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PL-13-1347 ' - �� Miami Shores Village Q Building Department - ---- � g 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 I JUN 1 INSPECTION'S PHONE NUMBER:(3057 762.4949 i FBC 20 -- --- BUILDING Permit No. PERMIT APPLICATION Master Permit No.� '13— 13a'- -q- Permit 1 '-q- Permit Type: PLUMBING JOB ADDRESS: G / AJ, e'— 10 ` - City: Miami Shores County: Miami Dade Zip: 3 / Folio/Parcel#: 61410 Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder):r l -e (g'V e Phone#: Address: Ittfet Al, 9— /0'a 5' City: State: lr Zip: :!�-3 Tenant/Lessee Name: Phone#: Email: J Z'1 CONTRACTOR:Company Name: Aun- �� g Cv 9S • ���.�0�V � . Address: City: State: - Qualifier Name: Phone#: State Certification or Registration#: Jk t1 h0 0-b 9 Certificate of Competency#: Contact Phone#: Email Address: Z DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ 026 Square/Linear Footage of Work: Type of Work: OAddress OAlteration ONew 74Repair/Replace ❑Demolition Description of Work: - Submittal Feer Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ ir DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ _ 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 afier 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 &k4L Signaturen Owner or Agent Contractor The foregoing instrument was acknowledged before me this The ore ' instrument was acknowledged before me this 4 e day of u��� 20 ,bye &,a �' of 20 by 1® who is personally known to me or who has produced ho is p rs nally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: E NOTARY PUBLIC: LUIS PORRASMY COMMISSION#DD 999542EXPIRES:July 30,r 14 ,,.������, ANNAAARIE IIVDOFSign: Bonded Thiu No"Pu Sign: ¢„ _ Py� MY COMMISSION#EE 8550 2016 Print: 0 Print: Boded Tta Netery Pu§ifs dndenNtitere My Commission Expires: :14 wd i zo iy My Commission Expires: �,r�,n(WL"C f PROVED BY C— —t Plans Examiner Zoning Structural Review Clerk (Revised3/12/20120111 107/10/07)(Revised 06/10/2009)(Revised 3/15/09) ` ' VALUE PLUMBING SERVICES, INC. Office: 954.964.9899 • Licensed & Insured Cell: 954.445.7107 ��� cc#04-cmp-1013-x • Residential & Commercial ® �13 p�G � BY' 12/03/2013. To whom it made may concern. Plumbing permit extension or renewel Permit#PL-6-13-1347 address 1461 NW 102 Street Miami Shores,Fl, 33138 reason contractor not ready for us finish,we will like to get an extension. Thank you Carlos antro. r� C'A' 13-3 ge��/ �e