PL-18-3549Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: PL -11-1&3549
Permit Type: Plumbing - Residential
Work Classification: Addition/Alteration
Permit Status: Approved
issue Date: 01/02/2019 1 Expiration: 07/01/2019
Location Address Parcel Number
74 NW 108TH ST, Miami Shores, FL 33168 1121360110150
Contacts
Description: REMOVE AND REPLACE REMODEL OF HALLWAY Valuation: $ 2,900.00 Inspection section Re uests:762 4 49
BATHROOM
Total Sq Feet: 80.00
Fees
Cory Mullinare Owner
74 108
R&I PLUMBING SERVICES CORP Contractor
RENE GUZMAN
7898 NW 174 TER, MIAMI, FL 33015
Business: 3058236911
$50.00
CCF
Description: REMOVE AND REPLACE REMODEL OF HALLWAY Valuation: $ 2,900.00 Inspection section Re uests:762 4 49
BATHROOM
Total Sq Feet: 80.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee
$51.50
Scanning Fee
$3.00
Technology Fee
$2.54
Total:
$113.44
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$113.44
Credit Card
01/02/2019 $63.44
Credit Card
11/28/2018 $50.00
Amount Due:
$0.00
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 c fy that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and g. #,uthermore, I authorize the above named contractor to do the work stated.
Authorized Signature:
/ Applicant / Contractor / Agent
Date
January 02, 2019 Page 2 of 2
BUILDING
PERMIT APPLICATION
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
RECEIVED
NOV 2 8 1018
FBC 201
Master Permit No.12C I
Sub Permit No. i� 1
BUILDING ELECTRIC ❑ ROOFING REVISION EXTENSION MRENEWAL
[PLUMBING MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
f,.
CONTRACTOR DRAWINGS
10B ADDRESS: 74 NW 108 Street r
Citv: Miami Shores County: Miami. Dade, r c zip: P3168 {�
f Folio/Parcel-fl- 11-2136-01.1-0150 f Is the Building Historically Designated: yes NO F
"iOccupancy Type: ` ,'' Load: Construction.Type: ` Flood Zone:;"' BFE:i R ' FFE:
OWNER: Name (Fee Simple Titleholder): Cory R Mulinare &Leigh Mulinare Phone#: 786-6834365-
Address:
86-683=4365Address: 74 NW 108 Street
City: Miami'Shores state: FL Zip; 33168
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: V, It Z P1 urr►ld►n4 !S4*UiZ.- Phone#:
Address: i'S q 8 NW -1"1L1 `t'p f✓
City: M'r v.,n'. L Ak rs State: L Zip: -3u IS
Qualifier Name: Rtwne. Cauzmav, Phone#:
State Certification or Registration #: Vf- 0O L& 11101 Certificate of Competency #: 03P 00 b0"74
DESIGNER: Architect/Engineer: Phone#:
Address: City: - State: Zip:
Value of Work for this Permit: $ — Square/Linear Footage of Work:
Tvoe of Work: ❑ Addition H Alteration ❑ New _ ❑ Reoair/Replace ❑ Demolition
Description of Work:
�i �T al•,.
Specify color, of color..thru tile: in
Submittal Fee $`9`0 Permit Fee,$. b GO CCF $ "• " r.a,=_;i} f,3hCO/CC $,',"J
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $63-14
_
Bonding Company's Name (if applicable) .
Bonding Company's Address
r
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address.''
_
City - I a „ ii_•',State
01 • 9•.. It, 1J ' d ,t 'T'
Zip
Zip ., t a
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 7permit and thaf 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
r ,
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." r
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 jdb 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
OWNER or AGENT CONTRACTOR
The foregoing inste6m*e1nt�was acknowledged before me this The foregoing instF6ment was acknowledged before me this
0�_ day of 1 V 6\j-GMb,, r : 20 1 � . by _ daii of •N Oy_G M6-&- 20 1W by
...,g 1 ,, , •, • '
1Onq y who is personally known to � en � GU7_m A V1 who is personally known to +
me or who has produced ]DI bye �� -� as "We of who has produced 171_ o v+ 4e_ as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
4
Sign: Sign:
Print: _<�NIAG A 1111ALU: Z_ Print: S A
, ,.e, Suyap9 T. Vasquez
Seal: ;fie" � r CommisSron #� Vaquez942611 Seal: _ = Commission I FF942611
x' Expires: December 9, 2019 --
Bonded Expires: December 9,'204 ,
p Bonded thru Aaron
Bonded thru Aaron Notary Aa o Notary
APPROVED BY II }ai /t Plans Examiner Zoning
— Structural Review
(Revised02/24/2014)
Clerk