RF-16-3303 `st�en�s i, Miami Shores Village lhT'ers
rt�7'
10050 N.E.2nd Avenue NE
�3 ` r
Miami Shores,FL 33138-0000 -
`sto * Phone: (305)795-2204 �. ` " .�«�
3120 `j Expiration: 09/18/2017
Project Address Parcel Number Applicant
395 NE 97 Street 1132060135800
Miami Shores, FL 33138-2405 Block: Lot: ADRIAN SARAVIA MICHELLE S1
Owner Information Address Phone Cell
ADRIAN SARAVIA MICHELLE STONE 395 NE 97 Street
MIAMI SHORES FL 33138-
395 NE 97 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 850.00
SEAMLESS GUTTER MASTERVwTrrytt (305)817-8814 Total Sq Feet: 192
Type of Work:Gutters Available Inspections:
Additional Info:INSTALLATION OF GUTTERS>TO REPLAC Inspection Type:
Classification:Residential Final
Scanning:1
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# RF-12-16-62276
$2.00 03/22/2017 Check#:1210 $58.60 $50.00
DCA Fee $2.00
Education Surcharge $0.20 12/06/2016 Check*1145 $50.00 $0.00
Permit Fee-Repairs $100.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $108.60
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 ' that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction anMzo -;Zermore,I authorize the above-named contractor to do the work stated.
March 22,2017
Authoriz Signature:Owner / Applicant / Contractor / Agent Date
Buildip6 Department Copy
March 26t,2017 1
y Miami Shores Village , {���EIv�D
Building Department DEC 06 2016
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 _ Y:
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
F BC 20 (4
BUILDING Master Permit No. V 16 ` ��3
PERMIT APPLICATION Sub Permit No.
F-1 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL OPUBLICWORKS CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 39 -5 N E q } T"' S+
City: Miami Shores County: Miami Dade Zia:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: ,(Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 1— G i -�- S �C��1� Phone#: — 3 c> y S Z
Address: f
City: State: Zip:
Tenant/Lessee Name: Phone#•
Email:
CONTRACTOR:Company Name: S e, ct 0lv% Phone#: ®S*
Address: ,/ A/ _ 3 k r - 4
? C /®�
City: / , �` State: L _ Zip: 7 L
Qualifier Name: L���/�� 1' Phone#- e-1 - 9'/;
State Certification or Registration#: Certificate of Competency#:Ce-# ®ct Q S c)(32-31
DESIGNER:Architect/Engineer: Phone#:
Address City: State Zip:
Value of Work for this Permit:$ L7 �S Square/Linear Footage of Work: i of 2, E}
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 67 S
-to r-t pl ore�e. Ji F 15 -144
Specify color of color thru tile:
Submittal Fee$ I 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)
AD a
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 proved and a reinspection fee will be charged.
Signature Signatur)� 2�ee
INNER o AGENT CONTRACTOR
The ing instrumettAwas acknowledged before
/mee this Th oregoing instrument a wledged before me this
' day of (���- �� ,20 by ` day of ZO�//J//V/�a/9 �by
IU e ,who is personally known to /✓ ® who is personally known to
me or who has produced ���i �' r as me or w o has c
identification and who did take an oath. ide ification wh take an oath.
NOTARY PUBLIC: OTARY P
Sign• Signf
Print: 1, 4 Print: ��
Seal: av pier Jesse Walters Seal:
_ Notary Public-State of Florida rPva TOBIASJ.PAUUNO
Co fission#GG 32294 .: MY COMMISSION#FF 070576
plres 9/21/2020 a EXPIRES:December 2,2017
F'°c° Bondad Thv NoW Publ c UndenvrRe s
APPROVED BY (LIU Plans Examiner Zoning
Structural Review Clerk
(RevisedO2/24/2014)