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PL-18-990Miami Shores Village Building Department 09/10/2020 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 76Z-4949 FBC 20 BUILDING Master Permit No. REV-09-20-2015 PERMIT APPLICATION Sub Permit No.i�2��_ ❑BUILDING ❑ ELECTRIC ROOFING REVISION ON EXTENSION MRENEWAL ®PLUMBING []MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP _ 7.4 . CONTRACTOR DRAWINGS JOB ADDRESS: Occupancy Type: Load: Construction Type: Flood Zone: BFE: OWNER: Name (Fee Simple Titleholde City: 9 (, ( a, "1t S " k State: Tenant/Lessee Name: Email: �� 1/t Dl��li�1 ��I ✓hn 7 CONTRACTOR: Company Nam94 ) C c "'V r 4elct'gi �Phone#: _ Address: 2 49 City: rT l Ci r P(�n r I State: F I Zip: Qualifier Name: _R I C 0 K 0/c, t �C? AG( Phone#: State Certification or Registration #: C F C l E /p S Z z Certificate of Competency rs: _ DESIGNER: Architect/Engineer: Phone#: Address: City: State: _ Value of Work for this Permk: $ Square/Linear Footage of Work: Type of Work: ❑ Addition • Alteration ❑ New � tt `❑ Repair/Replace ^ Description of Work: 1' t a'-VIt.y;-Oy S t a" -Do w r%. 'c- (s hf) 4"r %M r Specify color of color thru tile: FFE: 3 Y,/y ' QC- Ien 17 9y _ Zip: ❑ Demolition ���-- Submittal Fee $ 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 $ (Rev1sed02/24/2014) 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 instal!auon 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 a'I the foregoing information is accurate and that all work w0 be done in compfance with a;, 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 on estimated value exceeding $2500, the applicant must Promise in good faith that a copy of the notice of commencement and construction lien low brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 1 Signature rl�4Signa(ure OWNER or A T - CONTRACTOR The foregoing instrument wasacknowledged before me this ay of L 7c, - 20 by Ao who is personally known to m/ h'r r e or who has produced _� VPk �f Ct S�tas identification and who did take an oath. The foregoing instrument was acknowledged before me this day of \ _ 20 e , by i C hrrti 1/. U who is personally known to me or who has produced , ��� L t.'Yn C `= a$ identification and who did take an oath. NOTARY PUBLIC: Sign APPROVED BY c���_ Plans Examiner Zoning Structural Review Clerk (aertsed02/24/2014) GENERAL PLUMBING NOTES 1. ALL WORK SHALL CONFORM WITH ALL LOCAL. STATE, FEDERAL 7. PROVIDE MEANS "FURNISH AND INSTALL" ORDINANCES AND FLORIDA BUILDING CODE 2014 GOVERNNG THE INSTALLATION OF THE PLUMBING SYSTEM. IF WORK AS LAID OUT, INDICATED OR SPECIFIED IS CONTRARY TO OR CONFLICTS S. DO A COMPLETE JOB, EVERYTHING CONNECTED, READY FOR USE WITH LOCAL ORDINANCES. BUILDING CODES AND REGULATIONS, 9. SHOP DRAWINGS: CONTRACTOR SHALL FURNISH THE ENGINEER THE CONTRACTOR SHALL REPORT IN WRITING TO THE ARCHITECT/ENGYNEER BEFORE SUBMITTING A BID. THE WITH SHOP DRAWINGS OF EQUIPMENT PRIOR TO PURCHASE FOR APPROVAL. ARCHITECT/ENGINEER WILL THEN ISSUE INSTRUCTIONS AS HOW TO PROCEED. 