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PL-18-3127
Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date: Parcel Number 405 NE 99TH ST, Miami Shores, FL 33138 1132060170390 :ontacts Permit iv0.: PL-10-18-3127 Permit Type: Plumbing - Residential Work Classification. Drainfield Permit status: Approve€! Expiration: 04/08/2019 WILLIAM DAVIS Owner MR C'S PLUMBING & SEPTIC INC Contractor 405 NE 99 ST, MIAMI SHORES, FL 331382461 KEMBLE ETTRICK Business: 3056517859 Description: INSTALL DRAINFIELD Valuation: $ 2,250.00 Inspection Requests: 305-7 2-4949 Total Sq Feet: 0.00 -j I Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $117.90 Payments Date Paid Amt Paid Total Fees $117.90 Credit Card 10/10/2018 $50.00 Credit Card 10/17/2018 $67.90 Amount Due: $0.00 Building Department Copy 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, PLUMBMtho ANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all th fo ion is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore t e ove named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date October 17, 2018 Page 2 of 2 r % 'Jo BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N,E,Znd Avenue, Miami Shores, Florida 33138 Tel; (305) 795=7704 Fax; (305) 756=8972 INSPECTION LiNE PHONE NUMBER; (309) 762-4949 MOUILDiNO 8 ELECTRIC ® ROOFING UMPLDMBING M MECHANICAL ®PUBLIC WORKS JOB ADDRESS; 406 N F 99 Street 0 T44 FOC 20 Jam" Master Permit No, 'PUI& ` I Z� Sub Permit No, REVISION M EXTENSION MRFNFWAL ® CHANGE OF CANCELLATION M SHOP CONTRACTOR DRAWINGS City: Miami Shores County! Miami Dade Zip: Folio/Parcel#;11-3209-017-0300 Is the Building Historically Designated; yes NO Occupancy Type; Load; -- Construction Type; ---- ----- Flood Zone; ---- UK; --- ---- _ FFE; OWNER; Name (Fee Simple fitlehoider); William Davis Phone#; 405 NE 99 Street City; Miami Shores Tenant/Lessee Name: NA Email; State; FL Zip! 33188 CONTRACTOR; Company Name; Mr. C's Plumbin0 & Septic Phone#; 305-651-7889 Addre55; 19932 NW 2 Avenue City; Miami FL Qualifier Name; i'temble i=ttrick Phone# State Certification or Registration #; SR981 b80 Certificate of Competency #; - 0016NER; Architect/Fnglneer NA Phone#; �Ip! Address; City; hate; _ value of Work for this Permit; $ 2260 Square/Linear Footage of work; 200 Type of Work; ® Addition 0 Alteration Description of Work; install drainfield Specify color of color thru tile; New Repair/Replace Submittal Fee �b ' Permit Fee CCF $_ scanning Fee Radon F@@ DBPR Technology F@@ Training/i duc@tion Fee Structural R@vi@ws $ — Zip; n Demolition CO/CC $ Not@ry Double Fee Bond $ S`D)O TOTAL F€€ NOW DUE $ (R@YN@d©9/?4/N14) Bonding C-amp"any's Nam@ (i# appli€able) NA Bonding Company's Address Eify State -- — Zip. - - — Mortgage L@nder's Name (if applicable) NA.. -_-- Mortgage Lender's Address city.. _ Mate --- Application is hereby made to obtain a permit to do the work and installations as indicat@d, I c@rtify 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 s@cur@d for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BAILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC. — OWN€R'S AFFIDAVIT; I c@rtify that all the foregoing information is accurate and that all work will be don@ in complianc@ with all applicabl@ laws regulating construction and ?oning, "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWIG FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OSTAIN FINANCING, CONSULT WITH YOUR FENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT" Notice to Applicant,! As o condition to the issuance of a building permit with on estimated value exceeding $2500, the applicant must promise in goad fai€h that a copy of €he notice of commencement and construction lien law brochure will be delivered to the person whose properly is subject to attachment-.. Also, a cer€ifled copy of the recorded notice of commencement must be posted at the Job site for the first inspection which occurs seven (7) doys af€er the building permit is issued, In the absence of such pus€ed notice, the inspection will not be apgagved and a reinspec€ion fee will be chorped, Signature/ - C / :! Signature OWNER or AGENT The foregoing ingtrumftnA was acknowledg@d before me this 5 day of G4�e ----- Z9 . /o _ by %rk�, /%✓�i , who is personally known to me or who has produced P/i vc✓S L, cea I e--__.