PL-19-1094Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 06/18/2019
Location Address Parcel Number
428 NE 91ST ST, Miami Shores, FL 33138 1132060190060
Contacts
Permit NO.. PL-05-19-1094
Permit Type: Plumbing - Residential
Work Classification: Pool - Private
Permit Status: Approved
Expiration: 12/ 16/2019
DAVID HOWARD Owner SWIMMING POOLS OF FLORIDA INC Contractor
55 NE 97 ST, MIAMI SHORES, FL 331382330 MANUEL HERNANDEZ
Business: 3055973950
Description: PLUMBING FOR POOL Valuation: $ 500.00 Requests:
Inspection 305-4949
Total Sq Feet: 500.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Plumbing - Pool - Residential
$100.00
Scanning Fee
$3.00
Technology Fee
$3.75
Total:
$161.55
Payments
Date Paid Amt Paid
Total Fees
$161.55
Check # 7336
05/15/2019 $50.00
Check # 7410
06/18/2019 $111.55
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.
OWN S AFFIDAV rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
reg ing constructi �anqning. Futhermore, I authorize the above named contractor to do the work stated.
AIthorized SLL at caner / Applicant / Contractor / Agent Date
June 18, 2019 Page 2 of 2
0
t
u
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
�■ PLUMBING ❑ MECHANICAL 7PUBLICWORKS
JOB ADDRESS: 428 N E 41 ST
AY lIS�OI�Ii "
IM
FBC 20
Master Permit No. L p os-19— 1011
Sub Permit No.T)L Qs_ I — log q
❑ REVISION ❑ EXTENSION ❑RENEWAL
CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#• 113-3206-019-0060 Is the Building Historically Designated: Yes NO x
Occupancy Type: Load: Construction Type: ?_Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): SOPHIA HOWARD
AAA--.428 NE 41 ST MIAMI SHORES
City. MIAMI
Tenant/Lessee Name:
Email
State: FL
Phone#:
ip: 33138
CONTRACTOR: Company Name: SWIMMING POOLS OF FLORIDA Phone#: 305-597-3950
A,,,-- 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
Value of Work for this Permit: $ 500.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
Description of work: PLUMBING FOR POOL
Specify color of color thru tile:
Submittal Fee $ G Permit Fee $
Scanning Fee $
Radon Fee $
Zip: 33155
5,New ❑ Repair/Replace ❑ Demolition
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $ [,
TOTAL FEE NOW DUE $ f I J ✓
(Revised02/24/2014)
.s
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
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 Irol
occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be apand a reinspection fee will be charged.
Signature
ER or AGENT
The foregoing instrument was acknowledged before me this
day of 20 N \ , by
<1J0`f o is personally known to
me or who has produced as
identification and who did take an oath.
Signature 0-
C NTRACT
The foregoing instrument was acknowledged before me this
day o 20 1 q . by
/'1 who is personally known to
me or who has produced -- `►L CQ V1)p as
identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign: Oil
) —��
Print: Print:
ANGELA
" Seal: :3? fi MY COMMISSION # GG 043212 Seal:
'* *= October 30, 2020 �7v:":e ARr�
EXPIRES:
%'soQ Bonded Thru NotaryPublic Underwriters MY ' :)P::+;iluitani #P1��i
EXP LS: October 30, 2020
Bonded Thru Notary Pub11c Und,,*t ra
APPROVED BY //z� Plans Examiner
Zoning
Structural Review
(Revised02/24/2014)
Clerk