DS-16-3085 Permit NO. DS-11-16-3085
Miami Shores Village Permit Type:Driveways/Sidewalks/Slabs
� 10050 N.E.2nd Avenue NE�
Work Classification:Addition/Alteration
Miami Shores,FL 33138-0000 Per, It
Permit Status:APPROVED
Phone: (305)795-2204
Issue Date: 12/6/2016 Expiration: 06/04/2017
Project Address Parcel Number Applicant
33 NE 93 Street 1132060130380 JOHN ZELINSKI
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
JOHN ZELINSKI 33 NE 93 Street (786)515-5716
MIAMI SHORES FL 33132-
33 NE 93 Street
MIAMI SHORES FL 33132-
Contractor(s) Phone Cell Phone Valuation: $ 8,300.00
CHAMPION CONCRETE (305)252-8055 (786)402-4802
Total Sq Feet: 1200
Approved: In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied:
Foundation
Type of Work:POOL DECK,PAVERS&WALKWAY. Additional Info: POOL DECK,PAVERS&WALKWAY Review Planning
Bond Return: Classification:Residential Review Building
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $5.40
Invoice# DS-1416-62031
DBPR Fee $2.25
DCA Fee $2.25 12/06/2016 Check#:2367 $ 137.90 $50.00
Education Surcharge $1.80 11/10/2016 Credit Card $50.00 $0.00
Notary Fee $5.00
Notary Fee $5.00
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $7.20
Total: $187.90
In consideration of the issuance to me of this permit, I agree to perform the ork covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements o pecifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either
Il
my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS, OFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing informati is accurat and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-na d contract to do the work stated.
December 06, 2016
Authorized Signature:Owner / Applicant / ntractor gent Date
Building Department Copy
December 06,2016 1
A —"&- . `��
Miami Shores Village
RECEIVED
��'� Building Department Nps 10 2016
'N 10050 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305)795-2204 Fax:(305)756-8972 T
0- INSPECTION LINE PHONE NUMBER:(305)762-4949 `� l
FBC 20 (4
BUILDING Master Permit No.)s
PERMIT APPLICATION Sub Permit No.
UILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: `-a ou 1z q'3 .5;J`
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 206, - O 1 3 c'(-) Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): -jOHdy �-e�--SNS i Phone#:
Address: 3 3 /VL °l3 s
City: M1
���'4YVS f-to/ W State: ^ Zip: 330 6
Tenant/Lessee Name: Phone#:
Email: / - _ _
CONTRACTOR:Company Name: C H/A✓`.(A l"Yl� �-�1V�.IG`�1^ '�_ Phone#: 3&J 2-52—
Address:
-52
Address: k>430 YvVJ 74 A- 2-0
City: J04ft' State: Zip: 3317t
Qualifier Name: r-y I41 �e— S&5,/1A 0 Phone#: '7e6-LW z-We0?
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
0
Value of Work for this Permit:$ Square/Linear Footage of Work: 6200 5;1'
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: _�0C)i-- ,d 0-al— ,Q/ VYAL f If` W14V A
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ 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 m be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absent of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
q4-
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before 1me this
a"7 day of 20 f(P by 21+� day of ((����,,,,yt,)O -r , 20 p by
-:53 lo, —ZE�/hSJl/ who is personally known to l ��lp. Nfmay% CJO h stmho is personally known to
me or who has produced D4. Z`752.-`Y64Y4S-()7,Zas me or who has produced 1 )f;�V lA as
identification and who did take an oath. identification and who did take oath.
NOTARY PUBLIC: NOTARY UBLIC:
Sign: Sign: 0
Print: Print:
RUT
HLEDE9-MA
Seal: 2*, *_ MYCOMMISSIONitFF172019 Seal: ;� e;'., YANADYPRIETO
Q= EXPIRES:Jant
P<<;ohie,2019 ;*: *: MY COMMISSION#FF 214031
Bended Thru NoEary public Undem;r',ers EXPIRES:March 25,2019
Bonded Thru Notary Public Undanvdters
APPROVED BY I Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
9/17/2016 Property Search Application-Miami-Dade County
i
t:
When buying real estate properly,you should not assume that property taxes will remain the same.Whenever there is
IMPORTANT a change in ownership,the assessed value of the property may reset to full market value,which could result in higher
MESSAGE property taxes. Please use our Tax Estimator to approximate your new property taxes.
The Property Appraiser does not send tax bills and does not set or collect taxes. Please visit the Tax Collector's website
directly for additional information.
Address Owner Name Folio
SEARCH:
33 ne 93 st _ e Suite
i
PROPERTY INFORMATION
Folio: 11-3206-013-0380
Sub-Division:
MIAMI SHORES SEC 1 AMD
Property Address
33 NE 93 ST
Miami Shores, FL 33138-2815
Owner
JOHN ZELINSKI
Mailing Address
33 NE 93 ST
MIAMI SHORES, FL 33138
Primary Zone
1000 SGL FAMILY-2101-2300 SQ
http://www.mianiidade.gov/propertysearch/#/ 1/8
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