PL-16-2938Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Parcel Number
Permit NO. PL-10-16-2938
Permit Type: Plumbing -Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date:11/21/2€116 1 Expiration: 05/20/2017
Applicant
94 NE 93 Street 1132060130150
CHARLES WALTER MARIA PAU
Miami Shores, FL 33138- Block: Lot:
Owner Information
Address
CHARLES WALTER MARIA PAULA 838 SALZEDO Street
- - CORAL GABLES FL 33134-
838 SALZEDO Street
CORAL GABLES FL 33134-
Contractor(s) Phone Cell Phone
MPS OF MIAMI INC (305)627-0199 (786)256-4690
Type of Work: PLUMBING WORK FOR NEW ADDITIONS PER
Type of Piping:
Additional Info:
Bond Return
Classification: Residential Scanning: 1
Fees Due
Amount
CCF
$6.60
DBPR Fee
$5.63
DCA Fee
$5.63
Education Surcharge
$2.20
Permit Fee
$375.00
Scanning Fee
$3.00
Technology Fee
$8.80
Total:
$406.86
Phone
Cell
Valuation: $ 11,000.00
Total Sq Feet: 1200
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-10-16-61818
11/21/2016 Credit Card $ 406.86 $ 0.00
Avauame,
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.
OWNERS 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. Futhermore, I a4thorize rre above -named contractor to do the work stated.
�✓ November 21, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
ovember 21, 201
Miami Shores Village RECEIVED
Building Department OCT 28 2a
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 6:f
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 201`ts-�'A
BUILDING
Master Permit No.� —�23
PERMIT APPLICATION
Sub Permit No.
BUILDING ❑ ELECTRIC
❑ ROOFING REVISION ❑ EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL
❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 94 NE 93 Street
City: Miami Shores
County: Miami Dade Zip:
Folio/Parcel#:11-3206-013-0150
Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Charles Walter Phone#: 347-281-0407
Address:94 NE 93 Street
City. Miami Shores
State: FL Zip: 33138
Tenant/Lessee Name:
Phone#:
Email:
CONTRACTOR: Company Name: M ? S c f Mtan;+ I.-% Phone#: 30'`5 r'a GJ CJcJ
Address: YS0/ ry 62a wA✓
City: State: FL Zip: 3 3c-12
Qualifier Name: tAa,4 &k NAa►ssae%e* Phone#:
State Certification or Registration #: GI_G.ILl2lg'100 Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $nvc� GO Square/Linear Footage of Work:
Type of Work: �0 Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: & ma (wa� &92-- azcw hop, 17(3&) ft wf -- " 1�I�fs
W�2y
Specify color of color, thru't►le
Submittal Fee $ { � Permit Fee' $. .?�� CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $
Structural Reviews $
Training/Education Fee $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ E4 M. � ,
(Revised02/24/2014)
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
inspection will not be approved and a reinspection fee will be charged.
Signature ALA
OWNER or AGENT
The foregoing instrument was acknowledged before me this
30 day of , Ur1-e- 20 1 U by
C1r► v Iles Wdl-ex who is personally known to
me or wh Kas produc DL as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: :q
f:
****************
APPROVED BY
(Revised02/24/2014)
1: i
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 20 1(,&by
MO!Ak&1 N1a►4-sar.•GJr who is personally known to
me or who has produced DL nr1 as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:"r
Print:
e.Y;tsv- Commission #FF942fi11 Seal:?°�
" Expires: December 9, 2019
oPa Bonded thru Aaron Notary
Plans Examiner
Structural Review
Suyapa I Vasquez
Commission # FF942611
Expires: December 9 2019
Bonded thru Aaron Notary
Zoning
Clerk