PL-13-1089 Miami Shores Village
Building Department _ � 1d
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 MAY 19
Tel: (305)795.2204 Fag: (305)756.8972
INSPECTION'S PHONE NUMBER: (305)762.4949
FBC 2010
BUILDING Permit No. F1,-3 _ 0 5-9
PERMIT APPLICATION Master Permit No. G 13 10--4-
Permit Type: PLUMBING
JOB ADDRESS: :5�ZX 1�� ��
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#V it — 3 Z U(o— 0/4 —Q 06®
Is the Build°ing Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): / e I� V0� i I l ZQ a Phone#: r(J � �
1 � �
Address: 5 -1 �C ql Sl ire e t
City: Hi ci n'-''' SkGx-Ps State: �I. Zip: 33 13 a;
Tenant/Lessee Name: Phone#:
Email: -(�e VI'l UM I Z o K P !,!�;i h®L), C o
CONTRACTOR: Company Name: 610 f'Ge wi� (ee Phone#:
Address: / 3557—
City: �� ``s ��v�!O State: Zip: 2_,
Qualifier Name ! Phone#: 305 � 3!�/
State Certification or Registration#:��C ��� �/� Certificate of Competency#:
Contact Phone#:�C'5'OVC�/5_6f?I 'Email Address:
`'7 CSP �� e �`<� �� •'C . �ti—J
DESIGNER:Architect/Engineer: I O KCl kVeZ14 Phone#:
Value of Work for this Permit: $4/ovoo Square/Linear Footage of Work: 9 00
Type of Work: ❑Address Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: I rl ie�v l o l� 1 Vt p G� 1( 61 X11 S s� 1 i 1 l�Sfin
Yti G r o -� 'r' Je_GA �-ooWr
f)() r�o 0 2S . ALL lelyM bI nO -ekfS"q foAS 4-el- b ithe-e)dM
Fees
Submittal Fee$ so' Permit Fee$ Z Z5 . ''t CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ A °
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 after the building permit is issued. In the absence of such posted notice, the
inspection will not be a roved and a reinspection fee will be charged.
Signature Signatur
Owner or Agent J Contractor d
The foregoing instrument was acknowledged before me this J1— The f instrument was acknowledged before me this
day of ,20 19,by ;ekt JIL day of — 2 V1 r)o
.:•ZPpY PCB's:
who is personally known to me or who is persona ;Iriuvii�ta me b +fifi•las 1
As identification and who did take an oath. °:°r dq� � oath.
F entifi(gop,7gp rw i
.2017
NOTARY PUBLIC: NOT 7 F""(. =e.com
Sign: XSi :--��i
ru��
Print: _' 1622 Print: 'j"We t; ti4j46`.-2-1
My Commission Expires: „ „ , JTXPIRES May 14,2015 My Commission Expires:
407)388-0153 FloridallotwyService.com
d:&�Y�4e3r���F4:k��kkkkoY�•k�Y�k:Y��•k�Y�Y�aY�Y9:�:9:kk9ckkaY�YaF4e3:kk�Y3ekkkk9e�Y4c3r9e9e�Y��Ft9e:e��Y Y�Y9e3e�Y�Y4e k�:oY Y�Y�4e&�Y:F:FoY9e3e4e k:�nFde9e9e�F 1e�F'��F�Y Ie3e:e�F�F3e4e4e
APPROVED BY '2SJ-`3 Plans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012XRevised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
GARCIA, MICHEL
UNIVERSAL PLUMBING, CORP
374 W 35TH ST
HIALEAH FL 33012
sravE of FLORIDAAC# 6 3 2 7®9 2
Congratulations! With this license you become one of the nearly one million DEPARTMENT OF BUSINESS AND
Floridians licensed by the Department of Business and Professional Regulation. PROFESSIONAL REGULATION
Our professionals and businesses range from architects to yacht brokers,from
boxers to barbeque restaurants,and they keep Florida's economy strong. CFC 14 2 8 4 21 0,'8/3-1/12 127013675
Every day we work to improve the way we do business in order to serve you better.
For information about our services,please log onto www.myfloridalleense.com. CERTIFIED PLMMING CONTRACTOR
There you can find more information about our divisions and the regulations that GARCIA, M10
impact you,subscribe to department newsletters and loam more about the UNIVERSAL PL zko-, CORP
Department's initiatives.
Our mission at the Department is:License Efficiently,Regulate Fairly.We
constantly strive to serve you better so that you can serve your customers. j as CERTIFIED under the pzovs alone Of Ch-489 Fs {
Thank you for doing business in Florida,and congratulations on your new license! 3 mvsration dates AUG 31, 2014 L12083102984
k # 6327092 STATE OF FLORIDA
DEPARTMENT OF BUSINESg AND PROFESSIONAL REGULATION �
CONSTRUCTION INDUSTRY LICENSING BOARD �
SEL12083102984
w
s LICENSE NBR
i
108/31/20121127013675 ICFC1428421
The PLUMBING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2014
i
GARCIA, MICHEL
UNIVERSAL PLUMBING, CORP
900 WEST 49 STREET SUITE 556
HIALEAH FL 33012
i
REN LAWSON
GO
GOVERNOR SECRETARY
REOIRE_Q_l3Y_�W-
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
•�ae� TALLAHASSEE FL 32399-0783
GARCIA, MICHEL
UNIVERSAL PLUMBING, CORP
374 W 35TH ST
HIALEAH FL 33012
STATE of F.orsnA AC41 6327911. 2
Congratulations! With this license you become one of the nearly one million DEPARTMENT OF BUSINESS AND
Floridians licensed by the Department of Business and Professional Regulation. PROFESSIONAL REGULATION
Our professionals and businesses range from architects to yacht brokers,from '
boxers to barbeque restaurants,and they keep Flo ida's economy strong. CMC1250146 08/31/12 127013675
Every day we work to improve the way we do business in order to serve you better.
For information about our services,please log onto www.myfloridalicanse.com. CERTIFIED MECHANICAL CONTRACTOR
There you can find more information about our divisions and the regulations that GARCIA, MICHEL
impact you,subscribe to department newsletters and learn more about the UNIVERSAL PLUMBING, CORP
Departments initiatives.
Our mission at the Department is:License Efficiently,Regulate Fairly.We
Constantly strive to serve you better so that you can serve your customers. IS CERTIFI31D us er the provieims of cu.489 FS
Thank you for doing business in Florida,and congratulations on your new license! mviration date, AUG 31, 2014 L12083103834
DETACH HERE
AC 6 3 2 7 9 4 2 STATE OF FLORIDA
DEPARTMENT OF BIISINS3S �� PROFESSIONAL REGULATION
CONSTRUCTION IVDU TRY LICENSING BOARD SEW L12083103834
LICENSE NBR
108/31/20121127013675 ICKC1250146
The MECHANICAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2014
GARCIA, MICKEL
UNIVERSAL PLUMBING, CORP
900 W 49 STREET SUITE 556
HTALEAH FL 33012
RICK SCOTT KEN LAWSON
GOVERNOR SECRETARY
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