PL-18-878REs Miami Shores Village
CCF
10050 N.E. 2nd Avenue NE
DBPR Fee
Miami Shores, FL 33138-0000
DCA Fee
Phone: (305)795-2204
LORiDQ'
0.60
Project Address
10007 NE 4 Avenue
Miami Shores, FL
Owner Information
JOHN & CRISTINA BUTLER
Permit ND. ISL -4-1$-87$
Permit Type: Plumbing - Residential
l Work Classification: Gas
Permit Status: APPROVED
Issue Date: 4/1012018 1 Expiration: 10/07/2018
Parcel Number
1132060170490
Block: Lot:
10007 NE 4 Avenue
MIAMI SHORES FL 33138-
500 NE 102 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
E.F. DESIGN & CONSTRUCTION INC (305)409-4581
e of Work: RUN NEW GAS (PLUMBING) LINE FROM GA
De of Piping:
ditional Info: RUN NEW GAS (PLUMBING) LINE FROM GA
Bond Return :
Classification: Residential
Fees Due Amount
CCF 1.80
DBPR Fee 2.25
DCA Fee 2.00
Education Surcharge 0.60
Permit Fee 150.00
Scanning Fee 3.00
Technology Fee 2A0
Total: 162.05
Scanning: 1
JOHN & CRISTINA BUTLER
Valuation: $ 2,500.00
Total Sq Feet: p
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL -4-18-67042
04/10/2018 Credit Card $ 112.05 $ 50.00
04/05/2018 Credit Card $ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Press Test
Review Plumbing
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 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction apd zoning. Futhermore, I authorize the above-named contractor to do the work stated.
April 10, 2018
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
April 10, 2018
Miami Shores Villa a ' '`'
I
g
Q Ob 8
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
F BSC 2011
f- ILPBUILDINGMasterPermitNo. /— ( /'' p21
PERMIT APPLICATION Sub Permit No. P LI a- 8_1 V
BUILDING ELECTRIC ROOFING REVISION EXTENSION RENEWAL
PLUMBING MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP
CONTRACTOR
JOB ADDRESS: ,O ® 01 QE 1'1 --A VX
DRAWINGS
City: Miami Shores County: Miami Dade Zio: 3 1 —2-, 8
Folio/Parcel#:
Occupancy Type: Load
OWNER: Name (Fee Simple Titleholder):-'
Address: I0 C) ()I-) NC LA '14,x
the Building Historically Designated: Yes
Construction Type: Flood Zone: BFE:
Phone#::
City: Y vv `ci \1 J V `oy-e S State: et, Zip:
NO
FFE:
Tenant/Lessee1,N,ame1: Phone#:
Email: C 1 CJ J t"C' ,r'1 C.Cli—
CONTRACTOR: Company Name: F F 41V'U c:.Phone#: 0
Address: 7
1 `
VW S Z
City: gem+ fro l F, a State: `R Zip: 3 30 20
Qualifier Name: CX''- qIqL Phone#: ` ' 10 9 (4 f G
State Certification or Registration #: L F C 1L4 Z R22 I Certificate of Competency #:
DESIGNER: Architect/Engineer:
Add City:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: Addition Alteration New Repair/Replace
e#:
Zip:
Demolition
Description of Work: 4 ) V1 n eAlJ as s (-b 1 c./ w 6 " I ( %^,e -Lro
1 Ca Yom/_ n wl\ _k: ?,
Specify color of color thru tile:
Submittal Fee $ So 1 Permit Fee $ -
1
CCF $ CO/CC $
Scanning Fee $ Radon Fee $ jc> DBPR $ Notary $
Technology Fee
Structural Reviews $
Revised02/24/2014)
Training/Education Fee $ Double Fee $
Bond $
TOTAL FEE NOW DUE $ 1'I 2 • 05
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
r i
3
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 $1500, 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 firs inspection which occurs seven (7J days after the building permit is issued. In the abse ce of such posted notice, the
inspectio 1, not be appr v d and a reinspection fee will be charged.
Signat Signature
OWNER or AGENT NRACTOR
The foregoing instru=tas owledged before me this The foregoing instrument was acknowledged before me this
day of20 by 12 day o 7—ri 20 /3 by
WWC who is personally known to who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: aaer(
Seal:
r*s*r***
APP
Revised02/24/2014)
0001I
CATHERINE A. DUFFIN
NotarryPublicStateofFlMY comm, Expirat May 14, 2021
BanNce threu4h rr01081 Nalary nsgn.
NOTARY PUBLIC:
Sign:_
Print:
Seal: ,p'""" - MARTHA RODRIGUEZ
MY COMMISSION k GG42566IIZTr,A EXPIRES: October 26, 2020
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Plarfs Examiner Zoning
Structural Review Clerk