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DGT-16-3432 ; "ertrt hfJh' •' 4 -3 . s�!Os tt Miami Shores Village � l+ azebos re8i�, 10050 N.E.2nd Avenue NE � o tas r>ya tt tSq 010e�. Miami Shores,FL 33138-0000 � �� igp�„{� In `b ow Phone: (305)795 2204k fijARIOP 1i� Expiration: 09/19/2017 Project Address Parcel Number Applicant 576 NE 97 Street 1132060171510 Miami Shores, FL 33138- Block: Lot: GUY VANDERHAEGEN Owner Information Address Phone Cell GUY VANDERHAEGEN 576 NE 97 Street MIAMI SHORES FL 33138- 576 NE 97 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone ALPERO GENERAL CONTRACTOR (786)357-7414 Valuation: $ 10,000.00 Total Sq Feet: 350 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Slab Date Denied: Final Type Const:Trellise Additional Info:NEW WOOD TRELLISE Framing Classification:Residential Scanning:1 Footing Scanning: 1_ Review Electrical Review Electrical Review Electrical Review Planning Review Planning Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Structural CCF $6.00 Review Structural DBPR Fee Invoice# DGT-12-16-62427 $4.87 03/22/2017 Check#:196 $524.74 $50.00 DCA Fee $4.87 Education Surcharge $2.00 12/21/2016 Check#:1859 $50.00 $0.00 Permit Fee $325.00 Plan Review Fee(Engineer) $120.00 Plan Review Fee(Engineer) $80.00 Scanning Fee $24.00 Technology Fee $8.00 Total: $574.74 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict confo ity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume resp sibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECT AL, BI MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFI VIT: I rtify t II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. utherm I authorize the above-named contractor to do the work stated. March 22, 2017 Autho ed Signature: wner / Applicant / Contractor / Agent Date Building a ent Copy March 22,2017 1 c - I�OZ P 9 03A � iami Shores Village Building Department EB2 4 2017 2 ` 1� 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 — — -- FBC 201 BUILDING Master Permit No.1)GT 1.6—M J 2— PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 53r3e Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: n, Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Phone#: Addre s: City: State: Zip: Tenant/Lessee Name: Phone#: Email: �� [f CON TRACTOR::�qw Company Name: imait Phone#: 0 1_` ' AddrCb ess: V, on City: y State: Zip: Qualifier Name: V Phone#: State Certification or Registration#: Certificate of Competency#: 2/ DESIGNER:Archi d. gineer: 1C 1 a Phone#:uom- elp. Address: City: State Value of Work for this Permit:$ l Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: MU Specify color of color thru tile: CO/CC$ CCF$.` Submittal Fee$ pp Permit Fee$ ®® �� Scanning Fee$ Lel Radon Fee$ DBPR$ d-I Notary$ Technology Fee$ Training/Education Fee$ 2 Double Fee$ '— Structural Reviews$ I Bond$ TOTAL FEE NOW DUE$ C� (Revised02/24/2014) v s 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 whi h occurs, even (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be a proed and einspection fee will be charged. , Signature Signature O R or AGENT CTOR The foregoing instru t was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 by day 20 (� by r wl o is personally known to WA VAV who is personally known to me 0 ho has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: p 1 ' Sign: Print: vok "C17 Print: Seal: $80d1'd AbreU Seal: ¢%*-, --— Sandra (}IBI► :�= Commission I#FF9966Ik ��,= C A Expires: M 26, 2020 i " Expires:SMa y 26, 202 APPROVED BY /1 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) I-VE Miami Shores Village ®� 1201C �0 Building Department 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2014- BUILDING 0 ,l4-BUILDING Master Permit No.-GGT\2-- 16—343Z PERMIT APPLICATION Sub Permit No. �UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS:�� V � `J `, City: Miami Shores 1 County: Miami Dade Zip: Folio/Parcel#: �)Z®(p'n1�1 I Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Phone#: Address: 1 v City: l v State = S� Zip 31, Tenant/Lessee Name: =' L�" Pho e#: Email: ` _._�_—_---- 1 '('� j/� e 4 CONTRACTW:Company Name: ` v�, 21/l�v°� C��-Q` /� Phone#3�5-14 u 4 Address: Q't0i City: fa vul State: Zip: Qualifier Name: 'np2n 1�U 1 Phone#: State Certification or Registration#:�,i%7( - 1 2-l Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 18 Square/Linear Footage of Work: 350 Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: fj Liu UT Specify color of color thru tile: rr Submittal Fee$ Jo Q Permit Fee$ CCF$ !�O/CC$ + Scanning Fee$ Radon Fee$ DBPR$ tory Technology Fee$ Training/Education Fee$ Double�ll e$ 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 pfia bait4l<r�g per�i(t w�th a0,estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of'cQmme cei ent co rt -tion lien law brochure will be delivered to the person whose property is subject to attachm nt. Also,a cealfied�'dpy"Oth6ekTorp� d iotice of commencement must be posted at the job site for the first inspection which occurs even (7) days'after`� a buildiia permit is issued. 1 the ab ence of such posted notice, the inspection will not be p oved an a inspection fee will be charged. r Signature Signature or EV/r CONTRACTOR The foregoing instrument was ck ovule ged before me this The foregoing instrument was acknowledged before me this day Of 20 by day of ✓ 20 `/ by n1 ° fl,kVM who is personally known to v G who is personally knowato me or w o hasrp oduced as me or who has produced as identification and who did take an oath. _ identif�,q 6 and did Take a R th. NOTARY PUBLIC: z y E dTAR t)BLI�l ` Sign- . :✓ � sign Print: Print: SandraAffii V �X Seal: �'<'= commuon# Seal: $ ExRM pires: May 26, 2024 Bonded thru Sara►Notary '� Expires: May 26, 2024 �N��n��• %yam Banded thru Aaron Notary APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)