PLC-19-1136Miami Shores Village
, 10050 NE 2 Ave �
ul�
Miami Shores FL 33138
305-795-2204
Issue Date: 09/06/2019
Location Address Parcel Number
1700 NE 105TH ST 414, Miami Shores, FL 33138 1122300500710
Contacts
Permit No.: PLC-05-19-1136
Permit Type: Pltrrm Ling - Commercial
Work Classification: Alteradon
Permit SWvs: Approved
Expiration: 03/04/2020
ANA PEDREGUERA Owner
1700 NE 105 ST 414, MIAMI SHORES, FL 33138
Home: 786-380-8254
APA PLUMBING CORP Contractor
LUIS ALBERTO GARCIA
7075 SW 46 ST, MIAMI , FL 33155
Business:3059924614 apaplumbingcorp@bellsouth.net
Inspection Requests:
Description: REMOVE AND INSTALL : NEW SINK, DISPOSAL, Valuation: $ 950.00-752 499
DISHWASHER, AND ICEMAKER
Total Sq Feet: 160.00
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
Total:
$110.30
Payments
Date Paid Amt Paid
Total Fees
$110.30
Check # 1544
05/17/2019 $50.00
Credit Card
09/06/2019 $60.30
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 SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing inform is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize th a; p�me., contractor to do the work stated.
Authorized Signature: Owner / Applicant / ntractor / Agent Date
September 06, 2019 Page 2 of 2
Miami Shores Village ti
Building Department MAY 2019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 $Y;
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
F 20
BUILDING Master Permit Nob _ 09_ 0 Al s
PERMIT APPLICATION Sub Permit No. PL 6s- 1 1 -113 L
❑BUILDING
❑ ELECTRIC
❑ ROOFING
❑ REVISION ❑ EXTENSION
❑RENEWAL
[?,,P*LUMBING
❑ MECHANICAL
❑PUBLIC WORKS
❑ CHANGE OF ❑ CANCELLATION
❑ SHOP
CONTRACTOR
DRAWINGS
JOB ADDRESS:
/700 NE
i10S Snl-'j
Xoy
City:
Miami Shores
County:
Miami Dade Zip:
33/38
Folio/Parcel#:
11 -2a3o - O S o _ 0-1/0
Is the Building Historically Designated: Yes
NO
Occupancy Type: Load: Construction Type: FI d one: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Phone#: 79 ,5 U o —,
Address: /'fy(o /V� /rbiS Sr- jy icrT
City:
J La'reS
State:
Tenant/Le see Name"": Phone#:
Email: l4 A4 V A G- vo Or c 4- C'0-�
p: 3`3138
CONTRACTOR: Company Name: A.PA - A' "" Phone#:
Address: 761 S to VA S^
��//��,-f
City: / (14-✓!1 / State: Zip:
Qualifier Name: C-u! S A (' A-A—r [/t Phone#:
State Certification or Registration #: C FC NZ 12 8 3 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address:
Value of Work for this Permit: $ q50. 00
Type of Work: ❑ Addition ❑ Alteration
Description of Work: rLfrnoV4Zr
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
Permit Fee $
Radon Fee $
City: State: Zip:
Square/Linear Footage of Work:
❑ New [0 Repair/Replace
Training/Education Fee $
❑ Dgmolition
CCF $ CO/CC $
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
Zi
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
Ga lee\ -
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of S 20 1 by
�► N i1 �b fttejve fl who is personal) nown to
me or who has produced
identification and who did take an oath:
NOTARY PU IC:. Poky YENIS GUIROLA
;ter°. Notary Public - State of Florida
• Commission # GG 112949
Sign: 1; v° My Comm. Ex Tres Jun 8
Signature L"N
CONTRACTOR
The foregoing instrument was acknowledged before me this
day ffof 20 J by
V IDS ' 4 L"2' who is personally own to
as me or who has produced
identifica ' i to e t .
�a,,� YENIS GUIROLA
NOTARY ; a ��� Notary Public -State of Florida
Commission # GG 112949
F`opa;° My Comm. Expires Jun 8, 2021
Sign: "` Bonded
oea uVh Na anal Notary Assn. '
Print: Print:
Seal: Seal:
as
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)