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PL-10-20-2316Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 9310 BISCAYNE BLVD, Miami Shores, FL 33138 1132060141610 :ontacts 9310 MONTERO LLC Owner ALL FLORIDA POOL AND SPA CENTER Contractor 773 Woodcrest RD, Key Biscayne, FL 33149 DAVID COHEN 11720 BISCAYNE BLVD, MIAMI, FL 33181 Business:3058934036 JCOHEN@ALLFLORIDAPOOL.COM Inspection Requests: Description: RE -LOCATE EXISTING EQUIPMENT APPROX 12 Valuation: $ 1,500.00 3€iS762µ494 SKIMMER LINE & MAIN DRAIN LINE RETURN LINES Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Plumbing - Pool - Residential $100.00 Scanning Fee $9.00 Technology Fee $3.75 Total: $168.35 Building Department Copy Payments Date Paid Amt Paid Total Fees $168.35 Credit Card 04/13/2021 $118.35 Check # 316029 10/13/2020 $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. OWNERS AFFIDAVIT: I certify that all the foregoing information is aura at all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above q c9nVactor to the work stated. Authorized Signature: Owner / Applicant / Contractor i / N'4'e� 11 L Date April 13, 2021 Page 2 of 2 Miami Shores Village Building Department 'A 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)-�- 0� BUILDING Master Permit No.?L- 10' 20' 231(v PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL 5?(PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP A--0 � CONTRACTOR DRAWINGS JOB ADDRESS: 9�% City: Miami Shores // County: Miami Dade Zip: Folio/Parcel#: �� v� ` ©1410 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:Cho O eoGc e OWNER: Name (Fee Simple Titleholder): �'t4�6,i /Z--dj O� Phone#: Zh - Address: 03/0 Alc-OV 11� 440 . City: A;aW./' 4W4!�4,r State: Tenant/Lessee Name: _ Email: Zip . 38 Phone#:—_,_ CONTRACTOR: Company Name: �« 5ZIOA� ,e i"G 4 Phone#: Address: O ��G�.O(%/U� lelVO- City: State: Zip: 33ZOOI Qualifier Name: 461'O /�� C�� Phone#: State Certification or Registration #: ( �� 2yy�j U Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: _ Address: City: State Value of Work for this Permit: $ �J'-�, Square/Linear Footage of Work: Type of Work: ❑ Add i ' ❑ Alteration ❑ New Repair/Replace - — -I-- Zip: ❑ Demolition i of Work: f%%>✓ �tiii /l��•e!' Y� Specify color of color thru tile: Submittal Fee Scanning Fee $ Technology Fee $_ Structural Reviews $ Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $_ DBPR $ CO/CC $ Notary $ Double Fee $ _ 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 to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which gefurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approveA a/feinspection fee will be charged. � Signature ER or AGENT The foregoing instrumient was acknowledged before me this n_ day of 1te 20 -D— by 1V1�* 5 V,Q,)r t} who is personally known to me or who has produced OL Si i A-2. (02 - c as identification an o did take an oath. NOTARY PU LIC. / Sign: q Print J�ELGO OV354 "` Oµ Seal �' sTy o� ediM� JE OF Signature y CONTRACTOR The foregoing instrument was acknowledged before me this day of ,20 by who i p sonally knciWn to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: COHtry q UJ Print: V PUe<% oMM��# y,2fl21 dlyTf of V,�, ############################################################################################################ APPROVED BY 4,/ / Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014)