PL-18-658Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. PL-3-18-658
Permit Type: Plumbing - Residential
Work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 4/2/2018
Expiration: 09/29/2018
Parcel Number
Applicant
1070 NE 93 Street
Miami Shores, FL 33138-2932
1132050160010
Block: Lot:
ALFONSO DEL CASTILLO
Owner Information
Address
Phone
CeII
ALFONSO DEL CASTILLO
1051 NE 92 Street
MIAMI SHORES FL 33138-
(305)613-5552
1051 NE 92 Street
MIAMI SHORES FL 33138-
Contractor(s)
ROSMEL POOLS INC
Phone
(305)592-7900
CeII Phone
Valuation:
Total Sq Feet:
$ 2,000.00
0
Type of Work: PLUMBING FOR POOL
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$3.38
$2.25
$0.40
$225.00
$3.00
$1.60
$236.83
Pay Date Pay Type
Invoice # PL-3-18-66777
03/13/2018 Credit Card
04/02/2018 Credit Card
Amt Paid Amt Due
$ 50.00 $ 186.83
$ 186.83 $ 0.00
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 ELECTRICA -' UMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
/
OWNERS AFFIDAVIT. I `.rtify that all t - foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoni !.. therm. - authorize the above -named contractor to do the work stated.
Authoriz 4l.ture: Owner / Applicant / Contractor / Agent
Building ' - sartment Copy
April 02, 2018
Date
April 02, 2018
1
Miami 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
FBC20I- BUILDING Master Permit No.? I
PERMIT APPLICATION
Sub Permit NoT L 8
BUILDING ❑ ELECTRIC 0 ROOFING ❑ REVISION ❑ EXTENSION 0 RENEWAL
✓❑'PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: (070
City: Miami Shores
County:
Miami Dade Zip: 13
Folio/Parcel#: I 1 'Do.�' OI(p—I )(c) Is the
Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: -R.Q1 Flood Zone: BFE: FFE:
OWNER: Name (Fee Nmple Titleholder): 0,%.,-}Q�� Ad O a_Sh 16 Phone#: c&L— 6i-8r
O
Address: -C.-Xi. St`-•
city: l`liv:v 11 - +Q
Tenant/Lessee Name:
Email: /1) I%
CONTRACTOR: Company ame: '
Address: �'/f�) �`- �•.� � • � �� C(t..)E e (
State:
N��
Phone#:
Phone#:
City: mil/" V'Ck ( State: 4E_
Qualifier Name: LtU'( ic% t;(,�, ''Sr-
State Certification or Registration #: .W.. 1'"6G 1( Certificate of Competency #:
DESIGNER: Architect/Engineer: cI Ic.no Cruz._' I -E. Phone#:• LKG, • -1)5 `7 1.;;1
Address: CILICI S. I,l.'- (D-- le__ City: I1#t I� rrJ ( State: fl _ Zip: 3•31VI'
Value of Work for this Permit: $ ),w.21 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition
Description of Work: l.DV (\ (OCY9 ..Q .
Zip: 1-1-2—
'
Phone#: , -
Specify`'color:of.co/or.,thru`tle.
Submittal Fee $ Permit Fee $
CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ `
•
Bonding Company's Name (if applicable)
• Bonding Company's Address
City 1—. -
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 .nd a reinspection fee will be charged.
Signature
NER or AGENT
Signatur
CONTR
The foregoing inst• was acknowledged before me this The foregoing instrument was acknowle• ed before me this
t' day •f '� (< Jt 20 Ice , by of"r.
raj , 20 by
A\QOC 7 ` ((qfrk:11 0, who is personally known to d ((MID Lo it.kt s1r • , who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC
{
Sign:
Print:
Seal:
ginv
Notary Public - State of Florida
Commission a GG 156732
My Comm. Expires Feb 14, 2021
APPROVED BY ky3h////
identification and who did take an oath.
NOTARY PUBLI •
Sign:
Print:
Seal:
Plans Examiner
DORISANAYS MARTINEZ
Notary Public - State of Florida
Commission as GG 156732
My Comm. Expires Feb 14, 2021
Zoning
(Revised02/24/2014)
Structural Review
Clerk