MC-17-651Project Address
335 NE 101 Street
Miami Shores, FL 33138 -
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number
1132060135211
Block: Lot:
Reside
Pool Heat
Permit Status: APPROVED
Expiration: 10/28/2017
Applicant
Owner Information
Address
Phone
GERARDO GUARCH
Cell
GERARDO GUARCH
335 NE 101 Street
MIAMI SHORES FL
335 NE 101 Street
MIAMI SHORES FL
(786)586-7756
Contractor(s)
AQUATIC ENVIRONMENTS
Phone
(786)390-9029
Cell Phone
Valuation:
Total Sq Feet:
$ 3,200.00
0
Tons:
Additional Info: electric pool heat pump
Classification: Residential
Approved: In Review
Comments:
Date Denied:
Scanning: 3
Date Approved: : In Review
Type of Work: electric pool heat pump
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$2.00
$2.00
$0.80
$112.00
$9.00
$3.20
$131.40
Pay Date Pay Type
Invoice # MC -3-17-63263
05/01/2017 Check #: 3473
03/10/2017 Check #: 3394
Amt Paid Amt Due
$ 81.40 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Review Mechanical
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.
May 01, 2017
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
May 01, 2017 1
h's ES10)06Sct,
7z -.o- y°Zy
Miami Shores Village
Building Department
1:0050AcE.blid Avenue, MiamiShores, Florida 33138
Tel: (305) 795-2204 Fa= (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
BUILDING ELECTRIC D ROOFING
0 PLUMBING
JOB ADDRESS:
Oily: Miami Shoves Catialf; MiamiDade Zinc
Foiro/Parcet#: ci G°2-1 rs the BuildingflistorfcalltDesignated: Yes NO
MECHANICAL DPUBLIC WORKS
ILTI Lr -FD
MAR 1 0 2017
FBC 2O
d -aster Permit No. bPP \1-65
Sub Permft No. M. I,ITT 6 5
REVISION D EXTENSION DRENEWAL
CHANGE OF DI CANCELLATION b SHOP
CO NTP.ACT'a Mr* fos A re mar, r
1:d r1/411.111t 4101‘,3-..1
N1.49 k.cx
Occupancy Type: S Load: Construction Type:
Flood Zone:
BFE: FFE:
OWNER: Name )(Fee Simple Titleholder): Gegitkr-AD Phone*:
3S
Address:
Address:
City: etiN.CA
Tenant/Lessee Name:
1041/4 --
State: fc-si
Phonell:
Email:
CONTRACTOR: Company Name:C-S--110kA Pitmen:
V,,, c.i0q701-P
Address: I ri-ieR- .-1-**. 4-6 -q 4'2-0-3
Uty: -.Pil Pecbejr State: Pi ZIP:
Qualifier Name: L. -tit- 6---74?) rioSa Phone#:
State Certification or Registration #: OEPC. cp 5 -4--2. Certificate of Competency #:
DESIGNER: Arch*ectialijineer: 17C i4jet."--v.41(19. Phone#: la:›1 2-I
rE305 Si) DA' 6tiFit atv: AMA- state: 'Pt .331S
Address:
Value of Work kw MIN Permit: $ 3 gotO. °O /threarfoolage alWcatic
Type of Work: ET Addition D Alteration Mr1 New D Repair/Replace fl Demolition
14e I- V.)
Description of Work: Gleerri ?c5
Specify cafor of color thru tie:
Submittal Fee $ 50 Fee Permit Fee $ \\:1\tOo
CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Tedundogy Fee $ Trangaducation fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL NOW DUE $ 9 I -
(Revised0V4/2014)
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
IJ r
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 comme a st be posted at the job site
for the first inspection w • h occurs seven (7) days after the building permit is issued. I '. of such posted notice, the
inspection will not be . pro ed and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
P' day of , 20 �-- , by
�w'wTA
io is own to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
4
4
ELENA A S
Notary Public - State of Florida
Commission # FF 924095
My Comm. Expires Dec 13, 2019
Bondedthargh National rotary Assn.
APPROVED BY
(Revised02/24/2014)
��•� - --
Signature
CO TRACTOR
The foregoing instrument was acknowledged before
�m1 me this
day of ��4h-, 20 C 'T , by
`-' 1 ho is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: k—S(2).-611Q.(
Print: 'ea sa��✓
Seal:
PSB., ELENA A SADLER
Notary Public - State of Florida
• E Commission # FF 97^C
M�y��{�Comm. Expires res Decc�,f1'J3 ,, 2019
#################### '111\�#�y_ _mak_ � � � ,,
1)\9)0lans Examiner
Structural Review
*
**
Zoning
Clerk