PL-18-2338`�`
Miami Shores Village
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10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
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Phone: (305)795-2204
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Permit No. PL-8-18-2338
Permit Type: Plumbing - Residential
Per I" t Work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 9/14/2018 1 Expiration: 03/13/2019
Project Address Parcel Number Applicant
10125 BISCAYNE Boulevard 1132050190190
Miami Shores, FL 33138-2647 Block: Lot: BISCAYNE 10125 LLC
Owner Information Address Phone Cell
BISCAYNE 10125 LLC 10125 BISCAYNE Boulevard (786)390-3177
MIAMI SHORES FL 33138-
10125 BISCAYNE Boulevard
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
FLORIDA POOL PATIO CORP (305)815-0181
Type of Work: NEW POOL PLUMBING
Type of Piping:
Additional Info: NEW POOL PLUMBING
Bond Return :
Classification: Residential Scanning: 1
Fees Due
Amount
CCF
$0.00
DBPR Fee
$0.00
DCA Fee
$0.00
Education Surcharge
$0.00
Permit Fee
$112.50
Scanning Fee
$0.00
Technology Fee
$0.00
Total:
$112.50
Valuation: $ 1,000.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-8-18-68750
08/30/2018 Credit Card $ 50.00 $ 62.50
09/14/2018 Credit Card $ 62.50 $ 0.00
wvaname 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:-, S, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certi all ®re going information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. er I authorize the above -named contractor to do the work stated.
September 14, 2018
,, r orized Signatur • ar riI Applicant / Contractor / Agent
Idi epartment Copy
ember 14, 2018
Miami Shores Village ►J,,-_� . T
Building Department j AUG o 018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 S y ���
Tel: (305) 795-2204 Fax: (305) 756-8972 -- —
INSPECTION LINE PHONE NUMBER: (305) 762-4949
F BC 20
BUILDING Master Permit No. emtq- tT Z25-!5
PERMIT APPLICATION Sub Permit No. ?L k-Z33 Oo
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ' O1 � 0 ca�r-y�� V d
City: Miami Shores County: Miami Dade Zip: _7051 ✓"27
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
C1CAO&O , vjen�e� Phone#:
Address.
City: + \� ccYYi t State: Zip: J
Tenant/Lessee Name: Phone#:
Email
CONTRACTOR: Company Name. , \�-/� ��A ` �M�`-� ` tv Phone#:
Address: aa w " �� I ��
1 ' �j 1
City: i��Ct>r� t � � State: Zip:
Qualifier Name: 0 lurV o `" tt
State Certification or Registration #: I G (tj
DESIGNER: Architect/Engineer:
Phone#:
Certificate of Competency #:
Phone#:
Address: i1 City: State: Zip:
Value of Work for this Permit: $ 1000 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
s-ol '?I
PLU-2338 > +o rcP�ac�c P L- 17 -ZZSc
Specify color of color thru tile: �k- Z-. 93
Submittal Fee $ Qo- 00 Permit Fee CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $_
Structural Reviews $
Training/Education Fee $
Double Fee $ _
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ _ 62. �
BoticlMg (3 �mpany's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 .tt b site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence ed notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature X&
OWNER &ET
lThe (foregoing instrument was acknowledged before me this
1�� 1 day of � , 20 � , by
who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: 0L i 9
Print: k r C-
CONTRACTOR
The foregoing instrument was acknowledged befo a this
�Q1 day of 20 , by
L—V6 0 �0 , who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: NV Ami lc�
as
Seal: Seal:
:y '•" NADINE ACiUA3� NADINE AGUAS
MY COMMISSION # GG090407'
(y� �((J)ic�.S (♦�J^�.,�rll.�((?� 021 L: MY�COMMISSION
#�.�GG(090407
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APPROVED BY `/r//S2 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)