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PL-10-19-2407
� �������� � �� � � ���� �������"��� �� � � �� �� ��� ���,� iami S�or�s Village � � �������� �����€�� �������� �°' ��� �� �� 1t�O5Q NE 2 Ave � � � � � ��t�z..�����, °' �� Miami Shores F�3313� � �_ �:.�� < �����������1�������i � ��. �� 305-795-22Q4 � � ` � � N ` �.�; ��`�,: � 3 � >-�s � � i 2��3� :\ t ,��.....��������?�'��7i����`���ti ,>�, .,,� . , ��S.�ItS��°`.... ` �� � ��Av� � ��A� s 1 ....., , , .. ,...:..x,... . `� �� �X�?tF��14'�P'�: � , , �� �, ���� � � �;: �/13/2�2Q� , Loc�tian Address Fare�l PJcrmber �.��.�.�n.�eu.Mw��w�������_�.�.�.��_� ��..�..w��__�.�_...��w.�_m�a������ n�����._m� m�u..�rK..�������H_� �._�m.�_ti� �� � 432 NE 94TH ST,�tii�mi Sh�r�s, F!.33138 19.3206t}14{?50� 3 Contacts ��. �mww�...�.__�w.._,�,..W..��.�.w,.r.�.�_�w._ .� �. ,_�����,wv.4.w_u��_,.m.��...�.���_�����.ar.�.��,..�,ww...m���.__�.� ���._w�H�m�r,. ����, _�v�..�,��..��N� ' LUIS ARIAS �wner 5 STRR P�UM�kNG SERVICES CORP Cor�tractor � 1496 N�204 ST",MIAMI SHQRES,F�3313$ MANUEL PAMPIN JIMENEZ � Other:3057940529 11720 SW 1$0 ST,MIA�tf,FL 33177 [ � 6usirtess:3057963607 a. .�a . ..��������,����y�� ���G���� �a�.� � . , a���.� z�...��W.,.,�.__...,_.....a_�__._._, w.,._.,....w__..�.�a_ ��� n.�_m� ����,.,._� . m m_.__�..�.� �m�_ .� _m.._..... � � � IPiS �C11'Olt ft@ U�5'�S � Reseripti�ro:NEW PLUMBING TO ADDITION � Valu�iion: $ 14,000.00 ����� � � ��� � � T��al Sq Fe�t: 750.00 ; � .��� Fees �mount Payme€�ts �ate F��id Rtmt Paid Application Fee-Ctther $SO.Od 1"cst�l F��S $528.70 CCF $�.40 Credit Card 1dJ16/2Q19 $�'T8.70 DBPR Fee 57.35 Credit Card 1Q�1Qf 207.9 ��p.pp DCA Fee 54.9Q Educati�n Surcharge $2.80 ��������E' $Q• Permit Fee $44Q.OQ Scanning Fee $3.00 TechnologyFe� $12.25 T�tal; $52�.70 E�1� i � In considerafiion of the is�uanee to me of this permit, I agr��tc� perform the wc�rk covered heraunder in compEiance with al( ardinances and regulations pertaining thereto and in strict canformity wi4h the plans, drawings, staternents or specifications submitted to the proper authorities oP Miami Shor�� Village. In accepting this permit I �ssume r��ponsibility for alI woek done by either my�elf, my agent, servants, or empioye�. I unders�and thaf sep�rate pe�mits�re required f�r ELEGTRICAL, PLUM�ING, MECHANICA�;WINt�C?WS, �OQRS, RQOFING and SWI�MING PUO�work. OWNERS AFFIDAVIT: I certify that ali the foregaing in#ormation is accurate �nd that ali work wili b� dane in compliance wifh aIi appiicabie laws regulating constr tion� zoning. Futhermore, I authorize the abov�named contractor to d�the wark st�ted. � � Authori�ed S n e,, ner / ,4ppiicant/ Contractar / Agent Dat� Qctober 16,2019 Pag�2 af 2 ��e�~g� ulti�e �ces �c��p� Drop Test Certificatic�n Florida Building �ode Fuel G�s S�etion 4Q6(I�'€�S} Inspect�oaa, "�'esting and Pur�ing 406.1 General. Prior tQ ace��tanc� and initial aper�tior�4 a�1 pipin� installations sha11 be insp�ct�d and pr�ssure tested to det�rmin�t��at the matetials, d�si���, fabrication, a�d i1�st�1l�tio��practic�s carripl�r tvith th�r�quireme�ts af this ee�d�, � � �wners Infarmati n: I'�rmit Number: �`�' �� ��� � ���� Name: ;��� � �� Adc�ress:�� � ��'� �`� ��� Gity: �--����-��.t�E�r��_� State: _ � Cc�ntr�ctc�r: � �C��_���````�`1� � �� L.ice�Ise 1�I�n7���•: _���_�`� �� �t `�� ����'� T�Fp� c�f I�Zstallatic�n: _Ne��T:,= _Upgrade tc� Existir��;: �___ �.