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PL-15-2210Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit NO. PL -8-1`5-2210 Permit Type: Plumbing - Residential Work Classification: Pool - Private Permit Status: APPROVED Permit Issue Date: 10/13/2015 Expiration: 04/10/2016 Parcel Number Applicant 11028 NW 2 Avenue Miami Shores, FL 33168-4304 1121360020260 Block: Lot: CORY A BROWN Owner Information Address Phone Cell CORY A BROWN 11028 NW 2 Avenue MIAMI SHORES FL 33168- (913)269-1610 11028 NW 2 Avenue MIAMI SHORES FL 33168- Contractor(s) Phone ALL FLORIDA POOLS AND SPA CEN1 305-893-4036 Cell Phone Valuation: Total Sq Feet: $ 4,200.00 0 Type of Work: INSTALL DUAL SUCTION MAIN DRAIN AND Type of Piping: Additional Info: Bond Return : Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $3.00 $2.25 $2.25 $1.00 $150.00 $3.00 $4.00 $165.50 Pay Date Pay Type Invoice # PL -8-15-56893 10/13/2015 Check #: 310474 $ 115.50 $ 50.00 08/28/2015 Check #: 310222 $ 50.00 $ 0.00 Amt Paid Amt Due Available Inspections: Inspection Type: Main Drain Final Rough Review Plumbing 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, state. ents or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by ei / r myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, . TaORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing informati...rF . - - •n•'that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize thea • • . ��I ill tor to do the work stated. October 13, 2015 Authorized Signature: Owner / Applicant / Contractor / Agent 'ate Building Department Copy October 13, 2015 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 /3pp/f22/� Inspection Number: INSP-242508 Permit Number: PL -8-15-2210 Scheduled Inspection Date: December 08, 2015 Inspector: Diaz, Osvaldo Owner: BROWN, CORY A Job Address: 11028 NW 2 Avenue Miami Shores, FL 33168-4304 Project: <NONE> Contractor. ALL FLORIDA POOLS AND SPA CENTER Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number (913)269-1610 Parcel Number 1121360020260 Phone: 305-893-4036 Building Department Comments INSTALL DUAL SUCTION MAIN DRAIN AND VACUUM LINE Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Inspector Comments Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. December 07, 2015 For Inspections please call: (305)762-4949 Page 12 of 44 BUILDING PERMIT APPLICATION BUILDING 0 ELECTRIC 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 RECE P -s, ; ` AUG 21 2015 BY FBC 2011 Master Permit No. L - 22c`1 Sub Permit NoP1, \ S — 22_16 ROOFING El REVISION ❑ EXTENSION EI RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: , aaA3 Nam a ❑ CHANGE OF 0 CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 4A" a - 00 - '(oo Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Qat" �fo•�.✓ \\0b9 L Address: Phone#::d65 - two City: Vv ` - S\nory State: Tenant/Lessee Name: Phone#: Email: Zip: Nst6s CONTRACTOR: Company Name: Address: I\110 City: to In,A 1 Nvo `daoPhone#: .53 S— 851 -Au ` State: h Zip: hh)i Qualifier Name: ....1)% N Phone#: State Certification or Registration #: CA. cba 4•454 _Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: 1 Value of Work for this Permit: $ t\ O°w Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Description of Work: ❑ New ❑ Repair/Replacer ❑ Demolition LI eat Specify color of color thru tile: Submittal Fee $ g(-) . p Permit Fee $ Scanning Fee $ Radon Fee $ CCF $ CO/CC $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) Double Fee $ Bond $ TOTAL FEE NOW DUE$ AIS 5r Bonding Company's Name (if applicable) 4 • Bonding Company's Address City State Zip Nig* 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. Aiso, 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 a reinspection fee will be charged. Signature `.0 l Signature OWNER or AGENT The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this t5 day of kur f , 20 IS , by aS day of •►f , 20 15 , by C.•ri brow.. , who ilesonally knowriloo 1, vto C. i4W , who i personallyknow to me or who has produced as me or who has produced as identification and who did take an NOTARY PUBLIC NOTARY PUBLIC: aa-• CONTRACTOR identification and who did take an oath. Sign: Print: JOEL COHEN ••. � EE877852 MY COMMISSION • � 2017 EXPIRES: June 25. services BondedThreSudgetNotary s'er s ****************Aestem************************************************** Sign: Print: Seal: APPROVED BY g' I /5 Plans Examiner __(:) (Revised02/24/2014) Structural Review JOELCOHEN MY COMMISSION R EE 877852 EXPIRES: June 25, 2017 n LA ° Banded Mrs Budget Notary Services ********************************** Zoning Clerk