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PL-03-22-800 h±� 1 \ � � x 6�'�4 �' �j . � .b�. .,... � � � ��"� � ti 1 t� �,����" " .���� Miami Shc�r�s�/ill��e ' � � � � � �;� � � ��; � � � � � �� ���� �oosa Ne���� ; �� < �1 � � � ` ` �� � � ��� Miami Si�ores F[.33138 �: �: �����������������!�; , , ..: ,.� ti � ,,,,.� � :. , �4��A�A`� ze ,�� ���. e 305-795-22Q4 i ��� � ���"����"���� �������,:r �''r�...,,ca N' � ..�i . ,.,. . ..�,�..� ��'�ti,.: s � ..... , ..... <;.. . .. , ����'���� � ' ,�������������; Expir�t�r�n: 09/30f 2022 ��:� ��:.,; l�cation Address Parcel Numb�r _w�.. ��_. m.. _.... _.�. _... ...m _ _M. �� �. �ry __.�_ �_�_,� �_�,_ � � � 91�A�IW 1ST AVE,�E�mt SF�ores, FL 3315A 113241�260Q6� � �:�. .m�� . ����������?,���3�� . ���. ^�,� �OtI�aCLS FRfSC1��A REYES t3wner Priscilla Reyes Rppfie�nY 910Q 1 91dQ NW 1st ave,Miami Shores,Fl 33�54 Home:7865546259 priseillasamerville@gmail.com � TftUST REUR�BENG CC}RP C�ntracte�r � AECIDES NERNANf�EZ i 1932Q NW 19 AVE,MIAMI 6ARDENS,F�33Q56 � Business;7�62873412 } �. ��,:<. . ,._.�._.._....�..._...�...__..__m_�..w�.�_...__......._....,._..�_..��m,......�._...,.,_...�_._._�_..�.._�.�_.......�...,...M..............._..._.....�._...._...._M........_. ...,....�..,_...,_��..._......._.._......,........._n......._.�._.,._..._...........___._.......«_.._., ' ; Ins ech�n I�e ��sts � E�e�criptiQn:RER!ACE S�NiiARY AND WATER�IRtES t V�fuafiion; $ 6,OUQ,00 � ����� ���`��^��^^t^^ �� � � � � ���� � � = T�atal Sq�eet 1,582=t}Q � ����' >..�;. � , ; � �....:�. ,.. ; �... . �.. �� � ,_. . .����.. � �� Fees Amc�unt p�ym��ts date Paid Amt Paid SQfo Rer�ewal Fee $1d5.00 Total F�es $145.00 Credit Card 03/30/2022 $�p�,e�}p T�tat: $2Q5.Ofl Amount Du�: $O.QO l�[f ![l @ �t1'� Cl �{ In consider�tion of the is�uance ta me o�this permit, I agree to per4orm t�� work cov�red h�reund�r in camp(ianee with �!i ortiinanees and r�gulafions pertaining thereto and in strict confarmity with th� plans, drawings, statements ar specificatians submitted to the prop�r authorities of Miami Shor�s Village. In ace�pting tt�is permit I assume responsibility far a!I w�rk done by�ith�r myself, my agent, servants, ar employes. I understand that separafe permits are required for ELEGI'RICRL, PLU�BING,MECHANICA�,WINL70WS, DOQRS, ROOFfNG and SWfMMING PQQL work. OWN� FFIDA T:,� I c� � tMat al( the foregoing information is accur�t� and that all wQrk wili �e done in camplianc� with aIl ap�ficabie i�vws r gul in cansEru nd z g. Futhermore, !�uth�orizs the abave named contractor ta do th�work stated. � thori��d Signatur�:Qw �r l Rpplieant l Gontraetor l Ag�nt I�ate March 30,2022 Page 2 of 2 Lti�1�;�����a,��.�g�����Y��������\�0�����1� �`�\'�"���iS`ti�`��`���1��, Z��LS����' �o'�:..c�`~1`�'.�`�.�..,,.,���'�le����� �`���'���?\'.y,'�\,��.\.�� e`�2. �ti211��1� ��t��C��'��� �,v� �t�,� � , ��� � a i c �ppgg�g. ��``2i���t£3'`�:��`tiSti.��#'F�ti����.��\���k�����til���`�"` �i51's?,;��a��``. '�., �aFRGJ `1{��\)����<,�l`t�\k4��� ��\x Z�\�f 1�}�`i�.'�\����;t3�s.§� �'v���'.'`ti<�i�tU� -k \ tiz�'� 'z`,, �4 '3�S �r�y� {`Z� `�Z�.�.�,.y4��k4�\��\�t3� ��1��������� ;ZrE�\�Z�l���,�����`�7�i..'�`,t*.� S �Z�I�,S�'v����'`���i��i���.', ,. '� ,., � �.�,�4 �,��ll���\�L€�,���4\�. � � �1��, � �.��.. ���`.��.� ��j �'�'. �j �� �:,�'c iam1 Sh�Ces Villag+e ,�� � ,���c���z��``� ����`��� �� ��,�'��, }��$� � � `� �s��, � `„�..'� `t � � �l .�S �2 �i4 ��4`\. t�,l��,° a t�J �� Z ,.l �t �'i���, � " � G� 1QOSQ NE 2 Aue � Y�� " \ t � r�i '� � tr� ����e����;�3s ���`'`�'�,t��i`�'1�s1,,��`�`„"� ��,�ti\ ���?"t�= �` PP� �.. ek� y1��i� \�`a� ��a13 �t� � �� �� `�����,i ���i���'��,.