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MC-18-3407Location Address Permit NO.: MC-11-18-3407 Miami Shores Village I Permit Type: Mechanical - Residential 10050 NE 2 Ave Miami Shores FL 33138�� 1 �� Work Classification: Pool Heater 305-795-2204 Permit Status: Approved issue Date: 11/21/20181 Expiration:05/07/2019 Parcel Number 1037 NE 91ST TER, Miami Shores, FL 33138 1132050010050 Contacts ALISON HARKE Owner ALL JER CONSTRUCTION Contractor 1037 NE 91 TERR, MIAMI SHORES, FL 331383401 JOSE JEREZ Business: 7863489180 Description: SWIMMING POOL HEATER Valuation: $ 3,000.00 Ins ection Requests: 4�4 Total Sq Feet: 525.00 Fees Amount Payments Date Paid Amt Paid Application Fee - Other $50.00 Total Fees $52.50 Permit Fee $2.50 Credit Card 11/21/2018 $52.50 Total: $52.50 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. I c that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws and Aoningj Futhermore, I authorize the above named contractor to do the work stated. / Applicant / Contractor / Agent November 21, Date Page 2 of 2 Mc�g_ �u0 BUILDING PERMIT APPLICATION ❑BUILDIN ❑ ELECTRIC ❑PLUMBING MECHANICAL Miami Shores Village RECEIVEL Building Department Nov oa 2o18 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 , Tel: (305) 795-2204 Fax: (305) 756-8972 l ^L—. INSPECTION LINE PHONE NUMBER: (305) 762-4949 4V1 FBC 201u Master'Permit No. Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: [Cr--�>7 / i � Folio/Parcel#: ` t —320-f' — V © I — ()0-TO Is the Building Historically Designated: Yes NO Occupancy Type: Load: Constructt4n Type: Flood Zone: BFE: FFE: Phone#: d� JOOWNER: Name (Fee Simple Titleholder): IS Hvv-4 Address: City: Zip: State: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Nam , ln e: l� Address: \ City: y IF l I c2l, vv-1\ Qualifier Name: -0 State Certification or Registration #: CA-c ! 16(ce ?>e Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Zip: ?)3) 7r % " all &0 Address: City: State Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Description of Work: ❑ Alterati/p ❑ New ❑ Repair/Replace S�C:2 IV�(�if �n I Zip: ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC,$, Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ 2� (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City f State Zip Mortgage Lender's Name (if applicable) l' 1 Mortgage Lender's Address City _ State 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 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. n SignatureL, Signature OWNER or A NT CO CTOR The foregoing instrument was acknowledged before me this 3_ day of (//ayk , 20 ��I , by /'J19J17 f-k4- , who is personally known to Me or who has produced identification and who did take an oath. NOTARY PUBLIC: as The foregoing instrument was acknoMe,ged before me this day of I (r6 by -_E�erT1C ,who me or who has produced as identification and who did takeAd oath. NOTARY Sign X k,— Sign: hm 4,Y—*LE�OSACLARK Print: aL n , Pe !Zt- Print: RES:My AY 29, 2022 !Z Bonded throu# 1st State Insurance Seal: Seal: , 44 - Notary Public State of Florida Sandi Pena .y My Commission GG 244913 �iof Expires 0912&2022 APPROVED BY \\ v 11 II UV Examiner Zoning (Revised02/24/2014) Structural Review Clerk