PL-19-2629Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
NAn���PP its
Issue Date:11/13/20P
Parcel Number
1250 NE 91ST TER, Miami Shores, FL 33138 1132050010550
Contacts
Permit NO.: PL-1 1 -19-2629
Permit Type: Plumbing - Residential
Work Classification: Alteration
Permit Status: Approved
Expiration: 05/11/2020
J Owner
ALL FLORIDA POOL AND SPA CENTER Contractor
GREG & JENNIFER BAUMANN
DAVID COHEN
1250 NE 91 TER, MIAMI SHORES, FL 331383406
11720 BISCAYNE BLVD, MIAMI, FL 33181
gbaumann@camdenlp.com
Business:3058934036 JCOHEN@ALLFLORIDAPOOL.COM
Description: SUPPLY AND INSTALL MAIN DRAIN GRATE ONLY . Valuation: $ 50.00 Inspection Requests:
MAIN DRAIN GRATES WILL BE REPLACED PER CODE. fT5 762-4949
Total Sq Feet: 1,300.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$110.30
Building Department Copy
Payments Date Paid
Amt Paid
Total Fees
$110.30
Check # 315960 11/13/2019
$110.30
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 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. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent
Date
November 13, 2019 Page 2 of 2
Miami Shores Village,
- Building Department 13Y:
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
o9(6 i2, FBC 20. (
Master Permit No.
Sub Permit NOT -
— 23::�2qj
❑ REVISION ❑ EXTENSION ❑ RENEVAL
(PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHO
CONTRACTOR DRA INGS
JOB ADDRESS: I�S�
7
Folio/Parcel#: f I —3aos- a40- O 55-0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE
OWNER: Name (Fee Simple Titleholder): 9tU-6 OA044f-v - 6-mieK t` w-A-v Phone#:
Address: I' Z�``� IV "l / 7b'ytaLCf
City: /"'�Q�''r s� �b 5 State: Zip:
Tenant/Lessee Name: Phone#:
Email:
nn F� 3,t Xf 4'
CONTRACTOR: Company Name: /t��- o.QspA Qo,�- � Phone#: ' s�A �`
Address: ll7 u Qi� fCAy t' CU0. r
City: State: Zip:.
Qualifier Name: Phone#: 3
State Certification or Registration #: CPC o a YYSo Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: _
>S"
Value of Work for this Permit: $Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work: 1Wr PAIt/ IAx/V ��At� ON& /
GaAri S
L
Act
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
?l Y l
us.- yq-f y?(,
Zip:
❑ Demol
CCF $ CO/CC $
DBPR $ 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
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 IMPRO%'.-EMENTS TO YOUR PROPERTY. IF Y U, INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE R CORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the ,7pplicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be deliverer 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 posed notice, the
inspection will not be approved and a reinspection fee will be charged.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
31 jay of QT°� , 20 IS by
,+.Aty t--qVMAti+✓ who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: Ir
Seal:
APPROVED BY
(Revised02/24/2014)
Signat
CONTRACTOR
The foregoing instrument was acknowledged befo
IN
— day of _ o wk..,, , 20 _
'bA110 , who is personal
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Print:
J40-\� �0Yt,6R Sea . �cbs� 46SIGN#GG071354
1JN CAM . JvRs 'p R ��t GOM�S; Juro 25, 202'
\RE \py�tasY < I ibefy Setvlces
0ko�8 ��TMuBu�
e
Plans Examiner
Structural Review
me this
t--, by
known to
as
Zoning
Clerk