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PL-15-825Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number Applicant 1341 NE 103 Street 1132050300140 LISA RHODES Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell LISA RHODES 1341 NE 103 Street MIAMI SHORES FL 33138- 1341 NE 103 Street MIAMI SHORES FL 33138 - Contractors) Phone Cell Phone ALL FLORIDA POOLS AND SPA CENT 305-893-4036 of Work: REPLACEMENT OF PL14-589 of Piping: onal Info: Retum : ification: Residential Scanning: 3 Fees Due Amount CCF $0.60 DBPR Fee $2.25 DCA Fee $2.25 Education Surcharge $0.20 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $165.10 Valuation: $ 100.00 Total Sq Feet: 00 Pay Date Pay Type Amt Paid Amt Due Invoice # PL -9-15-55142 06/08/2015 Credit Card $ 115.10 $ 50.00 04/09/2015 Check #: 309470 $ 50.00 $ 0.00 Available Inspections: Inspection Type: 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 accurate and that all work will be done in compliance with all applicable laws regulating construction and zoni0a. Futhermore, I authorize the above-named contractor to do the work stated. June 08, 2015 Autl brj� XSlgnature: Owner / Applicant / Contractor / Agent Building Department Copy June 08, 2015 1 F` f Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-232102 Permit Number: PL -4-15-825 Inspection Date: June 16, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: RHODES, LISA Work Classification: Pool - Private Job Address: 1341 NE 103 Street Miami Shores, FL 33138 - Project: <NONE> Phone Number Parcel Number 1132050300140 Contractor: ALL FLORIDA POOLS AND SPA CENTER Phone: 305-893-4036 Buildina Department Comments REPLACEMENT OF PL14-589 RESURFACING POOL Infractio Passed Comments INSPECTOR COMMENTS True nspector Comments Passed r Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. For Inspections please call: (305)762-4949 June 25, 2015 Page 1 of 1 BUILDING PERMIT APPLICATION 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: (30S) 762-4949 APR 0 g 2815 FBC 201 Master Permit No.�_✓�' �/ Sub Permit No.� ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL EiPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: / W} 44 1 �� I C� Jd et_,t , City: Miami Shores County: Miami Dade Zip:) �. Folio/Parcel#: '3"A 05- al}- I~,% Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Tiitlelho�lder):�� &_ i?1le1 if Phone#: 7 19- 3 3 Address: 13'41 NE u.r _�(Lk- Sl— City: M I C1d"m i Jh or f State: PLL Zip: Tenant/Lessee Name: Phone#: �)15, 3 Email: FYI Ply" i 11 me— fidl* CONTRACTOR: Company Name: � ;2�20-�04 ��` -Phone#: i?1_5-4 c3_41011610 Address: ,ii ;10 th%C- b\%D - City: N\%A^l�l_1 State: Zip: 3,1 Qualifier Name: VAyto /3 Phone#:�i'�o�� Mate Certification or Registration #: C _'e�L� OZ yVs0 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: value of Work for this Permit: $, Type of Work: ❑ Addition Description of Work: Qla%A —O - Square/Linear Footage of Work: ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ �� Permit Fee $ _ 'Q CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 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 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. Signatur Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this 34 day of 'AMI* 20 %S , by "fA "Cuo , who ' p Sona y known me or who has produced identification and who did take an nath_ NOT Sign Prini Seal. The (foregoing instrument was acknowledged before me this 9 day ofd 4 , 20.1S- , by V)A,j %* Qyt*.,, , who i ersonally know o as me or who has produced as identification and who did take an oat NOTARY PUBLIC: Sign: Print: Seal: $o. ; ruea JOEL Cow -34 my mmsSIOON # EE 15TO, * E(pIRES:,une25,2017 f Not�11� o�' Ttuueud9� �k�k�k�k�k�k,k�k�k�k�k+R�k�k�k�It�k��k�k�k�k�k�k�k4�k�k�k�Ie�k�k44�k�k�k�k�ktkN�Nt�k�k&�k�F�k�ktk�k�k�k�kt��k�k�i�N�k�k&�k�k*�k�k�N�k�k44�k�k�k$+k�k�k$��kil�7R�k�k�k�k�k�k�k�k&�k�k�k�k�k�k�k�k�k�k�kffi�k�k�k APPROVED BY _ YS Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)