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PL-16-3135 f ,8� s ct Miami Shores Village ` £ Ptnffi7" �( g �S. 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 ApoYIQ Phone: (305)795-2204 Alaw f �1� 01 Expiration: / /2017 Project Address Parcel Number Applicant 310 N E 99 Street 1132060135580 Miami Shores, FL 33138- Block: Lot: DONALD J HAYDEN Owner Information Address Phone Cell DONALD J HAYDEN 310 NE 99 Street (305)799-5198 MIAMI SHORES FL 33138- 310 NE 99 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 MIAMI CUSTOM SWIMING POOL 305-592-8066 ... :.. ._. ., ..___. ._ ._..._._. _...r_ Total Scl Feet: 0 Type of Work:NEW SPA TO REPLACE PERMIT NUMBER BP Available Inspections: Type of Piping: Inspection Type: Additional Info:NEW SPA TO REPLACE PERMIT NUMBER BP Top Out Bond Return: Final Classification:Residential Scanning:1 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# PL-11-16.62083 $2.25 11/16/2016 Check#:4237 $50.00 $114.10 DCA Fee $2.25 Education Surcharge $0.20 11/29/2016 Check#:4263 $ 114.10 $0.00 Notary Fee $5.00 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $164.10 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. Futhermore,I authorize the above-named contractor to do the work stated. November 29,2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy November 29,2016 1 Inspection Worksheet Miami Shores Village 2 - 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-271251 PermitNumber: PL-11-16-3135 Scheduled Inspection Date: December 01,2016 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: HAYDEN, DONALD J Work Classification: Addition/Alteration Job Address:310 NE 99 Street Miami Shores, FL 33138- Phone Number (305)799-5198 Parcel Number 1132060135580 Project: <NONE> Contractor: MIAMI CUSTOM SWIMING POOL Phone: 305-592-8066 Building Department Comments NEW SPA TO REPLACE PERMIT NUMBER BPP-15-2257 Infractio Passed Comments PLA 5-2258 INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 30,2016 For Inspections please call: (305)762-4949 Page 16 of 33 C • Miami Shores Village � �= - Building Department NOV 16 2016 i 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 y BUILDING Master Permit No. 22&7 PERMIT APPLICATION Sub Permit No.PL-945a258- tom-3 13S ❑BUILDING ELECTRIC ❑ ROOFING REVISION EXTENSION ORENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 310 NE 99th Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3206-013-5580 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Donald Hayden Phone#: Address:310 NE 99th Street city: Miami Shores State: Florida Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Miami Custom Swimming Pool Corp. Phone#: (305) 592-8066 Address: 1065 Bass Point Road City Miami Springs State: FL Zip: 33166 Qualifier Name: Jose Quinones Phone#: (305)725-4765 State Certification or Registration#: CPC1458439 Certificate of Competency#: DESIGNER:Architect/Engineer: Kenneth Pfeiffer Phone#: (786)235-2435 Address:8754 S.W. 206th Lane city: Miami State: FL Zip: 33189 Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: /' �Y M r-" A 4) / - Z ZS Specify color of color thru tile: Submittal Fee$ Permit Fee$ 0 CCF$ a (40® CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ I Q (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 postedthe job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such p to notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGE T TRACTOR The foregoing instrument was ackno edged before me this The foregoing instrument was acknowledged before me this 1®� day of 0 � ,20 t� by ,, day of V v® � ,20�(,by who is personally known to I;eu�- (�I In Qio is personally known to me or who has produced as me or who has produced 1orid 0 X11 )y c r,-a-s identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign. Sign: Print: Print: ciYc-1 I ZQ/coZ- Seal: Seal: •••••.. pgpHq� GONZALEZ T MILAOI�S�yAREZ RAMlOS �� '� MY COMMI5SION#GG 044802 * * W COMMISSION#FF W&I _= �... . EXPIRES:October 27,2017 I�yFOF f� EXPIAES.November 2,2020 *was*aaxxa.wxs*+ as • G ***rw*�xw�x*ws**w* * * -sw wAW APPROVED BY ®® Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)