DEMO-20-436Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
1343 NE 104TH ST, Miami Shores, FL 33138
Contacts
tYl��J� �JUIS
Issue Date: 02/27/2020
Parcel Number
1122320320010
Permit NO.: DEMO-02-20-436
Permit Type: Demolition
Work Classification: Plumbing
Permit Status: Applied
Expiration: 08/25/2020
AWADH ABDULRAHMAN AWADH Owner ALL COUNTIES PLUMBING INC Contractor
1343 NE 104TH ST, Miami Shores, FL 33138 MIGUEL CABRERA
Home: 3057730012 AW @AWADWATCH ES. COM
Business: 7864026881
Description: PLUMBING DEMO Valuation: $ 100.00 Inspection Requests:
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
Building Demoloition Fee
$50.00
CCF
$0.60
DBPR Fee
$3.75
DCA Fee
$2.50
Education Surcharge
$0.20
Scanning Fee
$3.00
Technology Fee
$6.25
Total:
$116.30
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$116.30
Credit Card
02/27/2020 $116.30
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 cert' that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating constructi% and n)ifg. Futhermore, I authorize the above named contractor to do the work stated.
Authorized
/ Applicant / Contractor / Agent
Date
Page 2 of 2
RECEIVED
Miami Shores Village
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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
FE
BY. E
CT�"
FBC 20
Master Permit No. demo 11-19-2817
Sub Permit No.PEh14 ` U Z- W 'y 3rc>
❑ REVISION ❑ EXTENSION [—]RENEWAL
OPLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1343 NE 104 St.
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):l2j"a tZ c
City: C14 - Stater Zip:
Tenant/Lessee Name: Phone#:
Email:
J w r
CONTRACTOR: Company Name: `ou b �N �r I ' LPhone#:
Address:
City: State:
C
Qualifier Name: Phone#:
State Certification or Registration Certificate of Competency #: _
DESIGNER: Architect/Engineer: Phone#:
Zip:
Address: City: State: Zip:
Value of Work for this Permit: $ 1 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace uDemolition
Description of Work: T0 NA(3 � N G ( 7t5L_�� 1�
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $,
Structural Reviews $
Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $
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 approved and a reinspection fee will be charged.
Signature
• INN r AG NT
The foregoing i strument was acknowledged before me this
day of20 -'? c�)� by
Who s personally known to
a me or who has produced —��t�2- u� �S s
V
Signature
CONT CTOR
The foregoing instrument was acknowledged before me this
--7 day of - - /,3 CIZ�X 120 Z d , by
who is personally known to
me or who has produced ll'I� as
identification and who did take an oath. identification and who dict44kp_an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
1
Sign: 4, Sign:
• �^ .. • L RIO
Print: Print: « _SOIs I
:'••" `!t� ; SINDIA ALVAREZ ";r �� Expires February 12, 2023
Seal: MY COMMISSION # GG 2382?" Seal: FOF F��P Bonded ihru Budget Nogry Savkes
.; EXPIRES: September 3, 2022
..•OF F�• , 80eded Thru NWary Public Underx i?.
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)