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PL-02-20-343, 1298 NE 95th StMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1298 NE 95TH ST, Miami Shores, FL 33138 Contacts Parcel Number 1132060144030 Yuri Morales Owner PSG PLUMBING SERVICES, INC Contractor 302 Ne 92 st, Miami, FL 33138 PEDRO GUZMAN Business: 3057903849 yurimorales@gmail.com 3892 NW 125 ST, OPA-LOCKA, FL 33054 Mobile: 3057903849 Business: 3057967304 yaniazamora@yahoo.com Inspection Requests Description: GAS WORK Valuation: $ 3,250.00� yam, 1G ."My 2 Total Sq Feet: 4,888.00 Fees Amount Application Fee - Other $50.00 CCF $2.40 Change of Contractor $145.00 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.84 Total: $258.04 Building Department Copy Payments Date Paid Amt Paid Total Fees $258.04 Credit Card 02/13/2020 $50.00 Credit Card 03/09/2020 $63.04 Credit Card 09/27/2022 $145.00 Amount Due: $0.00 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. C)JVN S FFIDA T: I certi t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regula c nstruc on and z ing. F thermore, I authorize the above named contractor to do the work stated. r ( &a/ -1) a /0 z� zoZ2 Authoriz ignature: Own r / Applicant / Contractor ! Agent Date September 27, 2022 Page 2 of 2 F TE�D Miami Shores Village Building Department,c .� 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Faac (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-49" FBC 20 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. E/- d 2 --26 -343 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ® REVISION ® EXTENSION ®RENEWAL eUMBING ❑ MECHANICAL EjYCHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS 2 Al c- q5 JOB ADDRESS: .S City.- Miami ShMes County: Miami Dude Zixr: 3 3 % IFofio/Paroel6: Is the Building Historically Designated: Yes NO Ooarpancy Type: S Afa ad: Construction Type: Flood Zone: BFE: FFFE: OWNER: Name (Fee Simple Titleholder): YVai A©2 tQ/� a t_ GS Phone#: -305— 7 l 3 O 7 Address: TO-3 /V C D S 7— City A4 (4 A ( State: L— Tip: %3 Tenant/Lessee Name: Phone#: Email: // CONTRACTOR: Company Name: L P` b y rvi I W &t V 1 C v— d c: e Phone#: !k S- lt�e 1.r?o ,-c Address: 1V t,v (-2 Email:c- )Vame:� State Certification or Registration Certificate of Competency #: DESIGNER: Architect/Engineer. Phone#: Address: City: State: Zip: VAw of Work for this Permit $ SquareJ uww Footage of Worn: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition DeKdption of Work: Specify color of color thru MO. - Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scmmiqg Fee $ DCA Fee $ DOM $ Notes $ Technology Fee $ Training/Educatmi Fee $ Double Fee $ St n r t 1 al Reviews $ P&Z Review $ Bond $ TOTAL FEE NOW DUE $ } Bonding Company's Name (if applicable) _ 8arrdfg Company°s Address city state Mortgage lender's Name (it applicable) — Mortgage Lender's Address city State .Tip 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 801tERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.... OWNff eS 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 low 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 apRroved a9d a reinspection fee will be charged. OWNER or The foregoing instrument was acknowledged before me this day of20 ZZ , by "'l W � (Vkp raJ-e---5 , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: V CV Seal: vr4ienneY80 J��'pY PUB �4 Comm.-0 222410 • - Expires: Jan. 31, 2026 Notary public • State of Florida ,2� APPROVED BY as Signature CONTRACTOR The foregoing instrument was acknowledged before me this 6 day of A U c .. . 20 Z ' , by P&(. 0 S (n "tom , who is personally known to me or who has produced ';:" be- as identification and who did take an oath. NOTARY PUBLIC: Print. Seal. LAZA L CRUZ DIAi 4g;Notary ublic-State of Floric 'c =Commission N HH 196341 M Commission Expires November P 08, 2025 Plans Examiner Zoning after' g2022) Structural Review Clerk Permit Number: PL-02-20-343 SEP 2 0 2022 Owner's Name (Fee Simple Title Holder): Yuri Morales Owner's Address: 302 NE 92 Street City: Miami Shores State : FL Job Address (where work is being done): 1298 NE 95 Street . City: Miami Shores State: —Florida Contractor's Company Name: A&C Portela Plumbing INC Address: 2655 SW 33 Ave City: Miami Qualifier's