PL-18-558Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit "'
Issue Date: 4/23/2018
Permit=O. PL--f -558
nit Type: Plumbing - Residential
Work Classification: Poo) - Private
Permit Status: APPROVED
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
Cell Phone
Valuation:
Total Sq Feet:
$ 800.00
0
Type of Work: PLUMBING FOR POOL AND SPA
Type of Piping:
Additional Info: PLUMBING FOR POOL AND SPA
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$3.38
$2.25
$0.20
$225.00
$3.00
$0.80
$235.23
Pay Date Pay Type
Invoice # PL-3-18-66668
04/23/2018 Check #: 6513 $ 185.23 $ 50.00
03/05/2018 Check #: 6396 $ 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 AFF
construction a
T: I certify that II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
g. Futhermore, authorize the above -named contractor to do the work stated.
April 23, 2018
Authorized Signature: ' / Applicant / Contractor / Agent Date
Building Departme t Copy
April 23, 2018 1
r • iami Shores Villag
BUILDING
PERMIT APPLICATION
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
RECEVEI-
MA0520s
FBC 201-1
Master Permit No. DPP (6—S7 3
Sub Permit No. ? t 1 S 555e)
❑BUIJLDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION El RENEWAL
PLUMBING ❑ MECHANICAL 0 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION El SHOP
CONTRACTOR
JOB ADDRESS: ( I l) e. Q P
DRAWINGS
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#: O Is the Building Historically Designated: Yes NO 'c
Occupancy Type: I° I j!!y`QCoad: Construction Type: ?c \ Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): V P con) co S col 7"PhC1 Phone#:
Address: l.MO ()wiz
City: \ a i !S Y 0 fPS State: PL Zip: '--N15_
Tenant/Lessee Name: Phone#:
0_3-6 ‘rS pc7TL co r ,
CONTRACTOR: Company Name: ° k) i aPah -(O (C' 'hone#: `3) s- 9
Address: COq \ l.t LCC 50 s -
Zip 33I
Email:
City: F'11 `1 State: `TA__
Qualifier Name: GtAn o \ nq
Q Phone#:
State Certification or Registration #: _ % U S %�� C7 Certificate of Competency #:
DESIGNER: Architect/Engineer: ` tAoI►so Phone#:
Address: ( t40'S5 sc.() 30 S 4' City: -iC, 1..-6 State \ Zip:
uare/Linear Footage of Work:
Value of Work for this Permit: $
Type of Work: ❑ Addition ❑ Al eration E New ❑ Repair/Repla e ❑ Demolition
Description of Work: ,,v r'(\ bt ,n 1-0"'i Poo\ m - •
J
Specify color of color thru tile: �^
Submittal Fee $ Permit Fee $ p J - CCF $ " CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ � - 2 3
TOTAL FEE NOW DUE $ 1'
(Revised02/24/2014)
ti
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 the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signatur' "
OWNER or AGENT
The foregoing instrument was acknowledged before me this
d day of -r-2 UriO bi t- y , 20 i j , by
jf ear, I (P 501itternwho is personally known to
me or who has produced
CO 17 as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
IIE
b !.
t' r
MY COMMISSION # GG 043212
EXPIRES: October 30, 2020
Bonded Thru Notary Public Underwriters
Signature
Theemforegoing instrum nt was acknowledged before me this
`� U day of v f `I , 20 1 , by
Oa noe t Ike' [ CY9( i(%ho is personally known to
me or who has produced (_c2 NV as
identification and who did take an oath.
NOTARY PUBLIC:
cf.—)
Sign:
Print:
Seal:
************************************************************************************************************
APPROVED BY
Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review
Clerk