�t � �' ��\� i� �� �liami Shores FL 33138 �� �1��� ��.�5�� ��'�* �� �. � ����,�`��`��g. " � � �hs \�.� . 1 er . �� S�t���t�,,°,.:."ti: �y�`����. �IZ��S����t ';.'�t�.�:����5����t��`�2�����,��'�:���:U.�i.���`,1.�,�. " �}�ti.,�`;�'��. 3os-�ss-Zaa� ��������`���`��,��,�������,�R��,������,������,���;����� ��.��� `� � �'��," =��� � �z,3.������,��;���'�������`l,c��'�����������`�l��i������;������, � , �:x � � �� � � ���� ��, hz� � � wE,�s tirs �1��1 4'i�� �r,� �'���`����a 't z�E �� 3�i�� ��\� ti ��.k, j�����„t �,.���ii 1, t,x�>.< �,s„ �t�� ,'�;��; ��#d�3A16)4R ������,�`l�i`;���'�s��������i��`�����li`c4,�� t?����� 3 �`Ui�t�ta��?��a`��?t� �i ��i�����;����������`�., ��,���as �rt ;� ,�,� �xptCa11C3[t. 09j23f2f?�.9 Gpcat�o��ddre�s Parcel Number � 91QQ NW 1ST AVE,Miar�i Sh�r�s,Ft 3�150 W.�.d� 1131Q1026Q060 �. �.m�.� W.�����. Gont�cts ��a.,���_�.�.�,�_a.��.,�.u��� �uw.������v,����,.e.�����a�.���� �.. ,��_�.�� �.�..�.,����..�. .� .�.. �.�a � RRISCILIA REYES �3wner TRUST PlUMBING CORR Confir�ctor ? 910Q 1 AICIDES HERNAND�Z � 19320 NW 19 AVE,MEAMI GARDENS,FL 33055 � Business:7862�73412 R F.��...�.._.._._..��__._..__....._.._�..,��_�_ �___._....__._�,�.d.a�_ �..._.�........__._.�Aa.�_���.��..�....��_ E � Ins ect�on Re uests [3escription:REPLACE SANI7ARY AN[?WATER LINES � Va(uation: $6,OR0.06 ���������������,s�{'^'�1��,���"�y � �ti� �sl � � � �� � �E\�\ o���`����Z\��� � ���z�z� `��E��1�� �c z�����������ti�;l�1�i��� � � Total S Feet: 1 5$2A0 s��%���������������v�����``���;�����ti���a `�\�`� a e i ����i�, �3,Z`"\`�Z�'��'.��S��L��L:�4\�`.^..� \ ����'�. „��.�'� � ��,v. �, ��,�,* V• � I F�es Amount p�yrp�nt� Date Pa�d Amt Paid P,pplication Fee-Other $S�.QO 'fotal F��s $233.30 ccF $3.5o Credit Card Q3J25f 2Q19 $233.30 DBFft Fee $3.15 DCA Fee $210 �4rrtt?unt E}u�; $Q.00 Education Sureharge $2.20 Notary Fee $S.QO Rerrnit Fee $160.00 Scanning Fee $3.04 Technology Fee $5.25 Total; $233.30 CI I� 1 n t1� A In cansideration of th� issuance to me of this permit, I agree to p�;rform the work eovered her�under in campkiance with �II ardinance� and reguiations pertaining thereto and in strict confarrnity with th� plans, drawings, statements �r specificatians submit#ed te the proper authorities af Miami Shores Vil{age. In accepti�g this permi4 I assume responsibility for ali w�rk done by either myself, my ag�nt, s�rv�nts, or employes. I und�rs#and that��par�te permits are required for ELECTRICAL, PLUMBING, MECHANICAI�,WINDOWS, DC1f?RS, RQOFING and�WE�IIMING POQ�wrork. OWPlERS FFI�AVIT: I certify th�t aA the for�going inf�rmation i� accurate and that all work wilE be dsne in compliance with ali applicabl� laws regulatin c nstrucf�on and�oni F�ath�rr°n�re, i authoriz�the abc�ve nam�d�ontractor ta do th�work stated. t ��� `'�� -� � � � � �::� � � Au orized Signafure:Qv�n Appficant( Contract�r t Agent �ate t �* tVlarch 2S,2029 Rage 2 of 2 � � �� � � � _. I I � S 1�� --�� �� �����a 1� I �� t ��a ����. 10Q50 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(345j 795-22U4 F�x:(3Q5}756-$972 IRISPECTION IIRIE RHqNE tUt1MfBER:(345)762-4949 �L ' Master Rerrnit N�. �� +� � �`��� °p �.� �%� �� �� �� Sub Pernnit Nc�. �� �"����� � ��UIl�DING � ELECTRIC � ROC?FI(VG � REVISION � EXTEN�10�1 �RENEWAL �PLU�11�iING � MECNA(UI�AL (�PtJBLlC W(�RKS � CHANCaE C}F �CANCELLATlC�N � SFt{�P CQNTRACTOR DRAWBNGS ��aa,�����ss: 91Q0 NW 1stA�� Citv: Miami Shores Countv' Miami Dade Zip� __-_—_ ____. _ � �� R F�I€o�Parcel#: � �'.