CC-17-959Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number
Expiration: 11/13/2017
Applicant
201 NE 95 Street
Miami Shores, FL 33138-0000
1132060133920
Block: Lot:
DVS LLC
Owner Information
Address
Phone
Cell
DVS LLC
9400 NE 2 Avenue
MIAMI FL 33138-
Contractor(s) Phone Cell Phone
VENTURA ARCHITECTURE DEVELOP (954)423-1362
(305)756-3711
Valuation:
Total Sq Feet:
$ 4,000.00
600
Approved: In Review
Comments:
Date Approved:: In Review
Date Denied:
Type of Construction: BRACING SUPPORT FOR ROOF Si
Stories:
Front Setback:
Left Setback:
Plans Submitted: No
Certification Date:
Bond Return :
Scanning: 3
Occupancy Load:
Exterior:
Rear Setback:
Right Setback:
Certification Status:
Additional Info: BRACING SUPPORT FOR ROOF ST
Classification: Commercial
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$2.25
$2.25
$0.80
$150.00
$9.00
$3.20
$169.90
Pay Date Pay Type
Invoice # CC -4-17-63603
05/17/2017 Credit Card
04/06/2017 Credit Card
Amt Paid Amt Due
$ 119.90 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Window Door Attachment
Tie Beam
Slab
Termite Letter
Framing
Store Front Attachment
Insulation
Drywall Screw
Final PE Certification
Window and Door Buck
Ceiling Grid
Fill Cells Columns
Review Building
Review Planning
Review Electrical
Review Plumbing
Review Structural
Review Mechanical
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 w• • •ne by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, �, ► OWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing info `n is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-nt•\. contractor to do the work stated.
May 17, 2017
Authorized Signature: Owner / Applicant / Co -t „ / Agent
Building Department Copy
Date
May 17, 2017
1
P.-e_q,-,
c?Y:rzie g // /
4\1,40
BUILDING
PERMIT APPLICATION
Miami Shores Village
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
UILDING D ELECTRIC ❑ ROOFING
0 PLUMBING ❑ MECHANICAL El PUBLIC WORKS
JOB ADDRESS: ���J 0C/E - 7 54
RECEIVED
(APR6 144
X11
FBC 201`
Master Permit No.C- I1 -SL
Sub Permit No. (C, -1015q
0 REVISION
CHANGE OF
CONTRACTOR
❑ EXTENSION ❑ RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
City: Miami Shores Countv:
Folio/Parcel#:
Occupancy Type: Load: Construction Type:
Miami Dade
Is the Building Historically Designated: Yes
Flood Zone: BFE:
zip: 5,5/5 g
OWNER: Name (Fee Simple Titleholder): p tl l.l�s
Address: c20 / / J
Phone#:
NO
FFE:
305-761-Z 6
City: tl 1't2 `'- I 110r9-
Tenant/Lessee Name: 144
Email: 1 ere 4- ® Prekrre
CONTRACTOR: Company Name: 44
Address: /4570--i-E='"."-jr-e-- ,z4r, i'6/1 Gfq
City: //'c // State: ! ..
Qualifier Name: n,. /�^e :��1-X A
State Certification or Registration #: Certificate of Competency #: G & C- ® Cie
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zi4�:
Value of Work for this Permit: $, `%q — Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace 0 Demolition
Description of Waft ,6 c/ _S `%%f/ / G ito es�� LI( .5.ek-- s4 v ea /11‘f A /
State:
gL
Phone#:
Zip: , 33 / 3 2
I (K
Phone#: 01 —927 - I g(4
Zip: 3,2. _
Phone#: q Z 5 /56z—
Specify
5&Z
Specify color of color thru tile: //�11rs��
Submittal Fee $ Permit Fee $ 150. �,1L) CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ l tQ
TOTAL FEE NOW DUE $ N I - I 0
(Revised02/24/2014)
r 1 •
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: 1 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 delred to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement us • e posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the abse o d notice, the
inspection will not be approved and a reinsp - -. r n fee will be charged.
411101111
Signature ���� Signatures
OWNER or AGENT
The foregoing instrument was acknowledged before me this
dayof
f1 ^� / , 20 1 '7 , by
er'P-S-4 l l(000 Il'7, , who is personally known to
CONTRACTOR
The fgng instrume t as acknowl dged before me this
day . /vim i 20 / 7 by
me or who has produced as r who has produ e\ as
identification and who did take an oath. identification and who • d -ke an oath.
NOTARY PUBLIC:
Sign:
Print:
Q,et
z—*h M /bet('
Seal: AR • '"I'> ELIZABETH ELORRIAGA
•~ MY COMMISSION # FF953536
•:,,o; 4.• EXPIRES January 25.2020
14no 3Aff-O's3
f ms
ry
*********************a��sa�aw��as...\U"'************••*************************************************
Sign:
Print:
Seal:
APPROVED BY
(Revised02/24/2014)
izoit
Plans Examiner
Zoning
Structural Review Clerk