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PL-15-347 34 Miami Shores Village P@Iff31f Typo Plumbing Residents [ .' 10050 N.E.2nd Avenue Iteration Additi Atn Miami Shores,FL 33138-0000 ROVE Phone: (305)795-2204 �ORtDt" Issue ats.`312015 Expiration: 09122/2015 ... Project Address Parcel Number Applicant 685 GRAND CONCOURSE 1132060172180 Miami Shores, FL 33138- Block: Lot: JAMES HURLEY Owner Information Address Phone Cell _ .� JAMES HURLEY 685 GRAND CONC MIAMI SHORES FL 33138 Contractor(s) Phone Cell Phone �� u � �� Valuation: $ 3,300.00 D&D PLUMBING CORP 305-379-0516 Total Sq Feet: 0 t Type of Work:PLUMBING WORK AS PER PLANS FOR REMO Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Return : Final Classification:Residential Scanning: 1 Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 DBPR Fee Invoice# PL-2-15-54517 $3.38 03/26/2015 Credit Card $241.16 $0.00 DCA Fee $3.38 Education Surcharge $0.80 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $241.16 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 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. Futhermore I authors the above-named contractor to do the work stated. March 26, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy March 26, 2015 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: �l�) Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 (D BUILDING Master Permit Nogc l©-l PERMIT APPLICATION Sub Permit No.ya _ 3� ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [::]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP // --GG /CONTRACTOR DRAWINGS �0 JOB ADDRESS: 0� &Ce- n � k N(3D, ZQ Q� City: Miami Shores County: Miami Dade Zip: 3�r3 2S Folio/Parcel#:� -3zz-f'-- 01—�-' U%0 Is the Building Historically Designated:Yes NO >0 Occupancy Type: Load: Construction Type: Flood Zone:—4JO BFE: FFE: OWNER:Name Fee Simple Titleholder): � +�c'�S (� Phone#: ' Address: C NS an,d5z'5'-"'PS e �j City: � � State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name:- A�N`I�S ��-" obi N� pny`�t� Phone#: Address: City: \�l Y"��ti Stater Zip: 33 C-S 1Z Qualifier Name: Phone#: 5 >7�*— Z\C1— State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: f/NG E.UU` `fts Specify color of color thru tile: Submittal Fee$ Permit Fee$ 22J5 '`? � F$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 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 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. Signatur Signature OWNER or AGENT CONTRACTO The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 by day of rF^2 - 20 by who is personally known to oft& P ILOOMD who is personally known to me or who has produced GSL r OrN as me or who has produced ISL*- W K-7 C9- as identification and who identification and who did take an oath. NO )rIC: DD EE� � NOTARY PUBLIC: F� P� Sign: Sign: LOVM Print: 38�T Print: Do Seal: Seal: APPROVE �+{�,,. .� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village BuildingDepartment r�r�r�D p �`�.G 17 t01s 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 $Y: FBC 2010 BUILDING Permit Nom- 19-2135 PERMIT APPLICATION 4 Master Permit No?t,— `3� T Permit Type: PLUMBING JOB ADDRESS: 605- G 1"L'Awo City: Miami Shores County: Miami Dade Zip: _312iVb Folio/Parcel#: 1/•�L *` �� '� Is the Building Historically Designated: Yes NO Flood Zone: OWNER:Name((FeSimple Titleholder): � � Phone#: Address: 6S S "./I ry> '-6w�5 tom! City: V1 !ky-l1 S V+C^f I State: -- Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR �p,:/Company Name: / Phone#: �S / J S C� Address: -0 r City: State: Zip: Qualifier Name: �P�J 1 1 U'1Z / Phone#: State Certification or Registration#: 4_ Z�17� Certificate of Competency#: Contact Phone#: Email Address: No I�0DLV!''v(_ ,C-) DESIGNE �itecgineer: l"PyMF- C J"PQ L-L L- Phone#: 40'.5,51s- 30 7 Value of Work for this Permit:$� Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: PLA)Nq�,NL (.Jt�E Pc� �L --/1�� CaL Submittal Fee$ Permit Fee$ ZZ �� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$2 ' . 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 exceedi $250 , the applicant must promise in good faith that a copy of the notice of commencement and construction lien law broc re 'll be livered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of comme t mus e osted at the job site for the first inspection which occurs seven (7) days after the building permit is issued n he a s c of s h posted notice, the inspection will not proved and a reinspection fee will be charged. 1 SignaA Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this �` The foregoing instrument was acknowledged before me this day of� 20 LL,by J&:0 rS IJ' r LAL E/ day of�oD�fP� ,20�,by U� ',CL-2— who ,0.Z who is personally known to me or who has produced who is personally known to me or who has produced'DL* As identification and who did take an oath. e3n T 1e as identification and who did take an oath. NOTARY PUB NOTARY PUBLIC: Sign: Sign: . , Print: Print: REBECA My Commission E plre§;,,,,,,, My Commission Expires. My COMMISSION x 07,22624 �.tP,,y via,, WENDY LEXANO a�, EXPIRES' Notary Public-State of Florida OF _•: : My Comm.Expires Oct 17,2016 *************** *N' `�***C�e�+R►i9sianx84�69** **************************************:s*�***x***x******:xx Bonded Through National Notary Assn. APPROVED BY TPlans Examiner Zoning —1 Structural Review Clerk (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)