PL-18-1989Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: PL-7-18-1999 Permit IVR Number: 627186
Permit Type: Plumbing -Residential
Work Classification: Addition/Alteration
Permit status: Approved
Issue Date:10/16/2018 Expiration: 04/15/2019
Location Address Parcel Number Project
1255 NE 99 ST, Miami Shores, FL 33138-2642 1132050090100 <NONE>
Contacts
JOSH WOLLOWICK Owner JOSH WOLLOWICK Applicant
1255 NE 99 ST 1255 NE 99 ST
Other:30S5310970 Other:3055310970
TUTTLE'S POOL CO INC Contractor
RAYMOND MARK TUTTLE
8785 SW 129 TER, MIAMI, FL 33176
Business:3052520016 TUTTLESPOOLCOMPA@BELLSOUTH.NET
Description: NEW POOL EQUIPMENT (PIPING) Valuation: L$1, 0 Ins ection Requests:
305-762-4949
TotalSq Feet:
Fees
Amount
CCF
$1.20
DBPR Fee
$2.25
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$150.00
Scanning Fee
$3.00
Technology Fee
$1.60
Total:
$160.45
Building Department Copy
Payments Date Paid
Amt Paid
Total Fees
$160.45
Check# 82106 10/16/2018
$110.45
Check # 81338 07/25/2018
$50.00
Amount Due:
$0.00
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.
-/(,--�e
Authorized Signature: Owner / Applicant / Co rac or / A Date
October 16, 2018 Page 2 of 4
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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
UL 2 A 2018
BY• A 1
GT4
FBC 20 C''
Master Permit No G - l08
Sub Permit No.
❑ REVISION ❑ EXTENSION [—]RENEWAL
QPLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1255 NE 99 ST
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 11-3205-009-0100 is the Building Historically Designated: Yes NO
Occupancy Type: SFR Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): JOSH WOLLOWICK Phone#:
1255 NE 99 ST
City: MIAMI SHORES State: FL
Tenant/Lessee Name: Phone#:
Email:
p: 33138
CONTRACTOR: Company Name: TUTTLE'S POOL CO Phone#: 305-252-0016
Address: 8785 SW 129 TERR
City: MIAMI State: FL Zip: 33176
Qualifier Name: RAYMOND MARK TUTTLE Phone#: 305-252-0016
State Certification or Registration #: CPC052527 Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address: City: State: Zip:
Value of Work for this Permit: $_ �j,�-fl O — Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: NEW POOL EQUIPMENT (� V
Specify color of color thru tile:
r1_1 ICU• c�
Submittal Fee $ (X-) Permit Fee $ 1 CCF $
Scanning Fee $ Radon Fee $ Z DBPR $ `2 ' 2—S
Technology Fee $ Training/Education Fee $
Structural Reviews $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company'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 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 Signature 4'Nc�c�-t`
O ER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
_ day of �' 'S 20 �� by C" dray of ��'(V t-/ 20 by
o is personally known o nol1O VV1�r �u.rl , who is personally known to
me or who has produced
as me or who has produced as
identification and who did take an oath.
identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
X
Sign: �c.4
Sign,—)
Print: N A GPI
Print: Rvr'
Seal: Ana Maria Ito
Seal: :ore;;, TAMMY M. HUNT
��M33
c - MY COMMISSION #t GG 007753
x. t. `�_ �L;,O a, 2M�rrca=
EXPIRES: September 6, 2020
FOF a ;°••' Bonded Thru Nola Public Underwrters
Notary
*#*****s***
APPROVED BY C9�p
Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)