PL-01-19-31, 716 NE 92nd St 2MMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
716 NE 92ND ST 2M, Miami Shores, FL 33138 1132060440520
Contacts
EDUARDO ARAOZ Owner RT PLUMBING, INC Contractor
1026 NE LITTLE RIVER DR, EL PORTAL, FL 33138 ROBERTO CARLOS TOTH
20200 NW 2 AVE 402, MIAMI GARDENS, FL 33169
Business: 3053357812
Description. REMOVE AND REPLACE PLUMBING FIXTURES Valuation: $ 200.00 Inspection Requests:
KITCHEN AND BATHROOM [36`"949
REPLACED PL18-1674 Total Scl Feet: 0.00 E, 3
Fees
Amount
Payments
Date Paid Amt Paid
Application Fee - Other
$50.00
Total Fees
$75.00
Permit Fee
$25.00
Credit Card
02/06/2019 $75.00
Total:
$75.00
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 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 authorize the above named contractor to do the work stated.
/ Contractor / Agent Date
February 06, 2019 Page 2 of 2
E DIVE D
Miami Shores Village JAN 07 2019
Building Department Ci� Q�'"
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 /^ 1
INSPECTION LINE PHONE NUMBER: (305) 762-4949 (�—Cn-{11'
*,FBC 20 G
BUILDING Master Permit No. aC' '"'"F-)0
PERMIT APPLICATION
Sub Permit No. 2 r I" " `� 1
❑[BUILDING ❑ ELECTRIC
❑ ROOFING
❑ REVISION ❑ EXTENSION
❑RENEWAL
I�(IPLUMBING ❑ MECHANICAL
❑PUBLIC WORKS
❑ CHANGE OF ❑ CANCELLATION
❑ SHOP
CONTRACTOR
DRAWINGS
( n,
JOB ADDRESS: _4I O ' E
(j q
Z
j�
I OJT
City: Miami Shores
County: &
Miami Dade Zip:
„3,310
` 1
Folio/Parcel#:_1_I )6?04yO5 Zy
Is the Building Historically Designated: Yes
NO
Occupancy Type: Load:
Construction Type:
Flood Zone: BFE:
FFE:
OWNER: Name (Fee Simple Titleholder):
�I�IJL.tr'i
Ql �2 Phone#:
City: 6�C%�'f �,( Stater J
Zip:,
r
Tenant/Lessee Name: y� Phone#:
Email:
CONTRACTOR: Company Name: er, ` IV` 1 16 Phone#:
Address:
City:131,1
Qualifier
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State
Value of Work for this Permit: $ 2 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration _ ❑ New ❑ Repair/Replace
Description of Work:
Specify color of color thru the:
Submittal Fee
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF
DBPR $
M
❑ Demolition
CO/CC $
Notary $
Double Fee $ _
Bond $
TOTAL FEE NOW DUE $ "
(Revised02/24/2014)
Bonding Company's Name (if applicable)
A
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 charaed.
Signature e,
OWNER or AGENT
The foregoing instrument was acknowledged before come this
day of a/iUaf�j 20 —/ by
T"(C G -`l fC(Q Z who is 6nally kno to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign. /� 1 .' �-�
Print: �W cr, `u-Y-7,y[J
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
,A day of � r?(,� �' 20 ��, by
wh is sonally kno o
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: 1
Print: -- BLC OC C, /L((,i/-, ! d
Seal: Seal: `,,o%%1111 �4�
Blanca L. MorenoP' ¢�Blanca L. M eno
or
Commi =f: Commission GG129380
AU ssion
tilQ 201i�A!Yt*** ********************
Bonded thru Aaron Notary on ed thru Aaron Notary
APPROVED BY �Ians Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Parcel Number Applicant
716 NE 92 Street Number: 2-M 1132060440520
EDUARDO ARAOZ
Miami Shores, FL Block: Lot:
M.
EDUARDO ARAOZ
Address
1026 NE LITTLE RIVER Driveway
EL PORTAL FL 33138-
1026 NE LITTLE RIVER Driveway
EL PORTAL FL 33138-
Contractor(s) Phone Cell Phone
RT PLUMBING, INC (305)335-7812
Type of Work: REMOVE AND REPLACE PLUMBING FIXTURE
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential Scanning: 1
Fees Due
Amount
CCF
$0.60
DBPR Fee
$2.25
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$150.00
Scanning Fee
$3.00
Technology Fee
$0.80
Total:
$158.85
Phone
Valuation: $ 200.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-6-18-67971
07/05/2018 Credit Card $ 108.85 $ 50.00
06/19/2018 Credit Card $ 50.00 $ 0.00
Available 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.
OWNERS Af�IDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructiorf arld :r6na. Futhermore. I authorize the above -named contractor to Zia the work stated.
July 05, 2018
Autho-zed Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
July 05, 2018 1
D4v < <
Miami Shores Village
RECEIVED
Building Department
JUN 19 1018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
3
BUILDING
Master Permit No.
l 1
PERMIT APPLICATION
Sub Permit No.
❑BUILDING ❑ ELECTRIC
❑ ROOFING ❑ REVISION ❑ EXTENSION
❑RENEWAL
UMBING ❑ MECHANICAL
X
❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION
❑ SHOP
CONTRACTOR
DRAWINGS
((,,�� AA'��
�VJ
�(,.
