REV-16-47 (2) Miami Shores Village
Building Department JAN
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.y Ey �6 ^ L�
PERMIT APPLICATION Sub Permit No. Cz v(to —
❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISIO ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: J4GH t,� Gig-4.
City: Miami Shores County: Miami Dade Zip: 3131 M .
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): ArjrC�_0va' Phone#: 'hs�35'15`. 13
Address: erne-
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email: Mal • DO 1.
CONTRACTOR:Company Name: 1 M Phone#: `Z bb c2 95 OCA
Address: $990 '540 LA T* :W= 20)
City: M('Arlt 1 State: , Zip:�2al + .5
Qualifier Name: Sde'\)lmf o al, Iz12'�. Phone#:
State Certification or Registration#:('k,,142.`1 U Y Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ �sa6jjQC0 —Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Q_erAJCNnJA wry No Lq20'e'(- 60%n Ga�1a►P, E'1'1C ��P_
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 40� 5• ;Zt CCF$ CO/CC$
Scanning Fee$ OC) 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) •
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 on 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
OWNE o CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
— 6n —day of ,20 15 ,by IK day of JGt n U 0 20 16 ,by
lb"DS" TtTrn2- ,who is per ally know __ ,who is personally known to
me or who has produced as me or who has produced C tr y eel I's L+ as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
't"01I M u 1,r ei
Sign: Sign: n
Print:
Print
co Co �'�p 6' = e�,nnneerowwwn+�
Seal: Seal:
:FF ass; `/C: +�`""` RUTH A
RUT .FA1.
?F` •'•>j30s9� nlltr co�hQs�3ioN�
I.Z E7tP1RP� .2D17
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wwwx�**�*�******��w�e�*�s�►�wws*r*�'�ni�91At��k�'���k��x*+��x�a*��*�*a��***+�s �r �s:a�wm�x�xa��*r��r*ss*+r�s��s***�*
APPROVED BY //-/4b Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
MIAM
MIAMI-DADE COUNTY-STATE OF FLORIDA N/A January 22,2016
�. LOCAL BUSINESS TAX RENEWAL
6365324 2015 -2016 APPLICATION RECEIPT:6632815
STATE#CFC1427828
DBA/BUSINESS NAME: BUS.COMMENCEMENT DATE:01/01/2009
DEL RIO&SON PLUMBING CORP SEC TYPE OF BUSINESS
BUSINESS LOCATION: PLUM PLUMBING CONTRACTOR
8990 SW 24 ST#213 1
MIAMI,FL 33165
OWNERICORP. APPLICATION DETAILS
DEL RIO&SON PLUMBING CORP FEE AMOUNT
PHONE# 786-295-0098 Receipt Fee 30.00
UMSA Fee 30.00
8990 SW 24 ST#213 Beacon Council Fee 15.00
MIAMI,FL 33165 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
NAICS CODE: 23822 Transfer Fee 0.00
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 - 30.00
TOTAL AMOUNT DUE: 0.00
.................................................................................................................................................................................................................................................................................................................
If no longer in business,please notify us In writing. To pay online go to www.miamidade.aov/taxcollector
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 law 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)2704949,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.
t RETAIN FOR YOUR RECORDS t
.................................................................................................................................._.............................................................................................................................................................................
MIAMI-DADE COUNTY- + DETACH HERE AND RETURN THIS PORTION WITH YOUR PAYMENT + N/A January 22,2016
STATE OF FLORIDA
LOCAL BUSINESS TAX RENEWAL
6365324
242016 APPLICATION RECEIPT6815
:365
BUSINESS LOCATION: U
8990 SW 24 ST#213
MIAMI,FL 33165 BUS.COMMENCEMENT DATE:01/01/2009
SEC TYPE OF BUSINESS
OWNERICORP. PLUM PLUMBING CONTRACTOR
DEL RIO&SON PLUMBING CORP 1
APPLICATION 13 HEREBY MADE FOR A LOCAL BUSINESS TAX RECEIPT OR PERMIT FOR THE BUSINESS PROFESSION
OR OCCUPATION DESCRIBED HEREON.I HAVE BEEN INFORMED OF ALL ZONING RESTRICTIONS IMPOSED ON THIS RECEIPT.
I SWEAR THAT THE INFORMATION IS TRUE AND CORRECT.
DEL RIO&SON PLUMBING CORP
EDELBERTO DEL RIO PRES
8990 SW 24 ST#213 SIGNATURE REQUIRED SEE INSTRUCTIONS ABOVE
MIAMI,FL 33165 Please pay only one amount The amounts due after Sept 30th include penalties
per FS 205.053.
ffReceived By Jan 31,2016 Feb 29,2016 Mar 31,2016 Apr 30,2016
Please Pay $0.00 $0.00 $0.00 $0.00
7000000000000000000000006632815201600000007500000000000009