PL-19-81Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
150 NE 94TH ST, Miami Shores, FL 33138 1132060132970
Contacts
STEFANO CARNIATO Owner
150 NE 94 ST, MIAMI SHORES, FL 33138
MIAMI CUSTOM SWIMING POOL Contractor
JOSE QUIF0NES
1065 BASS PONIT RD, MIAMI SPRINGS, FL 33138
Business: 3055928066
Inspection Requests:
Description: NEW SWIMMING POOL PIPING TO REPLACE Valuation: $ 900.00 4;
PERMIT#PL17-2934
F
Total Sq Feet: 400.00 E :`
Fees
Amount
Payments
Date Paid Amt Paid
Application Fee - Other
$50.00
Total Fees
$75.00
Plumbing - Pool - Residential
$25.00
Check # 5216
01/16/2019 $75.00
Total:
$75.00
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. 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 and zoning. Futhermpre, I authorize the above named contractor to do the work stated.
i
Authorized Signature: Owner / Applicant Contractor / Agent Date
January 16, 2019 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
RECEJVFID
JJA 14 2O'l9
$Y:
FBC 20
BUILDING Master Permit No. �3 ��'—�`z'`��-g-3
PERMIT APPLICATION Sub Permit No. /-;,/-
❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ENEWAL
�LUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I ` 0 kr- `3q 5
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): 6f� /�=�rxJv /3 ✓L i�� , �U Phone#: a.00 D 7� l
Address:
City: S 4,5m - State: �L Zip: 3 3 / 31;'1
Tenant/Lessee Name:
Email:
Phone#:
CONTRACTOR: Company Name:
MttlWd I Q-
U,S zK �w�
.00i,24 zeZ C&Whone#:
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Address:
%�0.4
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City: /77/'q/n i
State: <��
Zip: '33 /6G
Qualifier Name: 16S4_1
Phone#:
State Certification or Registration
#: C
5 3 5
Certificate cf Competency #:
DESIGNER: Arch itec'tt//Enginee r:
f�EXu/i/e %1/
Y E— l err
P l� Phone#: 91(_ -'
Address: R7 5`6 L�--'
22 6
City: State: )L- Zip: :�3
Value of Work for this Permit: $
"_7 W
Square/Linear Footage of Work:
Type of Work: ❑ Addition
❑ Alteration
❑ New
❑ Repair/Replace ❑ Demolition
Description of Work: �V3 M M 1
N
I G _fC) �3 r 1_ A 0-,t tom'- 210 I T
Specify color of, color t
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
tile:
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $
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
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 bject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspec i n which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not moved and a reinspecti�n fee will be charged.
Sign
I L� It 149W
OWNER or AGENT
The foregoing instrument was acknowledged before me this
/'/day of 20 /�1 by
66--P.Ui 4 Who is ersonall nown to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: \rZ�..—
Printogar�n Tip: SITAQUNQK S
Seal!
9lot MY COMMI961OJ # GG 018130
EXPIRES: March 1, 2021
FDF FIDP Bonded Th 6udgw Nowy S6fy1M
l F
Signature 'f ,/`t
f
r- CONT ACTOR
The foregoing instrument was acknowledged before me this
(� day of 20 by
wh penally kno n to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
as
Sign:
P r i n t: ,off ✓• C�sC W �t�y cud . JOFMr P. COE110
* MY COMMIS" / GG 076110
Seal: EXPIRES: May 14, 207f
"'IF 11"! BorldOd ThrU kdgO Nairy S«rim
APPROVED BY ..._. '�>/ ( Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)