� � 4
JOB ADDRESS: IV
,.
City: Miami Shores
County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes
NO
Occupancy Type: Load:
Construction Type:Zone: BFE:
FFE:
OWNER: Name (Fee Simple Titleholder):
_Q,/ /1Flood
�yQl ck_) 1 It t�O� Phone#:
Address: 0 KE l
r-
City:�?Ck'E0J
State: I Zip:
Tenant/Lessee Name:
Phone#:
Email:
CONTRACTOR: Company Nam��eyy ��--�� Phone#:
Address: Q da� ,,I�JIiIJ OQ 0'L-
City: ff to i�(4,6(C (iEA)J ^State: Zip:
Qualifier Name: (�-C%�� 1-0 1 �') Phone#:
State Certification or Registration #: 0-IF0-M1 4 99 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: � City: State:
j�
Value of Work for this Permit: $ 2 \JAJ Square/Linear Footage of Work:
Type of Work: ❑ Addition
Description of Work:
❑ Alteration ❑ New ❑ Repair/Replace
Zip:
❑ Demolition
Specify color of color thru tile:
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 $
(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
OWNE r AGENT
The foregoing instrument was acknowledged before me this
�_ day of —41—" _ 20 P_, by
d)ardo Ar-0OZ , who is �onao
me or who has produced
Signature
CONTRACTOR
The foregoing instrument was acknowledged before a this
�i day of �� 120 by
f10 ��1 who is ersonall know
as me or who has produced
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: �— Sign:
—4���,
Print: �tCc�l(ciJ Print: V—uncra
Seal: Blanca l .Moreno
Seal: �??`�u� Blanca L. Moreno
Commission # GG129380 _ ? Commission # GG12938C)
Expires: July 36. 2021 =" "`' Expires: July 30. on),
as
APPROVED BYk9w�Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
6c4d-a'o �-" ) +'I '3 &:
Datea[�!�!-[ t
State of �6u� & 0
County of \&CP6\- 06—e
Before me this day personally appeared V I f who, being duly sworn,
deposes and says:
That he or she will the only person working on the project located at:
Contractors Signature
Sworn to (or affirmed) and subscribed before me this day of . 20 i , by
y nown
or produced identification
Type of identification produced
Blanca L. Moreno
Commission # GG129380
Expires. July 30, 2021
'I._ n--LA tnti, Aaron Notary
Print, -Type or Stamp Karne of
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature: ��4�& � -,)
Owner
State of Florida a
County of Miami -Dade [ /�
The foregoing was acknowledge before me this V.J day of , 20
By OP�_ who is rson n e or has produced
as identification.
Notary:_
YP�/'N,; Blanca L. Moreno
SEAL: Commission # GG129380
_ Expires: July 30.2021
Miami Shores Village r------_ -
Building Department DEC 12 2016
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 -
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20I`��� �
BUILDING Master Permit No.. C— l fo Z7
PERMIT APPLICATION Sub Permit No.'Fl,f (10 —3:3 15 1
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
;-PLUMBING 7 MECHANICAL PUBLIC WORKS [:]CHANGE OF CANCELLATION SHOP
11 11 CONTRACTOR DRAWINGS
�j
JOB ADDRESS: ` [ k IV kQ S1 UVw+ Z I v►
City: Miami Shores County: Miami Dade Zip: >3I30
Folio/Parcel#: 252-0 � — ® — 0 S 2-0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: pp�� FFE: 1^�
OWNER: Name
pp(Fee
,`Simple TitlP
r):-qJA O Phone (% � —1 JSO
Address: r7 RO 'V � 9 �� �—M
City: A,5
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name:
Address: 2-139IS�o C
City:
Qualifier Name:
State:
Phone#:
3 1'38
L Phone#. 30 V 331 ` s
.� � _State: \ Zip: - 3 33 z
I11A Phone#:
State Certification or Registration #: Q5:01 t� �� Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Z ('®, tT0 Square/Linear Foot of Work:
Type of Work: ❑ Addition "0��111 Alteration p ❑ Ney( Repair/Re�alace ❑ Dem ition
A _ _ 1 � A I 1 1 w�
Description of Work:
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ / CCF $ -�6 CO/CC $
Scanning Fee $ Radon Fee $ oZ' DBPR $ c� Notary $
Technology Fee $ rrV Training/Education Fee $ C-5 • Z0 Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(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
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 approvepl"gnd a rei4pection fee will be charged.
Signature
JAER NT
The foregoing instru ent w(as acknowledged before me this
d1ay-of �`'J✓ 20 by
who i rsonally known
me or who has produced as
identification and
NOTARY PUBLI
Sign:
Print:
Seal: `
APPROVED BY
(Revised02/24/2014)
ANcia Made Ortiz
NOTARY PUBLIC
STATE OF FLORIDA
CMWO Ff M42
Signature
I
CONTRACTOR
The foregoing instrument was acknowledged before me this
\-' day of �Y , 20 / V by
VA who personally known
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:aL,�Jfiam`--'
f
Print: 1 V-04—
Seal: !h-
Ar a� CARY RIVERON
*� ���`��O# MY COMMISSION t FF 924852
EXPIRES: October 6, 2019
BondedThruBudgetNo"SWkN
0
Plans Examiner
Structural Review
Zoning
Clerk