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PL-18-3206Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 , Issue Date:10/19/2018 Permit NO.: PLA0-18-3206 Permit Type: Plumbing - Residential Work Classification: Pool - Private Permit Status: Approved Expiration: 04/17/2019 Location Address Parcel Number Project 890 NE 92 ST, Miami Shores, FL 1132060050130 <NONE> Contacts MIGUEL AND CARLINA ARRONTE Owner MIGUEL AND CARLINA ARRONTE Applicant 890 NE 92 ST, MIAMI SHORES, FL 33138 890 NE 92 ST, MIAMI SHORES, FL 33138 La Casa de las Piscinas Inc Contractor Maria C Rodriguez 2601 NW 18 TER, Miami, FL 33125 Business: 3056339699 Other:3052163107 Description: POOL PIPING Valuation: $ 850.00 Inspection Requests: 305-762-4949 Total Sq Feet: 450.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee (Manual) $50.00 Scanning Fee $3.00 Total: $107.80 Building Department Copy Payments Date Paid Amt Paid Total Fees $107.80 Credit Card 10/19/2018 $107.80 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 c onin uthermore, I authorize the above named contractor to do the work stated. 1 0— Authorized Signature: Owner / Applicant / Contractor / Agent Date October 19, 2018 Page 2 of 2 Miami Shores Village g RECEIVED OCT 19 2013 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 C�41�_ Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 A 1_ l F BC 20 ice" BUILDING Master Permit No. 16 PERMIT APPLICATION Sub Permit No. T. 1 - ❑BUI ING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL PLUMBING JOB ADDRESS: ❑ MECHANICAL / < • ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION CONTRACTOR / �4_ ❑ SHOP DRAWINGS City- Miami Shores County' Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder)OC): Address: ro ��UE '92 �Ske�J City: V — af_k State Tenant/Lessee Name: Email: CONTRACTOR: Company Name: Address: 2� / A"'' )4'� City: %GS S e: ` Zip: •=3 1� Qualifier Name: 'IV -T� '-- Phone#: State Certification or Registration #: c j�G yfJ?r�/ Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: ft- f p✓kPhone#:`ISO 345 440 one#: 33t36 Value of Work for this Permit: $ Type of Work: ❑ Addition Description of Work: rs-P,— ❑ Alteration �d0 / -r � Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ / `-Va S Phone#: -� Square/Linear Footage of Work: ❑ New ❑ Repair/Replace Permit Fee $ Radon Fee $ Training/Education Fee $ CCF 33-5p�_rJF ❑ Demolition CO/CC $ DBPR $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ _ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip City State 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 rein ection fee will be charged. - I1 Signature Signature OWNER or AGENT The foregoing instrument was �acknowledged before me this 5 day of n©CrOJI✓ 20 / d' by 61 /,1lA4'J who is personally known to ------------- me or who has produced identification and who did take an oath. NOTARY PUBLIC: as NTRACTOR The foreping instrument was acknowledged before me this 8) day of 20 It , by wl�is�ersonally known to— me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: A!� hlajt41Sign: Print: 4MA M.4/ct p e A 2 y' Print: ;•ot -�'�' Seal: o�ti�F Seal:°FFcaa, XPIRES Februa } 11,111 4 ZZOZ/8Z/ZO sai dx-I �ov+o + rY1 �5 � I 080L6L 90 uolssiwwo� �1N , $ ` ` zaJad eueyy euV epuol j to ele7S IS. tih-':O" 04 ..a,1 Anf6_ APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 02/24/2014)