PL-19-2091Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
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Permit NO.: PL-09-19-2091
Permit Type: Plumbing - Residential
Work Classification: Addition/Alteration
Permit Status: Approved
Issue Date: 09/18/2019 L.Expiration: 03/16/2020
Location Address Parcel Number
130 NE 97TH ST, Miami Shores, FL 33138 1132060132530
Contacts
MIGUEL GARROCHO Owner
Other: 7863714974
DIAL PLUS PLUMBING CORP Contractor
FRANSICO FONTEBOA
19544 SW 119 PL, MIAMI, FL 33177
DIALPLUSPLUMBING@GMAIL.COM
Inspection Requests:
Description: SET UP LAUNDRY PLUMBING FOR WASHER AND Valuation: $ 750.00 Inspec ion Re
INSTALL HOT WATER TANK
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
$3.00
Technology Fee
$2.50
Work Without Permit 1st Offense
$100.00
Work Without Permit 1st Offense
$100.00
Total:
$310.30
Payments
Date Paid Amt Paid
Total Fees
$310.30
Credit Card
09/09/2019 $50.00
Check # 6017
09/18/2019 $260.30
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 SWIMMI G POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is ac9teanthat all work will b done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above namor to do the work
kss,tted.'
/ Q
Authorized Signature: Owner / Applicant / Contractor /`Agent Date
September 18, 2019 1 Page 2 of 2
V\kl; Miami Shores Village RECEIVED
' s 0e.019
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BX:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20�]
BUILDING Master Permit No._C—A-- 19` /Os
PERMIT APPLICATION Sub Permit No. PL— 09 " N -9-09/
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: /30 101C / / r-r.
City: Miami Shores County: Miami Dade Zip: 331-5 8
Folio/Parcel#: 013 —aS30 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): P(bytt C 4-0 Phone#:
Address: / _3 0 /ki G q? 1
City: t +P(Lk-1 State: F'Z. Zip: 33 / 3 8
Tenant/Lessee Name:
Email: \\
CONTRACTOR: Compan Name: -+
Address:
City: \�R� Sta e:.
Qualifier Name: L� W
State Certification or Registration #:
DESIGN_l5R-Arc-4yLfect%Engineer.
/ lhhsne#:
ne#:
Certificate of Competency #:
a
Address: State: Zip:
••,..Value•of Work for this Permit:.$ %sb . �" Square/Linear Footage of Work:
ti Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
t Description -of Work: SATh VL-'��J*� �2�'-1 �l�✓�-mot rt� ✓Laves.. I.tJ �C �f�/l�
Specify color of color thru tile:
Submittal Fee $ Permit Fee CCF $
Scanning Fee $ Radon Fee $ DBPR $ Notary $ m
Technology Fee $ Training/Education Fee $ Double Fee $ 1 W • CO
Structural Reviews $ Bond $ /�//�•��
NALTY I � . Q TOTAL FEE NOW DUE $�tJ
(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 lienl,rochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of mmen ment must be posted at the job site
for the first inspection which occurs seven (7) days after the building per issued. In the sen of such posted notice, the
inspection will no approved and a re' s ection fee will be charged. \
Signature) X/— Signature
OWNQR or AGENT
The foregoing instrument Was acknowledged before me this
day of 7��- `J 20 by
(,7/9-+PIP -11— , whoqs:l ersonally known to
----------------
me or who has produced
as
The foregoing instrument was acknowledged before me this
day of v by
ho is rsoni known to
me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PU NOTARY PUB �+•ey Notary Public State of Florida
Julio Granda
+ My Commission GG 292591
ei Expires 01/17/2023
Sign: _ Sign:
Print: OI v/z-� - Print: >zim .
Seal: �OAT P'`y�. Notary Public State of Florida
Seal:
Julio Granda
y My Commission GG 292591
Expires01/1712023
**************************************************************************
APPROVED BY. Plans Examiner Zoning
Structural Review Clerk,
(Revised02/24/2014)