PL-19-1461Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 08/16/2019
Location Address Parcel Number
601 GRAND CONC, Miami Shores, FL 33138 1132060172140
Contacts
Permit ND.: PL-06-19-1461
Permit Type: Plumbing - Residential
Work Classification: Pool - Private
Permit Status: Approved
Expiration: 02/ 12/2020
CARLOS FELIPE LEMOS Owner AQUATIC ENVIRONMENTS Contractor
601 GRAND CONC, MIAMI SHORES, FL 33138 LUIS ESPINOSA
11767 S DIXIE 203, PINECREST, FL 33156
Business: 7863909029 aquadesignl@bellsouth.net
Description: NEW SWIMMING POOL WITH SPA Valuation: $ 1,600.00 Ins ection Requests:
305-762-4949
TotalSq Feet: 500.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Plumbing - Pool - Residential
$100.00
Scanning Fee
$3.00
Technology Fee
$3.75
Total:
$162.35
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$162.35
Check # 4780
08/16/2019 $162.35
Amount Due:
$0.00
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 Fontractor tq�do the work stated.
Authorized Signature: Owner / Applicant / Contractor / I Agent
Date
August 16, 2019 Page 2 of 2
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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
'?pC4�-l�
FBC 20 11
Master Permit No. FTp -c6— 1 A tAS9
Sub Permit No., T _ -00 __�-1 N (A
❑ REVISION ❑ EXTENSION ❑ RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 601 Grand Concourse
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-017-2140 Is the Building Historically Designated: Yes NO
Occupancy Type: SFR Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Carlos Felipe Lemos Phone#:
Address: 601 Grand Concourse
City: Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: NA Phone#:
Email. NA
CONTRACTOR: Company Name: Aquatic Environments Phone#: 786-390-9029
Address: 11767 S. Dixie Hwy Suite #203
City: Pinecrest State: FL Zip: 33156
Qualifier Name: Luis Espinosa Phone#: 786-390-9029
State Certification or Registration M CPC057282 Certificate of Competency #:
DESIGNER: Architect/Engineer: Vicente Franco Phone#: 305-305-5631
Address: 8690 NW 109th Court // city. Doral State:
Value of Work for this Permit: $ zPZ V' Square/Linear Footage of Work:
Type of Work: N Addition ❑ Alteration New ❑ Repair/Replace
Description of Work: Plumbing to new swimming pool with spa
FL Zip:33178
❑ Demolition
Specify color o for thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Technology Fee $,
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ (G 2 . � S
r
Bonding Company's Name (if applicable) NA
Bonding Company's Address NA
City State _
Mortgage Lender's Name (if applicable) NA
Mortgage Lender's Address
City
State
Zip
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 commencegmpt must be posted at the job site
for the first inspection which occurs se (7) days after the building permit is issuedn he a nce of such posted notice, the
inspection will not be approved and a rqfns#ection fee will be charged.
C'
OWNERIdr AGENT
The foregoing instrument was acknowledged before me this
Z Lk day of JJ �mk , 20 �� by
0-C-f kdS rp�'t LIPVY1 who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Print: "
oW�ar ELENA A SADLER
Seal: • s �'; Notar P :.. , c y Public -State of Florida
,,1j1" • Commission # FF 924095
,',�OF F�o&70,V My Comm. Expires Dec 13, 2019
Bondadthrou hNati �� s*******s**s **s**sss * s
APPROVED BY l� ��'/� Plans Examiner
The foregoing instrument was acknowledged before me this
Z�t day of 7C�- t�L 20 1 by
If A-{ S E5P,/ vUDSJA , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: Elena A Sadler
„��"I", ' yELENA A SADLER
Seal: ..s'' "�e'%
r=o o; Notary Publlc State of Florida
Commission # FF 924095
r'
My Comm. Expires Dec 13, 2019
BgndedthroughNationalNotaryAssn.
*s*ssssss sssr'Y!�'=--- we'
Zoning
Zoning
(Revised02/24/2014)
Structural Review
Clerk