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PL-15-2190 (2) Miami Shores Village 10050 N.E.2nd Avenue NE " Miami Shores,FL 33138-0000 N �' Phone: (305)795-2204 4 Expiration: 04106/2016 Project Address Parcel Number Applicant 310 N E 99 Street 1132060135580 DONALD J HAYDEN Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone cell DONALD J HAYDEN 310 NE 99 Street (305)799-5198 MIAMI SHORES FL 33138- 310 NE 99 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $4,900.00 GMP CONTRACTORS (786)443-3548 Total Sq Feet: 0 Type of Work:REMODEL 3 BATHROOMS AND KITCHEN AS Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Retum: Final Classification:Residential Scanning:3 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 Invoice# PL-845.56870 DBPR Fee $3.38 08!26/2015 Credit Card $50.00 $198.76 DCA Fee $3.38 Education Surcharge $1.00 10/09/2015 Credit Card $ 198.76 $0.00 Permit Fee $225.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $248.76 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 a rate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-na ractor to do the work stated. October 09,2016 Authorized Signature:Owner / Applicant / Obntrap& / Agent Date Building Department Copy October 09,2015 1 Miami Shores Village REcETV'FD Building Department AUG 2-6 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 ��' INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. e- 4 "15— PERMIT APPLICATION Sub Permit No.`L- 9- 15- ZMO ❑BUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION RENEWAL dPLUMBING [] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP h/� CONTRACTOR DRAWINGS M t JOB ADDRESS: �(0 � S 19 5 � City: Miami Shores County: Miami Dade Zia: 00 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): DCO_ Phone#:3C)5— Address: C)5 "Address• �►® 4��' C City:I-AadY'm State: Zip: ��B Tenant/Lessee tNyyame:�� Phone#: Email: ni`~'1 �✓ �a�I �-(of "1'C�oM _ CONTRACTOR:Company Name: /�'Y�.CS�-�j-�l'-1 1r Phone#: 19'4 -3 i(C - P2�21 Address: 13560 6u.1 2 F6 City: &2Xt",I ci State: L Zip: 3;a y7 Qualifier Name: /S 0L�C (), t)C4 &O i bc> Phone#: c (L3 q?-0 b Z/ State Certification or Registration#: C F ( /�� q Z_Z5 Certificate of Competency#: DESIGNER:Architect/E1ngiineerr:, i� D Phone#: 9� .� S0—5,)0(t Address �"� t.uw X AVEJV 4� City:�Pl MCW State- , Zip: �J 3 t 31 , Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ��❑ Alteration e2 ❑n New ElRepair/Replace ElDemolition Description of Work: r @/�Z L T V'0 M f r=1t/', A AS DER 12 atA N7 Specify col 1 [t h �fe• Submittal Fee$ Permit Fee CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$_ qx o (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. 1 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. 77 Signature Signature OW or AGENT CO RACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of�SUS� ,20 VS. ,by day of lS 20 ,by Who is personally known to Lx,-- 0°k4who is personally known to me or who has produced as me or who has produced r-0 L as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign' Sign: Print: Jet-. BILI,4tkS Print: 6 lie AfCARRO CEBAR R:410H Seal: Seal: W �0F a1111y p/frt1Ga.!'N/�l�l �••,�"•`��: JEFFREY OUQNITJ14983� > aw"Tft�'P� } MY COMMISSION#EE# ################################################################ APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) MIAMa MIAMI-DADE COUNTY-STATE OF FLORIDA N/A October 09,2015 an LOCAL BUSINESS TAX RENEWAL 6640412 2015 -2016 APPLICATION RECEIPT:6911110 STATE#CFC1428225 DBA/BUSINESS NAME: BUS.COMMENCEMENT DATE:06/01/2010 GMP CONTRACTORS SEC TYPE OF BUSINESS BUSINESS LOCATION: PLUM PLUMBING CONTRACTOR OPERATING IN DADE COUNTY 1 OWNERICORP. APPLICATION DETAILS CABALLEIRO CORP FEE AMOUNT C/O ISAAC CABALLEIRO,PRESIDENT Receipt Fee 30.00 PHONE# 786-443-3548 UMSA Fee 30.00 13500 SW 250 ST BOX#924733 Beacon Council Fee 15.00 HOMESTEAD,FL 33092 Bingo Permit Fee 0.00 Nightclub Permit Fee 0.00 Multi-Municipal Contractor Fee 0.00 Restricted Contractor Fee 0.00 Library Fee 0.00 Transfer Fee 0.00 NAICS CODE: 23822 Doing Business without a License Penalty 0.00 Late Penalty 0.00 Collection Cost 0.00 NSF Fee 0.00 Prior Years Due 0.00 Amount Recently Paid - 75.00 TOTAL,AMOUNT DUE: 0.00 ............................................