PL-16-2571 s° o, Miami Shores Village . - ei<,ti
10050 N.E.2nd Avenue NE � '
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e Alfie'
Miami Shores,FL 33138-0000
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Phone: (305)795-2204 5ta�
Expiration: 3120/2017
Project Address Parcel Number Applicant
9701 NE 5 Avenue Road 1132060171450
Miami Shores, FL Block: Lot: BARRY UNIVERSITY INC
Owner Information Address Phone Cell
BARRY UNIVERSITY INC 11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
Contractor(s) Phone Cell Phone Valuation: $ 9,400.00
MARLIN PLUMBING OF MIAMI INC 305-652-6108
.. .... _ . M..... ...., Total Sq Feet: 0
Type of Work:REPLACE APPROX 120'OF WATER SERVIC Available Inspections:
Type of Piping: Inspection Type:
Additional Info:REPLACE APPROX 120'OF WATER SERVIC Top Out
Bond Return: Final
Classification:Residential Scanning:2 Review Plumbing
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due ,
CCF $6.00 Invoice# PL-9-16-61378
DBPR Fee $4.50 09/21/2016 Check#:2441 $281.00 $50.00
DCA Fee $4.50
Education Surcharge $2.00 09/19/2016 Check#:2439 $50.00 $0.00
Permit Fee $300.00
Scanning Fee $6.00
Technology Fee $8.00
Total: $331.00
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 accurat nd that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-named contract t do th ork stated.
September 21, 2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
September 21,2016 1
C41 ` � I c�- ,FU,
Miami Shores Village !6EP- 119. 2016
Building Department BY. c -
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 5--f+FBC 20 ��
BUILDING Master Permit No. �L ci —,6 --2_c_)_4 ,
PERMIT APPLICATION Sub Permit No.
F-IBUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9701 NE 5TH AVE RD
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-017-1450 Is the Building Historically Designated:Yes NO X
Occupancy Type: RES Load: Construction Type: PLUMB Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):BARRY UNIVERSITY Phone#:305-899-4914
Address: 11300 NE 2ND AVE
City: MIAMI SHORES State: FL Zip: 33179
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: MARLIN PLUMBING OF MIAMI, INC Phone#: 305-652-3031
Address: 20145 NE 16TH PLACE
City: NORTH MIAMI BEACH State: FL Zip: 33179
Qualifier Name: EDWARD J WALKER Phone#: 305-652-3031
State Certification or Registration#: CFC048294 Certificate of Competency#: C E 04 5 23 2
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$9,400.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: REPLACE APPROX 120'OF WATER SERVICE WITH 1"CPVC WITH NEW BALL VALVES,REROUTE COLD WATER
AROUND WESTSIDE OF HOMETO FEED LAUNDRY ROOMAND KITCHEN AREA, INSTALL NEW WATER
LINE FROM LAUNDRY ROOMTO HALL BATHROOM APPROX 40' WITH CPVC PIPE AND FITTINGS
Specify color of color tru tile:
Submittal Fee$ Permit Fee$ 36-0 � CCF$ l�e Q CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ oo Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$FE)(•
(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.
SignatureJSignature
&2
OWNER or AGENT ONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
3tk- day of _ ,20 I� ,by (0 day of Se ,20 by
91S�N� , U ,w®ho rLP sonally known ko dd .fA WQ 1 ,who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY P BLIC: �� NOTARY PUBLIC:
Sign: Sign:
Print:
Nav PulNin La of =°: :": Notary Public-State of lorlda
,le1Pry J Yeo Seal: N,` ;ac My Comm.Expires Dec 6,2017
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APPROVED BY ''t I Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
MARLIN PLUMBING OF MIAMI, INC 9-1 0 1 /V LC-- 6 A-ve
EDWARD J WALKER /��A �f Q iwt f f r(„
CFC048292
305-652-3031
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