PL-19-1015Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 07/19/2019
Location Address Parcel Number
9233 N MIAMI AVE, Miami Shores, FL 33150 1132060130210
Contacts
Perrrrit NQ.: PL-0-19-1016
Permit Type: Plumbing - Residential
Work Classification: Pool - Private
Permit status: Approved
Expiration: 01/15/2020
NICOLA McELENEY Owner MICHAEL P O'HARA Owner
9233 North Miami AVE, Miami Shores, FL 33138 9233 N MIAMI AVE, MIAMI SHORES, FL 33150
Other:3057612866
ROSMEL POOLS INC Contractor
WILFREDO 1R LEIVA
9300 NW 25 ST 103, DORAL, FL 33172
Business: 3055927900
Description: POOL EQUIPMENT RELOCATION Valuation: $ 4,000.00 Inspection Requests:
305-762-4949
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.80
Plumbing - Pool - Residential
$100.00
Scanning Fee
$3.00
Technology Fee
$3.75
Total:
$163.95
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$163.95
Check # 15228
05/07/2019 $50.00
Check # 15222
07/19/2019 $113.95
Amount Due:
$0.00
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. in accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFI U2IT/ I certi that the foregoing information is accurate and that all work will be done in compliance with all applicable laws
reau%Ma co r and zo ina. u ermQW. I aethorize the above named contractor to do the work stated.
re:Xner \ P//Applicant l � Contras / Agent
Date
July 19, 2019 Page 2 of 2
C
Miami Shores Village MAY 7 019
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 h
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20F
BUILDING Master Permit No. bP P- 7S— 1014
PERMIT APPLICATION Sub Permit No.W S- 11 I /bi 3
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[%'IPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: `9 2'3 3 /J• ' i sa iw: 4 �°.
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: -D,13 - 02, 10 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder) t i,, Ad P 0' 4Q 14 c2 0 "COW t' bene*hone#: -7 86 - 2-0 2 - s b 6
Address:'9Z33 0•'-t*lFc�iw: A,4g-
City: �k'or85 State: 4:�C- Zip: 33 IS c�)
Tenant/Lessee Name: P 1 A Phnna#-
Email:
CONTRACTOR: CompanyName:'_Ro3"'el Phone#: ��5-s�iZ74OO
Address: 493,0n A.lv.5 2 s tl+. 1 o-b
City: State: `' t Zip: 3 317 z
Qualifier Name: -Jr. Phone#: 30 3 38 y 6 1$ Z
State Certification or Registration #: CPC • 14 521 (, Certificate of Competency #:
DESIGNER: Architect/Engineer:
hone#:
Address: City: State: Zip:
Value of Work for this Permit: $ ":�� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description.of Work:- k
Specify color of color thru tile:
Submittal Fee $ SQ 1 Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $
Structural Reviews $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company's Name (if applicable) IV A
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
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 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 char ed
Signature A—,'
OWNE r_ GENT
The foregoing -instrument was acknowledged before me this
a� day of Apr) I 20 1q by
r\ who is personally known to
.,, me or who has produced
identification and who dicttake an oath.
NOTARY PUBLI
Sign:
Print:
Seal:
9
Signature r
CONTRACTOR
The foregoing instrument_w s acknowledged before me this
e7 7 day of - 20 t9 by
ulF�"� WV%1 Jr . who is personally known to
as me or who has produced
Commission # GG 250751
My Comm. Expires Feb 14, 2021
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: r
Seal:
as
RIS ANAYS MARTINEZ
ublic - State of Florida
Commission # GG 250751
My Comm. Expires Feb 14, 2021
************************************************************************************************************
APPROVED BY �Z— Plans Examiner Zoning
Structural Review _ Clerk
(Revised02/24/2014)