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PLC-5-19-992Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 660 NE 95TH ST E, Miami Shores, FL 33138 Contacts JILL REED Owner 1285 NE 101 ST, MIAMI SHORES, FL 33138 Permit NO.: PLC-05-19-992 Permir Type: Plumbing - Commercial Work Classification: Addition/Alteration Permit Status: Approved Issue Date: 05/08/2019 a Expiration: 11/04/2019 Parcel Number 1132060500050 A TO Z STATE WIDE PLUMBING INC Contractor JOHN DRISCOLL 2215 SW 58 TER, WEST PARK, FL 33023 Business: 9549812133 Inspection Requests: Description: REPLACE FAUCET & SINK Valuation: $ 350.00 305 7fiZ•4949 ( AFTER THE FACT PERMIT) INSTALL CLIENT SUPPLED SINK AND FAUCET AND CONNECT TO Total Sq Feet: 0.00 EXISTING DRAINAGE. TO REPLACE PLC-4-18-1037 Fees Amount Payments Date Paid Amt Paid 100% Permit Renewal Fee $100.00 Total Fees $100.00 Total: $100.00 Check # 2985 05/08/2019 $100.00 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 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. Authorized Signature: Owner / Applicant / Contractor / Date May 08, 2019 Page 2 of 2 VED Miami Shores Village Mpy 03 Z019 Building Department BY' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No._ �+--t—� `T PERMIT APPLICATION Sub Permit No. ?LI_ S— 19 " CICI Z ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL XU MBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR / DRAWINGS JOB ADDRESS: CO L c) d City: Miami Shores County: Miami Dade _ Z: 33 1,3,9 Folio/Parcel#:" 1132 U CoC'S--L C) O S r> Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Phone#: _70- " 34 7 7 - o3 ) (O Address:_1 ;2z_c;� City: �1 1 CN2n k �1ore-s State: I• Zip: 33 1 3-9 Tenant/Lessee Name: ame: � /�- Phone#: h1 IA. Email: L��1 i �C�d Cir4nrl r�+C�' C.,t1nCl . (o{►n CONTRACTOR: Company Name:9 +o! S-+ei+ i,— AP_ P`yey\ bIV) - Phone#: q---I - q I" D 13 3 Address: - City: W d -5+ Pc r 1, State: __ I Zip: - ip:- 3 D a 3Qualifier Name- J nk n _Uf 15CD 1 1 Phone#: �� -1 - qL 21 ' a 13 3 State Certification or Registration #: I HJ4 )111 Certificate of Competency #: DESIGNER: Architect/Engineer: ly I!} Phone#: Addres City: Value of Work for this Permit: $ 3 15, QC2 _ Square/Linear Footage of Work: Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New + 11 ❑ Repair/Replace ❑ Demolition Description of Work: C i 1 t T Iri i 0 V_ Specify color of color thru tile: h I (q- Submittal Fee $ C� Scanning Fee $ Technology Fee $ Structural Reviews $ Permit Fee $ CCF $_ Radon Fee $ DBPR $ Training/Education Fee $ CO/CC $ _ Notary $ Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ r1()0. 0�) 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 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 a proved and a r ' spection fee will be charged. Signatur Signatur OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of 20 1�J. by t .e__ - who is personally known to me or who has produced .FL -Pr 4sC ,2300 - s identification and who did PUBLIC: Sign:_ Print: rh 0 - / / 3 —/ Seal: .......... : FRANCES DIXON Commission # GG 243887 z Expires August 17, 2022 019 '�'�r,?r+y°P' $ondud Tiau Troy Fain hreurance 8063851 The foregofng instrument was acknowledged fore me this day of ly 20 1 =, by who is personally known to -me or. who has produced identification and who did take an oath. ARY PUBLIC: Print Seal: 'g Commission#GG243UT EcomsAugust 17, 2022 `yr grwAWTtruTmyFainhlwm" 11OX APPROVED BY ���� 4 L-7 Z*lans Examiner as *********************************rm**tea***rrr Zoning Structural Review (Revised02/24/2014) Clerk ey Miami Shores Village �s►°i� 10050 N E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 +"torc�nt► Project Address 660 NE 95 Street Number: E Miami