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MC-15-2597 Perm ,No MCA 0-15-2697 Miami Shores Village Permirtype,*Chanica) �,Residentiai 10050 N.E.2nd Avenue NW IfVOrk t.,laS51frCc'tttG?ri:Pool Heater Miami Shores,FL 33138-0000 eirmit Phone: (305)795-2204 Permit Staters:APPROVED eNTgg INS Fcur�m� 04123/2016 I$5ue tte:1C�726/Zn1 FExpiration: Project Address Parcel Number Applicant 21 NW 101 Street 1131010180220 Miami Shores, FL 33138- Block: Lot: FEDERICO GONZALEZ Owner Information Address Phone Cell LIFEDERICO GONZALEZ 21 NW 101 Street n MIAMI SHORES FL 33150- 21 NW 101 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 5,000.00 HOME OWNER Total Sq Feet: 00 I Tons: Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Approved:In Review Review Mechanical Comments: Date Approved::In Review Review Mechanical Date Denied: Type of Work: Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 Invoice# MC-10-15-57410 DBPR Fee $2.63 10/14/2015 Credit Card $50.00 $147.26 DCA Fee $2.63 Education Surcharge $1.00 10/26/2015 Credit Card $ 147.26 $0.00 Permit Fee $175.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $197.26 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify b the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and u er above-named contractor to do the work stated. October 26, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy October 26,2015 1 Miami Shores Village7BY. L14FI° 5 Building Department 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 �-- Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No.B /P/5_ PERMIT APPLICATION Sub Permit NoA/0- ��--2� ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION �ENEWAL ❑PLUMBING MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP r CONTRACTOR DRAWINGS JOB ADDRESS: A� 1 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 1 �C LO ' a HZ. 1-�ti Phone#: Address: P(Aj of sd_ 5L jr`e-A,L City: (�VCM e'? State: T Zip: �� y Tenant/Lessee Name: Phone#: Email: `�i CONTRACTOR:Company Name: �()�4 ©w If , Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration 2"New ❑ Repair/Replace ❑ Demolition Description of Work: AA_1-,&2 g)la(h �� 4cj��f� - me 1 -- Specify color of color thru tile: Submittal Fee$ Permit Fee$ �__l_NCCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ° (Revised02/24/2014) Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-245631 Permit Number: MC-10-15-2597 Scheduled Inspection Date: October 28,2015 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: GONZALEZ, FEDERICO Work Classification: Pool Heater Job Address:21 NW 101 Street Miami Shores, FL 33138- Phone Number Parcel Number 1131010180220 Project: <NONE> Contractor: HOME OWNER Building Department Comments RENEWAL OF EXPIRED NEW POOL PERMIT BPP Infractio Passed Comments 14-2561 INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 28,2015 For Inspections please call: (305)762-4949 Page 23 of 53 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 a roved 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 day of ,201by day of 20 by WO N- 1v s personally known to who is personally known to me or who has produced � 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: Si - Sign: Print: Print: Seal Av ft. Notary Public State of Florida Seal: Joanna M Feliciano • My Commission FF 082753 Expires 01/1212018 APPROVED BY ans Examiner Zoning Structural Review Clerk (Revised02/24/2014)