70. AT COMPLETION OF JOB THE PLUMBING CONTRACTOR SHALL 2. THE DRAWINGS ARE TO BE CONSIDERED DIAGRAMMATIC, NOT GIVE THE OWNER AN AS -BUILT SET OF REPRODUCIBLE SEPIAS SHOWING THE EXACT LOCATION OF ALL INSTALLATIONS. NECESSARILY SHOWING IN DETAIL OR TO SCALE ALL OF THE MINOR ITEMS. UNLESS SPECIFIC DIMENSIONS ARE SHOWN, THE STRUCTURAL, ARCHITECTURAL AND SITE CONDITIONS SHALL 11. PLUMBING CONTRACTOR SMALL PRESSURE TEST ALL PIPING AS REQUIRED BY CODE, TEST SHALL BE WITNESSED AND APPROVED GOVERN THE EXACT LOCATIONS. CONTRACTOR SHALL FOLLOW BY PROPER AUTHORITIES. DRAWINGS IN LAYING OUT WORK, CHECK DRAWINGS OF ALL TRADES TO VERIFY SPACES IN WHICH WORK WILL BE INSTALLED 72. THE PLUMBING CONTRACTOR SHALL WARRANT AU - AND MAINTAIN MAXIMUM HEAD ROOM, AND SPACE CONDITIONS WORKMANSHIP AND MATERIALS FOR ONE YEAR FROM THE DATE AT ALL POINTS. WHERE HEAD ROOM, OR SPACE CONDITIONS APPEAR INADEQUATE, ARCHITECT/ ENGINEER SHALL BE OF FINAL WORK ACCEPTANCE BY OWNER. ANY BREAKDOWN OCCURRING IN FIRST YEAR SHALL BE REPAIRED AT NO EXPENSE NOTIFIED BEFORE PROCEEDING WITH INSTALLATION, THIS TO THE OWNER. CONTRACTOR SHALL, WITHOUT EXTRA CHARGE, MAKE FIELD MODIFICATION IN LAYOUT AS NEEDED TO PREVENT CONFUCT WITH WORK OF VARIOUS TRADES OR FOR PROPER EXECUTION 13. PROVIDE BATHROOM FIXTURES AS SPECIFIED. OF THE WORK . 14. PROVIDE SHUT-OFF VALVE FOR EACH FIXTURE. 3. EXAMINE ALL DRAWINGS CAREFULLY PRIOR TO SUBMITTING A BID. 15. WHEREVER NOT SIMILAR METALS ARE TO BE JOINED, CONTRACTOR WILL BE REQUIRED TO FURNISH, INSTALL AND/OR A DI -ELECTRIC FITTING SHALL BE PROVIDED TO CONNECT BOTH CONNECT WITH APPROPRIATE SERVICES ALL PLUMBING ITEMS TYPES OF PIPES. SHOWN ON ANY OF THE ARCHITECTURAL, AIR CONDITIONING, ELECTRICAL AND SPRINKLER DRAWINGS WITHOUT ADDITIONAL 16. PLUMBING CONTRACTOR SHALL PROVIDE AIR CONDITIONING EXPENSE TO THE OWNER. IF DISCREPANCIES , CONFUCTS CONDENSATE DRAIN AND TRAP SEE AIR CONDITIONING PLANS INTERFERENCE OR OMISSIONS OCCUR BETWEEN DRAWINGS, FOR LOCATION OF UNITS AND GRANS. NOTIFY IN WRTIING THE ARCHITECT/ ENGINEER IN AMPLE TIME 17. MATERIALS TO PERMIT REVISIONS BEFORE THE BIDS ARE SUBMOTED. 4. INSTALL ITERIALS AND EQUIPMENT IN A NEAT AND FIRST A. COLD WATER PIPING DOWNSTREAM OF WATER METER SHALL BE TYPE L" COPPER BELOW GROUND AND TYPE "M" COPPER ABOVE CUSS WORKMANUKE MANNER. THE OWNER RESERVES THE GROUND. RIGHT TO DIRECT REMOVAL AND REPLACEMENT OF ITEMS WHICH, B. COLD WATER PIPES INSIDE OF SUB SHALL BE TYPE "K" SOFT IN HIS OPINION, DO NOT PRESENT A NEAT AND WORKMANLIKE COPPER INSTALL INSIDE POLYETHYLENE CONDUIT. NO JOINTS APPEARANCE. REMOVAL AND REPLACEMENT 15 TO BE DONE PERMITTED INSIDE SLAB. IMMEDIATELY WHEN DIRECTED BY THE OWNER IN WRITING, AT THE SOLE EXPENSE OF CONTRACTOR. C. SANITARY WASTE AND VENT 410 AND SMALLER SHALL BE P.V.C.. SCHEDULE 40. 