PL-19-245Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: PL-02-19-246
Q w-ti I' Permit Type: Plumbing - Residential
yi N U work Classifications Addition/Alteration
Permit Status: Approved
Issue Date: 02/06/2019 1 Expiration: 08/05/2019
Location Address Parcel Number
90 NE 105 ST, Miami Shores, FL 33138 1121360120010
Contacts
ALBA LIGIA GUERRERO ADKINS Owner ALBA LIGIA GUERRERO ADKINS Applicant
90 NE 105 ST, MIAMI SHORES, FL 33138 90 NE 105 ST, MIAMI SHORES, FL 33138
Other:3057519523 Other:3057519523
JYP SERVICE & REPAIR CORP Contractor
JOSE Y PENA
9915 W OKEECHOBEE RD 5-107, HIALEAH, FL 33016
Business: 3052167283
Description: PUT PIPES INSIDE WALLL AND DRAIN KITCHEN Valuation: $ 400.00 Inspection Requests:
305-762-4949
SINK
Total Sq Feet: 0.00
Fees
Amount
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$100.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$110.30
Building Department Copy
Payments Date Paid Amt Paid
Total Fees $110.30
Cash 02/06/2019 $110.30
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 P�FIDAVIT: I _certi �alforegoing information is accurate and that all work will be done in compliance with all applicable laws
regulating cdnt�truction and i re, I authorize the above named contractor to do the work stated.
/ Applicant / Contractor / Agent
Date
2019 Page 2 of 2
"
BUILDING
PERMIT APPLICATION
VUIG
NG
❑ ELECTRIC
Miami Shores Village
RECEIVED
Building Department FEB 042019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 /1 ,
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 (�Cp
FBC 20F�
Master Permit No. R el - 9 _ 18t-1 2 y 5l,f
CI
Sub Permit No. I q — Z S
❑ ROOFING ❑ REVISION ❑ EXTENSION []RENEWAL
❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
/� 0 CONTRACTOR DRAWINGS
JOB ADDRESS: 9 0 ,`) (E l o � Sir e
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 0 ^ 2. i 3G -OW2 - 0 0 l) Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
kl-AS OWNER: Name (Fee Simple Titleholder): %oL[%J1'2e1L0 Phone#: �� Q
�Z 3
Add
City: M t &2N1 t l�N�'�"�� State: A_ Zip: �/ 3
Tenant/Lessee Name: Phone#: 3 O.0 - 2 -&/ 74 -Z 3
Email: zic (-
CONTRACTOR: Company Name: — V t eCDro Phone#: 3C��Z137 9
Address: i) . �c e2c�lo bee _ S� O:A
City: State: Zip:
Qualifier Name: cr Te Phone#:
State Certification or Registration #: C(--C y2 �1��� Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ x f Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration e ❑ New ,9 Repair/Replace
❑ Demolition
Description of Work: e��
" r
Specify color of color thru,tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $ _
Technology Fee $
Structural Reviews $
Training/Education Fee $
I
E
CCF $ CO/CC $
DBPR $ Notary
Double Fee $ .
Bond $
TOTAL FEE NOW DUE $ 110 .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.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
1 day of J 20 I? by
✓ 4vho is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
as
Signatur01
The fore oing instrument was acknowledged before me this
_ day of Pa" 20� by
who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: ` ' M Sign:
Print: N G TORRI:A Print:
COMMISSION a Fr96a0;ld ,•
Seal: I Seal: MY COMMISSION it FF984004
EXPIRES February 23. 2020 EXPIRES February 23, 2020
4eoii as)eo,es rkmd&NOWagSe-vkaawr ' •!!...•,
1401) 98 DJ ,PkvKWAw Servkn.cDM
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)