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RC-16-288 Miami Shores Village a I ` 10050 N.E.2nd Avenue NE ' Miami Shores,FL 33138-0000 Phone: (305)795-2204 Expiration: 08/17/2016 :E a 4 .: Project Address Parcel Number Applicant 75 NE 101 Street 1132060131550 Miami Shores, FL 33138- Block: Lot: MARCI LOWMAN Owner Information Address Phone Cell MARCI LOWMAN 75 NE 101 Street (305)981-4477 MIAMI SHORES FL 33138- 75 NE 101 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 5,000.00 DISCOUNT POOL HEATING (754)90046566 (727)686-5185 Total Sq Feet: 00 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Solar Type of Construction:INSTALLATION OF A SOLAR PHOT Occupancy:Single Family Review Electrical Stories:1 Exterior: Review Building Front Setback: Rear Setback: Review Structural Left Setback: Right Setback: Bedrooms:2 Bathrooms:2 Plans Submitted:Yes Certificate Status: Certificate Date: Additional Info: Bond Retum: Classification:Residential Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 Invoice# RC-2-16-58536 DBPR Fee $2.25 02/02/2016 Credit Card $50.00 $247.50 DCA Fee $2.25 Education Surcharge $1.00 02/19/2016 Credit Card $247.50 $0.00 Permit Fee $150.00 Pian Review Fee(Engineer) $120.00 Scanning Fee $15.00 Technology Fee $4.00 Total: $297.50 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 zoning. Fermo aut a the above-named contractor to do the work stated. February 19,2016 Authorized Signature:Owner /-Applicant / Contractor / Agent Date Building Department Copy February 19,2016 1 Miami Shores Village � g FEB 0 2 2016 Building Department BY: ann�-�- 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 201 L4 BUILDING Master Permit No-V?C _ 2 E PERMIT APPLICATION Sub Permit No. JS�BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 75 NE 101st St City: Miami Shores County: Miami Dade Z(o: 333 Folio/Parcel#: 11-3206-013-1550 is the Building Historically Designated:Yes NO Occupancy Type: SFR Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Marci Lowman Phone#: 3 M ?9Z Yy 76 Address: 75 NE 101St St City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Discount Pool Heating DBA All Solar Solutions Phone#: 954.475.6160 Address: 244 SW 30th St City: Fort Lauderdale State: FL Zip: 33315 Qualifier Name: Robert Monteagudo Phone#: 954.475.6160 State Certification or Registration#: CVC56794 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$__,�00 ® Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ Alteration 0 New ❑ Repair/Replace ❑ Demolition Description of Work: Installation of a Solar Photovoltaic System, Roof Mounted Specify color of color thru tile: Submittal Fee$ So Permit Fee$ I-4;0 ' CCF$ Gb _ COAC$ Scanning Fee$ "� Radon Fee$ ` DBPR$ Notary$ 0 Technology Fee$ CA3 Training/Education Fee$ (A) Double Fee$ 10, Structural Reviews$ T Bond$ ,P TOTAL FEE NOW DUE$ c 1 50 (Revised02/24/2014) J 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 flrst 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 en �2 day of cJ WI-V .20 16 ,by I.Z day of cJ).�,.���T=20 1:6 by fy)W 0% "WMA- .who is orally know to Robert Monteagudo who is personally known to me or who has produced t4 1A as me or who has produced/ n as It— identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: S n• Sign: Pri Print: Kevin Kohler t KEVIN Seal: ��;••:;moo CINDY KIM Seal: '•• tN1f cOMMiSSION#FF 945T11 MY MWISSION i FF 142293 ' EXPRE' k,*mber 22,2019 * * EXPIRES:J ulY 15 2018 �� < n � Fc.;a "rn ;u.�w NotaryServkes �'�fOF�o4` BftWTlwtu*NsMrySerrkes APPROVED BY �I../'4 Plans Examiner Zoning zvj4Structural Review Clerk (Revised02/24/2014)