PL-19-1963Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date:
Location Address Parcel Number
38 NE BOTH ST, Miami Shores, FL 33161 1121360040350
Contacts
Permit NO.: PL-08-19-1963
Permit Type: Plumbing - Residential
Work Classification: Pool - Private
Permit Status: Applied
Expiration: 02/22/2020
ROCCO AND JESSICA RIGGIO Owner ROSMEL POOLS INC Contractor
38 NE 110 ST, MIAMI SHORES, FL 33161 WILFREDO JR LEIVA
Other: 3055345051 9300 NW 25 ST 103, DORAL, FL 33172
Business: 3055927900 construction@rosmelpools.com
Description: NEW POOL & DECK ROUGH PLUMBING HOOK UP Valuation: $ 2,000.00 Inspection Requests:
305-762-4949
Total Sq Feet: 498.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Plumbing - Pool - Residential
$100.00
Scanning Fee
$3.00
Technology Fee
$3.75
Total:
$162.35
Payments
Date Paid Amt Paid
Total Fees
$162.35
Check # 15286
09/13/2019 $112.35
Check # 15281
08/26/2019 $50.00
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
regul c truction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
r �
/ Applicant / Contractor / Agent
September 13, 2019
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
C
UG 216 20
IEW
FBC 20 �11
Master Permit No.
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
]PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 3E NE 7!D S /
City: Miami Shores County: Miami Dade Zip: j3YI6',
Folio/Parcel#: Y-e- 1l36 -004- 03.Sn Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): R 0eK D rR.; GGi 0 Phone#: Vgs- 9QD- V 0.2
Address: J& &E -jeVW 5 '
City: . Mi A A; S IYOR,ES State: 0/. zip:
Tenant/Lessee Name: IV
ZA Phone#: VA
Email: AAA
CONTRACTOR: Company Name: R OS A L POOL s r N C . Phone#: 3D3- 192 - �'9G0
Address: 4300 A/L/ 2-jr 5i f4/' ]re -t03
City: 00d AL State: AL Zip: 331 AM
Qualifier Name: W i L FR6DD L 6 i Vd L Phone#: 305- 7 4 oG
State Certification or Registration #: CPL.'74S 94'>-!• Certificate of Competency #:
DESIGNER: Architect/Engineer: ANTf)A 0 CANE/Qs Phone#: 30f-,Z6-1-03.2jr
Address: -7e7S 5;W ,ZySj City: ^ AMi State: AL Zip:33mf
Value of Work for this Permit: $ 000 Square/Linear Footage of Work:
Type of Work: ❑ Addition Alteration ® New ❑ Repair/Applace
Description of Work:
❑ Demolition
Specify color of color th`ru tile:
Submittal Fee $ �50At CAI Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ � t '2 - _Zjl�3
(Revised02/24/2014)
Bonding Company's Name (if applicable) _
Bonding Company's jAd ress
City /V State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Addres
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 exteeding ,$2500r the applicant m st
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the pe son
whose property is subject to attachment. Also, a certified copy`of the recorded notice of commencement must be pasted at the jo site
for the first inspection which occurs seven (7) days after the building permit, is issued. In the absence of such posted notic , 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'
�� da 'of �C> %1 20 (°j by
nn
��D IC.t u G f fl who is personally known to
me or who has produced /i as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: LAIZ
Print: f[ 4�-ar14;%AZMARTINEZ
Seal:
Commission # GG 250751
My Comm. Expires Feb 14, 2021
.,Signatd
CONTRACTOR
The foregoing instrument was acknowledged before me this
l day of 20 �Gl by.
.. �_
who is personally known to
me'dr-who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:'
Print:
Seal:
J 01 y ruunc. - Mace or rionoa
Commission # GG 250751
My Comm. Expires Feb 14, 2021
************************************************************************************************************
APPROVED BY 9 /1 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)