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PL-18-3198Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address F)k Issue Date:12/14/2018 Parcel Number Permit NO.: PL-10-18-3198 Permit Type: Plumbing - Residential Work Classification: Pool - Private Permit status: Approved Expiration: 06/12/2019 1260 NE 94TH ST, Miami Shores, FL 33138 1132050100180 1 Contacts MARIA ANDREINA MARTINEZ Owner 1260 NE 94 ST, MIAMI SHORES, FL 33138 Other: 3054391663 NATIONAL POOL DESIGN LLC Contractor ALFREDO RODRIGUEZ 2423 SW 147 AVE SUITE 212, MIAMI, FL 33185 Business: 3055591020 Description: POOL REMODEL Valuation: $ 900.00 Inspection Requests: Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Plumbing - Pool - Residential $100.00 Scanning Fee $54.00 Technology Fee $3.75 Total: $212.55 Payments Date Paid Amt Paid Total Fees $212.55 Check # 1352 12/14/2018 $212.55 Amount Due: $0.00 Building Department Copy 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. Authorized Signature: Owner / Applic4 Contractor / Agent Date December 14, 2018 Page 2 of 2 1 F. BUILDING PERMIT APPLICATION Miami Shores Village lyzc�cl DUI ding Department o41. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 617 2_4 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ❑BUILDING ❑ ELECTRIC ❑ ROOFING FBC 20 11 4- Master Permit No.1 �j I CI Sub Permit No. r 1 ❑ REVISION ❑ EXTENSION I EWAL I PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP � CONTRACTOR DRAWINGS JOB ADDRESS: If 4 "rJl) J� 7 City: Miami Shores f County: Miami Dade Zip: � J Folio/Parcel#: 11- 3Zv 5-61U 0149 0 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):_M"f n A-N op.6i ffA r4A VP42 e#: 3 -77U—Ioqqq Address::f - � ©C N 6 C7 -! / City: 0 1 )%{-i`4 ( J State: �� Zip: J 13 U Tenant/Lessee Name: .��I CONTRACTOR: Company Name: ` J r' DA44Z I Address: 2113 s t--j III I A i-,ij City: _- IY7 i !I -VI If State: Qualifier Name: A-LjFa �// Q UD 4 State Certification or Registration #: t�15--7 DESIGNER: Architect/Engineer: c- ®-es / �4j 7Z 2- hone#: 3-S :r � - / ®2 0 Certificate of Competency #: ne#: Address: City: State: Value of Work for this Permit: $ ! 06. ya Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Description of Work: VM V l rvb- Specify color of color thru tile: Submittal Fee $ Permit Fee $ 1.r' U <� CCF $ el p: Zip: ❑ Demolition CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ 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. 1 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 (WDroved and a reinspection fee will be charged. NER or AGENT ThfjqjrRing instrument was a�cknowledged befor7 this6day of C 01 20 , by 1-1A4'A MHaT-i,- .Z w s personally known to me or who has produced ID L identification and who did take an oath. NOTARY PUBLIC: I CG - Sign: V1' Print: °"vP"'• CRIS INARODRIGUEZ ota7ry u`571C 5f3T2 bf for di Seal: _ Commission GG 105164 •°'�o`F� '• My Comm. Expires May 16, 2021 BordedlhreughNaticralNetaryAssn. as Signature O RACTOR T�tfqrUging instrument was acknowledged before is day of . 20 I by o is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: ClI�,SrMq Print: l a {� Seal: U Notary Public - State of Florida Commission # GG 105164 My Comm. Expires May 16, 2021 Bonded through National Netary Assn. APPROVED BY //' / 3--d Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) VICTOR REEVE P.E. Job Information: February 26, 2019 Mustad Residence- Residence 1260 NE 94 Street Miami Shores, Fl. 33138 Swimming Pool Permit: BPP-10-18-3196 PL-10-18-3198 Swimming Pool Equipment Letter 1, Victor G. Reeve hereby affirm that I am familiar with the design and construction of the above referenced swimming pool project. This letter is to notify you that the pool equipment was not replaced and is the current equipment when we first started the project. If you may have any questions regarding this issue, please feel free to contact nib at 305-378-6925 Sincerely, co V%CEN 0.12,324 Victor Reeve, tz- P.E. No.12324 STATE OF ti 41ZORION .......... STATE OF FLORIDA )/VAL 111111,10%0, I hereby acknowledge that the statements contained in the letter are true and correct. The affiant is personally known to me and has produced valid identification. SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF MY COM EPIRES? CRISTINA RODRIGUEZ N y otar Pudic-StaleofFlo,ida Commission " GG 105164 My�-omm.ExoiresMay l'6,20211 dad zhru-h Nat[Cral Notary Assn NOTARY PUBLIC 13832 SW 156 Street, Miami, Florida 33177 Phone 305-378-6925