PL-20-175Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 01/30/2020
Location Address Parcel Number
117 NW 97TH ST, Miami Shores, FL 33150 1131010260100
Contacts
Permit NO.: PL-01-20-175
Permit Type: Plumbing - Residential
Work Classification: Alteration
Permit Status: Approved
Expiration: 07/28/2020
AXEL SOLER Owner AA MAGIC PLUMBING INC Contractor
11797 ALAIN ALFONSO
Business: 3059818197
Inspection Requests:
Description: 1 TUB, 1 LAVATORY AND 1 SEWER Valuation: $ 3,500.00 Inspec ion Re
49
TotalSq Feet: 900.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.80
Permit Fee
$72.50
Scanning Fee
$3.00
Technology Fee
$3.06
Total:
$135.76
Payments
Date Paid Amt Paid
Total Fees
$135.76
Credit Card
01/30/2020 $85.76
Cash
01/24/2020 $50.00
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, DOORySi100FING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and th al work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above named cTtrac o the work stated.
Authorized Signature: Owner / Applicant / Contractor /
January 30, 2020
Date
Page 2 of 2
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
RECEIVED
JA 24220
BY:
CD
S01 FBC 20 t�
Master Permit Nor
Sub Permit Nov ( O
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1 c- Ntu l 7 -S7-
City: r Miami Shores County: Miami Dade Zip: 3 3 L .50
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: % FFE:
OWNER: Name (Fee Simple Titleholder): Sb 1 e V-- Phone#: -IX!'(7 2 O ✓ 574
Address:
City: State: fL
Zip:
Tenant/Lessee Name: Kt Q t S
Phone#:
Email:
I
NVIA
CONTRACTOR: Company Name: g iiA 4l �
(w� Phone#:
//
Address: �� 2 e w /Db
wi 1 A f-1 C State: FJ—
Zip: �/ r� 3 19 ✓
City:
lat J AL 5n
Qualifier Name: A e:w
Phone#:
Qr
State Certification or Registration #: J'� F C I 'q
Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address:
City: State: Zip:
Value of Work for this Permit: $ .� Square/Linear Footage of Work:
Type of Work: Z Addition ❑ Alteration ❑ New
❑ Repair/Replace ❑ Demolition
Description of Work: r5( �e�JG laL
0 W G{..o S"^--T
U iU
Specify color of color thru tile. "
Submittal Fee $ `�� �- Yy Permit Fee $
CCF $ CO/CC $
Scanning Fee $ Radon Fee $
DBPR $ Notary $
Technology Fee $ Training/Education Fee $
Double Fee $
Structural Reviews $
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
WE
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 low 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 p reinspection fee will be charged.
Signatu
ER of AGENT
The foregoing instrume wa,5 cknowleedged before me this
--day.of NDf' oallkE
who y tc
me olt pr e 1' /'Z as
identification and who did ta& an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal: W.,
Sig
rent
NTRACTOR y—
The foregoing instas acknowledged before me this
who is
�h��
me or hc hal pr o0ef&&
identification and who did take an oa0f)
NOTARY PUBLIC:
Sign:_
Print:
MY COMMISSION # FF957452 I Seal:
o EXPIRES February 04. 2020
,•53 rlondsNds•rSavics.con
ly known
MY COMMISSION # FF957452
EXPIRES February 04. 2020
rw' - ••--•r3evYyt Cm'
as
************************************************************************************************************
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)