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PLC-15-2343 M � �� C�d4j Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-243516 Permit Number: PLC-9-15-2343 Scheduled Inspection Date: October 21, 2015 Permit Type: Plumbing - Commercial Inspector: Diaz, Osvaldo Inspection Type: Final Owner: Work Classification: Addition/Alteration Job Address:9055 BISCAYNE Boulevard Miami Shores, FL 33138- Phone Number Parcel Number 1132060110051-55 Project: <NONE> Contractor: SUNCOAST PLUMBING & ELECTRIC INC Phone: (352)628-6608 Building Department Comments PLUMBING WORK FOR INTERIOR RENOVATION Infractio Passed Comments DOLLAR TREE INSPECTOR COMMENTS False Inspector Comments Passed EZ/ 616 H rc Failed �XE CK C Correction Needed G P r Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 20,2015 For Inspections please call: (305)762-4949 Page 12 of 50 r ..1 LC-9-'1 5-233 Miami Shores Village 3 Pel 7#l* y 'plum�tll£�•�Qtltlti�l���), 10050 N.E.2nd Avenue $ " qg Miami Shores,FL 3313&0000 � � �ionfAi>verat c n tie , Pormit Status:APPROVED Phone: (305)795-2204 �0RIDA I$Ws Date.107 1'* . Expiration: 04/04/2016 Project Address Parcel Number Applicant 9055 BISCAYNE Boulevard 1132060110051-55 SHORE SQUARE PROPERTIES 1 Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone cell SHORE SQUARE PROPERTIES LLC 9055 BISCAYNE BLVD. ' fi Contractor(s) Phone Cell Phone Valuation: $ $,400.00 (352)302-2178 SUNCOAST PLUMBING&ELECTRIC 1 (352)628-6608 _.. Total Sq Feet: 12477 Type of Work:PLUMBING WORK FOR INTERIOR RENOVATI Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Classification:Commercial Re Pipe Scanning:3 Main Drain Heater Water Service Final Water Main Lavatory Rough Rough Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Underground CCF $5.40 DBPR Fee Invoice# PLC-9-15-57090 $5.63 09/15/2015 Check*2174 $50.00 $359.66 DCA Fee $5.63 Education Surcharge $1.80 10/07/2015 Check#:3367 $359.66 $0.00 Permit Fee $375.00 Scanning Fee $9.00 Technology Fee $7.20 Total: $409.66 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 informal* is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-n d c tra t do the work stated. October 07, 2015 Authorized Signature:Owner / ApplicantCo ra o Ag t ate Building Department Copy October 07,2015 1 SEP 2015 Y Miami Shores Village Building Department J 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC20/�/ - BUILDING Master Permit No.('() /S— 2/ PERMIT APPLICATION sub Permit No.)21e- /S 2 -� BUILDING ❑ ELECTRIC ROOFING REVISION EXTENSION ORENEWAL 0■ PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9055 Biscayne Blvd. City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO X Occupancy Type: M Load: 345 Construction Type: 11 Flood Zone: BFE: FFE: OWNER:Name(Fee simple Titleholder): IMC Property Management& Maintenance Phone#:305-893-9955 EXT-107 Address:696 ME 125 Street North City: Miami State: Florida Zip: 33161 Tenant/Lessee Name: Dollar Tree Stores Phone#:757-321-5218 Email: cgomez@dollartree.com CONTRACTOR:Company Name: Suncoast Plumbing & Electric Phone#: 352-628-6608 Address: PO Box 2290 City: Homosassa State: Florida Zip: 34447 Qualifier Name: Todd Workman Phone#: 352-628-6608 State Certification or Registration#: CFC058041 Certificate of Competency M DESIGNER:Architect/Engineer: RRMM Architects Phone#: 757-622-2828 Address: 1317 Executive Blvd. Suite 200 `` City: Chesapeak State: VA Zip: 23320 Value of Work for this Permit: S*0 �-`� Square/Linear Footage of Work: 12,477 Type of Work: ❑ Addition ❑■ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: h)s1017 ", 7)n Specify color of color thru tile: - s Submittal Fee$ !�__O •-C2 Permit Fee$ 3 CCF$ 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) N/A 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. the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 15 Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The�foregoing instrument was acknowledged before me this ��—day of �t'�M81+ ,20 16 by _C. day of l P� i�'� e� ,20 f by UD4-k -'a4l-kIL ,.who is personuay k��w�to �0 �✓`��rr�lGcA ,who is personally known;o mfr who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign Sign: pp Print: tJ G L l.._['0 Print: 2V Seal: �Y•PbB, LUCY CICILIO Seal: a Notary Public State of Flo�da MY COMMISSION#EE 164923 Duc Phan EXPIRES:April 19,2016 �� My Commission FF 232517 P Expires 0 511 8/2 0 1 9 Bonded Thru Budget Notary.Services APPROVED BY 15 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) • • RICK 6C:t.71 I, LioVt~KNUR nr_ry r�vvJUrv, Jc4Mr-Itkm r STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION k CONSTRUCTION INDUSTRY LICENSING BOARD £ CFC058041 � z The PLUMBING CONTRACTORK-.` Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 01 WORKMAN,TODD MURRAY ° SUNCOAST PLUMBING &ELECTRIC INC 6970 W GROVER CLEVELAND BLVD �,• HOMOSASSA FL 34446 ISSUED: 07/28/2014 DISPLAY AS REQUIRED BY LAW SI Q# L1407280000921 ei­ 201512016 CITRUS TY BUSINESS TAX RECEIPT State of Florida 210 N Apopka Ave, Suite 100, Inverness, Florida 3445084298 352-341-6500 EXPIRES SEPTEMBER 30, 2016 ACCOUNT# 19449 RECEIPT ,# 171.102.54026 Business Name. SUNCOAST PLUMBING &ELECTRIC INC Lotal:ion: 6970 W GROVER CLEVELAND Owner Name: TODD WORKMAN - PRES/QUAL, TENNI WORKMAN -•SEC/TR, ROBERT RICHARD/EI BLVD Mailing Address: PO BOX 2290 HOMOSASSA, FI_ 34446HOMOSASSA SPGS, FL 34447 Business Phone: 352-628-6608 Exemption: Business Type: R100 CST-CERTIFIED PLUMBING CONTRACTOR R120 CST-LP GAS INSTALLER For-Vending Machine Business Only Number of Vending Machines: Vending Machine TYpe. Tax Amount Transfer Fee HazMat' Sub-Total Penalty Prior Years lCollection Costj Total Paid so.00 o.oc� _i0_'0_0=- 70.00 0.00 q.go o.on lo.ci0 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BUSINESS TAX RECEIPT DOES NOT CONFIRM THAT REGULATORY OR ZONING REQUIREMENTS HAVE BEEN MET. IT IS THE OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE. This section to be completed by the owner of the above named business. Business has been sold to: x -._. Signatu__r$ ---.._-_receipt .-_holder..___-.. r- . .......-_or awo—w-.ri.._._. ..-c-h-ang-e------- of current upon Transferership chDate Date Business Closed:.,__�.�— T - Signature: Paid 010-14-00003496 69/18/2015 70.00