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PL-18-803Miami Shores Village �c 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 '�E O �tORi"v� Phone: (305)795-2204 Permit Permit NO. PL--18-$Q3 Permit Type: Plumbing - Residential Work Classification: Pool - Private Permit Status: APPROVED issue Date: 511512018 1 Expiration: 11/1 V2018 Project Address Parcel Number Applicant 286 NE 99 Street 1132060134310 Miami Shores, FL 33138-2435 Block: Lot: SUZANNE FAITH Owner Information Address Phone Cell SUZANNE FAITH 286 NE 99 Street (305)520-1355 MIAMI SHORES FL 33138- 286 NE 99 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone NATIONAL POOL DESIGN LLC (305)559-1020 ie of Work: PLUMBING FOR POOL ie of Piping: titional Info: PLUMBING FOR POOL id Return : ssification: Residential Scanning: 1 Fees Due Amount CCF $0.60 DBPR Fee $3.38 DCA Fee $2.25 Education Surcharge $0.20 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $235.23 In consideration of the pertaining thereto and in accepting this permit I required for ELECTRICAA OWNERS AFFIDAVIT/. construction and zon' o. to Valuation: $ 1,000.00 Total Sq Feet: 0 Available Inspections: Inspection Type: Main Drain Final Rough Review Plumbing Pay Date Pay Type Amt Paid Amt Due Invoice # PL-3-18-66952 05/15/2018 Credit Card $ 235.23 $ 0.00 6 of his permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations ty w' h the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In sib' ty for all work done by either myself, my agent, servants, or employes. I understand that separate permits are CHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating authorize the above -named contractor to do the work stated. May 15, 2018 Authori re: r e�l / Applicant / Contractor / Agent Bui epartme t Copy May 15, 2018 .. '14, BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC Miami Shores Village RECEI Er Building Department MAR 27 7018 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20I=k Master Permit No.la— ) 0 Sub Permit No. 0 ROOFING REVISION EXTENSION RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: v 'v `� ST Citv: Miami Shores Countv: Miami Dade Zip: 33 13 Folio/Parcel#: I I — 3Z06 - o 13 - LA3 i o Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): J �' �N N� T ` \ Phone#: 3 SZ O — 1 3 5 S Address: -b N'e ST City: M 1 ATL1 I 5 ft?�C_s State: Zip: �3 i Tenant/Lessee Name: Phone#: Email: JIF11Tl�1-�f'(t�fVJC�'1G(3l �¢C1 CONTRACTOR: Company Name: �ATto(Vr,— POOH-- PCst� Phone#: 3'ss—��Z� Address: 2 Z� �� 114 f't City: " I )A M ( State: Qualifier Name: P0_1:Q_1e9 d ©l �t 1 q V e Z Phone# , State Certification or Registration #: CQG 1 'L J� 64 �- Certificate of Competency #: _ DESIGNER: Architect/Engineer: Address: City: ?ip: 33 I 3— SS f-1©2a hone#: _State: Zip: Value of Work for this Permit: $ V Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace Description of Work: QL-v" 9 )ry lr 2 P7o L- Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ (Revised02/24/2014) ❑ Demolition Permit Fee $ ��' CCF $ CO/CC $ _ Radon Fee $ a-' aE; DBPR $ Notary $, Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ ;L 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 Zi 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 u OWNER or AGENT CONT TOR The foregoing instrument was acknowledged before me this }VN day of M Afc 20 by SvZ ft�PJ who is personally known to me or who has produced X- as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: C PSTItJA pod RjS vZ Z Seal: ***************** APPROVED BY (Revised02/24/2014) The foregoing instrument was acknowledged before me this wtVN day of 1�C �l 20by A cKC-0o 9,o6R iq z Z who is ppnFaTy n n to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: G,t� V., Print: C9ISTIf"14 (ZoJ(2 gUEZ Seal: CRISTINARODRIGUEZ ots�p .,, CRISTINARODRIGUEZ Notary Public - State of Florida Notary Public -State of Florida Commission # GG 105164 _ : Commission # GG 105164 9��R0`1 My Comm. Expires May 16, 2021 =Nq woe: My Comm. Expires May 16, 2021 ts� iF•R**"i�`r?��th'�tgi�l�zi�c'ia'�'a`t�ryct... ************* Plans Examiner Structural Review Zoning Clerk