Name : David Portela Architect/ Engineer of Record Name: Address: City: State: Describe Work: GAS New Construction State: FL >sY: j Phone: 305-790-3849 Zip Code: 33138 Zip Code: 33138 Phone : 786-953-4533 Zip Code: 33133 Lic. Number: Phone: Zip Code: I hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores Signature _ wner / Agen The foregoing ins ument was of all legal involvement. knowledged before me this day of —'-e' " ,2022, by Ur I Who is personally known to me or who has produced Signature _ Contractor / Architect / Engineer The foregoing instrument was aknowledged before me this 22ndday of February ,20 22, by David Portela Who i persona y known o me or who has produced as indentification. as indentification. Notary Public: Notary Public:Yheylin on ro Ig m Expires 09/26/2025 Sign and Seal: �� '— Vi �/ ent�t. �`' Sign and Seal , rv,e,neYao ang 110dy o Form j_.: :-_ �s�..�r� Expires: Jan. 31, 2026 %.;tb' f' Notary Public - State of Florida :s o.• YHE (LING Y. MONTERO DELGADO Page 2 of 2 MY COMMISSION # HH 134786 EXPIRES: September 26, 2025 Bonded Tlttu Notary Public Underwriters Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 1298 NE 95TH ST, Miami Shores, FL 33138 1132060144030 :ontacts YURI MORALES Owner A&C PORTELA PLUMBING INC Contractor 302 NE 92ND ST, Miami Shores, FL 33138 DAVID PORTELA Home: 3057903849 yurimorales@gmail.com 2655 SW 33 RD, MIAMI, FL 33133 Business: 7865474611 Description: GAS WORK Valuation: $ 3,250.00 Ins eection Requests: Total Sq Feet: 4,888.00 ; Fees Amount Application Fee - Other $50.00 CCF $2.40 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.84 Total: $113.04 Payments Date Paid Amt Paid Total Fees $113.04 Credit Card 02/13/2020 $50.00 Credit Card 03/09/2020 $63.04 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 AIDAVIT; I certify t t all he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating jpo tructio and zonin Futhe ore, I authorize the above named contractor to do the work stated. Authorized ature: Owner 1 / Applicant / Contractor / Agent Date March 09, 2020 Page 2 of 2 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: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and toning. "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 t;`te 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 *`'' Signature OWNER or AGENT CONTRACTOR The foregoing instrum nt was acknowledged before me this The foregoing instrument was acknowledged before me this r,«�,� who is personally known to D`uT-D- 0T2JT-- i_i' who is personally known to me or who has produced as me or who has producedas identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: Print: NOTA P LIC: Sign: Print: � Seal: "!?F . SINDIA ALVAREZ Seal: MY COMMISSION # GG 238273 •�%? c.. SINDIA ALVAREZ a EXPIRES: September 3, 2022 �? MY COMMISSION # GG 238273 Bonded Thru Notary Public Underwriters ;•A r EXPIRES: September 3, 2022 ************* *****************x 4w;** tlIP!<dtk IWmaAPPROVED BY% C Plans Examiner Zoning Structural Review Clerk (Revised02;24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 RECEIVED FE 1 -3 2 0 BY: INSPECTION LINE PHONE NUMBER: (305) 762-4949 G7-4 FBC 20 ) -� BUILDING Master Permit No.l, - Vim - j1 ! ISzj PERMIT APPLICATION Sub Permit Nd` �- �� " 20 - 1ya ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL []PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP J G } CONTRACTOR DRAWINGS JOB ADDRESS: I Z N V l / 5-f- 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: 1 OWNER: Name (Fee Simple Titleholder): � (9 tz ! JV L ox of �3 � Phone#: 510 JF4 Address: 3 02 AI C— 92 SE City: A t M / -5'(-kD t0 State: L Zip: 3�l-3 Tenant/Lessee Name: Email w ,4 rc - hone#: I V CONTRACTOR: Company Name: f� G �b�l� n� I�� Phone#: Address: 13 41w- City: Mid^ State: Zip: Qualifier Name: -k Gk tJ 6 hone#: State Certification or Registration #: G )`C �Z g� L Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 3 r 15 - `F� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ElNew ❑ Repair/Replace ❑ Demolition Description of Work: &A4 piaVV- Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ ' " Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ - CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ y . ��