PL-17-1104 d t Nth: Pl�.. 17In
-'1.:104 '.
Miami Shores Village j kw T.I P i1mbiiigResidential
fy� 10050 N.E.2nd Avenue NE work pas5fflva6d 0,6tyl-Private
"'• "'`� Miami Shores,FL 33138-0000
Parnrt t Stag:'APPROVED "
Phone: (305)795-2204
x iration: 10/29/2017
lssu I� 21117 P�
Project Address Parcel Number Applicant
46 NE 93 Street 1132060130190
Miami Shores, FL 33138- Block: Lot: MARCOSLEDESMA
Owner Information Address Phone Cell
MARCOS LEDESMA 46 NE 93 Street (305)495-8880
MIAMI SHORES FL 33138-
.._
46 NE 93 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 1,500.00
FLORIDA POOL PATIO CORP (305)815-0181 Total Sq Feet: p
Type of Work:NEW SWIMMING POOL Available Inspections:
Type of Piping: Inspection Type:
Additional Info:NEW SWIMMING POOL Main Drain
Bond Return: Final
Classification:Residential Scanning: 1 Rough
Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# PL-4-17-63765
DBPR Fee $3.38 04/21/2017 Credit Card $50.00 $ 187.96
DCA Fee $3.38
Education Surcharge $0.40 05/02/2017 Credit Card $ 187.96 $0.00
Permit Fee $225.00
Scanning Fee $3.00
Technology Fee $1.60
Total: $237.96
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 a on' g. Futhermore,I authorize the above-named contractor to do the work stated.
May 02, 2017
Authorize re:Owner / Applicant / Contractor / Agent Date
Building Department Copy
May 02,2017 1
Miami Shores Village
Building Department Z IIZ6
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-,Q p I1� 1
PERMIT APPLICATION Sub Permit No. P 1 1-4 " 1
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 5
City: Miami Shores County: Miami Dade zip: �1
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type:,. -i Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): G1�cus 6' -NCa° Phone#: C�y ydv
Address: 46 t,)G- Tt) S+
City: MCAtm1 State: r_71 Zi n:
Tenant/Lessee Name: Phone#:
Email: cI�T-�P�lix�+�C� -
CONTRACTOR:Company Name: Phone#:
Address: 122 LA 1 �
City: (�1��> 11 State: ( Zip:.��1
Qualifier Name: C�GIUC�f C� C��l�-�� Phone#:
State Certification or Registration#: Glx- 145P l VZ Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: _ City: State: Zip:
Value of Work for this Permit:$ t� " Square/Linear Footage of Work:
Type of Work: ❑ Additio^nyy�"❑ Alteration [ New rye ❑ Repair/Replace ❑ Demolition
Description of Work: �,�- > 1 rY QIP►'\,�9�� I ` "�l
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ k 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 fa' that
a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is u -ect to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first insp fo which occurs seven (7) days after the building permit is issued. In the absen posted notice, the
inspection will no be a proved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoin stru ent was acknowledged before me this Theme foregoing instrument was acknowledged before me this
day of �l� 20 by 1 day of ,20 1 7 by
LeA PS n^g who is personally known to u u &',�Xyho is personally known to
me or who has produced ilF L Ar,J e t S d--i C-' w S as me or who has produced f `e ki S'td as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign: f
Print:
�`° it � aEZ Print:—ft •
SealMY COMMISSION #FF15716-, fi+ EXPIRES Ap 7,2020
J EX11
PIRES September 20.2018 Seal: „
(407)398.0153 FWrkWN*WWJWVie.WM
398-0153 FloridallotaryService.com
APPROVED BY �1 `D ° e Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)