PL-18-1882300+,5 L��
Miami Shores Village
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10050 N.E. 2nd Avenue NE
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Miami Shores, FL 33138-0000
1' & I-
Phone: (305)795-2204
CORtO,
Permit NO. PL-7-18-1882
Permit Type: Plumbing - Residential
' Work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 9/13/2018 1 Expiration: 03/12/2019
Project Address Parcel Number Applicant
573 NE 102 Street 1132060171000
Miami Shores, FL Block: Lot: GABRIELA HERRERA MAXIMILI,
JULIETA TEPPA 573 NE 102 Street
MIAMI SHORES FL 33138-
573 NE 102 Street
FL
Contractor(s) Phone Cell Phone
MORROS AND MUNOZ CONSTRUCTH (786)419-1260
of Work: NEW SWIMMING POOL
of Piping:
ional Info:
Return :
ification: Residential Scanning: 2
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
Phone
Cell
Valuation: $ 1,500.00
Total Sq Feet: 448
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-7-18-68207
07/12/2018 Check #: 4199 $ 50.00 $ 62.50
09/13/2018 Check #: 4301 $ 62.50 $ 0.00
Available 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, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that a the foregoing infor� tion is accur nd that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, /authoy� the above named contraAfor tb do the work stated.
September 13, 2018
Authorized Signature: Ov&6r alAcaFnt pfi/
Building Depadmeopy
September 13, 2018 1
1
Miami Shores Village
BUILDING
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
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Master Permit
PERMIT APPLICATION Sub Permit No 1 , 19 - l `� 2
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION P(RENEWAL
54LUMBING ❑ MECHANICAL [-]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 5--3 NU IUD- S
City: Miami Shores County: Miami Dade Zip: 153138 YY
Folio/Parcel#: 1 1 3 20 t0 d 13:1 WO Is the Building Historically Designated: Yes NO X\
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): �1 )1 I � Tf { Pa. Phone#:
IV
Address: 543 e 102 S+ C
City: _ v ` i om ( S)Ajy 3 State: 1 L Zip: 3 .)
Tenant/Lessee Name:
Email
hone#:
CONTRACTOR: Company Name: 1 mros �_ m(o u bnavown Ls Phone#: (�US) (1 ' I e7
Address: Z I IV�V (D U�-
City: H i a r L KP S State: FL Zip: 5S
Qualifier Name: 1-� Y i y 1 v 1 In 01 Phone#:
State Certification or Registration #: C10 L4 J 3i <0 2 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
Zip:
Value of Work for this Permit: $ 1 . tX00 . Uy Square/Linear Footage of Work:
Type of Work: ❑ Addition K Alteration❑New ❑ Repair/Replace ElDemolition
Description of Work: �ln , ` ` 1 r �1I
.-ram 1f7L'DI n nT7- ��n > , _ q O.-z' _
Specify color of color thru tile: I\ -2 - v�b
Submittal Fee $ Permit Fee $ B CCF $_
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $
Structural Reviews $
Training/Education Fee $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 0-"2
(Revised02/24/2014)
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
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.
OWNER or AGENT
The foregoing instrument was acknowledged before /me this
}"' day of ;off! � 20 I Y� by
:� ��WI r ff^ who is to
me or who has produced
Signature �w
11 CONTRACTOR
The foregoing instrument was acknowledged before me this
12firi day of ]nQi -� ,20 /(,t� by
CA Mylrl ()I who i n to
as me or who has produced
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
as
ak�-�
0�?J
Sign:
Sign: �;—
Print:
1 j S
Print: I i F S
v ru�.c
Seal:`; •'••.
NATKWEB B
My COMMISSION # FF 166797
Seal: �`'��'P��`,� NATM EBASS
My COMMISSION t FF 166797
* *
`
EXPIRES: October 7, 2018
Budget Notary services
*
* EXPIRES: October 7, 2018
N�4"P Bonded ThN Budge t Notary Services
a
Donded Thru
"' F OF F�
of F�°�\0e
############################################################################################################
APPROVED BY :�1161V Plans Examiner
Structural Review
Zoning
Clerk
(Revised02/24/2014)