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PL-19-2539Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 I r;a�Gl�u Issue Date:11/06/2019 Location Address Parcel Number 17 NE 107TH ST, Miami Shores, FL 33161 1121360070340 Contacts Permit NO.: PL-10-19-2539 Permit Type: Plumbing- Residential Work Classification: Alteration Permit Status: Approved Expiration: 05/04/2020 HOWARD HENRIQUES Owner 17 NE 107 ST, MIAMI, FL 33161 henriques3h@gmail.com FLOW MASTERS PLUMBING SERVICES Contractor INC JEFFERY GLENN DELILLE 1470 NW 107 AVE, MIAMI, FL 33172 Inspection Description: REPLACE TOILETS, SINK & KITCHEN SINK Valuation: $ 1,800.00 Inspection Requests: ti 4949 Total Sq Feet: 0.00 .j Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $111.10 Building Department Copy Payments Date Paid Amt Paid Total Fees $111.10 Credit Card 11/06/2019 $111.10 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 regulati ction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Owner / Applicant / Contractor / Agent Date November 06, 2019 Page 2 of 2 Miami Shores Village Building Department 1 L�g1 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 l Tel: (305) 795-2204 Fax: (305) 756-8972 �. INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑ BUILDING /LUMBING ❑ ELECTRIC ❑ ROOFING j.zECEIVED OC 24 1�19 BY. FBC 0 t��O Master Permit No. AC Q 7 f ,LI 02� Sub Permit No.P L— fb-le-2b I ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I -�— A/C lD 4- A Miami Folio/Parcel#: 10/ _ the Building Historically Designated: Yes NO Occupancy Type: S�r9/C Loadl'y Construction Type:Flood Zone: _ BFE: FFE: OWNER: Name (F�aSimple Titleholder):_4W Phone#:_�:7 9_6,� :�_ /(0 v Address: �/� C /! City: �%%/��?� �Tl*� State: I / Zip:/ U / Tenant/Lessee Name: Phone#: Email: �1�2 �//114 ��if l-/ etn'cf l'L G` CONTRACTOR: Company Name: G�/(// iiBO / f fU%n�C/��Phone#:. Address: e /l 4e,- City: State: Zip: Qualifier Name: �_J e%UGC State Certification or Registratii DESIGNER: Architect/Engineer: Address: Value of Work for this Permit: Type of Work: ❑ Addition 12_/+r?`6/4 Phone#: #:� Qc� Certificate of Competency #: one#: City: State: Square/Linear Footage of Work: ❑ Alteration ❑ New epair/Replace ❑ Demolition Description of Work: Specify color of color thru tile:.. Submittal Fee $ Permit Fee $ lot) CCF $ 1.20 CO/CC $ Scanning Fee $ . �� r '� Radon Fee S. �• V d DBPR $ 9. 00 Notary Technology Fee $ ol • 50 i , Training/Education Fee $ 0 • ` D Double Fee $ Structural Reviews $ (Revised02/24/2014) Bond $ X ) TOTAL FEE NOW DUE $ ) I4 • I D Seal: O�PHV P�'B!'•i RAPHAELA ST. AUDE • Notary Public - State of Florida =� + COmmi,sion # GG 0511 0 APPROVED BY (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 on 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. , SignatureZAtt7--, I -- Signature g g OWNER or AGENT CONTRACTOR The Cf fegoing instrument was acknowledged beforef mme' this day of 0647-�: t r- 20 / by uS 4 who is personally known to me or who has produced 14 ( :1` C.Q s identification and who did take an oath. The foreggfrlg instrum t w s a knowledged before me this r — day Iff 20 by ;!5 /GL%who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: NOTARY PU Sign: jj A — �- Sign: 4 44 Print: 6�� . � • Aural e— Print: •``��r issi'"�F `''% Seal:24 :� NOTARY 9m� — *JkisI,G**».'**fie****************** 'r tp / ��i N FF Plans Examiner i��q�F FL�P�\\ Zoning ��N1I1 t►tN�� Structural Review Clerk local Business Tax Receipt h L ['<.0 r�ty �•tute (z¢ r 1<Ir i.it3 [J I r.r<Ir Lr nl r .r N. . r. r <.•n.•Mr, �, rxs Pl I1M131 NI. 51 rrvrc ('•. IN< rx r�l �, v�.nl HE:: B 6XPrltIL ' +•' ` `w r •• lar-1 < r nl,l.•rlil SEPTLMBER _10. 202o MIJ. Nr r'1 3 �I S M .e • �I r (IfI M.a�I �N rll •• iNl ,l 131N•<l. .J 11•.1l )UI. .w.. W. I. r, 1 Ir, �. ,fJ •• rJ/ •r11 �r t.. HI I N 1/ I I •Ir. r • w.u�, n 004218ur........u.. v n. s-I.�tlr�Jw- •.. - Local Business Tax Receipt Miami —Dade County, State ojtFlorida -THIS IS NOT ABILL - DO NOT PAY 1LB 4610045 BUSINESS NAMEAOCATION RECEIPT NO. EXPI FLOW MASTERS PLUMBING SERVICES INC RENEWAL RES 6153 SW 154TH CT 4812971 SEPTEMBER 1, 2020 MIAMI FL 33193 Must be displayed at place of business Pursuant to County Code Chapter BA - Art. 9 & 10 OWNER }LOW MASTERS PLUMBING SVCS INC SEC. TYPE OF BUSINESS 196 PLUMBING CONTRACTOR PAYMENTRECEWFB CFC057121 BY TAX COIIECTOR Worker(s) 10 $75.00 08/07/2019 ECHECK-19-221961 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, Ora certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami-.patltdbdaUc 8a-M For more information, visit ►vtww.miamidade e0v Ar +:-�-