5. START OF WORK BY CONTRACTOR SHALL BE CONSIDERED AS ACCEPTANCE BY HIM OF ALL CLAIMS OR QUESTIONS AS TO D. STORM LINES INSIDE BUILDING SHALL BE P.V.C. SCHEDULE 40 SUITABILITY OF THE WORK OF OMER. TRADES OR OTHER E. IN COASTAL AREAS ALL SANITARY AND STORM PIPING OUTSIDE OF CONTRACTORS TO RECEIVE HIS WORK. THIS CONTRACTOR BUILDING SHALL BE SCHEDULE 40, PVC. SHALL REMOVE AND REPLACE. AT HIS EXPENSE, ALL PLUMBING F CONDENSATE DRAIN PIPE SHALL BE SCHEDULE AD. PVC PIPE HAVE WORK WHICH MAY TO BE REMOVED BECAUSE OF INTERFERENCE WITH OTHER TRADES. AND FANGS G. WATER HEATER RELIEF AND DRAIN LINE SHALL BE TYPE Y" COPPER, 6. THIS CONTRACTOR SHALL OBTAIN AND PAY ALL INSURANCE. MIN J/4" OIA. FEES, PERMITS ASSOCIATION DUES. ROYALTIES AND TAXES OF WHATEVER NATURE SHALL APPLY TO MIS WORK HE SHALL ALSO FIRE RATED PENETARATION NOTE PAD ALL THE INSPECTION FEES AS MAY REQUIRED BY LAW OR WHEN FIRE PENETRATION OF PIPING OCCVR, SMALL BE PROTECTED ORDINANCE AND SHALL KEEP THE OWNER HARMLESS FROM ANY DAMAGE AND EXPENSE ARISING FROM ANY VIOLATION OF LAWS, BY ASSEMBLY No. W-L-2088. UL APPROVED RULES OR ORDINANCES. NOTE: NOTE. - EXPOSED PIPES AND SURFACES. HOT WATER PROVIDE WATER HAMMER ARRESTOR AT AND DRAIN PIPES UNDER LAVATORIES SHALL WASHER MACHINES IN ACCESS LOCATION. BE INSULATED OR OTHERWISE CONFIGURED TO PROTECT AGAINST CONTACT. THERE SHALL BE NO SHARP OR ABRASIVE SURFACES UNDER LAVATORIES. NOTE: ALL TUB AND SHOWER SHALL BE NOTE: ANFISCLLDING VALVE O 110'. (TYPICAL) THE CONTRACTOR CAN USE SCHEDULE CPVC FOR WATER PIPES AS ALTERNATE. NOTE: ALL PIPES TO DISCHARGE MIN. 12" FROM STRUCTURE NOTE: PROVIDE OPEN FULL VALVE BY THE WATER �ONCRET BOX (EXACT OCARONORELD.) NOTE: ALL PLUMBING WATER DEVICE PROVIDE SHUT-OFF VALVE. NOTE: SHOWERS AND TUB/SHOWER COMBINATIONS SHALL BE EQUIPPED WITH CONTROL NOTE: VALVES OF THE PRESSURE BALANCE. ALL VTR SHALL BE OFF SET THE HIGH LIMIT STOPS SHALL BE SET A MIN. OF 4'-0" FROM FIRE TO LIMIT WATER TEMPERATURE TO A SEPARATION WALL. MAXIMUM 120 F(49 C) NOTE: LEGEND: ALL SANITARY PIPE 1 I120 OR SMALLER O.H - OVER HEAD SHALL RUN O 1/4" SLOPE PER L.R. U.S - UNDER SLAB J" AND LARGER O 1/8" SLOPE PER LFT U.G - UNDER GROUND SITE INVESTIGATION NOTE EXAMINATION OF CONTRACT DOCUMENTS AND SITE OF WORK: THE BIDDER IS REQUIRED, BEFORE SUBMITTING HIS PROPOSAL, TO VISIT THE SITE OF THE PROPOSED WORK AND FAMILIARIZE HIM OR HERSELF WITH THE NATURE AND EXTENT OF THE WORK AND ANY LOCAL CONDITIONS THAT