PL-18-92 (2)�`gKORES Iy!
F�ORtDA
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. PL-1-18-92
Permit Type: Plumbing - Residential
Pen " Work Classification: Addition/Alteration
Permit Status: APPROVED
Parcel Number
Issue Date:1123/2018 1 Expiration: 07/22/2018
Applicant
9701 NE 4 Avenue 1132060170240
BRIDGE INVESTMENTS II LLC
Miami Shores, FL 33138-2481 Block: Lot:
Phone
BRIDGE INVESTMENTS II LLC 9701 NE 4 Avenue (786)333-9096
MIAMI SHORES FL 33154-
9701 NE 4 Avenue
MIAMI SHORES FL 33154-
Contractor(s) Phone Cell Phone
LONCUS PLUMBING CONTRACTORS (305)218-1004
Type of Work: BATHROOM REMODELING
Type of Piping:
Additional Info: BATHROOM REMODELING
Bond Return :
Classification: Residential Scanning: 1
Fees Due
Amount
CCF
$2.40
DBPR Fee
$4.50
DCA Fee
$3.00
Education Surcharge
$0.80
Notary Fee
$5.00
Penalty Fee
$100.00
Permit Fee
$300.00
Scanning Fee
$3.00
Technology Fee
$3.20
Work without Permit Fee
$300.00
Total:
$721.90
Valuation: $ 3,500.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-1-18-66111
01/23/2018 Check* 1086 $ 671.90 $ 50.00
01/11/2018 Credit Card $ 50.00 $ 0.00
Avanaoie inspections:
Inspection Type:
Top Out
Final
Review Plumbing
Underground
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.
OWNEM AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construcfibn and zoning` Futhlprmore, I authorize the above -named contractor to do the work stated.
January 23, 2018
Authorized SighaturV-'OWner / Applicant / C ntractor ' / Agent Lime
Building Department Copy
January 23, 2018 1
BUILDING
PERMIT APPLICATION
IVlldl I II Jl IUl CJ V IIId8C
RECEIVED
Building Department JAN 11 2018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 nJ
Tel: (305) 795-2204 Fax: (305) 756-8972 X_i�►�IJ
INSPECTION LINE PHONE NUMBER: (305) 762-4949 56
FBC 2014
Master Permit No. __�_C • (ol _- 1 6- 69
Sub Permit No. PI V 2
❑BUILDING ELECTRIC
❑ ROOFING
❑ REVISION ❑ EXTENSION
❑RENEWAL
MBING ❑ MECHANICAL
❑PUBLIC WORKS
❑ CHANGE OF ❑ CANCELLATION
❑ SHOP
CONTRACTOR
DRAWINGS
JOB ADDRESS: -I� CAI �b1
hQ.
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):-
�x � 1 kSt �N t S 'Nr L1 G p
, %� Phone#: � 357 'S3 1Z
Tenant/Lessee Name: /Ta Phone#:
Email: _A CDO&y l C Gfq,,Qf i. • CDbA —T
CONTRACTOR: Company Name: /Clolols �1�3i�� Phone#: .>
Address: zv
City: / State: Zip: 3/SC
� r �
Qualifier Name: z -�!/7 Phone#:
State Certification or Registration #: /f�3 �� G Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address:
City: State: Zip:
Value of Work for this Permit: $ .o _ Square/Linear Footage f Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New epair/Replace
Description of Work:
❑ Demolition
Specify color of color thru tile: //��
Submittal Fee $ Permit Fee $ '3o 10 �— `CCF $ CO/CC $
Scanning Fee $ Radon Fee $ _2>:' CA DBPR $ Notary $
Technology Fee $
Structural Reviews $
Training/Education Fee $
Double Fee $`
Bond $
TOTAL FEE NOW DUE SG ( - --r 0
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
Zi
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 approved and a reinspection fee will be charged.
Signature
O ER or AGENT
The foregoing instrument --�was acknowledged before me this
1 day of n� o n 20 i , by
i.X l C C f 9d? Q0 is ersonally known to
me or who has produced -�` l as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: =*c :*3
MY COMMISSION # GO 044602
a
Bonded Thru Notary Public Underwriters
Seal:
Signatu
�J
The foregoing instrument wa acknowledged before me this
day of e c m D e r 20 1 "1 , by
ReAA-1> e r-6) L�e I � U who is personally known to
1
me or who has produced
identification and who did take an oath.
NOTARY
101
as
; `•'�Y°`J�, ARIEL GONZALEZ
MY COMMISSION # GG028796
*t`ICA&W8Q16*M*M i`i`1518 11*********
APPROVED BY lei, Plans Examiner Zoning
Structural Review Clerk