MC-16-3200 so"o,a
�9XV, Miami Shores Village , "� FerMt�ype I Iec lalniCai-K ltd
10050 N.E.2nd Avenue NE s 6
�MMt�C ssi��al Pct H0A
Miami Shores,FL 3313&0000zz
Phone: (305)795-2204 ` IM 1
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8 3
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11J 912416 Expiration: 05128/2017
Project Address Parcel Number Applicant
889 NE 97 Street 1132060142650
EDORADO&CATHERINE RIBET
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
EDORADO&CATHERINE RIBETTI 889 NE 97 Street (305)609-7323 (786)612-9664
MIAMI SHORES FL 33138-
889 NE 97 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 3,200.00
AQUARAMA POOL INC (305)934-4226
Total Sq Feet: 0
Tons: Available Inspections:
Additional Info:NEW POOL HEATER Inspection Type:
Classification:Residential
Final
Approved:In Review Review Mechanical
Comments: Date Approved::In Review
Date Denied: Type of Work:NEW POOL HEATER
Scanning:1
Fees Due Am]00
�Date Pay Type Amt Paid Amt Due
CCF Invoice# MC-11-16-62157
DBPR Fee 11/29/2016 Credit Card $ 125.40 $0.00
DCA Fee
Education Surcharge
Permit Fee $
Scanning Fee Technology Fee Total: $12
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,st%emehts or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work don either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECH L, OWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: �Futhermore,
ify that all a for i g information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. autho' e t e above-named contractor to do the work stated.
November 29,2016
Authorized Signature:Owne �- Ap�plican / Contractor / Agent ate
Building Departme
November 29,2016 1
Miami Shores Village ' -" � ��
NOV 2 2016
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY_
CANk
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 6-H-)F.BnnC 20�9"
BUILDING Master Permit No. bpP �b--2817
PERMIT APPLICATION Sub Permit No. IAG 1/6 '-3?,00
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBINGCHANICAL [-]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION [:] SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County Miami Dade Zip• _._
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:(
OWNER:Name(Fee Simple Titleholder): Phone#:�&) �M-220?
Address:
City: State:
Tenant/Lessee Name: Phone#:
Email: P-fr^y-" 1 Ono
CONTRACTOR:Company Name: , rJ�Vrr61 Phone#:
Address c JYZ
City: State: FC-
Qualifier
C Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: Addition ❑ Alt ionIVew ❑ Repair/Replace ❑ Demolition
o k
Description of W : l(
Specify color of color thru tile: ^� p.
Submittal Fee$ Permit Fee$ CCF$ aC �1'Q CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ `� °G"� Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
12 C
TOTAL FEE NOW DUE$ C)
(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 th absence of such posted notice, the
inspection will not be approved a reinspection fee will be charged.
Signature Signature
INNER or AGENT T CTOR
t
The f regoing instru ent was ac l owledged before me this The foregoing instrument was ac owledged before me this
day of r 20 Y7 by day of 201�"by
V wn to o is nerserrRllyTcnow�to
me or who has produced as me or who hasfodlucd as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PU
IVIS SA(dCHEZ + 5 SAIXF
EZ
Sign: MISSION#FF158432 Sign; MISSI ��1,1"."..
9, g 20 EX 1 to
Print: F Print:
(4d7)398-0153 0
Seal: Seal:
APPROVED BY " Plans Examiner Zoning
Structural Review Clerk
(ReAsed02/24/2014)