PL-13-13371
08-01-'13 06:34 FROM-
11* , 0
Miathl-subeds Village
.10050 N,t. 2hd AVOnUo M19MI ShOds, PL
Phone: (365)19&220.4 Fax; (306)784 -8972
T -634 P0001/0003 F-812
Ingpec#0p Nvrbbor, INSP-1,93$04
porib
PL-6-434337
Scheduled InspocilwPoto; .4uly 31,-247.3 'P. orr(fit: TYPO: PIUMM"i'o - Residential 11
IftSPeCtOr, 111az, ftVikift
lits�ec #orl'Type: Final
.Owner: RICO, CONgTANUe
job Addraw 1.70 . st Work dilas*s1ficatidn: Add U116"Itotati6k.1
.1911ami•elf6roo, FL
Ph'06 Nuffibdr
Project; '1:Ndf4P-> Parcel Number
Contr0tor: ).( .
PILUIVID(NOt INC phone: (3.05)107-1976
PLUMBING. FIXTURE$ TO BE REPLACED WITH NEW
ONES, NO CHANCES TO THE LAYOUT OR BATHROOM
REiMQQJEL
Inspector Comments
Passed ff I - Ilu 6
Fa16d
Corroction
Nodided
Re-Inspection
Fee
re4nspectfon tee Ij*p8!101d.
fo' l
N15i
cil. / .0 -7 -1 f -le
July-30,2013 Foe Ins;pbottiono, 0104se Call: (305)762 -4849 Page 8 Of 31
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
JOB ADDRESS: / -- 0' P I e / 6 �7 s''% 4 $j 1 fi
190MR X1
JUN 1. 2 2013
Yoe e_eoeveeevoemoe v o
FBC 20
Permit No.
Master Permit No. "° 1A
// 9/
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): Phone #: 6-6 -7 -7 3 + "
Address: ,r - - t 76 0 A. - r E A, / T
City: 49 14 e State: Zip:
Tenant/Lessee Name: Aj 4 4, Phone #:
Email:
CONTRACTOR: Company Name:
Address: 7 / l 15;7 0 izJ
1w 0
City: Ate% 1 'n , State: r
Qualifier Name: V14-74f 144, ot- '1 / A/
State Certification or Registration #: '- f ®` 4 Z
,,..,...1r.
to of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: s1Az A. Phone #:
�9, 6 e, 7 6/ -7
33/�S_
Value of Work for this Permit: $ ®° Square/Linear Fodtage Of Work: r
Type of Work: UAddress DAlteration ONew tep /Repla�g • Demolitiox}
Description of Work: &-?' q P; ��
-'xj%
a�
Submittal Fee $ Permit Fee $ 5 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond S
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable) la /4
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
/- IA—
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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
Owner r Agent
The foregoing instrument was acknowledged before me_ this /�
day of 20 / , by (:&. �.__ 7e ,
who is ersonally kn to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: .4 t! y,R,60YA S, W-r-off
My Commission
eYP`1Gn Notary Public State of Florida
Lucretia S Payton
My Commission DD89879 ,
APPROVED BY
Plans
Signature ::���
Contractor
The fore ing instrument was acknowledged before me this P-
ms
of -C 20 J 3 , by who ' personally known to me or who has produced F74 i L
%%/3,r %70 V iden0
tification and who did take an oath.
Structural Review
(Revised3 /12/2012XRevised 07 /10 /07XRevised 06 /10 /2009XRevised 3/15/09)
NOTARY PUBLIC:
Sign:
Print:
D-r� /7-
ADS fioDRIMi
Notary Public - State of Florida
Commission s rr �?
11 .w..,� _ Zoning
THE SHOIKES
CONDOMINIUM APARTMENTS
1700 NORTHEAST 105TH STREET ON BISCAYNE BAY • MIAMI SHORES, FLORIDA 33138 • PHONE (305) 893.6741
r
Dare : L/-� / -
To Whom It May Concern.;
r
Permission has been granted to
Unit # for the purpose of , 7/0 TD��_� of
Sincerely:
Treasurer
Board of Directors
i