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DEMO-17-1034 (2)Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit NO. DEMO-4-17-1034 Permit Type: Demolition Perm 1 t Work Classification: Plumbing Pe►7nft Status: APPROVED Parcel Number Issue Date: 716/2018 1 Expiration: 01/02/2019 Applicant 175 NW 100 Street 1131010230320 Miami Shores, FL 33138- Block: Lot: CHRISTIAN LANSER Owner Information Address Phone Cell CHRISTIAN LANSER 175 NW 100 Street (305)772-4313 MIAMI SHORES FL 33150- 175 NW 100 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone SMART PLUMBING LLC (954)772-3446 of Demo: Plumbing onal Info: REMOVE PLUMBING FIXTURES KITCHEN AN ification: Residential Scanning: 1 Fees Due Amount CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $110.20 Valuation: $ 2,000.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # DEMO-4-17-63691 04/13/2017 Credit Card $ 50.00 $ 60.20 07/06/2018 Credit Card $ 60.20 $ 0.00 Available Inspections: Inspection Type: 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 AFFI I certify that a e oing information is accurate and that all work will be done in compliance with all applicable laws regulating construction d z thermore, I authorize t to 7,-,— ed contractor to do the work stated. 'S1l� �-5�— July 06, 2018 Autho Signature: a Applicant / Contractor / Agent Date Building Department Copy July 06, 2018 Miami Shores Village RECEIVED BUILDING PERMIT APPLICATION Building Department �APR /113 7017 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 l (. Tel: (305) 795-2204 Fax: (305) 756-8972 ��CC INSPECTION LINE PHONE NUMBER: (305) 762-4949 S -h FBC 20 ►L I Master Permit No. (I Q fw�o 14 1 q 1 Sub Permit No. Day)o 1:4 — I o c4 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL UMBING ❑ MECHANICAL []PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1—Ts l VjW too S T Folio/Parcel#: i 1 3 1 ©t C)?3 -o J 2 0 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type OWNER: Name (Fee Simple Titleholder): < Address: CTS Nw t 0D Flood Zone: BFE: FFE: ne#: City: M i State: I Zip: 150 Tenant/Lessee Name: Phone#: Email CONTRACTOR: Company Name: ��j pla*�C Phone#: (7j6) 2 1-3;V,6 Address: / ? 3�o Y; 76f' City: i Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: _State: - Zip: 33030 Phone#: Certificate of Competency #: ne#: Address: City: State: Zip: Value of Work for this Permit: $ zoo Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace 1 ❑ Demolition RDescription of Work: e ` lv V K G GA- rl4-c►GVI, Specify color of color thru the: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Permit Fee $ l0&4 CCF $ Radon Fee $ Training/Education Fee $ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ 6 0, 20 Bonding Company's Name (if applicable) _ Bonding Company's Address City State Mortgage Lender's Name (if applicable) _ Mortgage Lender's Address City State E 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." 4. 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 approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this /0 day of 20 by Ce i►-i5holn �OinS t� who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign Prin Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of A1, Q" 20 11 by 06f �I c�OJ 1r'0y4t, who is personally known to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: as Seal: STATE • _"mow Seal: OF FLORIDA �At'�Y'y'� � SA=P�,blicUkdt.. ISSA �,AVCOmn*E190FF�933T A- r MY C195194 ExplFas g�/xp18 P, EXPI, 2019 —fN Bonded derwdten APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)