PL-19-370Location Address
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: PL -02-19-370
Permit Type: Plumbing -Residential
Work Classification: Addition/Alteration
Permit Status: Approved
Issue Date: 02/21/2019 1 Expiration: 08/20/2019
Parcel Number
1250 NE 101ST ST, Miami Shores, FL 33138 1132050080020
Contacts
NEIL & MARIA MCGUINNESS Owner FLOW MASTERS PLUMBING SERVICES Contractor
1250 NE 101 ST, MIAMI SHORES, FL 33138 INC
Other: 3057561476 JEFFERY GLENN DELILLE
1470 NW 107 AVE, MIAMI, FL 33172
Description: DISCONNECT AND RECONNECT SINK AND Valuation: $ 1,000.00
Inspection Requests:
DISHWASHER FOR KITCHEN REMODEL
305-762-4949
Total Sq Feet: 0.00
Fees Amount
Application Fee - Other 50.00
CCF 0.60
DBPR Fee 2.00
DCA Fee 2.00
Education Surcharge 0.20
Permit Fee 50.00
Scanning Fee 3.00
Technology Fee 2.50
Total: 110.30
Building Department Copy
Payments Date Paid Amt Paid
Total Fees 110.30
Credit Card 02/21/2019 $110.30
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 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. Futhermore, I authorize the above named contractor to do the work stated.
i - C • \J`Azli- L
Authorized -Signature: Owner / Applicant / Contractor / Agent Date
February 21, 2019 Page 2 of 2
Miami Shores Village
P
Building Department FEB 15 MIS
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 (
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 C.Q"h
FBC 2011
BUILDING Master Permit No.'R Ciee 2 O cj
PERMIT APPLICATION Sub Permit No. P t I q "3
BUILDING ELECTRIC ROOFING REVISION EXTENSION RENEWAL
PLUMBING MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: z to (
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 11 — 3205 - Qo020) Is the Building Historically Designated: Yes NO 1b
Occupancy Type: Load: Construction Type: Flood Zone: BFE
r
OWNER: Name (Fee Simple Titleholder): Mc G V i n k% 'e S 5 Phone#:_
Address: 12 5- 0 (V E lot S +r.--
FFE:
5'05'- 3 -/2- - /// Z
City: State: 1' I Zip: '3 3 / 36
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: I`ldW :e 6 l( p-1(i/yJ: i?GJ 'hone#:
Address:61" _s-t4_/Sf 'C../ 3of'yOy__?Z-3
City: SOW %
r
JState: /
Zip: -,%M
Qualifier Name: _
14
lzeB & I- Phone#:'P 76
State Certification or Reeistration #:
DESIGNER: Architect/Engineer:
Add
ificate of Competency #:
ne#:
City: State: Zip:
i dv
Value of Work for this Permit: Square/Linear Footage of Work:
Type of Work: Addition Alteration El NewNew Q Repair/Replace
1
Demolition
Description of Work:
1+
5 CO vi n e c %c,,ys cL r f C 06 y( -CC-4 S ny j d
J S V1/V 5 n -e r ro r /1'!c% {s-' %'-e';'e d
Specify color of color thru tile:,
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Revised02/24/2014)
Radon Fee $
Training/Education Fee $
CCF $ CO/CC $
DBPR $ Notary $.
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 11o,30
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 low 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 /{I-'/-•-- Signatur
v
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20Q ( 1 by ^ day of ehc, a,-/ 20 by
YI Gn G "vvtto Ps pb srorlaj1lylknoppwnCtoSVb'' 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 P LIC: NOTARY PUBLIC:
Si Sign:
atc`
Print: 3 MY COMMISSION # GG 044602 Pri „,,, DANIEL PIEL
d;=
Bonded
ovember2, 2020
Thru Notary Public Underwriters iW--.; Notary Public State of Florida
SeSeal: •_ Commission # GG 060409
My Comm. Expires Apr 29, 2021
a •,' :Bonded through National Notary Assn.
APPROVED BY XZ5 1 io,g Plans Examiner Zoning
Structural Review Clerk
Revised02/24/2014)