MAY IN ANY MANNER AFFECT TINE WORK TO BE DONE AND EQUIPMENT, MATERAS AND LABOR REQUIRED THEREFORE. SINCE THE WORK INVOLVES NEW AND/OR EXISTING BUILDINGS, SYSTEMS AND FACILITIES, SPECIAL CONSIDERATION SHALL BE GIVEN TO EXAMINATION OF WORKING CONDITIONS, NEW FACILITIES AND ALL BULGING STRUCTURES FAMILIARIZE TO HIMSELF WITH ALL EXISTING CONDITIONS. SLIGHT VARIATION OF ROUTING AND OR CONSTRUCTIONS SHOULD BE ANTICIPATED BY THIS CONTRACTOR TO AVOID CONFUCTS WITH OTHER TRADES. THESE VARIATIONS ARE EXPRESSLY INCLUDED AS PART OF THE WORK WHENEVER REQUIRED AT NO ADDITIONAL COST TO THE OWNER. IGNORANCE ON TINE PART OF THE CONTRACTOR WILL IN NO WAY RELIEVE HIM OF THE OBLIG47IONS AND RESPONSIOUTY ASSUMED UNDER THIS CONTRACT. MA7dMUM FLOW RATE AND CONSUMPTION FOR PLUMBING FD(TURES AND FDCfURE FITTINGS PLUMBING FMaURE OR FD[TURS PITTING MAXIMUM PLOW RATE OR QUANTITY LAVATOTI,, PRIVATE 1.0 GPM O 60 PSI LAVATOTY, PUBLIC 0.5 GPM O 60 PSI LAVATORY PUBLIC. METERING OR SELF -CLOSING 0.25 GALLONS PER METERING CYCLE SHOWER HEAD 1.5 GPM O 80 PSI SINK FAUCET I'D GPM O 60 PSI URINAL 0.5 GALLON PER FLUSHING CYCLE WATER CLOSET 1.28 GALLON PER FLU94NVG CYCLE WASHING MACHINE WATER FACTOR OF 8 OR LOWER (ENERGY STAR/ WATER SENSE CERTIFIED) (C) FD[TURE CONNECTION SCHEDULE ITEM WASTE Q SOIL WAFER COLD HOT WATER CLOSET J"- TUB 2" I/2" 1/2" WHIRLPOOL 2" BIDET i-1/4" 1/T" 1/2" LAVATORY 1-1/4" I/2" 1/2' KITCHEN SINK 1-1/2' 1/2" 1/2" DISHWASHER 1" 6oap CLOTHES WASHER 2" 1/2" 1/2" NOSE 8I86 - FLOOR DRAINS 2" MIN. SHOWER 2" 1/2" 1/2" REFRIGERATOR - _ 1/2" - - NOTE: PROVIDE AN SCALD VALVE O EACH SHOWER AND NB NOTE: ALL TFAOS SHALL BE CONSISTENT W/FIXTURE OUTLET SIZE. INST WATER HEATER DETAIL N.T.S. N.T.S. INSTANT HWH. (QUANTITY 1) IN COMPLJANCE W/S.FB.0 CHATER 46-N-8. SHALL BE "ECOSMART" ELECTRONIC TANKLESS WATER HEATER. MODEL ECO-27 27.0 KW 220 VOLTS. WEIGHT 9 POUNDS DIMENSIONS: 17" x 17" r 3.5" ENERGY EFFICIENCY: UP TO 99.5% - NO R.VD OR OVER FLOW REQUIRED AS PER MANUFACTURER SPECS. HAMMER ARRESTOR: - AMTR% MODEL 500 - INSTALL IN ACC. LOCATION. - CONNECTION SIZE. 1/2" NPT HEIGHT 4-1/2" OIANETER: J-J/8" MAX. PRESSURE: 150 PSI MAX. TEMP 200' F MAX. SHOCK PRESSURE: 200 PSI TO BE INSTALLED IN CWS AND HWS HIGH POINT FOR EACH GROUP OF FIXTURE SERVKJNG. VATRR PIPING SLZ9-2 (1) 1/2"0 CW/HW ® I/2"0 CW ® 3/4"0 CW, 1/2"0 HW (3) 3/4"0 CW/HW (D 170 Cw ,1/2"0 HW ® 3/4"0 CW 0 Il CW ® 1/2"0 HW NEW i EXIST. 12WAY C.O. MASTER BATH �IIDIIY^�IIII TO EXIST SEPTIC TANK. SEE SITE PLAN CJ OW TSERVE MASTER BAFH I I MASTER BEDROOM � I I I I I R T WIC. I I I O COLT------ O F J 71RA�GE L °-N' I GREAT ROOM SINK JI RETry TO CONNECT TO EXIST �UNE TO EXIST SEPTIC TANK. N-z"0 IFU) �3 UP TO SERVE LAY I MASTER BATH WC I J BATH #3 �P i0 SERVE A4A57ER-BA�YH I I ® (LAG) { TO CONNECT TO EXIST LINE TO EXIST SEPTIC I TANK. SEE SITE PLAN 3"0(5FU) l F � �• 6 BEDROOM Q3I!RDDMDER LAY 2 p ( ) COVERED 1-1 1"0 PORCH SANITARY SEWER & WATER PLAN SCALE: lg'- Vr II II II 7•• COVERED II II II I I 7" PATIO TO EXIST SEPTIC TANK. SEE SITE NEW 1 W.M.W.S SERVICE FROM W.. IN REAR II PLAN OF PROPERTYII J"0 2WAY 1/2"0 HB W/ J//4' C.O.