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Miami Shores Village
10050 N.E.2nd Avenue NE {kyAAArsttr �}
Miami Shores,FL 33138 0000 ' ' m
' e Phone: (305)795-2204
s`t j3li31 9 Expiration: 12/25/2016
Fe
Project Address Parcel Number Applicant
580 NE 106 Street 1122310140170
Miami Shores, FL 33138- Block: Lot: JUAN ZULUAGA
Owner Information Address Phone Cell
JUAN ZULUAGA 580 NE 106 Street
MIAMI SHORES FL 33138-
580 NE 106 Street
FL
Contractor(s) Phone Cell Phone Valuation: $ 6,294.00
FLORIDA PERGOLA LLC (305)400-0200 (305)213-4141
_.... Total Sq Feet: 170
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:BUILD FENCE 6 FT WOOD HORIZOP Review Planning
Classification:Residential Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $4.20
DBPR Fee Invoice# FW-6-16-60026
$2.55 06/02/2016 Check#:12804 $50.00 $145.30
DCA Fee $2.55
Education Surcharge $1.40 06/28/2016 Check*12872 $145.30 $0.00
Permit Fee-Wire&Wood $170.00
Scanning Fee $9.00
Technology Fee $5.60
Total: $195.30
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 t foregoing information is accurate and�that all work will be done in compliance with all applicable laws regulating
const ructio Toning. Futh amore I uthorize the above-named c)p or to o the work stated.
r ` f June 28, 2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 28,2016 1
Miami Shores Villa e
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BuildingDepartment � ����T �►
p JUN 0 2 NIG
10050 N.E.2nd Avenue,Miami Shores, Florida 33138 i�
Tel:(305)795-2204 Fax:(305)756-8972 ply:
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201`t sal
BUILDING Master Permit No. ' I to
PERMIT APPLICATION Sub Permit No.
IR BUILDING ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP
1 / 1 LCONTRACTOR DRAWINGS
JOB ADDRESS: ` 0O 1✓ e'f
City: Miami Shores County: Miami Dade Zip: 33 l 3g
Folio/Parcel#:I)—94bi IN i 011 0 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 6u0,-\ � _Ll y Gc� Phone#: �Q ' S(D
Address: 5 VV N (i W (O S'Ttt t
City: ml am I &)M Y t i State: F L zip: 6i 3 80
t
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Iirl-d CA, Phone#: 2 0'5j()Q 0 Z 0b
Address: 121-7-1169 &W 17A S XY&q,-1- S Lkl+*. ftQ 2
City: M1 AL1 1 State: FL Zip: '� ( �(D
Qualifier Name: =n4-LA)_ wV C."L i v Phone#: 3o S "t0 0 jZ(DU
State Certification or Registration M L (�C(;X t Certificate of Competency M q,
DESIGNER:Architect/Engineer.TmfjjAQ.YYI?,Gl_lc)( Phone#: �J b03 'CJII 1
Address:k!:6kq if rjAP _l_.Qh-f— City: State: FL Zip:'3?5fl�t
Value of Work for this Permit:$ (Ai 9`t • 0 y Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ® New ❑ RepaLr/Replace ❑ Demolition
Description of Work: F-T VV O®7 Po'/1 0 A'ts
Specify color of color thru tile:
Submittal Fee$ 50 r Permit Fee$ • CCF$ CO/CC$
Scanning Fee$ 1 ' C 0 Radon Fee$ 2- DBPR$ SC.; Notary$
Technology Fee$ S 0 Training/Education Fee$ ° Double Fee$
Structural Reviews$ Bond$ 92
TOTAL FEE NOW DUE$ 3()
(Revised02/24/2014)
r
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 approved and a reinspection fee will be charged.
Signature � \ S=—
Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me J�e this The foregoing instrument was acknowledged before me this
day of l Aar ,20 1 tO by i5f day of 120 1b •by
ZLILLuG !A ,who is personally known to 160 yd I ,who is personally known to
me or who has produced 'iL�''�-� as me or who has produced
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
a�
Sign:_ Sign: � �
Print: Print: cJ►V►'th�
Seal: "d;,�.,, Seal: �/���
.►p J.BOVELL 1L MADERA
%My Public-State of Fiorias
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APPROVED BY C'� Plans Examiner lc 2 Zoning
Structural Review Clerk
(Revised02/24/2014)
STATE OF FLORIDA
t m 6 53
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
2601 BLAIR STONE ROAD
TALLAHASSEE FL 32399-0783
BOVELL, MATTHEW CHRISTOPHER
FLORIDA PERGOLA INC
12255 SW 128TH STREET,#406
MIAMI FL 33186
Con gra#ula#ions! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range STATE OF FLORIDA
from architects to yacht brokers,from boxers to barbeques DEPARTMENT OF,;BUSINESS AND
restaurants,and they keep Florida's economy strong. q� PROFESS# REGULATION
Every day we work to improve the way we do business in order CGC1ti1$817 LfEOr:'09/04/2016
to serve you better. For information about our services,please
log onto www.myfloridalicense.com. There you can find more CERTIFIED GE Lt��TI�4�T4�R
information about our divisions and the regulations that impact BOVELL,MATCt `/ HER.°
you,subscribe to department newsletters and team more about FLORIDA PERG(? 1�C
the Departments Initiatives.
Our mission at the Department is:License Efficiently,Regulate
Fairly.We constantly strive to serve you better so that you can IS CERTIFIED under the provisions of 6h.489 FS.
serve your customers. Thank you for doing business in Florida, 6tp1raton e .AUG n era Ltl .4890QA9�1
and congratulations on your new licenser
DETACH HERE
RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
CGC1518817
u#
The GENERAL CONTRACTOR
Named below IS CERTIFIED .
Under the provisions of Chapter 489 FS. �
F ,,ry
Expiration date: AUG 31,-2018
BOVELL, MATTHEW CHR1
R
FLORIDA PERGOLA ING r. •
12255 SW 128TH STEEL , _. ti '.
MIAMI F1:�t
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ISSUED: 09/04/2016 DISPLAY AS REQUIRED BY LAW SEQ# L1609040001911
JOHN MARRA & ASSOCIATES, NQ.
Professional Land Surveyors & Mappers
W W W,IBARRAUW DSUFIVUYORS.COM
777 N.W.72nd AVENUE 2804 DEL PRADO BLVD SOUTH
SUITE
3028
SSUITE NO.202 UNIT 1
MI'Aml,FLORIDA 33129 CAPE CORAL.FL 33004
PH: (306)232-0400 PH: (239)840-2860
FAX.(306)202-0401 FAX:(239)840-2884 -
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JOHN MARRA & ASSOCIATES,.INC. -
Professional Land Surveyors & Mappers
WWW WARRALANDSURVEYORS.COM
f\ 777 N.W.72nd AVENUE 2804 DEL PRADO BLVD SOUTH
SURE 9028 SUITE NO.202 UNIT 1
MIAMI.FLORIDA 9312E CAPE CORAL,FL 93804
PH: (90S)2®2-0400 PH: (298)640-2850
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SURVEYNO: 74-0028747 ''
SHEET: r 1 OF 2 L.B.#7808 SEAL