BPP-16-2369Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
11028 NW 2 Avenue
Miami Shores, FL 33168-4304
Owner Information
Permit ivo. BPP -8-16-2369
Permit Type: Pools!Whirtpools!Hot Tubs
Permit
Work Classification: Repair
Permit Status: APPROVED
Issue Date: 9/13/2016
Expiration: 03/12/2017
Address
Parcel Number
1121360020260
Block: Lot:
11028 NW 2 Avenue
MIAMI SHORES FL 33168-
11028 NW 2 Avenue
MIAMI SHORES FL 33168-
Applicant
CORY A BROWN
Phone
Cell
Contractor(s) Phone
ALL FLORIDA POOLS AND SPA CEN1 305-893-4036
CeII Phone
Valuation:
Total Sq Feet:
$ 7,500.00
0
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: Swimming Pool
Additional Info: RESURFACE EXISTING POOL, COPING,
Classification: Residential
Occupancy: Private
Bond Return :
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$4.80
$3.38
$3.38
$1.60
$225.00
$9.00
$6.40
$253.56
Pay Date Pay Type
Invoice # BPP -8-16-61088
08/23/2016 Check #: 312222 $ 50.00 $ 203.56
09/13/2016 Check #: 312344 $ 203.56 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Final
Review Planning
Review Electrical
Review Building
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.
September 13, 2016
Authorized Signature: Owner / Applicant / Contrac r " / Agent
Building Department Copy
Date
September 13, 2016 1
BUILDING
PERMIT APPLICATION
UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION
Miami Shores Village
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
c VT
AUG 2 3 2016
nd
it
FBC 200
Master Permit Noel C-236-1
Sub Permit No.
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
JOB ADDRESS: 110 )% U 2
EXTENSION ❑RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
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): aOrta I'/o,.av Phone#:9' 3 - 269- 1610
Address:
City:
Tenant/ Lessee Narne:
Email:
l loa9 Nmia J.4 4-
Mt, t ¶: io.M
talar
State: Zip: 3)44.9.
Phone#:
CONTRACTOR: Company Name: t\1. . 4 .o LOA
Address: I11)e 1Dm- Moo
Phone#:B(- 3 " (403‘
City: State: Zip: 41Y)
Qualifier Name: Dib fit✓ Phone#:
State Certification or Registration #: ` k. 4»445 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ -1 l O • Q Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace n Demolition
Description of Work:' Eg 1-1 `X ( (1 N 6 'tit— c ! t y G
-V0 "R L- r S 2 2-09
Specify color of color thru tile:
Submittal Fee $ ' Permit Fee $22gCCF $ l' E33CO/CC $ 0
EJ
Scanning Fee $ - 03 Radon Fee $ ' 3 DBPR $ 3) ` Jr 9 Notary $
Technology Fee $ 27 " Le V Training/Education Fee $ .60
Structural Reviews $
(Revised02/24/2014)
Double Fee $
Bond $
25
TOTAL FEE NOW DUE $
203.E
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 : i pproved and a reinspection fee will be charged.
Signatur
OWNER or AGENT
Signature
CONTRACTOR
The forego is instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
1'1 day ofo Lt , 20 IC , by
) )' day of A.oyyvre, 20 lc , by
, who iscersonally known to 64J1AColli , , who ' personally know to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
me or who has produced as
identification and who did t. - .n oath.
0
NOTARY PUBLIC:
Sign:
Print:
Seal:
i11�S. June SeNce
APPROVED BY
(Revised02/24/2014)
Sign:
Print:
Seal:
Plans Examiner
Structural Review
7E rt 1:1W-
oFF
EVAES•. June 25, s r cos
goldedlhru8udgetliaarY
Zoning
Clerk
11'28 NW 2nd AVENUE, MIAMI SHORES, FL 33168
/2
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(P.B 35-PG.24)
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AUG 2 2015
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