PL-12-20-2766, 1236 NE 93rd StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
1236 NE 93RD ST, Miami Shores, FL 33138 1132050270180
Contacts
BRIAN & MARILYN WONG Owner THE NEW MIAMI SHORES PLUMBING Contractor
1236 NE 93 ST, MIAMI SHORES, FL 33138 DENNIS MCLAUGHLIN
Other: 3054428884 900 NW 144 ST, MIAMI, FL 33168
Business: 3057512446 mspplumbing@aol.com
Other:7865535424
Inspection Requests:
Description: water service repair Valuation: $ 2,300.00
Total Sq Feet: 0.00��
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
$3.00
Technology Fee
$2.50
Total:
$111.90
Payments
Date Paid Amt Paid
Total Fees
$111.90
Credit Card
12/22/2020 $111.90
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 11 work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANlICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing mation is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore ize a above named contractor to do the work stated.
Authorized Signature: Owner /
December 22, 2020
Agent
Date
Page 2 of 2
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
1236 NE 93RD ST, Miami Shores, FL 33138 1132050270180
Contacts
BRIAN & MARILYN WONG Owner THE NEW MIAMI SHORES PLUMBING Contractor
1236 NE 93 ST, MIAMI SHORES, FL 33138 DENNIS MCLAUGHLIN
Other: 3054428884 900 NW 144 ST, MIAMI, FL 33168
Business: 3057512446 mspplumbing@aol.com
Other:7865535424
Inspection Requests:
Description: water service repair Valuation: $ 2,300.00 �� r
Total Sq Feet: 0.00 y£
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
$3.00
Technology Fee
$2.50
Total:
$111.90
Payments
Date Paid Amt Paid
Total Fees
$111.90
Credit Card
12/22/2020 $111.90
Amount Due:
$0.00
Applicant Copy
For Inspections, Call (305) 762-4949 or Log on at hops://bidg.miamishoresviIlage.com/cap/.
Requests must be received by 3pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that may be found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,
public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES.
December 22, 2020 Page 1 of 2
BUILDING
Miami Shores Village F,-ucEIvF-D
lip
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
Master Permit No. '(f L �2--2o " 2--1(-o(i
PERMIT APPLICATION
Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 12,3,LeNe g3rd a
City: Miami Shores County: Miami Dade Zip: A313V
Folio/Parcel#: 11 205- 07q- 018 0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: I FFE:
OWNER: Name (Fee Simple Titleholder): h)r l Q Phone#: 716- 3q5. 0111
Address:12 l NE, 93 rd St
City: Miami Shores State: FL Zip: 33 13-Y
Tenant/Lessee Name: Phone#:
Email
CONTRACTOR: Company �Name: Miumi 64r6S Nmbi
Address:
th
hone#: 30-751 - 214q o
City: M I G m i State: Zip: Mj (If
Qualifier Name: 1 Phone#:
State Certification or Registration #: (✓t-C di q 2 0 r Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Do
Value of Work for this Permit: $ Square/Linearr Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New LJ Repair/Replace ❑ Demolition
W Description of Work: attr 'Se'r V i Ce I" ;� 1 e1 a 1 r .
Specify color of color thru the:,
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ I O
(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 Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
2 rid , Iday of �C 120 20 by
bf i a n W o o Q , who is personally known to
me or who has produced brims 1 cwu, as
identification and who did take an oath.
NOT,
Sign:
Print
Seal:
********************
�00 "t% Notary Public State of Florida
Dayana Perez
My Commission GG 139415
Expires 08/29/2021
CONTRACTOR
The foregoing instrument was acknowledged before me this
Z day of bet, 20 20 by
M 1Q (I , who is personally known to
me or who has pr uced as
identification and who did take an oath.
NOT
Sign:
Seal:
APPROVED BY � 42 / i r /� Plans Examiner
geY NO Notary Public State of Florida
Dayana Perez
+ My Commission GG 139415
~?oF Expires 08/29/2021
Zoning
Structural Review
(Revised02/24/2014)
Clerk
bennls mr-16001
Miami Shores Plumbing
900 NW 144th Street
Miami FL 33168
License # CFC019205
Ph # 305-751-2446
• ems• • • • • • • •
• • ••• • • • • •••
•• • • •• • • • • •
• • • • •• • • • •
�C�IVE,D
=Perez
State of Floridarez
'LIT1dIr,�'�Tion GG 139415 9/2021
Appl-ove d.
Disapproved A{�
Brian Wong
1236 NE 93rd Street
Miami Shores FL 33138
1" Bail Valve
1" Copper
water
Service
Line
Valve Box & Shut
off Valve '--
Meter No