PL-15-1140 erm4. - -� 5- 10
Asn°R n Miami Shores Village A�' ft Tye"Plumbing— R (d p�*(
S� 10050 N.E.2nd Avenue NE
"M
10050
� Private"
Miami Shores,FL 33138 0000 �,hrkC1assfflbot1ot,1r,'Po6t,-
1i. &i .APPROVED,
°tion Phone: (305)795-2204
�c Rissue Date.5t #2t15 Expiration: 11/17/2015
Project Address Parcel Number Applicant
1275 NE 94 Street 1132050100090
JAMES AND JANINE TURK
Miami Shores, FL 33138-2946 Block: Lot:
Owner Information Address Phone Cell
JAMES AND JANINE TURK 2020 N BAYSHORE Drive
MIAMI FL 33137-
2020 N BAYSHORE Drive
MIAMI FL 33137-
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
DESIGNER POOLS INC (305)969-6300 Total Sq Feet: 0
Type of Work:POOL PLUMBING Available Inspections:
Type of Piping: Inspection Type:
Additional Info: Main Drain
Bond Return: Final
Classification:Residential Scanning:1 Rough
Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# PL-5-15-55550
DBPR Fee $3.38 05/14/2015 Credit Card $50.00 $186.36
DCA Fee $3.38
Education Surcharge $0.20 05/21/2015 Check#:008359 $ 186.36 $0.00
Permit Fee $225.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $236.36
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 responsibili for all work done by either myself, my agent, servants, or employes I understand that separate permits are
required for ELECTRICAL,PLUMBIR/ Applicant
AL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify thang information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermor above-named contractor to do the work stated.
May 21, 2015
Authorized Signature:Ow / Contractor / Agent Date
Building Department Copy
May 21,2015 1
Miami Shores Village Cir D
Building Department MAY 4 2015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 16
BUILDING Master Permit No. _p%'-`? -3If G Jrr
PERMIT APPLICATION Sub Permit No. pu -4 I q
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: 5 FN Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): �� iA V R)' Phone#:
Address: Na 7 s N S. 4 4 61
City: IM ;s�. S N liap S State: '�' 4�. Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: y ; I>J 0 n. ew 1-s — Phone#[::
Address: l x-7X 5"x S w S a `6 C a
City: a- State:'f" zip: 331 kC
Qualifier Name: So(z (if Q00 c I Phone#:
State Certification o Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 1 �J^J Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile: —y
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ i Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Boned$
TOTAL FEE NOW DUE , ` PC)
(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 inspection fee will be charged.
Signature a Signature U�
OWNER o AGE CONTRACTOR
The foregoing instrumen as acknowledged before me this The foregoing instrument was acknowledged before me this
day of.--- 20 IJ" by day of 20\>✓ by
->> h" l a M •
whq&prr§6n—a3>own to Td&5 Q G Q re c who i ersonall 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:
Sign: Sign:
Print: U1 S C* �c Print: S�,cae�
,1„111,1,,1 . F:.V J.4•..
Seal: LUIS GARCIA Seal: ; $ Qct_ NELSON SUAREZ
*. .c MY COMMISSION#EE 155795 MY COMMISSION#FF136345
EXPIRES:Demmber26,2015
o.:
IhmNotmyPubvcUnkmiters ..ro. ;d' EXPIRES June 25, 2018
.�Z.p:.t:1li3
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)