PL-16-1658 Miami Shores VillageW
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000 3
EE � 3 h r n Irc.
Phone: (305)795-2204 ��
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a ��. Expiration: 121181 016
Project Address Parcel Number Applicant
1215 NE 95 Street 1132060143980
ALAN&KAREN SOVEN
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
ALAN&KAREN SOVEN 1215 NE 95 Street (305)297-9357 (561)346-5533
MIAMI SHORES FL 33138-2549
Contractor(s) Phone Cell Phone Valuation: $ 100.00
THE NEW MIAMI SHORES PLUMBING (305)751-2446 (786)553-5424
-- Total Sq Feet: 0
Type of Work:GAS ROOF VENT Available Inspections:
Type of Piping: Inspection Type:
Additional Info: Top Out
Bond Retum: Final
Classification:Residential Scanning:1 Review Plumbing
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# PL-6-16-60193
DBPR Fee $2.00 06/14/2016 Credit Card $50.00 $58.60
DCA Fee $2.00
Education Surcharge $0.20 06/21/2016 Check#:1170 $58.60 $0.00
Permit Fee $100.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $108.60
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 accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated.
June 21,2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 21,2016. 1
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone:(305)795.2204 Fax (305)7564872
Inspection Number: INSP-260968 Permit Number: PL-6-16-1668
Scheduled Inspection Date:June 23,2016 Permit Type: Plumbing -Residential
Inspector. Hernandez, Rafael Inspection Type: Final
Owner. SOVEN,ALAN S KAREN Work Classification: Addition/Alteration
Job Address:1215 NE 95 Street
Miami Shores,FL_33138-
Phone Number (305)297-9357
Parcel Number 1132060143980
Project: <NONE>
Contractor: THE NEW MIAMI SHORES PLUMBING Phone:(305)751-2446
Building IDeparbnent Comments
GAS ROOF VENT °
Passed Coifirnents
INSPECTOR COMMENTS False
inspector Comments
Passed
Failed D
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
Miami Shores Village
Building DepartmentJuN14 zo�s
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 20N �
BUILDING Master Permit No.kr— ►(0 — S
PERMIT APPLICATION Sub Permit No._PL__I(�o -1
BUILDING F-1 ELECTRIC F-1 ROOFING F-] REVISION [:] EXTENSION [:]RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 12-15 N E qS"" St -
City: Miami Shores County: Miami Dade Zip: 33189
Folio/Parcel#: )!— 3 2069— 01+— 39?0 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:�BF
OWNER:Name(Fee Simple Titleholder A t!'f o itj Phone#: o33
Address:
City: "I AM't 5 f:h S State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Miami Sher-es Pjambin4 Phone#: L305) -is) —Z4.}Eo
Address: '10 NU) )4-44 l Si" .
City: 01&M I State: �- Zip: 3 31Col
Qualifier Name: 1 1C�'It'll s Ilauah�i n Phone#:
State Certification or Registration#: CFC 8 19 U,5 Certificate of Competency M
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New/ ❑ Repair/Replace El Demolition
Description of Work: iT�'PN/bk �A 0 F�* Cot/ It If 11K '-10 OeAIL fe T W V?S
9NC/Unifi �� A3 ##f �' WAkCC, WR,l dT r" t,t.eI )/
IAS yr#Pi/P, r- T:e s0-C,d'r®1a ►�t t.��
Specify color of color thru tile:
Submittal Fee$:`'J 'Co Permit Fee$ 110CCF$ •(6 CO/CC$ �N
Scanning Fee$ Radon Fee$ 2-,Cw DBPR$ 2 Jya Notary$ 03
G
Technology Fee$ "C_/y Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ 0
TOTAL FEE NOW DUE$ SC'J
(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 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
OWNER AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
11-0 day of J 20 ILP ,by I`I'+h day of nn-f- ,20 ILP ,by
A6M SO V-W ,who is personally known to Dtirin1 S M CLWJ1)J1,who is personally known to
me or who has produced F-L—IDL- as me or who has produced E L--DL as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: �(&v- Sign:Q�,,
Print:� es Print:
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STATE OFO�o�``� STATE
APPROVED BY "ll li ������� ���� ' Plans Examiner �nu�unN���` Zoning
Structural Review Clerk
(Revised02/24/2014)