PL-04-21-1088Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
190 NW 100TH ST, Miami Shores, FL 33150 1131010230330
Contacts
t
BRITTANY RETKOFSKY Owner NAVARRO PLUMBING & MECHANICAL CO Contractor
190 NW 100, MIAMI SHORES, FL 33150 DENEY NAVARRO
Mobile: 2154591002 bjrxl6@comcast.net 7445 SW 153 PL, MIAMI, FL 33193
Business: 3052445832 navarroplumbing@hotmail.com
�......... ...._..._- w-._
Inspection Requests:
Description: REPLACE SINK Valuation: $ 500.00
305-762-4949 ;
t of
Total Sq Feet 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Scanning Fee
$15.00
Technology Fee
$2.50
Total:
$122.30
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$122.30
Credit Card
04/28/2021 $122.30
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.
OWNERS AFFID VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construct op,and zoning„ Futhermore, I authorize the above named contractor to do the work stated.
/ Applicant / Contractor / Agent Date
April 28, 2021 Page 2 of 2
Miami Shores Village R.Fr-❑EI
Building Department A: � „
100S0 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 BY:_
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 2.0
BUILDING Master Permit No.RC Oq- 20- 29 4
PERMIT APPLICATION Sub Permit No.�La -21- 9 o?a
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ti- L' Niata
City: Miami Shores County: Miami Dade Zip:���
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fe,e Simple Titleholder):EV \ a� Phone#:&� �
Address: 9V N
C
City: M,f \� � ) State: , Zip. �--/3�)Sn-(,�
Tenant/Lessee Name: Phone#:
Emaih����� 1�00
CONTRACTOR: Company Name: A A -v"6 N
Address:: 152. �) G AA(1- 6-3 i
City:
Qualifier Name: /i_ P-'- -
State Certification or Registration #:
Phone#:
Zip:
Phone#: !k- 2 5 2 q L1 5a 32
/42 -2 k
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Z 00100 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:,
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
2'
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. I the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature -A*mAK�Signature
NER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
( day of /�1�- 61 120 -1- ( by
L) . �^-� (i e-1 �vES�- who is personally known to
me or who has produced > L , c "z as
identification and
CHRISTIANMUNOZ
NOTARY PUBLIC: " "' �,r'.
?� '��', Notary Public - :date of Florida
Commission N GG 165091
V
/(•': %� ,r- �::` My Comm. Expires Mar 26, 2022
Sign
The foregoing instrument was acknowledged before me this
J� day of ZV7_--, G+ 120 Z ( by
/1/w: , who is personally known to
me or who has produced P/ 4 ` e ) G if y— as
identification and
NOTARY PUBLIC:
Sign: 1
CHRISTIAN MUNOZ
Notary Public - State of Florida
Commission N GG 165091
NJ.yLComm. Expires Mar 28, 2022
Print: . �'hv l`4� k Print:
Seal Seal:
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)