RC-16-2371 A�4
Miami Shores Village 1}7l esl �tkt)#?n;
10050 N.E.2nd Avenue NE
tP PWS �,
Miami Shores,FL 33138-0000
APk
�F Phone: (305)795-2204Of
Ex (ration: 2102017
mute J/2�t1 p�
Project Address Parcel Number Applicant
90 NE 91 Street 1131010200010
Miami Shores, FL Block: Lot: EQUITY TRUST CO CIO RONAL[
Owner Information Address Phone Cell
EQUITY TRUST CO C/O RONALD A
- - - FL
10274 Sandy Cay Lane
West Palm Beach FL 33412-
Contractor(s) Phone Cell Phone
Valuation: $ 22,300.00
JOHNNIE C COPE JR INC (305)866-8617 (305)710-9565
_._,.._ Total Sq Feet: 375
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review
Final PE Certification
Date Denied: Window Door Attachment
Type of Construction:KITCHEN CABINETS,COUNTER TC Occupancy:Single Family Framing
Stories: Exterior: Insulation
Front Setback: Rear Setback: Drywall Screw
Left Setback: Right Setback: Fill Cells Columns
Bedrooms: Bathrooms: Window and Door Buck
Plans Submitted:Yes
Certificate Status: Review Planning
Certificate Date:
Additional Info: Review Electrical
Review Electrical
Bond Return: Classification:Residential Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Structural
Bond Type-Contractors Bond $500.00 Review Plumbing
CCF Invoice# RC-8-16-61090 Review Mechanical
$13.80 09/22/2016 Check#:3314 $ 1,357.88 $50.00
CO/CC Fee $50.00
DBPR Fee $10.04 08/23/2016 Check M 3254 $50.00 $0.00
DCA Fee $10.04 Bond#:3221
Education Surcharge $4.60
Permit Fee $669.00
Plan Review Fee(Engineer) $120.00
Scanning Fee $12.00
Technology Fee $18.40
Total: $1,407.88
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• certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructio oning. he , a thorize the above-named contractor to do the work stated.
September 22, 2016
Authorized Sig atu e: ner / Applicant / Contractor / Agent Date
Building D artment Copy
September 22,2016 1
1 Miami Shores Village 1�+171
Bui Idi ng Department A G 3 201
10050 N.E2nd Avenue,Miami 9iores, Rorida33138 BY
Tel:(305)795-2204 Fax:(305)756-8972
INSPEG110N LINEMONENUMBER:(305)762-4949
FBG20( I'
BUILDING Master Permit No.
PEFAA ITAPPLICA1 ION %b Permit No.
ME31JILDING ❑ enc ❑ ROOFING ❑ FEASION ❑>=xr NSON ❑R NBAIAL_
❑FLUMBING ❑ MRI ANIC AL ❑PU6LJCWC1+S ❑ CHANGE OF ❑CANcelA�n0N ❑ sff
OOMRAGrOR DRAWINGS
JOBADDFOS o U-E q1 �� S
Qty: Miami 9iores (aunty: Miami Dane 21p:
Folio/Parcel#. l _ 3 AD _ ®2 Q — (50 / 0 sthe Building hGstoric ally Designated:Yes NO
OwipancyType: Load: (or-dructionType: Rood Zone: BFE FFE
OWNER:Name(Fee 9mple Titleholder): RC Gp l d (1 CR.U/ S ' Phone#:
Address 0 k
aty: �l►� Q,-,C., sage: L Zip: 3 41 �—
Tenant/Lessee Name: Phone#:
Email:
ODNTRACFOR(bmpany Name: ®� P7► L C A �2 �� 'fP1 C_ Phone#: 3CS` 710 , �/S�
Address: et 0 lj q 1st S
aty: Ni 1 S' o oe S late: Zip: 33 l 3 8
(uafrfier Name: h V1 s1 r Phone#: 6 S_7 fQ- q S(,
late Certification or R3gistration#: C i Certificate of Competency#:
D®QVBR Architect/Enjneer: Phone#:
Address: aty: late: 21p:
Value of Work for this Fbrmit:$ 3Jy , J lauare/Linear Footage of Work: 7 5
Type of Work: ❑ Addition A Alteration Now ❑ Repair/Fbplace ❑ Demolition
Description of Work: "[ h C 'A( ��(li 11 �'1"� owhtaqes, 'el . ftz,Q y y�bc7 6'1�
Specify color of Dolor thru tile:
SLbmittal Fee$ n` � Pbrmit Fee$ ��' (� CCF$ ' �90 OOICC$
Scanning Fee$ (C•CY3 Radon Fee$(1). O�f DBPR$ 10 Q1 Notary$
s
Technology Fee$ I&° O Training/Education Fee$ �1- 6 ( Double Fee$
Structural Reviews$ 2o_ oz� Bond$ k560•
TOTAL FEENOW DUE$�� •�J8
(FWwd02/24/2014) / S
'doriQng(bmpan00Name(if applicable)
BonlIng Cbmpan00A0IkeED
City Sate Zip
Moffljage Lwlbr'ONwm(if applicable)
MorUjage LenEar'DAO]rem
Qty Sate Zp
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for 8-ECRCS PLUMBING, SIGNS POOL$
RFINACE4 BOILt3&HEAT9FQ4TANK$AIRCDNDiTTCMIEFIS4 ETC:....
00 NER'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.
"O AFRI I NG TO OD NHFD YOUR FAILURE TO REDOM A NOTICE OF 0 111 M BVCEM KNIT MAY
FEBJLT IN YOUR PAYING TWICE FOR IM PROVBVI BUTS TO YOUR PROPIER Y. IF YOU INTEND
TO OBTAIN R NANCI NG, OONSULT WITH YOUR LENDER OR AN ATTORNEY BE1=0FE PEDOMING
YOUR NOTICEOFOOM M EICEM ENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500,the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Sgnature 6p I� 9gnature
OWNEior AGENT GIIOR
The foregoing instrum t was acknowledged before me this The for' `ng instrument wasacknowledged before me this
qday of 20 1 Co by day of 20 16 by
[ S who ipersonally known �0� V1 cd -- is sonally kn n to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY11.1131.10 NCTfARY
Sgn: ' Sgn:
Print: J Print:
Sed: ' ;QUIMUD W� Sad:
iv><,c, QUIDA JACOBS
EXPIRE$;p g1{, 7 MY COMMISSION#FF43855
o EXPIRES:Aug g 14,2017
APPROVED BY r Plan Bcaminer Zoning
szlg�k
3ructural Pbview Clerk
(PeAsed02124=14)
oo3M
Local Business Tax Receipt
Miami—Dade County, State of Florida
THIS IS NOT A BILL-DO NOT PAY
5735163
BUSINESS NAMEILOCATIOIN RECEIPT NO. EXPIRES
JOHNNIE C COPE JR INC RENEWAL SEPTEMBER 30, 2017
90 NE 91 ST 4193266 Must be displayed at place of business
MIAMI SHORES FL 33138 Pursuant to County code
Chapter BA-ArL 9&10
OWNER SEC.TYPE OF BUSINESS
JOHNNIE C COPE 1R INC 196 GENERAL BUILDING CONTRACTOR PAYMENT RECEIVED
CGCO6O174 BY TAX COLLECTOR
Worker(s) 2 $45.00 07/13/2016
CREDITCARD-16-040088
This Local Business Tax Receipt only comfirrns payment of the Local Business Tax The Receipt is cat a license,
permit,or a certficatfon of the holders qualifications,to do busing.Holder must cenply with any governmental
Of nomgovemme tal regulatory laws and requirements which apply to the business.
The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-bade Code Sec ge-211L
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