PL-18-2976Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date11/06/2018
Location Address Parcel Number
600 NE 97TH ST, Miami Shores, FL 33138 1132060171680
Contacts
Permit No.: PL-09-18-2976
Perit'rype., Plumbing - Residential
Work Classification: Pool - Private
Permit Status:
Expiration: 03/27/2019
EDUARDO J GONZALEZ Owner FLORIDA POOL PATIO CORP Contractor
600 NE 97 ST, MIAMI SHORES, FL 33138 CLAUDIO SEBASTIAN VALERO
Mobile: 7864592356 12241 SW 99 ST, MIAMI, FL 33186
Business: 3058150181
Description: PLUMBING POOL Valuation: $ 700.00 Inspection Requests:
305-762-4949
Total Sq Feet: 425.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Scanning Fee
$3.00
Total:
$57.80
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$57.80
Credit Card
11/06/2018 $57.80
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 an oning. Futher re, I author'ze the above named contractor to do the work stated.
Authorized Signature: Owner
/ Applicant / Contractor / Agent
Date
November 06, 2018 Page 2 of 2
Miami Shores Village
Building Department RECEIVED
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 SEP 2 8 2018
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 C' C)
FFBC 2�
n01 n(�
BUILDING Master Permit No. 1'-',�
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
C� CONTRACTOR DRAWINGS
JOB ADDRESS: l% � Ae � 1 ✓'
City: Miami Shores County: Miami Dade Zip: 331 ?)9
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Uawv'cto Cy let Phone#:
Address: Cato /v a��1�� 1-
City: vw 1 71
5'"V�` 3 State: Zip:
Tenant/Lessee Name: Phone#:
Email: CONTRACTOR: Company NameTIOAGIrr
el- coo, pa.�y Phone#:
Address: 1221-(I Gf z5j �'JT
P
City: M Il 2rn ( State: Zip:
Qualifier Name: ( t AL) (D Uct te >.Q Phone#:
State Certification or Registration #: CPC 14 58101- Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ %W Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Ir1
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
Permit Fee $
Radon Fee $
—Train ing/Ed ucation Fee $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ �D
(Revised02/24/2014)
J� • Y
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 bed livered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement mu- be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the ab ce of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
i I day of "-�e p 120 I �J , by
C-AGOM O U2 , who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: oa& h Q 6 GI)aS
The foregoing instrument was acknowledged before me this
I -) day of '5�e P 120 3, by
CJC4L)t4t (D CAA- who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: \J�
Print: W CA& ioK h�uctS
as
Seal: Seal:
;�►"�' NADINE AGUAS NADINE AGUAS
MY COMMISSION # GG090407•
MY COMMISSION # GG090407
NA.��jj gyp ry(�,
* 94NP,dMAO. IkSI 4*** ***********
APPROVED BY % Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)