--�-'`�> Descriptia�l w•c�Fk. (Must iticlude t�st details �nd i��clud� pi�ir�� �d �p�lianc��) �. � �yr �y, ^`��.,q\ �.a_..�t \ \\ 4 ( � ° F'�� �;�-° � T,�`'�����'1 �� �-��.:� � ��..4'��� \_[��.�'". } ;J� ��\:� �� L t � �_�_..�.�.m...._.._....,��.. ._.� -.��.�.._.^ Systen� Pr�ssure fram Met�r:����� If�ybrid s��stem, brancl� �r�ssute: Water Golumn: Test Dur�tic�n: � , � ,,� -....�-��.._ �� �%�- ��� ���"�or��r� �' ar�C��ali�a�r} Sign��atur� �?�t� . l� � �..���� �i`��.-�" Print N� e Ki �ga;:�;;;�.p JU�N�`T�lNIDAD � ,� ;.r h4V� MbSSI�t�#NH46479G �tate ofFlarida ,a a� ���; �F�ES:t+�ae�t�r5.2o2a �� LOlI11�' C?� ��x��";��� � Pub�a;E! 'ters �a ,«,. . . �e:.�.�.�:...:' �����L.e+__.,?__"`_`._.....� .._.� _ . . .. . Swor�� to arad sut� �� � �'�`�efore me tl�is �'2. da�uf��_ ��� 20'�-�, b}�: {.,�Personally K� wn { }Produced Id�nti�c�tio►�a Type of[denti��cation Office: (305) 7�i6-22 r 0 �mail: �nergymu�tis�rvices�ci yahoo.�c�z� Sta�e I,ic. # �,I-28Ei07 9380 JAI�IAIC:A DR CLJTL�h �:�Y,FL„ 33189 1 ,��� ���° ������:.� � \\ �`���� i i r i I I (�f „�'y( � �` l E,..� � t,.�..•'1�� � >��� I� I �t t ��a_r__naa_� ���` �.�m.. �� 1Q050 N.E.2nd Avenue, Miami Shores, Florida 33138 �� � � rei: t�os}7�s-2zon Ea�:(3a�)7ss-��7z ENSPECTIOM LIRIE PNC3NE NUM�ER:(3A5)T62-49�9 � ��. � IVt�St�r P�rl�tlt NQ. �� � � �� � �' ������ ����.������� Sr�b Permit Na. ����;` ���"�� --���� �UIL�ING � ELECTRIC � ROQFING � REVISIC3N � EXTENSION �RENEWAL ��Lun�a��� [� n�Ee�+���c��. ❑�u���cwoR�s ❑ c����� o� ❑ ca�c�«a-re��v � s��� CC7�ITRACTC?R DRAWINGS 1QB ADDRESS; � � ��` f.._.� i��� �� Cit : Miami Shores Count : Miami Dade Zi : Folic�JParce!#: t� � � � � ���� � ts the Buildir�g Hist�rically Designated;Yes R10 Occupancy Type: Laad: ^Construction Type: Flood Zone: BFE: FFE: OWNER: �lame(Fee Simp{e T�eholaer): �,�� '� � -� Phane#: Address: � � City: � �� State: � Zip: � �� � Tenantf kessee IVame: Ph�ne#: Email: CC)NTRACTQR:Com�any Name: � � � ��� �� � Phan�#: (�f�"�� �� ,���� Rddress; �� � t� � "� CitY: � � ���-�-- �, ��State: ��' Zip; d�� ��� !— C�ualifier Nam�: ��{�,����,� �� � ���y°`� Phane#: Sfiate Certificatian ear ftegistratie�n#: Certificate of Competency#: DESIGNER:Architectf Engineer: Phone#: Address: Ci�y: State: Zip:_ Value af Work for this Permit:$ � �"��� � Square/l.inear Foc�tage of Wark: Type c�f UV�rk. Adclition ❑ Alteration ❑ New A ❑ RepairJReplace ❑ Qemalitian � ���� � �' � Description of W�rk: �..•�t� Speci �o/ar o,f co/or thru tr°l�: Submitta!Fee$'` .