PL-19-2216Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
--`i_.
D rn Q
�J
Issue Date: 09/25/2019
Location Address Parcel Number
395 NE 100TH ST, Miami Shores, FL 33138 1132060135400
Contacts
Permit NO.: PL-09-19-2216
Permit Type: Plumbing - Residential
Work Classification: Alteration
Permit Status: Approved
Expiration: 03/24/2020
Jose Herrera Owner
395 100
ALVAREZ BUILDING -GROUP LLC Contractor
JOSE MANENT
902 CAPRI ST, CORAL GABLES, FL 33134
Business: 3057103886 abuildinggroup@yahoo.com
Description: REMODELING MASTER BATHROOM Valuation: $ 2,000.00 Requests:
1305-762-4949Ins action ionRe Re
TotalSq Feet: 50.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Notary Fee
$5.00
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$116.10
Applicant Copy
Payments
Date Paid Amt Paid
Total Fees
$116.10
Credit Card
09/23/2019 $50.00
Credit Card
09/25/2019 $66.10
Amount Due:
$0.00
For Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/.
Requests must be received by 3pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that maybe found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,
public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES.
November 07, 2019 Page 1 of 2
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
R'ECIFIVE0..
SEP 2 & �.
l.Y `
FBC 2011
BUILDING Master Permit fcf-
PERMIT APPLICATION Sub Permit No.(v2L-- 0 - lq- a0210
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: .3 S jO O !!51
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: �CCoo-nsstt-ruction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): V o S>a <—C—L — Phone#: O rj �0
Address: ;'s 5
City: vKk .tom., ' S AS State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: - SG �!l G ¢ • Cl�cl S one#: 30S -Z /6/ZP1
Address: vw-a %A) • i] e G eitd
City: / iWL• 4fi.U..,-- - state: t//�/ U�- zip:
Qualifier Name: Phone#: 30'5
State Certification or Registration/#: e& Y z f8e3• Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
�11,y1liiFfq,��,
Address: city: r ! State: Zip:
Value of Work for this Permit: $ 7 j es o" Square/L'nlear Foot" ,^of 111�,prk.
Type of Work: ❑ Addition ❑ Alteration ❑ Neves Repaif%Replace Demolition
Description of Work: �irco v� SL/- %
Specify color color of color thru_tile:
Submittal Fee $' Permit Fee $ �hn CCF $ 1 . aj) CO/CC $
Scanning Fee $ �. Radon Fee $..--- 00_ DBPR $ cV • 0 Notary $ . 00
Technology Fee $ 0- S Training/Education Fee $ v• 44c) Double Fee $
Structural Reviews $
Bond $ t n
TOTAL FEE NOW DUE $ W �• ,
(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.
Signatu
OWNER'br AGENT
The foregoing ins%Jment was acknowledged before me this
�-3
day of ) (2—%k„�,z a'` , 20 101J by
OS r' fq f q who is personally known to
m eU vMo has jfro3atKecl as
identificationWd who ft take an
y MGG 28720
Print:
Seal:
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of = 20 /e by
:/ Oj ,6:2 le--47 A who is personally known to
T
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
;�o�'"''f''�F•; RENE LOPEZ
MY# COMMISSION # GG073531
APPROVED BY 9/,75 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)