PL-18-3010Location Address
Permit NO.: PL-10-18-3010 Permit IVR Number: 100253
Miami Shores Village Permit
10050 NE 2 Ave � .._� _ �-� Type: Plumbing - Residential
Miami Shores FL 33138 Work Clossification: Addition/Alteration
305-795-2204 Permit Stotus: Approved
Issue Date:10/03/2018 Expiration: 04/01/2019
Parcel Number
Project
9632 NE 5 AVE, Miami Shores, FL 33138 1132060170140 <NONE>
Contacts
DAVID ELIAS HALABU Owner DAVID ELIAS HALABU Applicant
9632 NE 5 AVE, MIAMI SHORES, FL 33138 9632 NE 5 AVE, MIAMI SHORES, FL 33138
Other:3052137625 Other:3052137625
RC PLUMBING CONTRACTOR LLC Contractor
RAFAELCRESPO
201 WEST PARK DR, MIAMI, FL 33172
Business: 7542353828
Description: REPLACEMENT DRAINAGE PIPE AND WATER Valuation: $ 24,500.00 Inspection Requests:
SUPPLIES FOR REMODELINGUPDATE MASTER
BEDROOM/BATHROOM. ADD 2ND STORY LOFT AND Total Sq Feet: 2,250.00
BEDROOM PLUS BATHROOM - RE -CONFIGURE 2
BATHROOMS UPSTAIRS AND BEHIND KITCHEN
Fees
Amount
Application Fee - Other
$50.00
CCF
$15.00
DBPR Fee
$12.86
DCA Fee
$8.57
Education Surcharge
$5.00
Permit Fee
$807.50
Scanning Fee
$3.00
Technology Fee
$21.44
Tota I :
$923.37
Building Department Copy
Payments
Amt Paid
Total Fees
$923.37
Credit Card
$923.37
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 au tla above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
October 03, 2018 Page 2 of 4
\o\2\\ Miami Shores Village
F
Building Department Sr
P 2 0 2018
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 201�
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.�L.(� — A (�
BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
bj� CONTRACTOR DRAWINGS
JOB ADDRESS: G a 1' �1/Z tt>
City: Miami Shores Countv: Miami Dade ZiD: 33 13 lop
Folio/Parcel#: �' 32o6 'al 7— o i o Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): IxA t LI'6kA Phone#: �O�"oZU" 7;2
Address: -163� A6- Avg, 'e�b
City: N.*.\i �, �� 5 State: R Zip: 3343r d
Tenant/Lessee Nan)e: Phone#:
MT,91T ti122(11.' OWN 7,W
CONTRACTOR: Company Na
Address: 20 / 604
City: ✓"t of l_�
Qualifier Name:/
State Certification or Registration #
DESIGNER: Architect/Engineer:
0
Phone#:
ne#:
e"lam /Y2 ','y 33 Certificate of Competency #:
Address: ` % _CL-jz)' 0�) City:
4—value of Work for this Permit: $_ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration-'7� ❑ New Repair/Replace
Description ork: -•�'�`. " Gµa-
p: 33l-IZ
a)7-(-23S-3�Z�
Zip:
❑ Demolition
Specify color of color thru tile:
P
Submittal Fee $ Permit Fee $ L CCF $
Scanning Fee $ Radon Fee $ tom' DBPR $ <`` Z �EX� Notary,$
Technology Fee $ Training/Education Fee $ Double Fee $ _
Structural Reviews $.
Bond $
TOTAL FEE NOW DUE
(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
WE
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
s ` promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
i 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.
i
Signature_ Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
—46
- ay of
%- l 20 t �`� , by �� day of � � 20 by
t CZ who is personally known to C/l ` r ir<wo is personally known to
me or who has produced t cx-- Nil- as me or who has produced i icoxvs-eas
identification and who did take an oath. identification and who did take an oath ---
NOTARY P LIC:
r
Sign: i2
Print: 7'1
NOTARY PUBLIC:1:ti:s�.
MAHARAI K. GONZALEZ
MY COMMISSION # GG 044602
V
EXPIRES: November 2, 2020
+' of
�u NoWy Public Undow tWil
Sig
NOW
Print:
Seal: Seal:
KAITLYN M ORTAGUS
::State of Florida -Notary Public
+� March 2022
APPROVED Y Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Ss�
I U11111ul
SINCE 1191818 1 Florida, California, New York, Nevada, Maine, New Jersey, Louisiana, Pennsylvania, Virginia, Brazil
825 S.E. 81h Avenue
Suite 101
Deerfield Beach, FL, 33441
954.427.1069
A
1217 N Franklin Street
Tampa, FL 33602
813.318.9100
A
1031 LaSalle Street
Jacksonville, FL 32207
954.387.2091
240 Burt Street, #407
Santa Rosa, CA 95407
415:391.1080
A
www.Architectl.com
NCRAB44090
AR0014855
AA2600248
Toll Free
1.877.427.1069
PL /0 - l,�? - 30 (a
HALABU RESIDENCE
9632 NE 5T" AVENUE ROAD
MIAMI SHORES, FL 33138
Dear Building Inspector,
DATE: 4/25/2019
I approve to use CPVC Flowguard Gold Pipe for plumbing and it
meets FBC 2017.
If you have any additional comments or questions, please feel free to
contact me at 954.427.1069.
Charles Wa7 yne Ferrell
ARI4855
REGWEREWIMMd
Respectfully,
Charles Wayne Ferrell, M.A.A., R.A., NCARB
SINCE 19 B B M Florida, California, New York, Nevada, Maine, New Jersey, Louisiana, Pennsylvania, Virginia, Brazil
825 S.E. 811 Avenue
DATE: 4/18/2019
Suite 101
Deerfield Beach, FL, 33441 HALABU RESIDENCE
9632 NE 5TH AVENUE ROAD
954.427.1069 MIAMI SHORES, FL 33138
1217 N Franklin Street
Tampa, FL 33602
Dear Building Inspector,
813.318.9100
Insulation around hot water pipes is not required.
A
1031 LaSalle street If you have any additional comments or questions, please feel free to
contact me at 954.427.1069.
Jacksonville, FL 32207
954.387.2091
240 Burt Street, #407
Santa Rosa, CA 95407
�O L
415.391.1080 r (,d e
Charles Wayne Ferrell
ARI4855
REG64fEREIMOMC7
www.Architectl.com Respectfully,
NCRAB44090 Charles Wayne Ferrell, M.A.A., R.A., NCARB
AR0014855
AA2600248
Toll Free
1.877.427.1069
SINCE 1988
825 S.E. 8th Avenue
Suite 101
Deerfield Beach, FL, 33441
954.427.1069
1217 N Franklin Street
Tampa, FL 33602
813. 318. 9100
>♦
1031 LaSalle Street
Jacksonville, FL 32207
954.387.2091
240 Burt Street, #407
Santa Rosa, CA 95407
415.391.1080
www.Architectl.com
NCRAB44090
AR0014855
AA2600248
Toll Free
1.877.427.1069
l8
Florida, California, New York, Nevada, Maine, New Jersey, Louisiana, Pennsylvania, Virginia, Brazil
DATE: 4/25/2019
HALABU RESIDENCE
9632 NE 5TH AVENUE ROAD
MIAMI SHORES, FL 33138
Dear Building Inspector,
I approve to use CPVC Flowguard Gold Pipe for plumbing and it
meets FBC 2017.
If you have any additional comments or questions, please feel free to
contact me at 954.427.1069.
Charles Wayne Ferrell
�RI4 355
REGISTEAED.ARCWIECS
Respectfully,
Charles Wayne Ferrell, M.A.A., R.A., NCARB