PL-14-424Miami 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
FBC2010
Permit No. c) I 1 Lt °L-1/9
Master Permit No.Q -C., \ 4A 3
JOB ADDRESS: 8705 NE 4th Avenue Road #8705
City: Miami Shores County: Miami Dade zip: 33138
Folio/Parcel #: 11- 3206 - 046 -0680
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): Rafael Feliz Phone #:
Address: 6100 N Bay Road
City: Miami Beach
Tenant/Lessee Name: Patricia A. Hernandez
State: FL
Zip: 33140
Phone #: 305 - 7944927
Email:
CONTRACTOR: Company Name: Quintero General Contractor Corp Phone#: 786487 -5738
Address: 8801 NW 112th Terrace
City: Hialeah Gardens State: FL zip: 33018
Qualifier Name: Bemardo Quintero r !!,, o Phone#: 786-487 -5738
State Certification or Registration #: C/� C 7 /7Gd 94. 3 Certificate of Competency #:
Contact Phone#: 786 -487 -5738 Email Address:
ggcontractor @yahoo.com
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ 5.50. Square/Linear Footage of Work:
Type of Work: ❑Address °Alteration ONew NORepair/Replace °Demolition
Description of Work: Remove and reinstall new kitchen top (granite)
* *** xw******** ** *** * * ** * ** ** * *** * * * * * *F ** *** * ** ** ***** **** *** * *a * * * * *********+ *** **
Submittal Fee $ 5O 'OCR Permit Fee $ % /50. CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ I ( a
4 l
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 subjec attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection h occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be ved and a reel ectio ee will be charged.
Signature
Signature
Owner or Age i Contractor
The foregoing ins ent was acknowledged before me this / The foregoing instrument was acknowledged before me this 6
day of 444— , 20 / y by / &/ /a1)) day of /'L!) , 20 a by /6?
who is personally known to me or who has produced who is rsonally known to rr—Or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
*** * **************** * ********* ****** ***** ************+x** ******* **** x********** *** * * * * * *************ear * ** *axe*
APPROVED BY
/'( Plans Examiner
Structural Review
(Revised3 /12/2012)(Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09)
Zoning
Clerk
•
LICENSE NUMBER
ISSUED: 12/1912013 SEQ # L1312190000363
DISPLAY AS REQUIRED BY LAW
Local Business Tax Receipt
Miami -Dade County, State of Florida
—THIS IS NOT AEU —DO NOT PAY
7165547
BUSINESS NAMER OCATIOdt
QUINTERO GENERAL
CONTRACTOR CORP
8801 NW 112 TERR
HRLEAH GARDENS, FL 33018
RECEIPT NO
NUd 131.1691I S
7443936
LBT
EXPIRES
SEPTEMBER 30, 2014
Must be displayed at place of business
Pursuant to County Code
Orapter8A— Art. 9 &10
OWNER SEC. TYPE OF BUSINESS
AU6dTERO GENERAL CONTRACTOR 198 PLUMBING PAYMENT RECEIVED
BY TAX COLLECTOR
t CORP CONTRACTOR 1INTFRO PPM CONTRACTOR
R rn 45.00 01/24/2014
Water(s) 1 CFC1428973 022214- 002733
TldsLeeal Badness Tax ssesiptonly excites payment the Local Badmen Tax. The Beceiptis seta Roue,
wait ora cet66oatiu of** hldar's quidifealleas, to de badness. Helder mast comply with any governmental
oraeagogeramontal oegnlatery laws and regulremeneaawMkd apply to tb bow.
The RECEIPT NO. above east he Noised on a8 commercial eehlciov. land -Bade Cede gee 8a-2 .
For more idermaden.+dnO
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 214684
Scheduled Inspection Date: June 24, 2014
Inspector: Diaz, Osvaldo
Owner: FELIZ, RAFAEL
Job Address: 8705 NE 4 Avenue Road
Miami Shores, FL
Project <NONE>
Contractor QUINTERO GENERAL CONSTRUCTION
Permit Number: PL- 3- 14-424
Permit Type: Plumbing - Residential
Inspection Type: tr"
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060460680
Phone: (786)487 -5738
Building Department Comments
REMOVE AND REINSTALL NEW KITCHEN TOP GRANITE
Infractio
Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
nspector Comments
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee Is paid.
June 23, 2014
For Inspections please call: (305)762 -4949
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