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DEMO-17-61 Permit No. DEMO-1-17-61 `ShOS y�� Miami Shores Village Permit Type:Demolition 10050 N.E.2nd Avenue NE Work Classification:Building Miami Shores,FL 33138-0000 Per it y�.Ne Phone: (305)795-2204 Permit Status:APPROVED �'toRioA Issue Date: 1/10/2017 Expiration: 07/09/2017 Project Address Parcel Number Applicant 1501 NE 103 Street 1132050310200 Miami Shores, FL Block: Lot: MARTIN AND ROXANNA MEDINj Owner Information Address Phone Cell MARTIN MEDINA 1501 NE 103 ST MIAMI SHORES FL 33138-2627 Contractor(s) Phone Cell Phone =200.00 HOME OWNERValuation:Total Sq Fee Type of Demo:Other Available Inspections: Additional Info:REMOVE WOOD DECK-REPLACE WITH GRA Inspection Type: Classification:Residential Final Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# DEMO-1-17-62570 $2.00 DCA Fee $2.00 01/10/2017 Check#:4800 $ 119.60 $0.00 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $119.60 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 n� g. Fu rmore,I authorize the above-named contractor to do the work stated. 7/i1 January 10, 2017 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy January 10, 2017 1 Miami Shores Village }-P-F—C'M ' =� Building Department JAN 10 2017 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:— Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC20145 ► BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. E�T6UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS:�S 0/ /"�/e /03 -5T `� City:4, Miami Shores County: Miami Dade Zip:��d Folio/Parcel#:_ 11— 3205 -031 -02,00 Is the Building Historically Designated:Yes NO J� Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): #27/A/ d'-o 1-t P1A1,- Phone#: Address: 1 f0 t A/C 1103 ST _ City: N 11411 ( s)fC4t2-5 State: Y 1 � Zip: "( Tenant/Lessee Name: Phone#: Email: 2 CONTRACTOR:Company Name: lV cc/A/ �//of L D��-- Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Z00 Square/Linear Footage of Work: SO Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace D Demolition Description of Work: h G.00✓0 WooJD j?iCk - "I',4Cc V/1—"' e14sS , 5A1 $i91Ct' X44-b. Specify color of color thru tile: yy��,,� Submittal Fee$ Permit Fee$ (W CCF$ CO/CC$ Scanning Fee$ Radon Fee$ Z .*2' DBPR$ Notary$ Technology Fee$ Training/Education Fee$ © Z Double Fee$ Structural ReviewsS, 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 on 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 �Ke 16,11— Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this t..14 day of &I 1U 1 j2 rAJ 20 r- by day of ,20 , by Y 01�f el yN who is personally known to who is personally known to me or who has produced tel/f iye V ((L'KA )n`e. as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PBL NOTARY PUBLIC: Sign: Sign: Print: r, Print: Seal::, YANADYPRIETO Seal: MY COMMISSION#FF 214031 EXPIRES:March 25,2019 )19 BMW Thru Notary Pubic WenWWWrs *************** ************************************************************* APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 1 River—Day Park Add. (40"-72) 85.90 f 4.00 high cif. 9,00' UtUit���+�unt 068 watt ir. a Dane. lab,M:N e�s ch. ' `f 5.9'S' v, *F ••, pan V �` ,lye a •,+'� �,�' dock !ii ti/1 Ito �a►Qan a C9 •� a as.' 0' s.10 s.s5 3.88 '� •.� oCO r 1 / a 9,55' y 7.60' ..; t� O O pop g 4' Y %As � :I one Story Gbs Mouse � No, ISO ©�© �a On tt E0.90' • „ .. 11 8'4' OD 17.15' 8,1' � w y � 0120' fie,": W p�•�i aaphr. dewV: I ISO 8' I ND, 0,515 I q,P CaR x.90' 110 ., n►oa1e.JA Soe. Q 1/2' -ave 00 : mjV 9e5o' 4" E r{p. JAN 10 2017 tab "ter seta* c : a�, . (Vw M Y v T•. 7" .r, ......�r «.s..• I ....w... • e ' 103'rd ?ERM1 ast ".'ram' Shires Village 1.11• APF'RO\(ED BY DATE ...... • ZONNG DEPT • 51 DG UPI w �` • 31)s,.ECT 10CGN,PI.W :CE Nl }iAl_L FC_`E3�_ At A -;TAT-ANj�,U `� !Ht Com 11 TC! 98-478 tt►a =,c�►. 1 tip Job o d.�.,•te.a waa. . +, „ t thaeY�theM"&V ass.ts tine , �t yd_ net , wlh_ by the Flo