� � �� �� ��y. �j� �� (s the Building kdistc�rieally Designated:Yes NO Qccupancy Type:��Laad: Construction Type: �_Flood Zone: _BFE:_ FFE: � �WNER:Name(Fee Simple Titfehalder}=� �` �, �� Pf�one#: �� ��"���`t€€����� Address: '� �� ��y.. 2 City; $ State: Zip: "�� �^�� Tenant(E�essee Name: Phone#: -� � Email: � � �'� ""� �� � cor��r��e�c��:co�,pa�y Na�,�: `Tru�t I�lumbing ��arp �n�,�,�a: 7�6-366-3��4 Address: ����� �� 1�pe`/� e�cy: Mi�r�ni t�arcf�n� state: FI��'id� Z;�: 33CI56 a„�i�f��r�v��,�: �Icid�s N�rnandez an�„�#: 7�6-��7�3412 State Certification tar Registration#: ��C 1������ Certificate of Competency I#: �ESl�NER:ArehitectJ�ngineer: Phon�#: Address: Citye Stat�: Zip: "1 Value Qf Wsr�C for ihts Permit:$ " ,�� � SquareJLinear Faotag�af UVark: Type�f Wcsrk: ❑ Addition ❑ Alteratian ❑ New ❑ Repair/Replace ❑ Demolitian t3escriptian af Work: RB�faG� ��.t�1��Cy ��1C� W�t�C �IC1�S. �peci eol�r� �ol�r t°hr�a tile: s�ar�ett�R F@e� Permit Fee$ ccF� c�/ce� Sc�nnEng Fe�$ Radon F�e$ DBPR$ Notary$ Technolo�y Fee$ Tr�ir�ingf Edueatian Fee$ Double Fee$ Structural Review�$ ���d� TQTAI FEE NQW�UE$ (RevisedQ2{24/2024) �. t � �onding Company's Name{ifi applieable) �� Bonding Campany's Addeess � � � ____ �_ CitY�� State � 2ip ______ � Mortga�e�.endee`s Name(if applicabl�)____� � Martgage lender's Address____ _ � City State � ZiP� � �_ Applicatian is hereby made to obtain a permit to do the work and installations as indicat�d. I certify that na work or installation has commenced priar to the issuanee of a permit and that all wark will be performed to meet the standards of all laws r��ulatin� construetian in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PGUMBING, SIGNS, PQOLS, �URNACES,BOII.ERS1 HE,4TERS,TANKS,AIR CONQITICJNERS, ETC..... C}WNER'S AFFID�VIT: i certify that all the Foregoing infarmation is accurate and that all work will be done in camplianee with all applieable laws regula�ing canstruetion and zoning� "WARNING TQ UIIVIVEFt: YC}UR Ffi►1L.URE TQ RECQRD A NOTICE OF C�MMEIVCE1111ENT MAY RESUIT tN Y�UR PA�(ING t�E F�R IMPRQVEMENTS TQ YO►t�R PR(.�PERTY. IF YC}U INTEND T� Q�T'AIN FINA�ICtNG, CQIVSU�T VUtTFI Yt�UR LENDE� C}�AIV � �RNEY �EFQRE RECQRDING Y�IIR N�TtCE QF C� EftI�E ��T,,, Notice to App(icant: As a eondition ta the rssuanee of a buitdin�permit wifh an estimated vptue exceeding$2500, the app(icant must promise in good faith thert a capy of the natice of earr�mencement and constr�ucPian lien law bre�chure will be dellvered to th�perse�n whose pro�erty is subject t�attachment. Also, a eertified copy of the recorded natfee of commerrcement must be posted at the job site ,�or ttre�rst inspectian which occurs seuen (7) days after th� 6u!lding permit rs rssued. In the absence of such posted notrce, the inspeetion wilt not be�r�raved and t�,rei, eetion f ""�it!be ehe�rged. � ��. � , ��s � �'�f,�` ' -� ��� �? � �� � Signature � �_�'������� � Signa�ure� ``� _____ �'�� OWNEft ae AGENT �' CQNTRACTOR The foregoing instrume was ackne�wledged befare me this The foregoing instrument was aeknowledged before me this ��day of � �.....—,�Q �� , by 2� day of �r�Cil.l�l'y .�—,�� �� �Y ���� �� « � who is per onally known to ��CEf��� �'{�t"tle'�t1d�� �who is personal[y known to me or wha has produced_ ���� ���_a___���as me or wha has produced______ _____����as identification ho did t� an a identification and who did take an oath. 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