� y'� P�rrnit Fee$ CCF$ CQJCC$ Scanning Fae$ ltadan Fee$ DBRR$ Notary$ Technol��y F��$ TrainingjEducation Fe�$ doubEe Fee$ Structural R�views$ �and$ TOTAL FEE NOW DUE$ � �� ��� (Revised02 f 24/2(314) 8onding C€�mpany's{Vame(iF applicable} Bonding Company's�tldress _ City State Zip Meartga�e Lender's Name(if applicablej Mortga�e Lender's Address City State Zip Application is heeeby made t�obtain a permit to da tF�e w�ark and instaNations as indicated. I certify that no wczrk or installation has commenced priar to the issuanee af a permit and that al( wark will be perfarm�d ta meet Ehe standards of all lavus regulating canstruetion €n this jurisdiction, f understar�d that a separate permit must k�e seeured for ECECTRIC, PLUM�ING, 5PGNS, FE�QLS, FURNACES, �QfL�RS, NEATERS,TANKS,AIR CC?N�ITIC7N£RS, ETC..... OWNER'S AFFIRAViT: i certify that a(( the foreg�in� information is accurate and that all work wifl be dane i� compEiance with all applicaf�le laws reguiatin�canstruction and zoning. " ARNING TC} �UtlNER. Y�l�R FAICURE T ��Ct��� A N�TICE F CC�M ENGEMENT AY RESUCT IN Y�UR PAYtNG TWICE F�R tIVIPROVEI�ENTS T°Q Y�llR PRC}�ER . IF Y�U INTENQ T� f)BT�IN FINANCING, CQNSU�T WITN Yt�UR tEN�ER �R,d�N A�°'�RI�EY �EF�RE RECORQ�IN� YOUR N�TICE �F C�NtMENCEMENT." Natic�to��aplicanc: As tr eondition to the issuance af a burlding permit wtth can estirt�ated ucr/ue exceeding S�SC�O, the ar�plrearrt must prvmise in goad farth that a ca�y c�f the rtotice of commeneement and constructidn Iden law bre�ehure vuitl be delivered to the persan whose prcaperty is subject ta attachment. Alsa, a certrfied capy caf thc�reet�rded notice of corr�mencement must be posted at the job site fnr the fr`rst inspeetion which oceurs seuerr (7) days crfter the buiiding permit is issued. ln the absence af such posted notiee, the ins�aection wilf not be approved and cr reinspection fee�vitl be chcrr�ged. ,..�g F� �.....�,.,,,� k { � ,.' Signature � ` � Signature ��`�� �."�, °�-, �R�r�GENT CONTRACT�R The foregoing instrument uvas aeknowledg�d befor�m�this The fc�re�oi�g instrument was acknowledged b�fore me this � � .< �� �,., � � � '� ..K.., �� �day of� � �� ���..rw� ciay of .� ` �, _�, �.«m,��,.,�� , by � i � ,w i onally know ,w i n to me or wha has p�duced as $r�7e or wha h�s pro eed as identification a`d who di�take an oath. identification and ho �id take ar�oath. NOTARY PUB C: f�� NQTARY PU�LIC: ,°�, F ¢ �' c ����. J Print: ��� Print: �� � � ,�ppY A� .�, � � ,� �¢trn+YinN�a�eatte��P'�m���:=�� Seal: �� t.<=,��. ��RETTAG��S Seal: �XPIflE�o P�arch 21,2Q2� � � � MYG4�dMISSfON#FF�54664 �����r.t°� 6andedThru9u��#��a�S��� EXPIRES.MarCPr 21,202� �`�'����.�'��� 6�atl�d t�r��t��Mtt,sty 5e�' ���������������*�*��*�#*�*��*���*����:�:����*�a�:*��������*��z������*�*�����a���:���:���r�*��:���*�a�:*��*�*�**������*�� .�__�- APPROVEQ BY x��'�"" �� e� Pians Examiner Zaning Structura( Review Clerk (ftev�seaortza/zo14) � � �� 1� � �ta€�rs,�z '�� � � I 1 �1�r� I I I � .��« ��w�.� � . �° � _ ��� 1Q050 �.�.2nd Aver��� `�� ����� � Miami �hoe��, Flcarida 33��8 �'��: (305} 795.2204 F�ac; {305} 756.$972 � C � �" ' t C t : �.;��.. �.��3. � ..; �;,i��;, � .. ��..,: y �.,+;� ,�,...' .> .. .a:�t .