(F.V.) -2"OV.(E) ;../ ., VACUUM BREAKER I Ill I,-- 0 `MSOV IN VERTICAL TCB ( ) o I r12 - - J"OV. I W/D J BATHb2 I LINEN CLOS_T P To SERVE I.W.H. I.W H. ECOSMART ECO-27 BEDROOM Q2 GY�'A�S Vy' ��-iFl`. ,i Revisions /�9 26 16 CITY C /2 b8 Ot '0 OWNR I (_ O LL Z z LU O LU W J CC C LLJ In J LL pwyLD }z 0 O FuJJwN LL D6 zQ � LLJ 0w� (n CE W Z U� Q N t� r m �O�W Uj 0 and V QO�F rW adpu �QdQ ci W w J Jab No, Date 06.22. 16 f�( / Scale _SHOWN c of U- ---Tuuan C ll z icV DIN -US, 3 0. -)CO Arcnic 4 Are 9u-A01410CIIIC§ oo0016E46591FNt 00002389, J n=Juan C D 10 5,al Date: 2020.0 02 IAA-26001560 Sheet No P-1 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit No.: PL-4-18-990 @wu Permit Type: Plumbing - Residential Work Classification: Addition/Alteration P Permit Status: Approved Issue Date: 04/24/2018 Expiration: 01/06/2020 Parcel Number 443 NE 94 ST, Miami Shores, FL 33138 1132060140510 Contacts SETH LONG Owner SETH LONG Applicant 650 W AVE 501, MIAMI BEACH, FL 33139 650 W AVE 501, MIAMI BEACH, FL 33139 Mobile: 3017853381 Mobile: 3017853381 AVR CONTRACTORS, CORP Contractor RICARDO VERA 8177 W 36 AVE 6, HIALEAH, FL 33018 Business: 7868180337 Description: PLUMBING AT NEW ALTERATIONS Valuation: $ 8,500.00 Inspection Requests: 305-762-4949 Total Sq Feet: 0.00 Fees Amount CCF $5.40 Change of Contractor $110.00 DBPR Fee $4.50 DCA Fee $3.00 Education Surcharge $1.80 Permit Fee $300.00 Scanning Fee $3.00 Technology Fee $7.20 Total: $434.90 Payments Date Paid Amt Paid Total Fees $434.90 Credit Card 04/24/2018 $274.90 Credit Card 07/08/2019 $110.00 Credit Card 04/13/2018 $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, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing inform tion is accurate and that all work will be done in compliance with all applicable laws th�o regulating construction and zoning. Futhermore, I authorize ve named contractor to do the work stated. Authorized Signature: Owner / Applicant / Cc r / Agent Date July 08, 2019 Page 2 of 2 -I. t BUILDING PERMIT APPLICATION Miami Shores Village Building Department Ju os :1019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Teel: (305) 795-2204 Fax: (305) 756-8972 4 FBC 20 111 Master Permit No. -zlC. " - �� l 120 Sub Permit No 1- - q' [:]BUILDING ❑ ELECTRIC ❑ ROOFING INSPECTION LINE PHONE NUMBER: (305) 762-4949 ❑ REVISION ❑ EXTENSION []RENEWAL PLUMBING ❑ MECHANICAL ❑PUI3LIC WORKS 4 CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: � IV E 9Y S T 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):�4,111 � Z OGl Cl Phone#: Address:'V C City: /-t t c�N' _ -k Z vh�S State: _t< Zip: _ Tenant/Lessee Name: _ Phone#: Email: �% %�F��j�' CONTRACTOR: Company Name:. / �.