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MC-18-524Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Perms Permit NO. '1C-3-18-524 Permit 7 ype: Mechanical - Residential Work Classification: Pool Heater Permit Status: APPROVED Issue Date: 4/23/2018 Expiration: 10/20/2018 Parcel Number Applicant 10501 NE 3 Avenue Miami Shores, FL 33138- 1122310130390 Block: Lot: JUAN & VERONICA SCATENA Owner Information Address Phone Cell JUAN & VERONICA SCATENA 160 NE 118 Street MIAMI SHORES FL 33138-2007 (305)759-4500 Contractor(s) Phone SWIMMING POOLS OF FLORIDA INC (305)597-3950 CeII Phone Valuation: Total Sq Feet: $ 1,500.00 0 Tons: Additional Info: HEAT PUMP FOR POOL AND SPA Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: HEAT PUMP FOR POOL AND SPA Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Amount $1.20 $2.00 $2.00 $0.40 $122.50 $3.00 $1.60 Total: $132.70 Pay Date Pay Type Invoice # MC-3-18-66617 04/23/2018 Check #: 6513 03/05/2018 Check #: 6396 Amt Paid Amt Due $ 82.70 $ 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 construct VIT: I certify th- all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating ing. Futhermor_ , 1 authorize the above -named contractor to do the work stated. Author ed ignat Applicant / Contractor Building Departm'_ nt Copy April 23, 2018 Date April 23, 2018 1 iami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING []PLUMBING ECHANICAL ]PUBLIC WORKS JOB ADDRESS: l 0 i -e 3 le City: Miami Shores County: RECEIVED M9R 01.1II1@ eF ct/oIR" Master Permit No. 1 - S 2� Sub Permit No. M C S 2-LA REVISION ❑ EXTENSION ❑ RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP DRAWINGS CONTRACTOR Miami Dade Zip: Folio/Parcel#: I 1 I� I Cop, 3 ©� 9 iD Is the Building Historically Designated: Yes NO )( Occupancy Type: r7Tad: Construction Type: { ` ) Flood Zone: . BFE: FFE: OWNER: Name (Fee Simple Titleholder): V P Y® Vrl ( q `3{ Ot4 e Y)Ci Phone#: a1 sg 3 3 a � us o 1 IV e 3 atv-e City: k 1 i� 04 i State l O r 1.(c\ Zip: 1 t1 Tenant/Lessee Name: Address: Email: e..353 r)S+ 5 rp Q L ' C) r>1 CONTRACTOR: Company Name: m 0 2(015 Address: City: K1 a 1.A 1 Qualifier Name: \---1 State Certification or Registration #:- DESIGNER: Architect/Engineer: AA Address: 1 c 1 o SS- 3 (&) (ogR-( Uw z- State: P L �-e rv1air) ®1'1aD Bn sf Phone#: Phone#: A'CG 9q, Y-0 Zip: 2?)j l lQ to Phone#: '31 5'1 3°i TO Certificate of Competency #: Phone#: City: 1-4 i a IL-'ti State: T I Zip: Value of Work for this Permit: $ a ,Square/Linear Footage of Work: Type of Work: Description of Work: ❑ Addition ❑ AlteratpK New Ic+ h `Tor Repair/Replace god I c� ►-� SPq Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ \'D Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ 1.0 Bond $ TOTAL FEE NOW DUE $ �., • `�• 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. 1 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: 1 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, o 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 OWNER or AGENT The foregoing instrument was acknowledged before me this ( 0 day of -Q b r-UQ r L , 20 / �i , by vQraYi 4t'known to )cal< Xe,?' is personally me or who has produced C C 2 r? ij2 identification and who did to NOTARY PUBLIC: Sign: Print: Seal: as Signature CONTRA OR The foregoing instrumen was acknowledged before me this �� CP day of bru f `-" , 20 / 8 , by 14 Y1 L' 14einair who is personally known to me or who has produced ntification and who did tak ANGELA BAEZ MY COMMISSION S GG 043212 EXPIRES: October 30, 2020 nded Thru Notary Publk Undenwriters ***************************** ****** ***** APPROVED BY TARY PUBLIC: Sign: Print: Seal: C.v19 as �M . ANGELA BAEZ - , Y MY COMMISSION / GG 043212 I•�� 4,1 EXPIRES: October 30, 2020 Ar°V Bonded Thru Notary Public Underwriters 110 r // ************************************************************** Flans Examiner Zoning (Revised02/24/2014) Structural Review Clerk