t e C C)s Phone#: �r'�S J 0�� Address: City: I�IA'k11State: A— Zip: Tenant/Lessee Name: Phone#: Email CONTRACTOR: Company Name: '1 '. I I 1 )� ` W N V / Address: % 8 79 A) W11` -73 5 - City: W ( /� 0 State: Etc) c) 5�n— Zip: -J 6 �� Qualifier Name: Z7 O � Phone#: j l 25 > — State Certification or Registration #: _ice 0 1 c1 -7? t )�- Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ �� < Square/Linear Footage of Work: Type of Work: ❑ Addition +Alteration ❑ N,ew O Repair/Replace' / ❑ Demolition Description of Work: I ♦ I Specify colorofcolor thru tile: Submittal Fee $ J Permit Fee $ L G� / CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $Q 23 - GO (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 copyi 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 approve and a reinspection fee will be charged. Signature Signature 0\ OWNER or AGENT CONT ACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this of 20 l .�by _ day of V- t 20�, by ,day � who is personally known to Zi'1 Jg; rsonally known to me or who has duced as me or who has uced as identifica ' n and wh di <e an oa identificat' and w di a e an d{h. NOT Y PUBLI NOT Y PUB Not PON late of Florida ridad Me a d ad 'rF�o1 Blid10 eppa y�Co ission FF 085110 is ign: Ezoi '01/227 o18 Sign: /22/2018 Print: Print: Seal: Seal: p D I l.� APPROVED BY d— Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) fV4v►1-1410 �lic7yiLa0- Miami Shores Village 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 OCT 1,02017 S r�, FBC 2014 Master Permit No. —3— 17- Sub Permit No. Rev l-I " 7 41i� 6 REVISION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ��`�1 0 1rr 5 1. City: Miami Shores County: Miami Dade Zip: 3 316-0 Folio/Parcel#: / 3 101 C I L30 7 40 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):�@J it fr.!<.%g Phone#: �J`^�►S�/ ��n Address:, d l',t+Jw it) City: M t hl 5 �5. State: :PL Zip: 3 r Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: V Address: s,-F City: CApcjo �. re c,k State: FL Zip: 33O ,7 :_ Qualifier Name: cam. hoc- )es. W 7056L P R Phone#:.305- - !�ZC- 740Z State Certification or Registration #: C <Q1C 17 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ ® Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repa- /Replace El Demolition Description of Work: p�G/�� N Ufy�e-,/. zV1, ��,, / 2q9..._.., Specify color of color thru tile: Submittal fee $ Permit Fee $ . S • o�j CCF $_ Scanning Fee $ L Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $� " oA CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ GD (Revised02/24/2014) 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 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 Signature 77 OWNER or AGENT CONTRACTOR The foregoing instru nt was acknowledged before me this day of 20 by isr� .cam . 1J g-oS, wh personally know me or who has produced as The foregoing instrument was ��//acknowledged before me this tw� day of �.� 7TJ,8Oci 20 ` 7 by A�ZZF--/ , wh Cs personally known t me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: Sign: Print Seal: RUTH M.YEPES MY COMMISSION # GG 054815 EXPIRES: December 13, 2020 Bonded Thru Notary Public Underwriters NOTARY PUBLIC: Sigp,41 Pfi nt: S e a l: rii- ************ * * * ********** RUTH M.YEPES 4 COMMISSION # GG 054815 EXPIRES: December 13, 2020 Bonded Thru Notary Public Underwriters APPROVED BY71, L Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Local Business Tax Receipt Miami —Dade County, State of Florida —THIS IS NOT A BILL — DO NOT PAY 6599501 BUSINESS NAME/LOCATION PHOENIX CONSULTING ASSOCIATES LLC 12610 SW 187 TERR MIAMI, FL 33177 OWNER PHOENIX CONSULTING ASSOCIATES LLC CHARI FS W FC1C.c;1 PR MANA(,FR Worker(s) 1 LBT RECEIPT NO. EXPIRES RENEWAL SEPTEMBER 30, 2018 6870290 Must be displayed at place of business Pursuant to County Code Chapter 8A — Art. 9 & 10 SEC. TYPE OF BUSINESS 196 GENERAL BUILDING PAYMENT RECEIVED BY TAX COLLECTOR CONTRACTOR 75.00 07/21/2017 CGC 1517844 CREDITCARD-17-049361 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles — Miami —Dade Code Sec 8a-276. MIAMI-For more information, visit www.miamidade,goy/taxcollecto �!l3