�. ':;. . � �., . . Piorida Lar�� r�quir�s ti��c�rkers' Cornperzsatiokl ins�trance eoverag� uz�dar Chapt�r 440 af the Fiarida Statutes. Fla. Stat. § 440.05 allo���s corpc�rate c�f�cers in the constructi��� �nd«stry to exempt thernsel�,=es froPn this �eauiren�ent for azl�•�onstructiorl project prior to obtairiing�btxildin�per�nit. Pursuant to th�Florida I3i�°ision of��'ork�rs' Cor���ensatic�zl Emplo��er Facts Brochure: An employ=er in the construction industry wllo employs one or rnare part-tisne or full�tin2e employees, incl�xding tE1e awner,must abtain workers' con�p�nsatiaz�cov�rage. Cc�rporate c�ffi�ers or ��embers of a lii��ited Eiability cc>mpai�y (LI,�) in the construction industry may elect to be �xer�lpt if: l. The affieer ou�ns at least l f} percent of the stoek c�f the cor�or�tion, or in the cas�of an LLC,a statet�����t attestin�tQ the minimum 1(}percent ewnership: 2. Th� officer is listed as �n afft�ex• of tl�e carporation in the records of the Florid� I��partment of State,L3ivision of Cc�rparations; ar�d 3. The corporation is registered and �isted as active with �he Flarida I�epartment of Sta�e,Division c�f Corporaticans. iV�a znare than three corporate ofEieers �er carporatian or Iimited ]iability company= Enembers are allowed to be exempt. �onstructiofl exemptic�ns are valid for a periQd c�f t��a yea�•s ar ungil x voluntary revocatioil is��ed or the exemption is r�vaked by�he I�ivision. 1'a�r contractor is requesting a perrni�u��der this workets' oampensatioi�exemptian and has acknorvled�e th�t h�or sh�will not use day labor,part-time eznployees or subc�ntz•actars for your project.'I'h�cantr�c�or has provided an a�davit stating that he or sl�e w�ill he the only�persan allowed ta work c�rr youz•proje�t. In these ezrcuznstanc�s,�iami Shores Vilia�e does not re�uire verification of workers'cc�mpel�sati�an irlsuranee covera�e frQF��the coi�tractor's company�far day labor,part-tiine�mplop=ees c�r subcantraetors. BY SIGNING SELC31�' YQU t�CK��C}�%LEDGE TF-IAT YC�li H�VE RFAD TFIIS NOTI�E A'.VD L�1tiDERSTAND ITS C'(�NTF�T�. �,.,..�� ��`; ,, ,t '� ; 5ignattire: ��= 7 �(�w r i State of Fl�rida Cotitn�•of`'4lian�i-Dade The fvregoing v�=a�acknau�ledge before ma this � �-' day of L��,��� � ,20_�`�. By-���-� # �� �--t,��-���-���# �C � ���` �� o is personally known ta n�ie or has praduced �.->���`���,��.n.-t^.��- �_as identificatio�l. ' Natary. ����y_ �' ._,;,, �'P �� ax....--' � a� �� '� P1Y C(}R�l�i§S�;it°�"����?'i$,�,°a !, .� SE.aL: �t� : �, �.�o- �:{F��Ft��:k���cr�Gar v �2� �� . �� � �°c�;,,`'_�'' Bon�eci Tfi�ra id�Gary Pta�'i�tlrFt flrur�r r� � ����4�„ � � � � 1171� �� 1�Q ��C���, �i�P�r1[, �� ��177 �F�142�573 �t�e ��p��rr�b�r 16, 2019 ����� c�f FBc�rid� ���ar�t� �f i�r�imC��d� ��f�r� r�� t��� d�� p�r����lly �pp��r�d ���vh�, b�6�g d�ly ��v�r� d�p���� �nd ��y�: Th�t h� uvi[9 b� fih� ��ly p�r��r� �c�rkir�g c�� �h� pr�j��� ��: �1 4�t�' tr��� �� � �r��9 FG 331� �` �� � ��n�r��t�r�agrt�t�ar� � x �wc� �� �� �fF6rr��d} �r�d ��b��rib�d �c�r� �� �hi� d�� c�f � 2Q � . � b� � �r, � ��r� ��I k��a�err� �� �r�d�a�� Id � tifi���i�� ��p��f �d�r�t�fi� ti� �r�du �ri��, �� c�r p N�r�� �f �I���r�r ���ffi� �o� �����s � �, MY Ct�MMISSP�s FF � � E�P6RES.March 2�,2Q2� �'�c� `° T�c�9�eg N�ar,�Set��