PL-12-62207-31-'13 06:43 FROM-
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MIAMI* Shores villaws.
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!nspecitpri Number. 1NS.P-'I!59 ;j9
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e: july-jd,'goj'3 PormitTyoD:Plihbind.QRoslOdntiaI Ins 3ctot. Diaz, Osvaldo
Ownor. SFARA,-VERQNIQU§,
.J6b Addros.d-j'o8o NE 105-.St e 'at
-M. —i Sllolres, Pt, "3,138-
ptojgot; --tNOND
InspoOtion Typo: Final
-Work 01'astifleation.t.Addliton/Afteration
PI1Pf16NUMbq(._(
MrWI NUhftO. 1*02Z-9020669
Contractor: PLUMB TECH qRokjO 1NO '3.05)428-0.686
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NEW PLUMBING KITCHEN ANN 4 11-2-BATHROWS M1 D
LAUNDRY ROW AND4 TAMKLE!9S WOW KEAtto
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Fee
No Ad&itfdhgf Inspbotions•can I* schwduidd until
re-iospecOcin fee t9 pMd.
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ICAEATEO.At AMMSPtdTION FbR INSO-1 72164,. pending hrs f1frial
July 20, 2613 For Inspections pfease call: (166)762-449
Pane 22 of*34
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: ICi P_)C �Je
11
FBC 20 V
Permit No. PLA (ROP,
Master Permit No. 1. —21 4
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple Titleholder): V e"Pl TLIC
NO Flood Zone:
I etfVIV"f� • 1 "
Address: -3 (eL yu
City: M I Atk r State:t L Zip: j fl
Tenant/Lessee Name: Phone #:
Email:
CONTRACTOR: Company Name: ylu M b 4ec44 (�Tu p con Phone #: y a
Address: i0!j:f2 B w �79 Si
City:
Qualifier Name:
It/
::EL-, Zip: 3 as -33F k -)ZY
State Certification or Registration #: CE C 14.2 22.1 7= Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ j U�(% P Square/Linear Footage of Work:
3Vy- K24U
Type of Work: OAddress OAlteration @New ❑Repair/Replace ODemolition
Description of Work:
I �'e) ,7 %/ c.2 , ? yt '
v, 6 T cA-i 1[x'01 Ar4o Lt v2 55eTH
ILLY -�%
Submittal Fee $ %4&ja Permit Fee $ Sxl 0. -:-,�—CCF $ CO /CC $
Scanning Fee $
Radon Fee $
DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 5.
Bonding Company's Name (if
Bonding Company's Address _
City
Mortgage Lender's Name (if
Mortgage Lender's Address
City
State zip
State
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 commenceme ust be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In a ab enc of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature / Signature
t
Owner or Agent C ntractor
The foregoing instrument was acknowledged before me this
day of ®°1, 20 _a, by j P�ir" a (.5�YGtA bG ,
who is personally known to me or who has produced FDL
5*0- 913-5S- 5-06 -OAs
The foregoing insfinent was acknowledged before me this
day of 0 q D 1 20 dZ , by & (►1'(1 �cdtJ�(( w,
who is personally known to me or who has produced EL&
1 341 7U 5� r,,ja-7as identification and who did take an oath.
NOTARY PUBLICS °r'k Notary Public State of Florida NO TAR PUB ' ;,, �v- - - - _ — ° "'
o Clarissa Egana ry Public State of Florida
My Commission D13840681 Clarissa Egana
gyp ° Expires 11118!2013 v My Commission DDS40681
Sign: Sign:. o Expires 11/16/2013
Print: S _ �� Print: 1 Y S +--r A-j-,1 A
My Commission Expires: `,-Wl (� r LU) 3 My Cou mission Expi> . l l 1 LO/7 } [ 3-
APPROVED BY Plans Examiner Zoning
I I f
Structural Review
(Revised3 /12/2012)(Revised 07 /10 /07XRevised 06 /10 /2009)(Revised 3/15/09)
Clerk
Miami Shores Village
Building Department
90050 N.E.2nd Avenue, Miami Shores, Florida 33138 FEB 19 204
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20 UP
BUILDING Permit No.-
PERMIT APPLICATION Master Permit No.yct i zR i �i �—
Permit Type: PLUMBING
JOB ADDRESS:
I,nC, µ'
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple
Tenant/Lessee
Email: V.
CONTRACTOR: Company Name: PLOW, I,, ��? �' \ Phone#:
Address: 4- 10 � 5 � Zt
City: KkavvL• -,
Qualifier Name:
State Certification or Registration #: v v Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer:
Val e o irk for "Permit: $_
Tyi* 0AWP k, g53Addvew
Deq�r O.
L.. 9 V
ONew
Submittal Fee $liC✓ Permit Fee $ :2K CCF $ CO /CC $
Scanning Fee $ e Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ +
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
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 Signature
Owner or Agent a Contractor
1
The foregoin mstrument was ac\knnoowledged before me this The fore o' nstru ent was acknowl ed before / this
day of , 2d �, by V r7�N - 5 � day of �� S , 20 f- , by
-ak e J�
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
�,�` °� P�• . Side'',
m :
.A S%p
Joss...... �,;
.. • P
f LOF���.o�`°
Plans Examiner
Structural Review
(Revised3 /12/2012)(Revisgd 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
NOTA)
s
Sign:
Print:
my Celm
did take an oath.
A. CUERO
N EE 103836
Zoning