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PL-19-1088Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 0 1 Issue Date: 07/05/2019 Location Address Parcel Number 1240 NE 91 TER, Miami Shores, FL 33138 1132050010540 Contacts Permit NO.: PL-05-19-1088 Permit Type: Plumbing - Residential Work Classification: Gas Permit Status: Approved Expiration: 11/11/2019 DAINEL OCARIZ Owner DAINEL OCARIZ Applicant 1240 NE 91 TER, MIAMI SHORES, FL 33138 1240 NE 91 TER, MIAMI SHORES, FL 33138 Mobile: 7868608071 Mobile: 7868608071 G&L PLUMBING SERVICE Contractor ELOY ARRIERA 7411 SW 67 AVE, MIAMI, FL 33143 Business: 3055515090 G&LSEPTIC@GMAIL.COM Other:7862253648 Description: SUBMISSION OF GAS PLANS AND MOVEMENT OF Valuation: $ 200.00 Inspection Requests: 305-62-4949 GAS HEATER Total 5q Feet: 825.00 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 $9.00 Technology Fee $2.50 Total: $116.30 Building Department Copy Payments Date Paid Amt Paid Total Fees $116.30 Credit Card 07/05/2019 $66.30 Credit Card 05/15/2019 $50.00 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 AFFIDA IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws nreg constr nd ning. Futhermore, I authorize the above named contractor to do the work stated. - 7 re: Owner / Applicant / Contractor / Agent July 05, 2019 Page 2 of 2 0- BUILDING PERMIT APPLICATION 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 ❑BUILDING ❑ ELECTRIC ❑ ROOFING C I MAY 5 19 BY: 4 Master Permit No. 12C —» - ( I V Sub Permit No.? 1-" 03— N --108S ❑ REVISION ❑ EXTENSION ❑ RENEWAL ®PLUMBING [-]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I N ING r 4I -rowel City: Miami Shores County: Miami Dade Zip: .s, Folio/Parcel#: is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: �y FFE: OWNER: Name (Fee Simple Titleholder): �t,1i1'ifJ� ©cA�f Phone#: Address: 112—go jN F Of I TGrrA City: (AW� State: L Zip: 3 3 i 3�— Tenant/Lessee Name: Phone#: 4W Email: �HO COK 1 ----27(0 CONTRACTOR: Company Name: G&L Plumbing Service Inc. Phone#: 305-316-5694 Address: 13957 sw 140 Street City: Miami State: FL zip: 33186 Qualifier Name: EloY Arriera Phone#: 305-316-5694 State Certification or Registration #: CFC 056755 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ ?,Cc Square/Linear Footage of Work: Type of Work: ❑ Addition M Alteration ❑ New ❑ Repair/Replace l ❑ Demolition Description of Work: Jyb AI LL ioil Q( 6g � Gtn � re 7 of 6a 3 r 0I *,rt_ Specify color of Colo thru tile: Submittal Fee $---; Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 66. 3`,177�� (Revised02/24/2014) .rr • Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip State �. 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. Signatur Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this I5M11 day of A XA 20 1 by who is per rna,llyknown to me or wfo�as procjucgd � as i ntific ation nd ho di take an o �� Y P�Frp V VI N TAR'PUBLy,�•►�••;�� •• •.•• Sign: • Print: i� a �r►ae�'8`� Seal: '',�/////. STf► ������ The foregoing instrument was acknowledged before me this /.3 day of ��U/J 20 ! 9 by ��-o y iR l F�esY who is personally known to me or who has produced DriyCr I r Gr3SC as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: *s***s****ss**ss**ss***s***sss***s***ssss****s**ss**s**ss***s****sT APPROVED BY �6 L I�/5 Plans Examiner Notary Public - State of Florida Comr-risslon N GG 008421 My Copm. Expires Oct 23, 2020 *ss*ssss**ss***** Zoning Structural Review (Revised02/24/2014) Clerk