PL-19-869Miami Shores Village
10050 NE 2 Ave
Miami Shores Fl. 33138
305-795-2204
EE�
Issue Date:
Location Address Parcel Number
145 NE 91ST ST, Miami Shores, FL 33138 1132060133330
Contacts
Permit NO.: PL -0419469
Permit Type: Plumbing- Residential
Work Classification: Pool - Private
Permit Status: Approved
Expiration: 12/09/2019
ANTAR VAUGHAN Owner CALYPSO POOL CO. Contractor
145 NE 91 ST, MIAMI SHORES, FL 33138 CARLOS GONZALEZ
7400 NW 7 ST SUITE 111, MIAMI, FL 33126
Other: 3055929392
Description: NEW POOL PIPING Valuation: $ 1,800.00 Inspection Requests:
305-762-449
Total Sq Feet: 0.00mi - - -
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Plumbing - Pool - Residential
$100.00
Scanning Fee
$3.00
Technology Fee
$3.75
Total:
$162.35
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$162.35
Check # 5451
06/12/2019 $112.35
Check # 5377
04/19/2019 $50.00
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.
AFFIDAVIT: Y`certi that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
;onstructio nc_z n'ng. Futhermore, I authorize the above named contractor to do the work stated.
/ Applicant / Contractor / Agent
Date
2019 Page 2 of 2
BUILDING j
PERMIT AF
❑BUILDING
VPLUMBING
'PLICATION
Miami Shares Village
Building Department Eg
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tei: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: 13051762-4949 1.
F1BC 2011
Master Permit No)"?L—o4
� — m— I Gl
r
Sub Permit No. L— d 4 —11 — 86 I
❑ ELECTRIC [] ROOFING [] REVISION ❑ EXTENSION (RENEWAL
❑ MECHANICAL [:]PUBLIC WORKS [] CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Folio/Parcel#: 11;67 1.-i33'I 0 Is the Building Historically Designated: Yes NO
Occupancy Type: i Load: Construction Type: Flood Zone. BFE: FFE:
OWNER: Name (Fie Simple Titleholder): Phone#:
Address: -1 LK1�►E at
City: MI W11 1S1MWS State: Zip:
Tenant/Lessee Name: Phone#:
Email: I
CONTRACTOR: Co
Address:
City: mwwyy 1
Qualifier Name: _
State Certification
DESIGNER: Archin
Address:
Value of Work for
Type of Work:
Description of
ny Name: _5 ._. Phone#: &&2401. jq.2
i�J —ktYl St • rill
VL Zip:
Registration #: _ MM Sq Certificate of Competency #:
_ City: State:
Permit: $� Square/Unear Footage of Work:
Additin ❑ Alteration ❑ New ❑ Repair/Replace
I n
Specify colo 'of color t
Submittal Fee $
Scanning Fee $ i
Technology Fee $1
1
Structural Reviea+s $
(Revised€12/24/2014)
tile:
Zip:
❑ Demolition
Permit Fee $ CCF $ CO/CC $
Radon Fee $ DBPR $ Notary $
Training/Education Fee $ _ _ _ Double Fee $
Bond $
TOTAL FEE NOW DUE
i
Bonding Company S
Bonding Company'41
City
Name (if applicable)
Address
State
Mortgage Lender's(Name (if applicable)
Mortgage Lender'sJAddress
City
Zip
State 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.....
i
OWNER'S AFFIDA1tiT: 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.
E
"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 Applicanj: As a condition to the issuance of a building permit with on estimated value exceeding $2500, the applicant must
promise in good Pith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is #ubject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspeyftion which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not 1' a approved and a reinspection fee will be charged.
i��
Signature_ Signature "(
OWNER or AGENT CONTRACTOR
The foregoing irstrument was acknowledged beforemethis The foregoing instrument lwas acknowledged before me this
�//�� day of �!4 1 ._. 20 J ' by � day of c _ _ _ . 20 L �. by
Fh�/1+� UG who is personally known to who is personally known to
me or who has produced as me or who has produced as
I
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
i
Sign- Sign: /'
Print:
Print Com_
}UADYS SOME "+ GLADYS BOROES
..: ISSION#GG 271799 Seal: ;i{ ;*
Seal; MY COMM MY COMMISSION # GG 271799
A-:p�E�X�P�I�RyE_S: December 17.,, 2�0.2y2� '�;� f:�' EXPIRES: December 17, 2022
,OR F�• Bonded Th., Notary Public Und A lws ,OF PIv`•' BTdBd � N(� Nft t�•
+i
#######i#####!i#####################Mi.+F#Ut#####k############*####t#r##########i###►####r!M##,F##W#####1M##+t##M##F#
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
i
lRevi9ed02J24120141
i