�CJrJ'&ACZ46L4S' Phone#: Address: ?ip: _ Qualifier Name: ��� (%0 Phone#: zt::;v State Certification or Registration #:� L !� 4,C,,Certificate of Competency DESIGNER: Architect/Engineer: Phone#: _ Address: _ City: State Zip: _ Value of Work for this (Permit: $ 91soo- Square/Linear Footage of Work:y Type of Work: ❑ Addition ElAlteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: _ (.(/ U M / C G �t f+ ��h PIZ X Specify color of color thru tile: Submittal Fee $ Permit Fee $ C:CF $ CO/CC $ — Scanning Fee $ Radon Fee .$ DBPR $ _ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $_ Bond $ TOTAL FEE NOW DUE $ — fRevised02/24/2014) City Bonding Company's Narne (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 rnade 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 approved and a reinspection fee will be charged. Signature Signature 91 OWNER or AGAT CONTRACTOR The foregoing instrument was acknowledged before me this day of v 20,, by who is personally known to me or who has produced P1, Z ! C e S F as identification and who did take an oath. NOTARY PUBLIC: Sign: ! Print is - State of Florida Seal: Commission rr GG 286095 `•0i.!`•• My Comm. Expires Dec 20. 2022 Bonded through Nations! The foregoing instrument was acknowledged before me this ? day of J lJ A/ <„ , 20 _]A_, by Z, CmRb0 V C 2 1 who is personally known to me or who has produced FACIA11>0 i5o4t1fle L leeSc as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: 1�-' "ucaryvublic - State of Florida Seal: ?� '0 Commission k GG 286095 ce n .. My Comm. Expires Dec 20, 2022 Bonded through National Notary Assn. APPROVED BY Plans Examiner Zoning Structural Review (Revised02/24/2014) Clerk Permit NO. PL-4-1 8-9 0 Miami Shores Village Permit Type: Plumbing - Residential 10050 N.E. 2nd Avenue NE " Work Classfcation: Addition/Alteration Miami Shores, FL 33138-0000 Permit Status: APPROVED Phone: (305)795-2204 �`totttoP Issue Date: 4124/2018 Expiration: 10/2112018 Project Address Parcel Number Applicant 443 NE 94 Street 1132060140510 Miami Shores, FL 33138- Block: Lot: SETH LONG Owner Information Address Phone Cell SETH LONG 650 W Avenue MIAMI BEACH FL 33139- 650 W Avenue MIAMI BEACH FL 33139- Contractor(s) Phone Cell Phone B & N PLUMBING CONTRACTOR COF (786)236-1256 of Work: PLUMBING AT NEW ALTERATIONS of Piping: ional Info: PLUMBING AT NEW ALTERATIONS Return : ification: Residential Scanning: 1 Fees Due Amount CCF $5.40 DBPR Fee $4.50 DCA Fee $3.00 Education Surcharge $1.80 Permit Fee $300.00 Scanning Fee $3.00 Technology Fee $7.20 Total: $324.90 Valuation: $ 8,500.