PL-18-3169Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
L8125 IBC 915" TER, Miami Shores, FL 33138
Contacts
155cle..:Date: ? 1/26/2018
Parcel Number
1132060050250
Permit No.: PL-10-18-3169
Permit Type: Plumbing Residential
Work Classification: Pool - Private
Permit Status: Approved
Expiration: 05/20/2019
MHriIALI HLvHRE7_ Owner CALYPSO POOL CO. Contractor
825 Nl_ 9: TE2, MIAMI SHORES, FL 33138 CARLOS SONZA_EZ
Othei. 7c63749810 7400 7 ET Sl!ITE 11', nalaN,11, FL 33126
Inspection Requests:
Description: NEW POOL AND SPA CONSTRUCTION Va!uation: S 1,600.00 305-762 4949'
Total Sq Feet: 503.00 i
Fees
Appiic,tlo-� E ee - ::ther
CCF
DBPR Fee
DCA Fez
Educat:cn 'z,-ch3rge
Plumbing - Pocl - Residential
Scanning Fee
Technology i-ee
Total:
Amount
$50.00
$1.20
$2.00
$2.00
$0.40
$100.00
$9.00
$3.75
$168.35
e�� I
Payments _ _
_
_ Date Paid_
-
Amt Paid
Total Fees
$168.3.5 p
Check # 402r-
11/ 06/2018
$50.00 fHA
Check # 4024
11/25/2C:8
$118.35 0
Amount Due:
$0.00
>atega��sr�
Building Department Copy
In con—---n of *he issuance to me of this permit, I or ee 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 fc-* all work done by either myseii, my agent, servants, or employes I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECH aNICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL vork.
OWNERS FIDAVIT: I certi t all the foregoing irormation is accurate. and that ali work will be done in compliance with all applicable laws
regulatin construction and z Ing. Futhermore, I authorize the above named contractor to do the work stated.
Au Aprlicant / Co1 tractor / Agent Date
Novemb r 2G, 2012- Page 2 of 2
Miami Shores Village
Building Department RECEIVED
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 OCT 16 1018
Tel: (305) 795-2204 Fax: (305) 756-8972 �./f `'7
INSPECTION LINE PHONE NUMBER: (305) 762-4949 CP'I
FBC 20 !�
BUILDING Master Permit No. �aPP)CJ ?j `li/�
PERMIT APPLICATION Sub Permit No. qI 1 1 W
F-IBUILDING ❑ ELECTRIC ROOFING ❑ REVISION EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL EJPUBLIC WORKS [:]CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: g.2r (Vea q 1 Toe -
City: Miami Shores County: Miami Dade Zip: '331'3 R
Folio/Parcel#: )/ r 32 06 " por - a9 �S'cD Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):f4arto #AldrOZ Polling Ja✓Icr fa /cic o Phone#:
Address: 9zs'" Aic
City: MiaM a SLR Arc_ State:
Tenant/Lessee Name: IV/14
Email:
p: 32 i 3R
Phone#:
CONTRACTOR: Company Name: (.ia�go/ ��. Phone#: "305 �aCa7 ��.7Y
Address: Zy0Q AV1.1 �7s7P 4-///
City: "/Cr/-a/ State: F=G Zip: :3 3 /,z (o
Qualifier Name: 4:�Qf-/OS L7onze' `C = Phone#: '3C2S' - a !D 2 q
State Certification or Registration #: GpG amz s 3 .% Certificate of Competency #: _
DESIGNER: Architect/Engineer:
Address:
City:
hone#:
Value of Work for this Permit: $ C C c) L) Square/Linear Footage of Work:
Zip:
Type of Work: ❑ Addition ❑ Alteration R New ❑ Repair/Replace ❑ Demolition
p k
Description of Work: 1 „+,` SQ'Q t'coSiry r-+�.�
Specify color of color thru the:
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $,
(Revised02/24/2014)
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $ _
Notary $
Double Fee $ _
Bond $
TOTAL FEE NOW DUE $ 1t U '
AF
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
E.
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
/-�;—/o
or ENT C NTRACTOR
The foregotpg 'instrument was acknowledged before me this
0 day of 20 i `�i , by
ci l�- c`( rc), who i- ona ly know o
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
The foregoing instrument was acknowledged before me this
f day of �? _ 20 by
Q-7z,J�ho iQe ,onally:knew
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC`"
U^?P 'SS Grw x rr 10
en r °c
-xPIRES1 iJC r cU tlerv01 �s
Eanced Ihr Vc: ry _.
Sign: - -
as
Print:
Print:
_
GLADYS BORGES
--=--
Seal: ri r,<..'6"!t�i�.
b1Y COMMISS10N # FF 177110
Seal:
�'
�ypy;
GLADYS
EXPIRES:Decemba,17,2018
A
&lyCOMAIISSICN#FFS77110
Eaced1hmNaaypu`i Undemni;rs
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aEXPIRES:Decembar17, 018
aed fh; No,y
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-1 Unoerw te;s
APPROVED BY
7'�� Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)