PL-18-1316�` yttORES L,!
�IVEN�Q�
F�ORtOp`
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit No. RL -5-18-131 f
Permit Type: Plumbing - Residential
rin I Wont Classification: Pool - Private
Permit Status: APPROVED
Parcel Number
Issue Date: 818/2018 1 Expiration: 02104/2019
Applicant
347 NE 98 Street 1132060135621
Miami Shores, FL 33138- Block: Lot: ARTHUR BAKER
ARTHUR BAKER
347 NE 98 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
REGENCY POOL & SPA OF FLA INC 954-424-0134
of Work: POOL PIPING
of Piping:
onal Info: POOL PIPING
Return :
ification: Residential Scanning: 1
Fees Due
Amount
CCF
$1.80
DBPR Fee
$3.38
DCA Fee
$2.25
Education Surcharge
$0.60
Permit Fee
$225.00
Scanning Fee
$3.00
Technology Fee
$2.40
Total:
$238.43
Phone Cell
(917)345-4387
Valuation: $ 2,200.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL -5-18-67567
05/16/2018 Credit Card $ 50.00 $ 188.43
08/08/2018 Credit Card $ 188.43 $ 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 FIDAVIT:Iat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructs n and zoning. ermo�€,, I authorize the above-named contractor to do the work stated.
August 08, 2018
Auth 'zed Si ture: Owner / Applicant / Contractor / Agent
Building Department Copy
August 08, 2018
Miami Shores Village
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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
7N PLUMBING F—J MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: 347 NE 98 ST
Y16218
FBC 20LI
Master Permit No. �) PP IS -1314
Sub Permit No. PL 16 13 16
E] REVISION ❑ EXTENSION ❑ RENEWAL
CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 11-3206-013-5621 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Arthur Baker/Annette Felder Phone#:
Address: 347 NE 98 ST
City: Miami Shore State: FL Zip: 33138
Tenant/Lessee Name:
Email:
ne#:
CONTRACTOR: Company Name: Regency Pool and Spa of FL Inc. Phone#: 954-583-7373
Address: 6507 NW 13 Ct
City: Plantation State: FL Zip
Qualifier Name: Rafael Imbert Phone#:
State Certification or Registration #: CPC056811 Certificate of Competency #: _
DESIGNER: Architect/Engineer: Aquadynamics Design Phone#: _
Address: 5000 SW 75th Ave Suite 103 City. Miami State:
Value of Work for this Permit: $ V 7, Id Square/Linear Footage of Work:
Type of Work: ❑ Addition Alteration ❑■ New ❑ Repair/Replace
Description of Work: Pool Piping
33313
FL Zip: 33155
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ SO P: Permit Fee $ � CCF $ CO/CC $
Scanning Fee $ Radon Fee $ 02 a DBPR $ mac; Notary $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Training/Education Fee $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
-Iih� �I-
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: 1 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 r inspection fee will be charged.
c
Signature Signatur r
OWNER or'AGENT
The foregoing instrument was acknowledged before me this
/-0 day of /�/s�f �, 20 / -e, by
i�r'tA0^ Bad P— who is personally known to
me or who has produced FL. t>t.O as
identification and who did take an oath.
NOTARY PUBLIC:
Print:
The foregoing indent was acknowledged before me this
1 U day of �J 20 7J by
Gert, who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Commission # FF969034 Wiz' ' '�'= Commission # FF969034
Seal: =* oP Expires: March 8 2020Seal: _
p= Expires: March 8 2020
Bonded thr '-% P
u Aaron Notary •,r�,; Bonded thru Aaron Notary
as
APPROVED BY 41W Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)