PL-19-1757 (2)Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
IP L�p Is 1-fln
Issue Date: 07/31/2019
Location Address Parcel Number
10618 NE 11TH CT, Miami Shores, FL 33138 1122320280420
Contacts
Permit NO.: PL-07-19-1757
Permit Type: Plumbing - Residential
Work Classification: Alteration
Permit Status: Approved
Expiration: 01/27/2020
ARTURO RODRIGUEZ Owner APA PLUMBING CORP Contractor
10618 NE 11 CT, MIAMI SHORES, FL 33138 LUIS ALBERTO GARCIA
Other: 3058770897 7075 SW 46 ST, MIAMI , FL 33155
Business:3059924614 apaplumbingcorp@bellsouth.net
Description: BATHROOM REMODELING, COVERT TUB TO Valuation: $ 2,900.00 Requests:
inspection 305-4949
SHOWER, REMOVE & INSTALL SINK AND TOILET, KITCHEN
SINK, DISPOSAL, DISHWASHER AND ICEMAKER BOX. Total Sq Feet: 425.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee
$51.50
Scanning Fee
$3.00
Technology Fee
$2.54
Total:
$113.44
Payments
Date Paid Amt Paid
Total Fees
$113.44
Credit Card
07/31/2019 $63.44
Credit Card
07/30/2019 $50.00
Amount Due:
$0.00
Applicant Copy
For Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/.
Requests must be received by 3pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that maybe found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,
public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES.
July 31,
Page 1 of 2
Miami Shores Village C I ED
Building Department JUL o 019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
BUILDING Master Permit No.-6C
PERMIT APPLICATION Sub Permit No. T — 01-19-19S1
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
"LUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
llP'' CONTRACTOR DRAWINGS
JOB ADDRESS: O �C' a ""~ J CS . � I O
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): � a 0 �-Q A Itl�iy2Phone#: .30,E - 5:g 2---2y Y Y
Address: If)( c(A? N� l/C'f
City: M ( &'yi I �l� f'P State: Zip:
Tenant/Lessee Name: Phone#:
Email
CONTRACTOR: Company Name: t `' �l �V �Q attn Phone#: �M-1 /
Address:
City: 1A
Qualifier Name:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 0 Square/Linear Footage of Work:
Type of Work: ❑ Addition Alteratio ❑ New ❑ Repair/Replace ❑ Dem,
Description of Work: XMI I
Specify color of colorthhru tile:
Submittal Fee $ SO I V Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
DBPR $
Notary
Double Fee $
Bond $
TOTAL FEE NOW DUE $
ition
110P
M
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
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. 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
insaection will not be aaoroved and a reinsoection fee will be charaed.
Signature i
OWN or AGENT
The foregoing instrument was acknowledged before me this
day of % 20 _ y
t I ly� lZ ��'WDo 7 �1 , who i personally know
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: ' Notary PubliC State of Flonda
My
Print: / 1 ` Commission GG 191084
Me APONPAPP
an
Seal:
as
Signature as"V,141
CO ACTOR
The re ing instrument was acknowledged before me this
day of / 20 L� by
P
WL who' personally kEno(29Vor who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sig YENIS GUIROLA
�- Y c� oFlorida
Pri = » -f SCOm ,
OFF��PMy Comm. Expires Jun 8, 2021
Se ,• Bonded through National Nolary Assn.
#iiii##ii#i##i##iii####ii##i#i###tit####tttt#i##i#i#i##iiii#ii#itttttttititittit####ii#iiiiii#tiittt#t###iti
APPROVED BY9 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)