PL-17-2934r _-i
Miami Shores Village RECEIVED
Building Department DEC 3 1017
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 (v
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
rBC 201LA
BUILDING CANCELLED Master Permit No. la�nzk—Z4!�iL53
PERMIT APPLICATION Sub Permit No. P ` I 'ZC1_3Q
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
FM —]PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 150 NE 94 ST
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-013-2970 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Stefano Carniato Phone#:
Address:150 NE 94 ST
City: Miami Shores State:
FL Zip: 33138
Tenant/Lessee Name:
Phone#:
Email:
CONTRACTOR: Company Name: Miami Custom Swimming Pool Corp. Phone#: (305)592-8066
Address: 1065 Bass Point Road
City: Miami Springs State:
FL Zip: 33166
Qualifier Name: Jose Quinones
Phone#: (305)592-8066
State Certification or Registration #: CPC1458439
Certificate of Competency #: 000018565
DESIGNER: Architect/Engineer: Kenneth Pfeiffer
Phone#: (786)235-2494
Address: 8754 S.W. 206th Lane
City: Miami State: FL Zip: 33189
Value of Work for this Permit: $ CIO Q a
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: New Swimming Pool Piping
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $_
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE
(Revi sed02/24/2014)
!r --
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 on 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 proper is subject to attachment. Also, a certified copy of the recorded notice of commencement must be p e the job site
for the first in p cti n which occurs seve (7, days after the building permit is issued. In the absence of s h poste notice, the
inspection will o proved and p reins ction fee will be charged.
Signatu
OWNER or AGENT
The foregoing instrum was acknowledged before me this
—J�-, day of C— , 20 _ b
$?i�'tHAJO ba-/IJ 1A7-0, who is personally known t
who has produced as
identification and who did take an oath.
NOTARY -PUBLIC:
Sign:
Print:
TERESMAOUINONEB
Seal: * �MYC0MMIS6M#GG078130
EXPIRES: Match 1.2021
9j OF FjO'g Bonded TArit Budget Notary SerAm
Signatu
The foregoing instrument was acknowledged before me this
day of—��c+�� 20 (7 by
who is personally known t
_CEe o who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sig
Print: —
Seal
F )
as
* MY COMMISSION R GG 076110
EXPIRES: May 14, 2021
Bonded Thu Budget ►WY SWAM
############################################################################################################
APPROVED BY 2 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village RECEIVED
• Building Department DEC 13 1011
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
F C 201kA
BUILDING Cp
r r #- � e Iq= Master Permit No. Epp
PERMIT APPLICATION Sub Permit No.
FE]BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 150 NE 94 ST
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-3206-013-2970 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Stefano Carnlato Phone#:
Address: 150 NE 94 ST
City: Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: it Phone#:
Email: maki i sm
—1.11ftaf
CONTRACTOR: Company Name: Miami Custom Swimming Pool Corp. Phone#: (305)592-8066
Address: 1065 Bass Point Road
City: Miami Springs State: FL Zip: 33166
Qualifier Name: Jose Quinones Phone#: (305)592-8066
State Certification or Registration #: CPC1458439 Certificate of Competency #: 000018565
DESIGNER: Architect/Engineer: Kenneth Pfeiffer Phone#: (786)235-2494
Add 754 S.W. 206th Lane city: Miami state: FL zip: 33189
0
Vie ork for this Permit: $ �, 4 B�• Square/Linear Footage of Work: Ze) �' 7_
Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
est,ription of work: New Swimming Pool
Specify color of color thru the:
Submittal Fee $ Permit Fee 60 CCF $ 01114 V CO/CC $ 3D - oo
Scanning Fee $ CO Radon Fee $ DBPR $ 22 Q Notary $
Technology Fee $`� Training/Education Fee $ Double Fee $
Structural Reviews $ <Dx) Bond $ 5m • OD
(Revised02/24/2014)
TOTAL FEE NOW DUE $ -
2/ 02 V. 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
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 propert is subject to attachment. Iso, a certified copy of the recorded notice of commencement must be posted at the job site
for the first in cNihich occurs 'eve 1(7) days after the building permit is issued. In the absence of such pg ed�notice, the
inspection will elpproved ana reinsp ction fee will be charged. /
Sign
OWNER or AGENT
The foregoing instru t was acknowledged before me this
�—day of M—� 2�'y
b
x) 0 QA 0M p who is persol known to
ne r who has produced as
identification and who did take an oath.
NOT,
EXPIRES: March 1, 2021
Bonded Th i Budget tJ M Seances
Signatu
The foregoing instrument was acknowledged before me this
3 day of-�-'Y`^ ('.c'`` 20 by
c 9��k�✓`-�S who is personal) nown to
� r who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:�""�` ��r,y;_ �OINPCnaie
Seal: * t MY COMWYS "/ GG 076110
EXPIRES: May 14, 2021
��ot �0'�c ea►a.d Thu lkdgat►�'s3MNobi
*7
�q
APPROVED BY Z Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)