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PL-10-19-2548, 335 NE 101st StMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 335 NE 101ST ST, Miami Shores, FL 33138 1132060135211 Contacts FEDERICO ROJAS AYALA Owner AA MAGIC PLUMBING INC Contractor 335 NE 101 ST, MIAMI SHORES, FL 33138 ALAIN ALFONSO Home: 3054847714 FEDERICO.ROJAS@YAHOO.COM Business: 3059818197 Description: PLUMBING ALTERATIONS FOR KITCHEN LAYOUT Valuation: $ 7,000.00 Ins eection Requests: CHANGES, PLUMBING FOR NEW BATHROOM Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $4.20 DBPR Fee $3.68 DCA Fee $2.45 Education Surcharge $1.40 Permit Fee $195.00 Scanning Fee $3.00 Technology Fee $6.13 Total: $265.86 Payments Date Paid Amt Paid Total Fees $265.86 Credit Card 10/25/2019 $50.00 Credit Card 11/25/2019 $215.86 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 a /work -wil a done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractorJo,i1e w stated. Authorized Signature: Owner / Applicant / Contractor / Date November 25, 2019 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ROOFING ENTERED OCT 25,2019 del FBC 2017 04- L'i Master Permit No. V4) )!b Sub Permit No.�L� I d 19 - PiSzz4 E5 ❑ REVISION ❑ EXTENSION ❑RENEWAL UP'CUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ���� NE yj I SZ' Miami Shores Countv: Miami Dade Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ) i1'�— Phone#: (3C,�� Q-Q'4 Address: 1JA- 10\ S? City: vlw � SnviGtr f State: N L Tenant/Lessee Name: Phone#: Email: VEtLCQICG. QG�ISC )(OGO -07J 1 P: CONTRACTOR: Company Name: Q A $4 Q g, t C AZU N L i NQ Phone#: 30.51 Address: / 1 1 City: Ai ! a ;A t State: F,( Zip: 33 % g 7 Qualifier Name: ALa i m A L F 0 U S® Phone#: 3 0- q5 ! -• 9 1 1 i State Certification or Registration #: C r—C. f 1 t DppQq!� _Certificate of Competency #: DESIGNER: Architect/Engineer: hone#: Address: City: State: Zip: Value of Work for this Permit: $ -:4 C-e I--- Square/Linear Footage of Work: Type of Work: 2' Addition �Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 1?C,UM)NC QL�fGb31C��JS zc32 krtCHf_A.l )-&Yau3- 04Q_I.K,jt5- • Pkt-l-�)!44 bx-C PO) <111 Y, Specify color of color thrudtile: i Submittal Fee $ t-7 q� Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ L (5 (Revised02/24/2014) f 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�ei*r Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which oc rsen days after the building permit is issued. In the_;� such posted notice, the inspection will not be approved nd s con fee will be charged. Signature NER The foregoing instrument fwas acknowledged before me this day of ( (r- 20 �� by 4 who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Commiselon 0 060"300 Expires; April 30, 2021 Bonded thru Aaron Notary Signatu The foregoing instrument was acknowledged before me this I'd day of t P.ti , 20 I "� by lit G who is personally known to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: 5*7--------0 - Print: ���VMadA"Miares Seal: =« = Commission # GG099300 Expires: April 30, 2021 Bonded thru Aaron Notary as APPROVED BY � IC z-;,, /"� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)