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PL-07-12199 Phon°� Miami Shores Village 10050 N.E. 2nd Avenue "° 1 Miami Shores, FL 33138-0000 �,� e: (305)795 -2204 ra Project Address Parcel Number Applicant 1481 NE 102 Street 1132050240130 Miami Shores Village, FL 33138- Block: Lot GEORGE GODFREY GEORGE AND KAREN GODFREY 1481 NE 102 ST (305)586 -5092 MIAMI SHORES FL 33138 -2621 Contractor(s) Phone Cell Phone DOLPHIN POOLS 8, SPAS INC Type of Work: plumbing Type of Piping: POOL PUMP & SKIMMER Additional Info: Bond Return : Classification: Residential Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount Total $1.20 $0.40 $ 0.00 $5.00 $170.00 Payment Type: $3.00 $4.25 $183.85 Valuation: $ 2,000.00 Total Sq Feet 0 Amt Paid I Amt Due $ 0.00 F $ 0.00 Available Inspections: Inspection Type: ';'S JUN 14 PAID 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: 1 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. Futhermore, I authorize the above -named contractor to do the work stated June 12, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Tuesday, June 12, 2007 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING CEI�%ED Permit No. PERMIT APPLICATIO Master Permit No. ' FBC 2004 JUN 1 1 2001 ti Permit Type: Plumbing BY' Owner's Name (Fee Simple Titleholder) Owner's Address O I.1 City iClI. t' 6I-q- State Tenant /Lessee Name E -MAIL: Q Phone #- 3 os- - 7S-1- "zlr e zip 3338' Phone # Job Address (where the work is being done) SG,` 4f G bov,z _ City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name �Y o� / A 72 f e� ��, Phone # �� 7, 6 r. 7 Contractor's Address � N 0-Q e City C✓D O State Zip Qualifier Name r/,r0/ ma C, Phone # 1ps-y fp.2 7 ^ State Certificate or Registration No. Cto C' Loy Z ?9"O Certificate of Competency No, E -MAIL: Architect /Engineer's Name (if applicable) Phone # eo Value of Work For this Permit $ g© ©©" Square / Linear Footage Of Work: A Type of Work: ❑Addition Describe Work: 7c, G✓ ❑Alteration ❑New /'.e.. ❑ Repair /Replace ❑ Demolition * �x *x�� * *��xx�xxx��xxx *xxxxxxx + x�xxFeesxxxx: �xx�: xxx�xx�: x�� :nxx�xx��r�:�x��xrxxxx�:��xrx Submittal Fee $ Permit Fee $ CCF $ 0 CO /CC Notary $_ Training /Education Fee $ I �Q Technology Fee $� Scanning $ 3,00- Bond $ Structural Review. $ Radon $ DPBR $ Zoning $ Code Enforcement $ Double Fee $ Total Fee Now Due $ �L See Reverse side --> 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED (Revised 02/08/06) Signature VZ,4. Contractor The foregoing instrument was acknowledged before me this day of ' fl%� , 20 111, by : tNd 4fl( who is personally known to me or who has produced 7h &J k&�60 as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expire ^/2'677 Plans Examiner Engineer Zoning Inspection Date: 07/16/2007 Inspector: Levrock, James Owner: GODFREY, GEORGE AND KAREN Job Address: 1481 102 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: DOLPHIN POOLS & SPAS INC ADDING TWO MORE RETURN LINES, INSTALLING NEW SKIMMER AND CHANGING POOL PUMP Inspector Co Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Permit Type: Plumbing - Residential Inspection Type: Piping Work Classification: Pool - Private Phone Number (305)586 -5092 Parcel Number 1132050240130 Block: Lot: MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 Buil ing Inspection Request Dat Type Insp'n `I OOL® Pi 1 y► C,:� Permit No. VL c_ -)I— ) �I Name Address J`'i'6- I 6 � - 1(3 Z- ST' Company 'D l O 'i'r Phone # Inspection Approved Correction L) V^" i Monday, July 16, 2007 Page 1 of 2 r Py Inspection Date: 07/1312007 Permit Type: Plumbing - Residential Inspector. Levrock. James Owner: GODFREY, GEORGE AND KAREN Job Address: 1481 102 Street NE Miami Shores Village, FL 33138- �� ®�'% Project: <NONE> Block: Contractor: DOLPHIN POOLS & SPAS INC Building Department Comments ADDING TWO MORE RETURN LINES, INSTALLING NEW SKIMMER AND CHANGING POOL PUMP Inspector Cc Passed PIPING Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Type: Pool Work Classification: Pool - Private Phone Number (305)586 -5092 Parcel Number 1132050240130 Lot: MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Buil 'ng Inspection Request Dot 2 Chi Type Insp'n I OaL (l I iNa Permit No. 12t— 0-77-12-101 Name Address 14S 1,-A E�_ 10?, Company o: J�AoA 9(00�en Phone # Inspectior Approved CorreCtlolt Re- Insp'n Fee ❑ Friday, July 13, 2007 Page 1 of 2 Inspection Date: 10/01/2007 Permit Type: Plumbing - Residential Inspector: Levrock, .lames Inspection Type: Final Owner: GODFREY, GEORGE AND KAREN Work Classification: Pool - Private Job Address: 1481 102 Street NE Miami Shores Village, FL 33138- U00000 Phone Number (306)686 -6092 Parcel Number 1132060240130 Project: <NONE> Block: Lot: Contractor: DOLPHIN' POOLS & SPAS INC Buildina Denartment Comments ADDING TWO MORE !RETURN LINES, INSTALLING NEW SKIMMER AND CHANGING POOL PUMP ®c� o Sal .z s c r omments Passed ji � iJ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Friday, September 28, 2007 Page 2 of 2