PL-20-1261Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: PL-06-20-1261
Permit Type: Plumbing -Residential
' Work Classification: Addition/Alteration
Permit Status: Approved
Issue Date: 06/26/2,020 , Expiration: 12/23/2020
Location Address Parcel Number
78 NW 106TH ST, Miami Shores, FL 33150 1121360050230
Contacts
Alejandra Gutierrez Owner EAST SUNRISE PLUMBING INC Contractor
78 NW 106 Street, Miami Shores, FL 33150 VINCENT HERNANDEZ
Other: 7990822 ag0207@gmaii.com 15075 SW 137 ST 7, MIAMI, FL 33196
Business: 3053211672 silviol@bellsouth.net
Description: kitchen sink installation Valuation: $500.00 Inspection Requests:
TO REPLACE EXPIRED PERMIT PL-1-14-2886
Total Sq Feet: 140.00
Fees Amount
Payments
Date Paid Amt Paid
100% Permit Renewal Fee $150.00
Total Fees
$150.00
Credit Card
06/26/2020 $150.00
Total: $150.00
Amount Due:
$0.00
covid 19
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 / Agent Date
June 26, 2020 Page 2 of 2
Miami Shores Village
Building Department JUN 17 ?uzu
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B'Y:4�L�
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 ri (pi'L
BUILDING Master Permit No. RC-1-14-2885
PERMIT APPLICATION ��= 01�20-Sub Permit N
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
DPLUMBING [:]MECHANICAL [:]PUBLICWORKS CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 78 NW 106th St, Miami Shores FL. 33150
City: Miami Shores County: Miami Dade Zio:
Folio/Parcel#:1121360050230 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Alejandra Gutierrez and John Southerland Phone#: 305-799-0822
Address:78 NW 106th St, Miami Shores FL. 33150
City: Miami Shores State: Florida Zip: 33150
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: East Sunrise Plumbing Inc. Phone#: 305-321-1672
Address: 15488 SW 172nd Terrace
City Miami State: Florida Zip. 33187
Qualifier Name: Vicent Alberto Hernandez Phone#: 305-321-1672
State Certification or Registration #. CFC 1429502 Certificate of Competency M
DESIGNER: Architect/Engineer. Phone#:
Address City: State: Zip:
Value of Work for this Permit: $ 500.00 Square/Linear Footage of Work:
Type of work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition
Description of Work: Kitchen sink Installation
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Rev1sed02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
RE
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 reinspgction_fee will be charged
ER or
The foregoing instrument was acknowledged before me this
c -�L day of A ^ .�-C. 20 = ' �. by
A`^"a "who is personally known to
me or who has produced as
identification and who did take an oath.
Signature i`
CON +TOR
The foregoing instrument was acknowledged before me this
�/�7 day of Ail 2p ,by
who is personally known to
----------------------
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print. r r r Print:
B1R5kcaK =c� �"r,
Seal: ��; ^ i�18ryP o -S:s.e ra ` Seal:
• ' i.�^m3� � uC' E u � „ie
APPROVED BY 6/%./e. Plans Examiner
Structural Review
Elms: Mod 10, 2W
Sw" To Astlatl 11011MY
as
Zoning
Clerk
(ReOsedO2J24/2014)