PL-19-1719Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
M1i�r y
Issue Date:08/23/2019
Parcel Number
1249 NE 97TH ST, Miami Shores, FL 33138 1132050090410
Contacts
Permit No.: PL-0T-1947, 19
Permit Type: Plumbing - Residenti i
Work Classification: Repair
Permit Status: Approved
Expiration: 02/19/2020
Description: 38 GAL ELECTRICAL WATER HEATER REPLACEMENT Valuation: $ 1,411.00 Inspection Requests:
305-762-4949
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.10
Payments
Date Paid Amt Paid
Total Fees
$111.10
Check # 9216
08/23/2019 $61.10
Check # 9173
07/25/2019 $50.00
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, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I ce: that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction a zon" IF thermore, I authorize the above named contractor to do the work stated.
Authorized
/ Applicant / Contractor / Agent
Date
August 23, 2019 Page 2 of 2
1
Miami Shores VillageAJ'
EBuilding Department 2 5�201910050 N.E.2nd Avenue, Miami Shores, Florida 33138��) �
�/ Tel: (305) 795-2204 Fax: (305) 756-8972
' ?�X_ t INSPECTION LINE PHONE NUMBER: (305) 762-4949
l
�I 2U
U I LDI N,G ,'C fy + ` eMaster Permit NoJBC
PERMIT APPLICA 10N,n� �" Sub Permit No.
®'BI11LDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION11
❑RENEWAL
Q PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS-,-,, CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
1249 NE 97TH ST
City: Miami Shores County {. Miami Dade Zip:
Parcel#: Folio 11-3205-009-0410
t,� r �'
/ s Is the,Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: ON. Flood Zone: BFE: FFE:
h
OWNER: Name (Fee Simple Titleholder): ALEX OCHOA Phone#: 949-258-2899
14526 NW 83 PASSAGE I
Address: ,r
City- MIAMI LAKES State: FLORIDA Zip: 33138
Te i i an V/1 Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: FLORIDA DELTA MECHANICAL Phone#:,866-219-0880
Address: 8402 LAUREL FAIR CIRCLE SUITE 111
City: TAMPA State: FLOR!DA33610
Qualifier Name: DIMITRE BOBEV Phone!-: 866-219-0880
State Certification or Registration #: CFC1425917 Certificate of Competency #:
DESIGNER: Architect/Engineer: _ Phone#:
Address: City: _ State: Zip:
Value of Work for this Permit: $ 1411 Square/Linear Footage of Work: _
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑!• Repair/Replace ❑ Demolition
Description of Work: 38 GAL ELEC WATER HEATER REPLACEMENT
r A i.i
Specify col r
Submittal Fee
i k &tom -
'file: iW
z
t ..
Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $
\ Structural Reviews $
Training/Education Fee $
CCF $ CO/CC $`r",,�
DBPR $ Notary $
Double Fee $
Bond $ � 1
TOTAL FEE NOW DUE $ ( V
evised02/24j2014)
't
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lenders Name (if applicable) :
Mortgage Lender's Address c[
City. c ,W�•f0 , n State Zip
c4 tt
Application is hereby made to obta n 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 25
$ 00, 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
or the first inspection which occurs seven 7 days after the.permit'
f f p f 1 y ft g is issued. In the absence of such posted notice, the
inspection will not be approved and a rei pection fee will be charged. '
r-•
Signature` Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument/was acknowledged before me this
_. �(- day of _ 49 Z- , 20 l `? by
who is personally known to
me or who has produced XL- 1�1 . k D N.� as
identification and who did take an oath.
tOnTARV of im ir.
The foregoing instrument was acknowledged before me this
day of 20 149by
r
1' ho is sonally know to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: `'r /y " V
Print: 5 / i d
Seal: �—
EMILY H. MEDINA
c�=_ MY COMMISSION # GG 227056
EXPIRES: June 11, 2022
oP; Putdic Undem tters
.•• of_ . ru+nd Thru Notary
APPROVED BY <f===� /g Plans Examiner
Structural Review
(Revisf,d02/24/2014)
Zoning
r
Clerk
i