_................................................................................................................................................................................................................................................................... If no longer In business,please notify us In writing. To pay online go to www.miamidade.9ov/texcollector Review and correct the information shown on this application. To pay by mail,make check payable to: Miami-Dade County Tax Collector A 25%penalty will be assessed to anyone found operating Business Tax without a paid local business tax, in addition to any other 200 NW 2nd Avenue penalty provided by taw or ordinance(Sec 8A-176(2)). Miami FL 33128 To pay in person go to: A Certificate of Use and/or City Business Tax 200 NW 2nd Avenue Receipt may also be required. (305)270-4949,fax(305)372-6368 A service fee of not less than$25.00 up to a minimum of 5% will be charged for all returned checks. + RETAIN FOR YOUR RECORDS + ................................................................................................................................................................................................................................................................................................................. MIAMI-DADE COUNTY- + DETACH HERE AND RETURN THIS PORTION WITH YOUR PAYMENT + N/A October 09,2015 STATE OF FLORIDA LOCAL BUSINESS TAX RENEWAL 2015 -2016 APPLICA71ON �UIIIIIIIW�gI1gII�I�IU�lllll�ll��1111� $AETE#CFC14 8225 6640412 I� BUSINESS LOCATION: OPERATING IN DADE COUNTY BUS.COMMENCEMENT DATE:06/01/2010 SEC TYPE OF BUSINESS OMERICORP. PLUM PLUMBING CONTRACTOR CABALLEIRO CORP 1 APPLICAnPHDEE �EREi��ENFEIPT ZIRESTRICTIONSEDgREC/O ISAAC CABALLEIRO,PRESIDENT OR OCCUPATION DESCRIBED o AX OF ALL ONNGTHEI POSONTHIScEIPT. I SWIM THAT THE INFORMATION IS TRUE AND CORRECT. CABALLEIRO CORP C/O ISAAC CABALLEIRO,PRESIDENT 13500 SW 250 ST BOX#924733 SIGNATURE REQUIRED SEE INSTRUCTIONS ABOVE HOMESTEAD,FL 33092 Please pay only one amount.The amounts due after Sept 30th Include penalties per FS 205.053. IfRecelved By Oct 31,2015 Nov 30,2015 Dec 31,2015 Jan 31,2016 Please Pay $0.00 $0.00 $0.00 $0.00 7000000000000000000000006911110201600000007500000000000007 CERTIFICATE OF LIMLITY INSURMCE 02/23/2016 J., **--**'" PF40DUCER THM CWMIMTE IS UMMOAS A VATMR OF 04RWAATM JAL INSURANM SERVICES Dr- ONLY MD CONFEW NO CWWMATE RXfffS UPON TM 01ERTMATE NOLDEX THO DOES ay 141 E.Canumdal OW ALM THE COMW AFFORDED fM Fwt Lai e,FL 33334 954 78 114SURM AFFORD=COVERAGE N=0 DMAED CilbaftW$CDfp raom&. Mean lrq!Tft fA!Mn GMP ContracWeS -- 135W SW 250 St WRINER Q Homestud FL 33092 (786)443-3548 THE Pw=Or-600ANMLww BELOW HAVEBEEN issum To THE MUM NAtM ABOVE FOR THE POUCY POWD DKWATED.NOWffHSTANDOG ANY REQUW0X MI .MW OR COMMM OF ANY CMM40T OR OTHER DOCUMW WITH RESPECT TO WWH THIS M71FICATE VAY BE ISSM OR MAY PERT AK THE RGURAHM AFFORDW BY THE POUCIES 015$4=151)HEREIN 18 SUBJECT TO ALL THE TOM,9==ONS AM CONN PSE?? OF SUCH POWES.AGGREGATE UWTS SHOWN MAY HAVE B E EN RE D UC ED BY PAD CLAM 00 PROK LTR so POLICY Hamm Q9MRAL LUENITY EACHME $I Met— I .-A- X OOMMERCIAL GENERAL LIABILITY100 40-0-0 NO 5,(W A 00=7147S-01 02/01/2016 02/01/2017 PwVwm&mV $ZAV G64EM AOSPAMTE $MMOM GERL AGGREGATE LOST APPLES PER PROMCM-COUPIOPAW $&togm x PC=n 0 Lac AUTOMONkELIUMM COMBINEDWME AWAM wasadd") ALLOWNEDAUM BODLY04AM $ SCHEINLEDAUMS GARAWLIASN" AUTOONLY-FAACCIDENT $ AWAM EAAW S r AM $ EMM OcOUR14%QE $ G=JR CLAWWADE. AGGREQUE 6 09DUCTIBLE RETENTKN S -CMIPFUSITIONAM ENFUNIEW UA6QffY Aw FLLEACH��00ff GRUERMNOWSSR ELL DOMSE-FA ab"mam- mm OESCRIPTK*KFOPEPATXMILOCATKMIVBMMIEKCLUBKMADMBYEBRiiC;-ffiSPRCMPFOVMM CFC1428225 J _L_LA1W SHOILD AWOFTHEABOVE DESCRIBED POUCMSBE CANMIED BEFORE TM WMMM Village of Miami Shores DATE TMMW TM ISSUM WEIMER WILL WCEAVOR TO MAP DAYS wwnm 10050 North East 2nd Avenue nM THE ER)r-CAT9 HOLDER WJ=TO TM LEFT,BUT FAILURE TO 00 SO MALL Miami ShoresFl 33M tfhV*M0ftOKC0A7M ORfXTr OF AM WID VAN THE1049t9M IT 3 AGISM OR -------- EiEM ZORF�ORAIIW I ON 1 16 1? TL