PL-18-3356Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date:
Location Address Parcel Number
289 NE 102 ST, Miami Shores, FL 33138-2426 1132060134970
Contacts
Permit No.: L-11-1B-3356
Permit Type: Plumbing - Residential
Work Classification: Alteration
Permit Status: Approved
Expiration: 05/01/2019
ALFRED & NANCY DOWSON Owner ALFRED & NANCY DOWSON Applicant
305 NE 91 ST, MIAMI SHORES, FL 331383129 305 NE 91 ST, MIAMI SHORES, FL 331383129
EDWARD ROJAS PLUMBING CORP Contractor
EDWARDO ROJAS
880 NE 111 ST, BISCAYNE PARK, FL 33161
Business: 3059446788 EDDIE.ROJAS@HOTMAIL.COM
Home: 7864439846
Description: PLUMBING TO MOVE KITCHEN Valuation: $ 1,200.00 Inspection Requests:
TotalSq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.10
Payments
Date Paid Amt Paid
Total Fees
$111.10
Check # 3978
11/08/2018 $61.10
Check # 3973
11/02/2018 $50.00
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 ELEICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVicertify that al foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating _QQQstr o nd_,;eninemore, I authorize the above named contractor to do the work stated.
gnature: Owner / Applicant / Contractor / Agent Date
November 08, 2018 Page 2 of 2
5
Miami Shores Village ---�
Building Department °V 2 2018
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 (�
FBC 20
'`
BUILDING Master Permit No. RC 18 ` -2,36-1
PERMIT APPLICATION Sub Permit NoTL- 9 - 3 -35'6
❑ BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
P PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
DRAWINGS
JOB ADDRESS: 2 ? / /, �eg S Y
City: Miami Shores County: Miami Dade Zip: 33/3,P
Folio/Parcel#: 11 J 206 " (9/ 3--� �A / Q7 0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): l ��� Aatllll�OW507 Phone#: /
Address: 30 ,,/► �7 %'' �% S Z
City: / / hrl.»LL S % l;�_ State: 64 Zip: 3 3/ /J er
Tenant/Lessee Name:: _
Email: ✓nC C �f
CONTRACTOR: Company Name:_ Q dw(4 6 ko z l? .r �/77 � �J I ?7i Phone#: ` q3 ! k ¢6
Address: _J / / S/
City: State: % Zip: :S 31 G 1
Qualifier Name: tEi ar /-f01A.? r
State Certification or Registration #: C = / Certificate of Competency #:
DESIGNER: Architect/Engineer: 130 rc eG' Phone#:
Address: City: Af&,C i State: Zip:
Value of Work for this Permit: $ 19 Square/Linear Footage of Work:
Type of Work: ❑ Addition r Alteration ❑ New ❑ Repair/Replace �El Demolition
Description of Work:
Celt
Specify color of color thru tile:
Submittal Fee $,.J� Permit Fee $ CCF $ >` CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $
Structural Reviews $
Training/Education Fee $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ ��
(Revised02/24/2014)
i
Bonding Company's Name (if applicable)
r I
Bonding Company's Address
i
City Y6 ( State Zip
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 1(
OWNER or AGENT
The foregoing instrument
`was
nacknowledged before me this
/�n ,day odidp V , 20 1� by
rl t�RC/k Vi,1J t)() n , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Signature A uCCQ
CONTRACTOR
The foregoing instrument was acknowledged before me this day of �7C )r h)g4 ✓ 20 by
'Ed QXAyd � W )U5 who is personally known to
V
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
OAA,(A-�
Sign:
Sign:
PaV-K'i l
Print: /�J
1� ICiC
Print:
Seal:
Seal:
ANALUI5APARRILLA
tary Public - State of Florida
77COmmissfon
# GG 090452
My Comm, Expires Apr 21, 2021
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APPROVED BY��'� 11 Ad
Plans Examiner
Structural Review
4
ANALUISAPARRILLA
=
NotaryPublic-StateofFlorida
• �.�1��
• `
Commission # GG 090452
My Comm. Expires Apr 21, 2021
Bonded through National Notary Assn,
Zoning
Clerk
(Revised02/24/2014)