PL-19-2053Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
r 'y
Issue Date': 09/30/2,019
Location Address Parcel Number
83 NE 100TH ST, Miami Shores, FL 33138 1132060131440
Contacts
Permit NO.: PL-09-19-2053
Permit Type: Plumbing - Residential
Work Classij%atfon: Pool - Private
Permit Status: Approved
Expiration: 03/30/2020
MATTHEW AULTON Owner CALYPSO POOL CO Contractor
83 NE 100 ST, MIAMI SHORES, FL 33138 CARLOS GONZALEZ
Other: 3054523074 7400 NW 7 ST SUITE 111, MIAMI, FL 33126
Business: 3052621424 info@calypsopools.net
Other:3055929392
Description: NEW POOL PIPING Valuation: $ 1,600.00 Inspection Requests:
305-762-4949
Total Sq Feet: 338.00
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
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$162.35
Check # 5705
09/04/2019 $50.00
Check # 5593
09/30/2019 $112.35
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
September 30, 2019 Page 2 of 2
r . 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
SUP 0412019
mm
FBC 20
Master Permit No.t PT- b Ict
—i C? — �dS
Sub Permit No. TL 0cf—) 9 — 26S3
❑ REVISION ❑ EXTENSION ❑ RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Q';_� NE 106 S7 -
City: Miami Shores County: Miami Dade zip:
Folio/Parcel#: 0@0W01161440 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Halfttw AU Nov) Phone#:
Address: '" tAE7_166
City: Hidyll 11 �Swe5 State: r L . Zip: �3V
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: CompanyName:Name: �� Phone#: 5 •
Address: � wW —1+V1
City: Miami /�p State: r�. Zip: __, Yz1tp
Qualifier Name: c,-'" ti'llu bmya Phone#:
State Certification or Registration #: pL`D5")33� Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: p City: State: Zip:
Value of Work for this Permit: $ 1 Square/Linear Footage of Work:
Type of Work: A Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
11
Submittal Fee $ 6�__Permit Fee $
Scanning Fee $
Technology Fee
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $_S
(Revised02/24/2014)
Bonding Companys Name (if applicable) _
Bonding CompanyIs Address
City State
Mortgage Lender' E Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Application is her by 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 th`s 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! ubject 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 notjbe approved and a reinspection fee will be charged. 1.7
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
Maylof �201, by
is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Signature
CONTRACTOR
The foregoing ins rument was acknovy(edged before me this
�Z day of I ( 20_1 by
r12 \�? who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Print: Y 47''4
�;PYp„i�-GobYSBORGES I
Seal: .. ;; Seal:
(' MY C01+4MISSION # GG 2
• •- _S: December 17, 2G2:.
FoF F. dcrda i,„J Notary Pubic Under.mtars _f
. --- --
APPROVED B Plans Examiner
i
I Structural Review
as
nrru' GLADYSBORGES
MY COMMISSION # GG 271799
•'o EXNRES: December 17, 2022 lk b,Wj •° Bondi i nru Notary Public Underwriters
Zoning
Clerk
(Revised02/24/2014)
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ALLEY 15'R4 (IMPROVED)
.2'N .. ` 0.2'N 75 00 n b¢N JL
25.0'p.3SET 1/2" , RON ROD
IRON ROD + KpB #7463
LB #7463 O
2.p'W ir'prG�
CORNER ANGLE DATA WOODDECK '
ALL CORNERS AT 6 9'
90000,00" 24.9'
CONC
WALK
C ii lr it 'i iu: 29.V
THE E 1 5' (F f
LOI 21
BLOCK 10 H
o (1NCL.UDED) y,
TILE-- .
PK NAIL & BRASS WASHER
"N-802" 0 6W
WOOD
N.G.V.D. 1929 ELEVATION = 8.89 DECK
CONCRETE
WALK
LO"1 ^_2
BLOCK 10
4 8:
FINISHED FLOOR
ELEVATION 14.2'
_ i ' la
FOUND 314`
IRON PIPE 25,00'
FCONCRETE WALK 75.
20 0 +o m
GRAPHIC SCALE 0n F-L)
, inch= 2ok.
p UiJK Kai
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m CONCRETE„'.
1.
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CONCRETE
�- WALK
FOUND 31-
50.00' IRON PIPE
103rdSt.
3 ta! NE 1011d `.,t
CL
?, D
y NE 101st St
n m
SITE NE 99th 5t w,�s
NE 98th St rn
via
m m
_
3 � N
n IN ;A 'A -
LOCATION MAP -,,—.
LOT 22 AND EAST 25 FEET OF LOT 21 BLOCK 10, AN
AMENDED PLAT OF MIAMI SHORES SECTION NO. 1
ACCORDING TO THE PLAT THEREOF, AS RECORDED IN
PLAT BOOK 10, PAGE 70, OF THE PUBLIC RECORDS OF
MIAMI-DADE COUNTY, FLORIDA.
FLOOD ZONE: X
COMMUNITY NUMBER: 120652
PANEL:12086CO302
SUFFIX: L
FIRM ELEVATION: N.G.V.D.29
FIRM DATE: 09-11-2009
FIRM EFFECT./REV DATE: 09-11-2009
BLOCK
CORNER
FOUND 314' 1 �50RT ✓'.1 % KC,- % r'' :5z-: l ''%l5 %1
IRON PIPE
� A/C A R COND T 0 ER
55.74' (PLAT) I I I N
} 56.26' (MEASURED) CIL CENTERLINE
I D IDENTIFICATION
ORIGINAL FIELD WORK
COMPLETED BY:
TARGET SURVEYING, LLC SITE BENCHMARK
DATED: 03-14-2018 MAG NAIL & WASHER
SURVEY #319350
75' RIW' ti(IMPROVED) . • '
NE 100TH STREET ;�
1. LEGAL DESCRIPTION PROVIDED BY CLIENT
2. NO SEARCH OF THE PUBLIC RECORD FOR THE PURPOSE OF ABSTRACTING TITLE WAS PERFORMED BY THIS OFFICE
3. NO SUBSURFACE IMPROVEMENTS WERE LOCATED AS PART OF THIS SURVEY
4. ALL ANGLES AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED UNLESS OTHERWISE NOTED
LB
LICENSED BUSINESS
N.G.V.D.
NATIONAL GEODETIC VERTICAL DATUM
PSM
PROFESSIONAL SURVEYOR MAPPER
R/W
RIGHT OF WAY
TOPOGRAPHIC ELEVATION
• ••
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• • • • • ! : • l nmetQ. dsborne PSM #6415
• • • i • • • • THIS•S'URV%It NOT VALID WITHOUT
THE SIGNATURE AND THE ORIGINAL RAISED SEAL
OF A FLORIDA LICENSED SURVEYOR AND MAPPER
• • • • • • • •
• •• •• • • • •• ••
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