Shores, FL Permit No. PLC-4-18-1037 Permit Type: Plumbing - Commercial Permit Work classification: Addition/Alteration Permri Status: APPROVED Issue Date: 4/25/2018 1 Expiration: 1 122/ 018 Parcel Number 1132060500050 Block: Lot: Owner Inlonnation Address JILL REED 660 NE 95 ST UNIT E MIAMI SHORES FL 33138-2758 Contractor(s) Phone Cell Phone JAMES DENTICO CONTRACTING INC 305-756-6553 Type of Work: REPLACE FAUCET & SINK Type of Piping: Additional Info: REPLACE FAUCET & SINK Classification: Commercial Scanning: 3 Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $0.80 Work without Permit Fee $100 00 Total: $214.60 Applicant JILL REED Phone Gall Valuation: $ 350.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # PLC-4-18-67222 04/19/2018 Check #: 1579 $ 50.00 $ 164.60 04/25/2018 Check #: 1250 $ 164.60 $ 0.00 Available Inspections: Inspection Type: Top Out Re Pipe Main Drain Heater Water Service Final Water Main Lavatory Review Plumbing 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: I certify that all t egoing�nformation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futherr", I a hari egthe a])Qgjjve-named contractor to do the work stated. April 25, 2018 Authorized Signature: Q er / rApplicaAt I Building Department Copy. April 25, 2018 Contractor / Agent 1 BUILDING PERMIT APPLICATION Miami Shores Village Building Department PR 1 "b 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Y+" Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 F}BC2011 (1 Master Permit Permit No. t' 1 I� Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL .]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: l s �iIV �, L C S� Citv: Miami Shores County: Miami Dade Zip: 3 313� Folio/Parcel#: ��o — oo SO _iIs the Building Historically Designated: Yes NO Occupancy Type: Load: _ iConstruction Type: Flood Zone: BFE: FFE: OWNER: Narme (Fee Simple Titleholder): J I I T`eeX Phone Address: b� () NN z- G S S City: /K._ A '; SJrK S State: iC L Zip: Tenant/Lesse,e Name: p A- Phone#:_3v U Email: CONTRACTOR: Company Name: Address: � ]� � [ City:. f TIA.1i?+ IN, 6LIV Qualifier Name: ro C e#:'30-� ` 7S� Us Zip: Phone#:' - State Certification or Registration #: C -C6 19 6.-� 6 Certificate of Competency #: DESIGNER: Architect/Engineer: Address: Phone#: City: State: Zip: Value of Work for this Permit: $.��� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration p New �W Repair/Replace Description of Work: Specify color of color thru tile: Demolition Submittal Fee $� . Permit Fee $ n /00 CCF $ CO/CC $ Scanning Fee $ Radon Fee $ n/ • Q DBPR $ c::a • Vy Notary $ Technology Fee $_ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ r /J�� TOTAL FEE NOW DUE $ ! - 60 (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, HFATERS, 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 wrlicir acCUts seven (7j days after the building pei,7,it is issued. In the absence of such posted notice, the inspection will not be roved and a reinspection fee will be charged. Signature l g Signature � 4 OWNER or or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of r—�a 20 by who is personally known to me or who has producedo. mY9 60 3 as identification and who did take an oath. NOTARY PUBLIC:_.. � `t Sign:_ Print: Seal Commission 4 GG 148525 ` My Comm. Exoires Oct 16, 2021 Bcrded thrcucF Natioral NctarvAssr. The fo�eoing instrument was a knowledged before me this day of i .. 20 — by �d who is personally known to me ogwhv has proOuced s did take an oath. Print: Ashaki S. P`1, son -Marc" Seal: L STA E: C,F FLCRIDA 12114/2018 APPROVED BY 1_ Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 5e r----- . -. 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