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PL-18-1195T �20RAID Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 (Permit Permit NO. PL-5-18-1195 Permit Type: Plumbing - Residential Work Classification Addition/Alteration Permit Status: APPROVED Issue Date: 5/25/2018 1 Expiration: 11/21/2018 r-rorecc Aoaress Parcel Number Applicant 1240 NE 91 Terrace 1132050010540 Miami Shores, FL 33138- Block: Lot: DAINEL OCARIZ Owner Information Address Phone Cell DAINEL OCARIZ 1240 NE 91 Terrace (305)487-3535 MIAMI SHORES FL 33138- 1240 NE 91 Terrace MIAMI SHORES FL 33138- Contractors) Phone Cell Phone G&L PLUMBING SERVICE 305-551-5090 (786)225-3648 Type of Work: PLUMBING FOR INTERIOR REMODELING Type of Piping: Additional Info: PLUMBING FOR INTERIOR REMODELING Bond Return : Classification: Residential Scanning: 1 Fees Due Amount CCF $6.60 DBPR Fee $5.29 DCA Fee $3.53 Education Surcharge $2.20 Permit Fee $352.80 Scanning Fee $3.00 Technology Fee $8.80 Total: $382.22 Valuation: $ 10,080.00 Total Sq Feet: p Pay Date Pay Type Amt Paid Amt Due Invoice # PL-5-18-67419 05/25/2018 Credit Card $ 332.22 $ 50.00 05/04/2018 Credit Card $ 50.00 $ 0.00 Avallanie Inspections: Inspection Type: Top Out Final Review Plumbing Underground 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 AFFPDAW[ : I certi hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio nd zpmin Fut uthorize the above -named contractor to do the work stated. May 25, 2018 uth ed SignatApplicant / Contractor / Agent Building Department Copy May 25, 2018 1 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC Miami Shores Village Building Department MAY 18 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 IBy- Tel: (305) 795-2204 Fax: (305) 756-8972 — INSPECTION LINE PHONE NUMBER: (305) 762-4949 S FBC 20 �q t Master Permit No. 'Rc'' 1-11 — 11 b Sub Permit No. PL.1 Pj ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑■ PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP //�� CONTRACTOR DRAWINGS JOB ADDRESS: ' ?A O Nd �c . !i' City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): A (/GA, -z Phone#: I Ve — 1 b0 -Ro-v Address: tryio /►1 City: i" J Aeq State: �� Zip: 3y Tenant/Lessee Name: Email CONTRACTOR: Company Name: G8WLUMBIING SERVICES Phone#: Address: 13957 SW 140 ST. City: MIAMI Qualifier Name: ELOY ARRI ERA State Certification or Registration #: DESIGNER: Architect/Engineer: State: FL CFC056755 Zip: 33186 Phone#: x Certificate of Competency #: Address: City: Value of Work for this Permit: $ �d�©, Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Description of Work: 'iLU Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ 2' State Zip: f ,�❑ Demolition 17 "�, � Permit Fee $ �Td • CCF $ ­-^CO/CC'$ Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (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, 'k 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 yd a reinspection fee will be charged. , r � Signatur Signature CONTRACTOR The foregoing instrument was acknowledged before me this q+L day of 1j" , 20 1 If , by banleI clew i*-z, who is personally known to me or who has produced identification and who did take an oath. as The foregoing instrument was acknowledged before me this OS day of O 5 120 �L, by Q +�� who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY BLIC: "d�►°"•°I "''- AN70NI0 MARIA-RODRIGUEZ t;? !•= MV COMMISSIO 189443 uary 13, 2019 Sign: Ig �rtACl4 b L. cdl quee— Print: Pr Seal: BRENDAL. RODRIGUEZ Seal: MY COMMISSION # GG 134318 ,pa= EXPIRES: December 13, 2021 Bonded Thru Notary public Underwriters ********* ****************************************************************** APPROVED BY �',/� 0 Plans Examiner Zoning Structural Review (Revised02/24/2014) Clerk