MC-19-1092Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
428 NE 91ST ST, Miami Shores, FL 33138
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Permit NO.: MC-05-19-1092
® - n Permit Type: Mechanical - Residential
URI b.1'� work classification: Pool Heater
Permit Status: Approved
Issue Date: 06/18/2019 I Expiration: 12/16/2019
Parcel Number
1132060190060
DAVID HOWARD Owner SWIMMING POOLS OF FLORIDA INC Contractor
55 NE 97 ST, MIAMI SHORES, FL 331382330 MANUEL HERNANDEZ
Business: 3055973950
Description: HEAT PUMP Valuation: $ 2,000.00 Inspection Requests:
TotalSq Feet: 500.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.10
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$111.10
Check # 7410
06/18/2019 $61.10
Check # 7336
05/15/2019 $50.00
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.
TN" AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
g I ing constructio nd-zo ing. Futhermore, I authorize the above named' contractor to do the work stated.
V
Authoriz d S ature: Ow Applicant / Contractor / Agent Date
June 18, 2019 Page 2 of 2
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
(�F.�BC 20 /l
Master Permit No. CJ?,p — �S _ M — (
Sub Permit No. I �\ C_ OS—,61 — 109 0q
Z
❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING W MECHANICAL 7PUBLICWORKS CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
IOB ADDRESS: 428 NE 91 ST
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#• 113-3206-019-0060 I e Bullying Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): SOPHIA HOWARD Phone#:
Address:428 NE 41 ST MIAMI SHORES
City:
MIAMI State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: SWIMMING POOLS OF FLORIDA Phone#: 305-597-3950
Address: 6914 NW 50 ST
City:
MIAMI state: FL Zip: 33166
Qualifier Name: MANUEL HERNANDEZ Phone#:
State Certification or Registration #: CPC1457768 Certificate of Competency #:
DESIGNER, Architect/Engineer: ANTONIO CANELA Phone#:
Address:7805 SW 24 ST SUITE 106 City: MIAMI state: FL Zip: 33155
Value of Work for this Permit: $2000.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration P-New ❑ Repair/Replace ❑ Demolition
Description of work: HEAT -PUMP
Specify color of color thru tile:
Submittal Fee $ so 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 $
(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
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 at ent. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection hic o urs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be a pr d nd a reinspection fee will be charged.
Signature .. Signature
NER or AGENT CO TRACT R
The foregoing instrumdnwt was acknowledged before me this
day of `'\ 20 by
Y15 �o is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal:
¢ =
ANGELABAEZ
MY COMMISSION # GG 04321-2
:�J=
EXPIRES: October 30, 2020
"'"•,gib, '
Bonded Thru Notary Public Und,met.ers
**********
APPROVED BY ( \ L4, I In \ \�
The foregoing instrument was acknowledged before me this
day of OaLl20 , by
nally known to
me or who has produced V\ as
identification and who did take an oath. ,
NOTARY PUBLIC:
Sign: C�
Print:
Seal:
*****************
Plans Examiner
Structural Review
•tl nY R� B
U ANGELABAEZ
'`y =
MY COMMISSION # GG 043212
EXPIRES: October 30, 2020
Banded Thru Notary Public Underwriters
*********
_ Zoning
_ Clerk
(Revised02/24/2014)