-- as identification and who did take an oath, NOTARY PUBLIC; CONTRACTOR The foregoing instrument as acknowl@dg@d before me this day of t�� e 20 ��by who is personally known to me or who has produced - _ _ _ — as identification and who did take an oath, NOTARY PUBLIC; Sign: � YAA L Sign; Print r ^ Print; , ��"' •'� DONALD MARTIN @al MY COMMISSION # G0102743 @al' V-'"� a ' ak, EXPIRES May 09, 2021 , APPROVED BY Plans Plans Examiner DONALD MARTIN MY COMMISSION # GG102743 EXPIRES May 09, 2021 Zoning _ Structural R@vi@w (RQyi��ao��z4/7U�4) Clerk SZ4TA Of nQATDA P-Aj?ARpq SYSTEM plF ilgALTH 9QN§TW9TXOXl QSTD-5 Repir A?T4Xc-A-NT, WILLIAM DAVIS 13--SMA -AP-RI.ICA _11 .AP1366671 FEE PAID: RECEIPT Oi-- P&M 6607-4 PAPRNATY APPRA9-4: 406 N ,.F. 99.9t Mimi, FL 33130 AwqK: 8 PAPPFURW xr, 0: T-9Wl9l#P, 44PN/ ?A-Kk� "U�NAI SP Nubm-141 @X@Tgk! '4u§T 94 CQ-N@TW9T9P IN A999BPAMP W.-T-H AND STANDARDP OR Y 69qTiO--N P: 9: T-919 600=5, F,- A, r- < PXPJWTN.WT A-PP-RO-VA—L Opp gy@Tzg ppp@ N9T q__.RMj 94'TX@KA9T-QJRy P PPA ANY' 9PVQ;?-!9 FER-ipp OF TpWl A -t UA_ _ _. TM w- pa-0-twE ;I NATMA�� rmm WHICH 99AYPP AS A @MTP FQj I491VANc-A OF THIS PERMIT, M991,14 THE M'9j4j.0 ,-ANT TQ WpjyT THE gr-AWT _-M9VICATTM IVcH MOPI?19ATTMMAY R-49V&T -]:- TH;q PAW-Pg-XN9 bkD-_L N"AM VONP:;pSVANgA9FTHPEAPITPgpgNqTE&WTTHE APPLICANT FPMgomP&MKCWTIQTHNR F9PFA?LLPKAT9, QR 100A& PEW_TT;Nq QUIRXD FQ�t DEWW��T OF WTg pRQMRT-Yl -SYPT9" PLEST(W -A-lq-D OP4CIFICATIom 941!zas UP a Existing SepticANK TO REMAIN C MAP 1 T Y PALWNP 9pP- F.I(' jANK TO REMAIN WACTTY N 1 0 1 QAXIW-N4 GA94@A INTEiCF,PTpR 19W-A91W [MAXIMUM cA-I?AqXTY ggijipmp TANKjg5q qkL 9 1 PA-LbQ149 1-399I-Ng TANK 9WAC jp-Q.56 PER 24 RM #911m-p@ I I P 1 299 1 491PAM MT NEW DF IN BED CONING gypTAN BED t� N 9XOT.Et Ew A TYPE! @TPTW. LAI mtmP I I 1 TIMM# fAl PEP I I F 49PATTOIJ QF pg"qMmRKl FFE—:,.12-60NQVO X VMVATIgli OF P4999;-SEP §TSTW� M. f WOO 1 Hk QV9 AB 991VT 9 p9mm 9? PAMWN pp 79 419 X13OVE iREF>,AlmE Pc1fNT P FILL 190-jlrlgp; t 0,001 -loc-HF-S E�AVATTON REQUi[m); 1 62001 INCHES T!li§ single I OMily bmiloing alas @ split system with tw )§Op Aig tangy - pr@jpfie-lq $Y§t@m # 2 only will b t= EXISTING two 990 9@1., §@Pfig tank With and 4PP!Pv@d filter TQ REMAIN, rqpjqg@d, T 2. z El)(115TINO 200 V, of draii1fi@10 in.:: BED, wnfoyrOgn at System #!TO REMAIN- 1-� 1*41 No- ff, of ftirtftld- in, SEES w-nfi9umfl9n. M System #2, .4- Install 12-4 of §110fly limited. . on, .1 * the 49ROM of the Orginftid- at $y§teM. 02. LE @I@Y@#Pn MCI 09#Pm of Of2linfigIg to 4@ no Im than §AW 4 5.93! NQVp Mppqtive. (9QfflrQQP% p-4 Pgolinuon Pap 2t) ly, APPEMEP PY: PATE iggUEP; TITLE TX.Tl,N; page CLIP PH 4916f 0@/99 jqb-qgj@t@@ @41 pr@vlgmg @0,iopg w _thic_11 R" TR9Qr—P9E4t0; 649=6401, me - - -1 _- not be 1;q0) v I-1A APPOWi. 14XR-!AATXcW PAT-9. 01102/2019 @Fjjj§Q?2 / -p4qq A of 3 U Co 7w BOUNDARY SURVFY ii5 cs r rr� . �, } J� s� CAD N a� t► ' � � !•• 7�• •••••: ••i• •••.�• �' f�!'�O• /A/I� •a•••• • • • •••••• •••• ••••• �• , • • • •• •• •••• •••••• �+ • ' '� V • • • • ••.••• - ••••• •• . •••••• 11 .. ' � c , Roo 0 I 00 ., '�1 i •wAgo Mk Aft I 6 a= . J i �J J (�C y'VY.,-)Vlufliami Shores Village APPROVED BY DAT ZONING DEPT BLDG DEPT nt.il r;I 10 (;OMIT IANCF WITH ALL FEDERAL y I it 1 5 AND RFGUI Al IONS _ ejj �Ijg RE , 0 T 10 2018