PL-17-381Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Pe
•mit
Permit NO. PL -2-17-381
Permit Type: Plumbing - Residential
Work Classification: Pool - Private
Pennit Status: APPROVED
Parcel Number
Expiration: 09/04/2017
Applicant
241 NW 92 Street
Miami Shores, FL
1131010331180
Block: Lot:
PERFECT HEAT LLC
Owner Information
Address
Phone
Cell
PERFECT HEAT LLC
241 NW 92 Street
MIAMI SHORES FL
(305)608-4672
241 NW 92 Street
MIAMI SHORES FL
Contractor(s)
RENO'S PLUMBING & POOL INC
Phone
(561)368-3308
Cell Phone
Valuation:
Total Sq Feet:
$ 1,000.00
0
Type of Work: PLUMBING FOR NEW POOL CONSTRUCTION
Type of Piping:
Additional Info: PLUMBING FOR NEW POOL CONSTRUCTION
Bond Return :
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scarining Fee
Technology Fee
Total:
Amount
$0.60
$3.38
$3.38
$0.20
$225.00
$9.00
$0.80
$242.36
Pay Date Pay Type
Invoice # PL -2-17-62938
03/08/2017 Check #: 3502 $ 192.36 $ 50.00
02/14/2017 Check #: 3500 $ 50.00 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Main Drain
Final
Rough
Review Plumbing
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.
honzed Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
March 08, 2017
Date
March 08, 2017 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION UNE PHONE NUMBER: (305) 762-4949
RECP
FEB 1 4 2017
s-�
FBC 20 (L -t
BUILDING Master Permit No.1- - 38
PERMIT APPLICATION Sub Permit No.P 1 1.-4 73451
ElBUILDING ELECTRIC D ROOFING ❑ REVISION El EXTENSION RENEWAL
]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: .. -I 1 ►ti3 CON
1\6 r4:, e -k—
City: Miami Shores County: Miami Dade Zip: # I S�
Folio/Parcel#: k1 `3\ 0 I 0.--2-: l k.% 0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: .FFE:
OWNER: Name (Fee Simple Titleholder):PerteC-k- 1oct+ U -L. — J c\-sXc .2 tO Phone#:
Address: 4s 0 s. Sh0(12. D r1C.X, ItC-4L(
City: Kv%VL QecdState: FC-- Zip: 53 1`11
Tenant/Lessee Name: Phone#:
i
Email:
CONTRACTOR: Company Name: .e_r\O rS p1u NV*Arn j Pdo1 -ir\f✓ Phone#:
i
Address: '�1i5a 1 a 1 Arai a 1 j V. -6V.-6-
City: -eA rcLi �p State: Zip: 3'3t -1v4
Qualifier Name: .`C Y'�\(arkd \S -G\- c Phone#:
State Certification or Registration #: C PC—PS Q / wa Certificate of Competency #:
DESIGNER: Architect/Engineer: Ara Ftc. Crvci.itfTy P-n9inei rs 111x. Phone#:5(I k-{' (7 67
Address: a call I (i cl k(5i�2 n rive . �! City: &act Red c" State: FL Zip: "."\-tD.ar
Value of Work for this Permit: $ 11t cx.c 2 Square/Linear Footage of Work:
Type of Work: ❑ Addition 0 Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: NWMJ \)aQk 1S1/4 -(c s.Q.QY)
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ 1.,- f' CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $
Bond $
TOTAL FEE NOW DUE $ ' ` Z . 3±0
(Revised02/24/2014)
I
Bopding 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 thenoticeof 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
Mk 13o -
OWNER or AGENT
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
.2Clytday t�off () j fIi ?Jt° i , 20 i6 by De day of t Y'\ L DeX , 20 tCo by
A44T(aI
�J i vb , who is personally known to \00A0 \& \ .
Signature
VaJ2a,
CONTRACTOR
, who is personally known to
me or who has produced F£ D rtc. t3 t..- i 2 as me or who has produced FL,bYve (.m2211BP as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
identification and who did take an oath.
KYLE C HAMBRmi" NOTARY PUBLIC:
MY COMMISSION* GG066511
XioXo ; EXPIRES January 26, 2021
ao-tb i-r.Cc
Sign:
L
Print:
Seal:
KYLE C HAMBRICK
MY COMMISSION* GG066511
XPIRES January 26, 2021
It mla r tCLc I
************************************************************************************************************
APPROVED BY
(Revised02/24/2014)
Plans Examiner
Structural Review
Zoning
Clerk
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
Obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will
lie the only person allowed to: work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
J
State of Florida
County of Miami -Dade
Owner
1((-)
The foregoing was acknowledge before me this --U day of
By
- c bzvG
T'ehrcot,20t7 .
who is personally known to me or has produced
n
CteMS`k as identification.
Notary:
SEAL:
YANADY PRIETO
MY COMMISSION # FF214031
EXPIRES:
Bonded 7hwMarch 25, 2019
NotaryU Public ndenvnters