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PL-15-313 Permit NO PL-2-15-313 Miami Shores Village Permit Type:Plumbing-Res1d8nf j - Work Classification:Pool-#'rlv� 10050 N.E.2nd Avenue NE Pen Miami Shores, FL 33138-0000 Pennit`Status:APPR€1VE� - Phone: (305)795-2204 FCOR�DA Issue Date: 312312015 FExpiration: 09/19/2015 Project Address Parcel Number Applicant 1280 NE 101 Street 1132050210010 WILLIAM ROY Miami Shores, FL Block: Lot: Owner Information Address Phone Cell WILLIAM ROY 1280 NE 101 Street (305)793-5050 MIAMI SHORES FL 33138- 1280 NE 1U1 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 WATERMARK CONSTRUCTION LLC (954)776-333fW��' Total Sq Feet: 0 Type of Work:PLUMBING UPGRADE TO EXISTING POOL. Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Return : Final Classification: Residential Scanning: 1 Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# PL-2-15-54476 DBPR Fee $2.25 02/12/2015 Credit Card S .50.00 $260.70 DCA Fee $2.25 Education Surcharge $0A0 03/23/2015 Check#:4730 $ 260.70 $ 0.00 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $1.60 Work without Permit Fee $150.00 Total: $31U.70 In consideration of the issuance to me of this perrr t. I agree to perform the work covered hereunder in comp) ,ince with all ordinances and regulations pertaining thereto and in strict conformity with the plat s,drawings, statements or specifications submitted to the prol Dr authorities of Miami Shores Village. In accepting this permit I assume responsibility for all or! or ^' M n^ understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICA .WINDOWS, DOORS; ROOFING and SWIMMING POOL wo <. OWNERS AFFiDAViT: i ceiiiiy Thai ail re iuiequmn information is accurate and that all work will be done ir. com)liance with all applicable laws regulating construction and MI Futter re, I onze the: bove-named contractor to do the work stated. `= Mar :h 23, 2015 Authorized Signatu : wner ! Applica;t / Contractor / Agent )ate Building Department Copy March 23, 2015 -- --------------- -- ------------- 1 Miami Shores Villagee FEB 2015 Building Department BY. 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 2010 BUILDING Master Permit No. r�r?- I5-�312 PERMIT APPLICATION Sub Permit No ff — ' 3 BUILDING ❑ ELECTRIC ROOFING REVISION EXTENSION RENEWAL ©PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS: I L'90 tiXG (C>l City: Miami Shores County: Miami Dade Zip: 3 313k Folio/Parcel#: I► ' 3a05 • p7:1. ('SOI O Is the Building Historically Designated:Yes NO — Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): CX-wY-%, Phone#: Address: City: State: 2_ Zip: 3-513 g Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Lir, r yY1n.c-Vi if xy v c-f-t'GY'l Phone#:QS_(- _T7 L. 333 g Address: 4 4(-o 0 N�)• Ele e_(,D( 4LZ C-1 City: V�+ L-a A,,A e.1r'd c..JC_,,_ State: F-- Zip: 3'530 B' Qualifier Name: _?7r PU►'Y1 Phone#: State Certification or Registration#: OYC, (45 -7�1.3 I Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ r Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: lc" ✓-' �v Lc y ��'j"�-� Ld' Specify color roof-lcolor thru tile: Submittal Fee$ '� Permit Fee$ U+ CCF$ . 2 CO/CC$ Scanning Fee$ •D® Radon Fee$ Z.27 DBPR$ 2—2 1� Notary$ Technology Fee$ l.6D Training/Education Fee$ YQ Double Fee$ oe7D Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 26a. FC} (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address _ City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address 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 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 Signature _ ., . OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this a� day of ,20 tS by ;� `c1`7 day of "ice v,.�c�r., 20 ) by who is personally known to f7f UIL l F• /"LCcllIu"ho is personally known to me or who has produced V7-L- U-- as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Print: L�.IgL1 Zc�1-G�v s Print: 3re7*\ L-'�qh Seal: BETH LEIGH SCHOTANUS Sea : ;�;P•;-�g-, BETH LEIGH SCHOTANUS a4r?�PV '• :��•• yo Z MY COMMISSION#EE880532 MY COMMISSION#EE880532 f9' EXPIRES March 04,2017 EXPIRES March 04,2017 Foc'e�,. Fa sl�ldls****** APPROVED BY 11-�)2'/Z'7S Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)