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PL-15-1483 � v Miami Shores Village 10050 N.E.2nd Avenue NE "'• "" Miami Shores,FL 3313&0000 a a Phone: (305)795-2204 Expiration: 12/27/2015 Project Address Parcel Number Applicant L 002 NE 105 Street 1122320280010 iami Shores, FL 33138- Block: Lot: NOAH&AUBREY KESSLER Owner Information Address Phone Cell NOAH&AUBREY KESSLER 1002 NE 105 Street (917)579-8541 MIAMI SHORES FL 33138- 1002 NE 105 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 7,500.00 BIG PLUMBING CORP (305)821-2880 ()= Total Sq Feet: 0 Type of Work:PLUMBING WORK FOR INTERIOR RENOVATI Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Return: Final Classification:Residential Scanning: 1 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $4.80 Invoice# PL-6-15-55995 DBPR Fee $3.95 06/30/2015 Credit Card $236.70 $50.00 DCA Fee $3.95 Education Surcharge $1.60 06/16/2015 Credit Card $50.00 $0.00 Permit Fee $263.00 Scanning Fee $3.00 Technology Fee $6.40 Total: $286.70 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.,tha going information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning,:Fttti'" rize the above-named contractor to do the work stated. _ June 30, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy June 30,2015 1 Miami Shores Village Building Department JUN -6 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 l Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2010 BUILDING Master Permit No. I3C-y-l5'-830 PERMIT APPLICATION sub Permit No.?—j 5- 1%-4<6­3 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION []RENEWAL PLUMBING ❑ MECHANICAL E:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1002 NE 105th Street City: Miami Shores County: Miami Dade Zip: 11-2232-028-0010 X Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Aubrey& Noah Kessler Phone#:(917) 579-8541 Address: 1002 NE 105th Street City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: NONE Phone#: N/A Email: Aubrey.Kessler(?Pgmail.com CONTRACTOR:Company Name: �� � -,/ Phone#: 3,� —Y / 0,9'20 Address: qi l`),O A.),4-� /" / e-7 51— 0 City: ice/ a) C,9' - Eel State: C Zip: -3 / /'i` l�rcl� r Qualifier Name: � � ��-Yr0 41&Z Phone#• 3 0S--8'0!__. 2,?-,?0 State Certification or Registration#: ����T Certificate of Competency#: Ptd l DESIGNER:Architect/Engineer: Phone#: Address: City: State Zip: Value of Work for this Permit:$ 7, S°a Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: Specify color of colyyo--fi�r thru tile: Submittal Fee$So ' W Permit Fee$ J0 Z` 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) .r Bonding Company's Name(if applicable) None 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. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature .�' =�- Signature i7/1 l OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 4 day of CY X1rC../\ 20�r by day of �7(f'"C 20 by '—:9S1 who is personally known to r»?4A cCc Z2,! �whopersonally knowr' 0 me or who has produced t--i( e,,, Seas me or who has produced x114 as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: rN. r I aa Print. Print: „e,,A DAL-State A �:'k"YP ARIA E.SPRINGER Seal: '` Seal: ' �= Notary PFlorida = Notary Public-State of Florida ornm15,2015 " oma,My Comm.Expires Aug 20,2016 � Cumn6568 �'';;Fd;;` Commission#f EE 212425 * * ** ******************* ********** APPROVED BY `�� J� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)