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # PL-4-18-67167 04/24/2018 Credit Card $ 274.90 $ 50.00 04/13/2018 Credit Card $ 50.00 $ 0.00 Hvauame inspections: Inspection Type: Top Out Final Review Plumbing 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 AFFID VIT: I certifyfthat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construdibQ an onina. Futhednore. I authorize the above -named contractor to do the work stated. April 24, 2018 Au izec!✓Signat r • Owner `4pplicant / Contractor -/ Agent Bui ng Department Copy 24, BUILDING PERMIT APPLICATION ❑ BUILDING ❑ ELECTRIC 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 )FING ❑■ PLUMBING ❑ MECHANICAL PUBLIC WORKS JOB ADDRESS: 443 NE 94th Street RECEIVE, APR 13 1018 CLJ! FBC 201Q1 Master Permit No. RC-5-17-1209 Sub Permit No. R le _Pq 0 ❑ REVISION ❑ EXTENSION ❑RENEWAL CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3206-014--0510 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Seth Long Phone#: 954.410.4695 Address. 537 NE 96th Street City: Miami Shores Tenant/Lessee Name: Email: State: FL. Phone#: p: 33138 CONTRACTOR: Company Name: A 7 6 / Pjym d l i a 00 r �l/. Phone#: %Ai d '�p 1Z� Address: 19W l q 7 T-4 07' City: Qualifier Name: 9 a, iz- Zip: 3319�D Phone#: 706 Sp State Certification or Registration #: f✓ / y�81099 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Value of Work for this Permit: $ 8500.0 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration 0 New ❑ Repair/Replace Description of Work: Plumbing at new alterations. Specify color of color thru tile: Submittal Fee $ Permit Fee $ lW CCF $ Scanning Fee $ Technology Fee $ Structural Reviews $, Radon Fee $ Training/Education Fee $ DBPR $ Zip: ❑ Demolition CO/CC $ _ 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 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 applroved and a reinspection fee will be charged. Signature OWNER or Signature, The foregoing instrument was acknowledged before me this The foregoing instru�lent was acknowledged before me this ,J!C_ day of e!f-? , 20 P by / day of e4'?1Z / L- , 20 by .r who is personally known toy-���,�4�j�, who is personally known to me or who has produced as ' me or who has produced as identification and who did take-moath. NOTARY Sign identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ..r eu FNUT Seal: °,'R;;�e� LAURA FARLEY Seal:'¢� MY COMMISSION ON88027 * * MY COMMISSION #E FF 188027 EXPIRES: March 16, 2019 '"�� ' BondedEXPIRES: Marchst 16,ary 2019Seftice Bonded ThruBW et Notary61ftet 4'ur�� v Print: F" N-1, APPROVED BY `'f" 1&- Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)