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PL-15-2816 z 3PeIN Miami Shores Village p ftinli ing*he$ldem�t'i ���; $ <y� 10050 N.E.2nd Avenue NEe, Wot�f t sr# n � d1 i 1A eir�on Miami Shores,FL 33138-0000 -Permi!t &S.APPROVED F R Phone: (305)795-2204 Expiration: 05/07/2016 ` tssueba�.19f'8J2t�1'� .-_ Exp� Project Address Parcel Number Applicant 10208 NE 4 Avenue 1132060135101 CORY GITTNER Miami Shores, FL Block: Lot: Owner Information Address Phone Cell CORY GITTNER 10208 NE 4 Avenue (305)757-4900 MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,500.00 ESTRELLA PLUMBING, INC (305)333-2217 (786)299-4226 .. Total Sq Feet: 0 Type of Work:R&R ALL SHUTOFF VALVE,INSTALLATION Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Return: Final Classification:Residential Scanning:1 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# PL-11-15-57669 DBPR Fee $3.38 11/09/2015 Check* 1928 $239.56 $0.00 DCA Fee $3.38 Education Surcharge $0.60 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $239.56 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 ELECTRICA PLUMBI MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: ertify theII the fo a aina4 formation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. re, a r e th bove-named contractor to do the work stated. November 09,2015 Authorized Signature:bwner / Applicant / Contractor / Agent Date Building Department Copy November 09,2015 1 C � ®G Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-247300 Permit Number: PL-11-15-2816 Scheduled Inspection Date: June 16,2016 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: GITTNER,CORY Work Classification: Addition/Alteration Job Address: 10208 NE 4 Avenue Miami Shores, FL Phone Number (305)757-4900 Parcel Number 1132060135101 Project: <NONE> Contractor: ESTRELLA PLUMBING, INC Phone: (305)333-2217 Building Department Comments R&R ALL SHUTOFF VALVE, INSTALLATION OF NEW infractio Passed Comments SHOWER, REPLACE KITCHEN SINK, AND BATHROOM INSPECTOR COMMENTS False SINK, RCA ALL FAUCETS. Inspector Comments Passed Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. June 15,2016 For Inspections please call: (305)762-4949 Page 2 of 20 Miami Shores Village Lvov 0 2015 Building Department 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 �_Tt L FBC 20 f 4 BUILDING Master Permit NO-E 2220 PERMIT APPLICATION Sub Permit No. j 5;_ _�)L9i G ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL `PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP /�j� CONTRACTOR DRAWINGS JOB ADDRESS:_ /O gy^� `A &V_ City: Miami Shores County: Miami Dade Zip: _7a l� Folio/Parcel#: t L 2 () 6 — 0 L.3 ®r 10/ Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): 1777Vel Phone#: Address: �� 40L l i� `�� City: 06h 9#46 State: iL Zip: 3'37137k Tenant/Lessee Name: Phone#: r e Email: PCONTRACTOR:Company Name: �C ° Phone#: Address: o`J e City: / Stater Zip: Qualifier Name: Q �p Phone#: �y�,,��—,�/-��/ State Certification or Registration#: °�����0�� Certificate of Competency#: y8��/� DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ _�7 .5z o Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New'- ® ❑ Repair/Replace [:1 Demolition Description of Work: v Specify color of color thru tile: Submittal Fee$ 1 Permit Fee$ 22->c " 7, CCF$ CO/CC$ Scanning Fee$ 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 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 or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The for _ging instrument was acknowledged before me this 0 day of�I(J11�` 9a)� � ,20 (� ,by � day of �� 20 by �� NUGo GI 17NE�—' ,who is personally known to who is personally known to me or who has produced FL beA0P- ukC0.9�-_ as me who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Si Print: ( Ila �laJ�(L Print: 'C `^dM~ Seal: wnY Pv", .,, MARIEIA NUNEZ roY pLer• Notary 4Public State of Florida Seal: y; tet? MYCOMMISSION#FF206583 Sindia Alvarez EXPIRES:May 13,2018 �G ea My commission FF 158750 ".Jf(;,Ft°•�� BondedThtuPub6cI lndemftn °moi of moa Expires 09/0312018 APPROVED BY `� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)