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PLC-19-2996Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date:12/30/2019 Parcel Number 1700 NE 105TH ST 505, Miami Shores, FL 33138 1122300500810 Contacts Permit NO.: PLC-12-19-2996 Permit Type: Plumbing - Commercial Work Classification: Alteration Permit Status: Approved Expiration: 06/29/2020 LOUIS CARDENAS Owner DOUGLAS ORR PLUMBING INC Contractor 1700 NE 105 ST 505, MIAMI SHORES, FL 33138 WAYNE MACNIVEN ORR Home: 301-318-5309 SAME AS ABOVE Business: 3058871687 mary@orrplumbing.com Other:3058871687 Description: REPLACE EXISTING 30 GAL ELECTRIC HEATER Valuation: $ 845.00 Inspection Requests: 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 $9.00 Technology Fee $2.50 Total: $116.30 Payments Date Paid Amt Paid Total Fees $116.30 Credit Card 12/23/2019 $50.00 Credit Card 12/30/2019 $66.30 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 / Agent Date December 30, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION 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 gECEIVED D C 2 & 2019 BY: FBC 20 k9- Master Permit NoT(r, t 2--,�Iqcj - i ` Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL [PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1-7b () pj / U S S -1' -14: 5 0 5' City: Miami Shores County: Miami Dade Zip: 33/39 Folio/Parcel#: // - 2.130 -050 - Oki 0 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): LOu1S R Phone#: 301 .519 6305 Address: 170 b r4 t; i Ors' ST . 6os- City: M 161 M l _S hare-S State: F_ Zip: 3313ef Tenant/Lessee Name: Phone#: Email: LC k_v- t 4-)aS 036o60_G mg i/ .e'oM CONTRACTOR: Company Name: 1011411aG tort phim b1119 Phone#: L05 k&'l - I god+ 7 Address: 301 FTL1,41er DOv'e-1 City: M i /.IVYI( S pnm4s State: F-7_ Zip: .33 1(, Qualifier Name: Vlf&�k riP_ orr Phone#: ?QS kf- 7 hofri State Certification or Registration #: L; FL QJS-2-" (e (/ Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ k4i 5 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition Description of Work: rP 16 ' _ k'- FhyIU ,r) (211 , , h & t- Specify color of color thru tile: Submittal Fee $ k 7_b I olz� Permit Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 30 (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, 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. — e�� - SignaturesaeGClay`r `OWNER or AGENT , The foregoing instrument was acknowledged before me this 11* day of10L 20 Iq by Signature A CONTRACTOR The foregoing ins ment was acknowledged before me this /(N%% day of b& , 20 19 , by Louis is 0A rAtAmas , who is personally known to Nam" 0rir , who is personally known to me or who has produced e4 t*1n/ _M I it i .i7 a as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: identification and who did take an oath. NOTARY PUBLIC: Sign: C;a Sign:y� Print: Print: It''=. MARY JO TRIBLE Seal: �s Notary Public - State of Florida Seal: Commisiion p GG 321874 My Comm. Expires Apr 9, 2023 ********* ************************* APPROVED BY i��fq Plans Examiner �� P� •., �G�; MARY JO TRIBLE 1'1 Notary Public • State of Florida ?oi Fed Comminion # GG 321874 My Comm. Expires Apr 9, 2023 *************************** *********** Zoning Structural Review (kevised02/24/2014) Clerk Address " Owner Name Folio 1700 NE 105 ST F___ Suite -1011 Back to Search Results PROPERTY INFORMATION Folio: 11-2230-050-0810 Sub -Division: THE SHORES CONDO Property Address 1700 NE 105 ST UNIT: 505 Owner LOUIS R CARDENAS Mailing Address 1700 NE 105 ST # 505 MIAMI SHORES, FL 33138 PA Primary Zone 4900 MULTI -FAMILY - CONDOMINUM Primary Land Use 0407 RESIDENTIAL - TOTAL VALUE: CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 1 / 1 / 1 Floors 0 Living Units 0 Actual Area Living Area 891 Sq.Ft Page 1 of 2 Work Provided By: Douglas Orr Plumbing, Inc. 301 Flagler Drive Miami Springs, FL 33166 Bill To: 462268 THE HOME DEPOT Attn: SO RAYA ALFARO 2455 PACES FERRY ROAD, NW BLDG B-3 ATLANTA , GA 30339 Phone: (800) 466-3337 Site Note: Dispatch: 112648 Job No: S230609 Tech(s): Invoice No: Service Location: LOUIS CARDENAS 1700 NE 105 ST APT 505 MIAMI SHORES, FL 33138 Who Called: LOUIS CARDENAS Phone: (301) 318-5309 Fax: Cell: HOME DEPOT LEAD 1-50166929187 -DO NOT PARK IN CUSTOMER'S DRIVEWAY - ASK WHERE YOU CAN PARK - WEAR BOOTIES AND LEAVE WORKSPACE CLEAN - GET HD PAPERWORK SIGNED -TAKE BEFORE/AFTER PICS, WRITE DOWN SERIAL # OF NEW HEATER -COLLECT CHECK/CC (IF IT'S A CHECK, GET CUSTOMER'S DRIVER'S LICENSE NUMBER) Work Requested: INSTALL O/S 30 GAL ELECTRIC HEATER, QUOTED JOB FOR $845 INCLUDING LABOR, HAUL AWAY, AND PERMIT, CALL LOUIS CARDENAS 301 318 5309, COLLECT CHECK OR CC - MJT HOME DEPOT LEAD 1-50166929187 -DO NOT PARK IN CUSTOMER'S DRIVEWAY - ASK WHERE YOU CAN PARK - WEAR BOOTIES AND LEAVE WORKSPACE CLEAN - GET HD PAPERWORK SIGNED -TAKE BEFORE/AFTER PICS, WRITE DOWN SERIAL # OF NEW HEATER -COLLECT CHECK/CC (IF IT'S A CHECK, GET CUSTOMER'S DRIVER'S LICENSE NUMBER) Description of Repair: Invoice Detail: Your P.O.: 1-50166929187 Terms: Due Upon Receipt WORK REQUEST APPLICATION Unit Owner s'Name 2__�__� of ectors for ollowing approval from the hthat Board vill belrperformed by of I hereby request licensed modification or alteration to my unit contractor. Electrical work Plumbing work 3� l�� [ �j f'r'rjli l:'/Jmm Carpet installation **Windows Tile installation Other work Description of the work .. Before upgradeour apartment (other than paint or carpet) you must you decide to . Y obtain permission from the Board of Directors and/or Miami Shores Village. A copy of the plans, specifications and permits, and a description of the licensed work to be performed must be submitted for consideration and approval by the Miami Shores Village Building Department (305-795-2204). It is the owner's responsibility to ensure that the contractor removes all excess construction material or building debris. It cannot be placed in the dumpsters. **Window frames must be gray in Goa s no look beike learluminum Windows must be Two (2) panels over Two (2) panels 1, as the unit owner acknowledge responsibility for any damage to the building or personal injuries that may occur during the project. The Shores Condominium Inc. its officers and employees are in no way responsible for damage or theft to my s. (A $200.00 deposit is required and will be refunded if apartment or my belonging no damage to the property is reported.) I fully understand and agree to the statements made above. /; ¢ /3 ni si ature Date. Approved by: � Date: