CC-16-3455 (2) z
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10050 N.E.2nd Avenue NE
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Miami Shores,FL 33138-0000 ��Ve
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Phone: (305)795 2204 , .
v � 'l7 Expiration: 07/08/2017
Project Address Parcel Number Applicant
201 NE 95 Street 1132060133920
Miami Shores, FL 33138-0000 Block: Lot: DVS LLC
Owner Information Address Phone Cell
DVS LLC 9400 NE 2 Avenue (305)756-3711
MIAMI FL 33138-
Contractor(s) Phone Cell Phone
PRIORITY CONSTRUCTION MANAGE 786-299-2776 Valuation: $ 38,000.00
MANAGE
_.,... __.._.__ ._..... _._ .: _.._ F__._..__ _ .....__._ .:...:. Total Sq Feet: 0
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Window Door Attachment
Date Denied: Tie Beam
Type of Construction:HALWAY AND BATHROOM RENOV Occupancy Load: Slab
Stories: Exterior: Termite Letter
Front Setback: Rear Setback: Framing
Left Setback: Right Setback: Store Front Attachment
Pians Submitted:Yes
Certification Status: Insulation
Certification Date: Additional Info: Drywall Screw
Bond Return: Classification:Commercial Final PE Certification
Scannin : 1 Window and Door Buck
Celling Grid
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Fill Cells Columns
CCF $22.80 Review Building
DBPR FeeInvoice# CC-12-16-62453 Review Planning
$17.10
DCA Fee $17.10 01/09/2017 Credit Card $ 1,238.00 $0.00 Review Electrical
Education Surcharge $7.60 Review Plumbing
Permit Fee $1,140.00 Review Structural
Scanning Fee $3.00 Review Mechanical
Technology Fee $30.40
Total: $1,238.00
In consideration the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this pe assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECT L,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. e I authorize the above-named contractor to do the work stated.
January 09,2017
Authorized Sig ture: ner / Applicant / Contractor / Agent Date
Building De rtment Copy
January 09,2017 1
Miami Shores Village CF
tiBuilding Department DE 2 X016
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
®V BY
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2014
BUILDING Master Permit No. C
PERMIT APPLICATION sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 2 c� i W1 S-1 1-�k 5vfc,c_tr -
City: Miami Shores
County: Miami Dade zip: J J
Folio/Parcel#: 1 1 ����� J �2 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: �\ `Construction Type: Flood Zone: BFE: (/ FFE:
OWNER:Name(Fee Simple TitleholderPhone#: 3 t�'C Z ��
Address: 2 C l
City: 1�l i. Gi r� � 'S�>•����. State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: YUTIDRiT- hewZy7to, Phone#:-2
Address: `7f g).X. 5S%
City: ('4 1 State: C- Zip:
Qualifier Name: C ° e ""o\� Phone#: _7r4 ,Z2'TS 2-7 C
State Certification or Registration M C9 S f! Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ 0 Radon Fee$ - I DBPR$ Notary$
Technology Fee$ "AL Training/Education Fee$--) F_
_ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(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 appr i rems7' ee wiU be charged.
ignatu Signature
ER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
y day of vil L"p 20 f a/o by day of 20 1,by
(24=Cg u?&I, who is personally known to t2ma P,4 Fe 141&iXFFS who is personally 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: C—_ Sign: 4
Print: Print.
Seal: E�ZABE7H ELORRIAGq Seal: cis' `'�u; EE7H ELORRIgQq
. MY�O y FF9 :~ ••� M'COASN 0 FF9==
EXIMMSjanuw!i 25.2020EXPWS Jwmmry 25.2020
ow
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)