PL-19-658Miami Shores Village
10050 NE 2 Ave
Miami Shores Fl. 33138
305-795-2204
Issue Date: 04/02/2019
Location Address Parcel Number
278 NE 103RD ST, Miami Shores, FL 33138 1132060134860
Contacts
Permit NO.: PL-03-19-668
Permit Type: Plumbing - Residential
Work Classification: Pool - Private
Permit status: Approved
Expiration: 09/23/2019
HB GROWTH PROPERTIES LLLP Owner APA PLUMBING CORP Contractor
HB GROWTH PROPERTIES LLLP LUIS ALBERTO GARCIA
17071 W DIXIE HWY, NORHT MIAMI BEACH, FL 33160 7075 SW 46 ST, MIAMI , FL 33155
Business: 3059924614
Inspection Requests:
Description: POOL 3/5 14X32 SPA 7X7 NEW POOL TO REPLACE Valuation: $ 2,000.00 Inspec i 4949
PL17-2404
COMPLETE WORK ASSOCIATED WITH NEW POOL FOR EXPIRED Total Scl Feet: 448.00
PERMT BPP-8-17-2083
Fees
Amount
100% Permit Renewal Fee
$175.00
Application Fee - Other
$50.00
Total:
$225.00
Payments
Date Paid Amt Paid
Total Fees
$225.00
Credit Card
03/27/2019 $50.00
Credit Card
04/02/2019 $175.00
Amount Due:
$0.00
Building Department Copy
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. I cep'ng this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
Dermitwire reouir d for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
ing. Futhermore, Authorize the above named contractor to do the work stated.
Authorized SAnature: Owner / Applicant / Contractor / Agent
April 02,
Date
Page 2 of 2
R,:. J+i Y ED
Miami Shores Village MAR 27 2019
Building Department ^f
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 (✓ l
Tel: (305) 795-2204 Fax: (305) 756-8972 %
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20tq
BUILDING Master Permit No. e 9 ( vl —
PERMIT APPLICATION Sub Permit No. I — 0J " ` �' —lW
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑■ PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 278 NE 103 St
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#:11-3206-013-4860 Is the Building Historically Designated: Yes NO x
Occupancy Type: Load: Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titlehold
Address: 17071 W Dixie Hwy
city: N Miami Beach
HB Growth Properties LLLP
Tenant/Lessee Name: na
Email: azorapropertymgt@gmail.com
State: FL
BFE: FFE:
Phone#: 954-774-4616
Zip: 33160
Phone#:
CONTRACTOR: Company Name: AA QWA4P1'WAV b C0&r Phone#:Q54 LR,5 —I 10
Address: -1-01S sw eI � 4 q
City: PJ14 AA State: Zip: ✓���S.y� p
Qualifier Name: { U,� , MYA Phone#: Qr71 q / /
State Certification or Registration #: Cr C "i 4�-n Certificate of Competency #:
DESIGNER: Architect/Engineer:
e#:
Address: r� City: State: Zip:
Value of Work for this Permit: $ 1600 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Descriotion of Work: complete work associated with new pool as specified under expired permit #
BPP-8-17-2083
t
Specify color of color thru tile: �.
Submittal Fee $� Permit Fee $ �ZS CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
Notary
Double Fee $
Bond $
TOTAL FEE NOW DUE $ , W
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable) na
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 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 reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
— tq day of +V 20 1' by
VPV4 U1 who is personally known to
me or who has produced
ion and who did take an oath.
ARY PUBLIC:
MAR
as
Signature
)Z)��
CONTRACTOR
The foregoing instrument was acknowledged before me this
�L day of ^-ter ti 20J by
who is personally known to
me or who has produced as
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APPROVED BY 44 /4 Plans Examiner
Structural Review
Zoning
Clerk
(Revised02/24/2014)