MC-19-630Miami Shores Village D
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date':
Location Address Parcel Number
1300 NE 94TH ST, Miami Shores, FL 33138 1132050100120
Contacts
Perms#.: MC-03-19-630
Permit Type: Mechanical - Residential
Work Clossijica#on: Pool Heater
Permit status: Approved
Expiration: 10/08/2019
CHRISTIAN & EMMANUELLE BERNARD Owner GATOR POOLS AND SPA CONSTRUCTION Contractor
1300 NE 94 ST, MIAMI SHORES, FL 33138 MIGUEL CARMONA
Mobile: 7864913926 14869 S DIXIE HWY 1, MIAMI, FL 33176
Business: 3052222220 GATORSPOOL@BELLSOUTH.NET
Inspection
Description: POOL HEATER
Valuation:
$ 2,000.00
�?Requests:
�7�2-449
TO REPLACE EXPIRED PERMIT MC-10-17-2348
Total Sq Feet:
348.00
Amt Paid
Payments
Date Paid
Fees
Amount
50% Renewal Fee
$50.00
Total Fees
$53.00
Scanning Fee
$3.00
Credit Card
04/11/2019
$53.00
Total:
$53.00
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
regulatin construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Author d Signature: Owner / Applicant / Contractor / Agent Date
April 11, 2019 Page 2 of 2
Miami Shores Village7BY:
Building Department 2 19
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
p
BUILDING Master Permit No. 0 F P-3— 11— 6Z8
PERMIT APPVATION Sub Permit No. MC-'3-19—t��d
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION 20ENEWAL
❑PLUMBING 2 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
DRAWINGS
JOB ADDRESS: 13 D O N FS ftd
City: Miami Shores County: Miami Dade Zip: 331 38
Folio/Parcel#: 113 a 0 go (d 01 ;0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Ch ri5-(1g11 iI Ern any 1r
f 0CC44( Phone#:
Address: 300 0 E� q 4 �
City: Miami srhores State: r I DYY d a Zip: 331 3
Tenant/Lessee Name: Pho
Email:
CONTRACTOR: Company Name: �A+OIPool /M S
Address: 13a gS- SVj )'00A St
ne#: ( ,1j K W a ')a4
City: M I am') State: F- 10 rI U Q Zip: 33171
Qualifier Name: M A u I An4 d Q rm i6YI q Phone#:
State Certification or Registration #: �L I '1 5� 7 a Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address:
Value of Work for this Permit: $ oZ, 00 • OO
Type of Work: ❑ Addition ❑ Alteration
Description of Work: 00 I h QQ
City:
State: Zip:
Square/Linear Footage of Work:
❑ New ❑ Repair/Replace
I' M I
17-2-3
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ �3"
(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
Application is hereby made to obtain a permit to do the work and instal
commenced prior to the issuance of a permit and that all work will
construction in this jurisdiction. I understand that a separate permit
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
Zip
Zip
lations as indicated. I certify that no work or installation has
be performed to meet the standards of all laws regulating
must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
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.
Signature 0,."
OWNER or AGENT
The foregoing instrument was acknowledged before me this
a '310 day of )'(lay 20 fq by
C r15 1 go r3ernAV who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Signature
wl- C T ACTOR
The foregoing instrument was acknowledged before me this
6 day of L rV& 20 1 e1 by
M14al CQrmunla ,who' personally known
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Sign:
Print:
I
ciZ Vi
Print:
M u
U��CQ vi
Seal: tot*0. s„c
NIXON J UZCATEGUI
Commission # GG 127044
Seal:
o�F;'e�,
?
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NIXON J ZOATEGUI
Commission # GG 127044
*
Expires July 23, 2021
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Expires July 23, 2021
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APPROVED BY
4 Plans Examiner
Plans
Zoning
Structural Review Clerk
(Revised02/24/2014)