MC-11-19-2649, 739 NE 94th StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
739 NE 94TH ST, Miami Shores, FL 33138 1132060142000
Contacts
MARIANA SANTANA Owner
739 NE 94 ST, MIAMI SHORES, FL 331382914
Other: 3055103766
FLORIDA POOL PATIO CORP Contractor
CLAUDIO SEBASTIAN VALERO
4655 SW 71 AVE, MIAMI, FL 33155
Business: 3058150181 nadineflpoolpatio@gmail.com
Description: MECHANICAL POOL -POOL HEATER Valuation: $ 2,800.00 Inspection Requests:
Total Sq Feet: 450.00
_H
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.90
Total Fees
Credit Card
Credit Card
Amount Due:
Date Paid Amt Paid
$111.90
11/12/2019 $61.90
11/06/2019 550.00
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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„,informaxl0M, is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futherm.ore;fl"aut.horize'the above named contractor to do the work stated.
Authorized Signatur caner Applicant / Contractor / Agent Date
November 12, 2019 Page 2 of 2
Miami Shores Village
EN7CJI nED
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
NOV 06 2019
BY:—AA--
FBC 201� (Ckv)
Master Permit No.
Sub Permit No.q(-- I - q- 2 (Pq 9
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING aMECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: [ I , c--:A Le V�� r
Citv- Miami Shnres Cnunty: Miami Dade Zin:31
Folio/Parcel#: 1 1520 6_701` 2-0 0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: ►�ConstructionnTTyyppe:: 10
-�/� Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titlehold Kam' ��-� ' �—' ✓a7gcel Phone#:
Address:
4
City: Vf I
State: `t
Tenant/Les ee Name: Phone#:
Email: �MOCTI 00 (D � � C o rv)
CONTRACTOR: Company Name: -F t(e y'de t 02/L 0 Phone#: �SV1S V I
AddressAs � J -7/
City
Qualifier Name: C ta(jc .(o MMQ651
Vy
State Certification or Registration #: C 12r 1 65 1
one#:
2-. Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
p:
Address: City: State: Zip:
Value of Work for this Permit: $ laaP2 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ �50 �a�b Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $ /,,
TOTAL FEE NOW DUE $ l// 1. -/ O
(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
M
213
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 begp&ted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absent uch posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Sigrl,u
/ Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
d day of 20 by
6.
Vl _ Qvho is personally known to
me or who has produced
identification and who did take an oath. �\d(-.6-
s� moo,
NOTARY PUBLIC:
Q°W1, PSG ti°�1
Sign:
Print:
Seal:
CONTRACTOR
The foregoing instrument was acknowledged before me this
4 day of �v 20 , by
6-t64J64 ry i/J A- 0 who is personally known to
as me or who has produced as
identification and who did take an oath.
APPROVED BY v� 1 lans Examiner Zoning
0
Structural Review Clerk
(Revised02/24/2014)