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REV-19-2246.!l.%A1 0 10 %WI aV1 `ice V IIImbL � r i �� Ni L•_ I Building Department SEP 2 5 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (3051 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 116 FBC 2011 BUILDING Master Permit No. #05-19-1079 PERMIT APPLICATION Sub PermitNo.'�-f't-��'-f q 22L4(yo ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ® EXTENSION ❑RENEWAL ©PLUMBING [—]MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 420 NE 95th Street City: Miami Shores County: Miami Dade Zip: :331-0; Folio/Parcellf:11-3206-014-0461 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Alberto and Maria Carvalho Phone#: 754-234-4235 Address:420 NE 95th Street city: Miami Shores stare: Florida Zip: 33138 Tenant/Lessee Name: Phone#: Email: mania@miachic.COm CONTRACTOR: Company Name: Aurora Plumbing, Corp Phoned: 305-633-9578 Address: 301 East 10th Avenue City: Hialeah State: FL Zip: 33010 Qualifier Name: Leonardo J. Rayon Phoned: 305-218-3011 State Certification or Registration it: CFC1427483 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: ❑ Addition ❑ Alteration ❑ New Q Repair/Replace ❑ Demolition Description of Work: Reset plumbing pipes in guest bathroom and front half bath. Install Water line for refrigerator Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/20141 Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ G TOTAL FEE NOW DUE Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage lender's Name (if applicable) Mortgage Lenders 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. 1 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 on 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 (71 days after the building permit is issued. In the absence of such posted notice, the inspection will not be a proved and a reinspection fee will be charged. Signature Signature OWNER or AGENT The foregoing instrument was acknowledged before me this - U-— day of September 20 19 by I r• CQI Va ��, who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Print: r� a'tNotary Public - State of Florida Seat: 'a.J COmrttission B GG 271971 W: r`. My Comm. Expires Jan 4, 2023 9oodee through National Notary Assn. CONTRACTOR The foregoing instrument was acknowledged before me this 6 day of September , ZO 19 , by Leonardo J. Rayon , who is personally known to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: I .ZMy Comm. Expires Jul 15, 2022 Banded throt:gh Nmtlonal Notary Assn. as APPROVED B Plans Examiner Zoning l 0�7 �GJ Structural Review Clerk (Rewsed02/24/2014)