MC-19-575Miami Shores Village
10050 NE 2 Ave
Miami Shores Fl. 33138
305-795-2204
Location Address
Permit NO.: MC-03-19-575
Permit Type: Mechanical - Residential
Work Classification: Pool Heater
Permit Status: Approved
Issue Date: 03/26/2019 I Expiration: 09/11/2019
Parcel Number
90 NE 91ST ST, Miami Shores, FL 33138 1131010200010
Contacts
STEPHEN PELLICCIA Owner DREAM DESIGN POOLS INC Contractor
90 NE 91 ST, MIAMI SHORES, FL 33138 RAFAEL PELLERANO
133771 N GARDEN COVE CIR, DAVIE, FL 33325
Business: 9549165337
Other:7864022253
Description: NEW SWIMMING POOL, SPA AND DECK Valuation: $ 3,200.00 on Requests:
Inspection
4949
TotalSq Feet: 650.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.80
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$112.70
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$112.70
Credit Card
03/26/2019 $112.70
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 AFFI T: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating,fAW4
Ail pq zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized
March 26, 2019
/ Applicant / Contractor / Agent
Date
Page 2 of 2
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
LRI
201E
FBC 20 2
Master Permit No. P P- 2- 1 q- J 1 q
U
Sub Permit No. -3 ` - s5 s
M REVISION ❑ EXTENSION RENEWAL
[]PLUMBING ®MECHANICAL [:]PUBLICWORKS M CHANGE OF [:]CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDS: 90 NE 91 Street
City: Miami Shores County: Miami Dade Zio:
FoRo/parceW.111101-020-0010 is the Building Historl aNy Designated: Yes NO XX
Occupancy Type:' SFR Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Stephen Pellic cia/Sergio Sacristan Phone#.
Address, 90 Ne 91 Street
City; Miami Shores State: FL Zip: 33136
Tenant/Lessee Name: Phone#:
Email: pelliccias@gtlaw.com
CONTRACTOR: Company Name: Dream Design Pools, Inc. phoned: 786-402-2256
Address: 13771 N Garden Cove Cir.
city; Davie State: FL Zip: 33325
Qualifier Name: Rafael A Peilerano Phone*; 786-402-2253
State Certification or Registration #: CPC057031 Certificate of competency #: • , 4
DESIGNER: Architect/Engineer: Phone#:
Address City: state: Zip:
Value of Work for this permit: $ :ice 2— a c[ Square/Linear Footage of Woric
Type of Work: ® Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Desc*von of yroft 140,000 BTU heat pump for pool
Specify color o 'color thru 'tile:
Submittal In $ .,•. . w Permit In S CCF $ ' _ . CO/CC $ .'
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fie $
OBPR $
Notary $
Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(RvAsed02/24/2o14)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage lender's Name (if applicable)
Mortgage Lenders Address
city
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.....
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 $2SW, 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 B 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 49spection fee will be charged.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
(g day of�SI�Cc�Y 20 1 I , by
�,y T
�p��% � W4gLi Mho is personally known tQ
me or who has produced as.
Identification and who did take an oath.
NOTARY PUBLIC:
sign: 'e�
Print: ikn:.�Ouo,Ir_la A - as
Seal: P'Wstow of FW&
r0iCOMM jon FF 969561
g.o.,. 03I26r1020ywwhr
APPROVED BY
:a .
CONTRACTOR
The foregoing instrument was acknowledged before me this
1 day of 20 ) Q , by
a who Is Personally known Im
me or who has produced
Identification and who did take an oath.
NOTARY PUBLIC:
Print:
Seal: puM gooa Fbride
uaft
� Ion FF 969581
44,4040)0l/Zdl. _ _ _._A
Plans Examiner
Structural Review
as
Zoning
Clerk
(ReWsedO2/24/2M4)