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DS-17-442Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number Alter �PROViI Expiration: 08/20/2017 Applicant 262 NE 96 Street Miami Shores, FL 33138- 1132060133870 Block: Lot: PERRY ALEXANDER Owner Information Address Phone CeII PERRY ALEXANDER 262 NE 96 Street MIAMI SHORES FL 33138-2716 Contractor(s) CHAMPION CONCRETE Phone CeII Phone (305)252-8055 (786)402-4802 Valuation: Total Sq Feet: $ 1,900.00 400 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Work: BROKEN STREET SIDEWALK APPROACH Additional Info: BROKEN STREET SIDEWALK APPR Bond Return : Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.20 $2.00 $2.00 $0.40 $100.00 $9.00 $1.60 $116.20 Pay Date Pay Type Amt Paid Amt Due Invoice # DS -2-17-63009 02/21/2017 Check #: 2433 $ 116.20 $ 0.00 Available Inspections: Inspection Type: Final Foundation Review Planning Review Building 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 confo1l ity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume res .onsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMB! ;I! G, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I rtify th't all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. the - I a .._ above-named contractor to do the work stated. February 21, 2017 Authorized gnature: Owner / Applicant / Contractor / Agent Building Department Copy ate February 21, 2017 1 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 F C20/11 BUILDING Master Permit No. U 5 13 ^`-'1 `.I 2. PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑ RENEWAL PLUMBING ❑ MECHANICAL E PUBLIC WORKS E CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1-6Z n%E '6 S °r City: Miami Shores County: Miami Dade Zip: 3,,5 Folio/Parcel#: /1-3106 (AL3 33`70 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 7 6't''ty 64/✓0t'4 Phone#: 3CityAddress: 2...C7, 2 iv E. qL,53-- City: : .® //v State: '' Zip: .31' q Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: tirlianei a ✓ (4/L Phone#s305 252,VOSS Address: /01130 N W )Lf „ City: 0,j, "{. State: Zip: 7317? 'J7T�� ®� Qualifier Name11"1(J Phone#:AWS 47(r—V313 State Certification or Registration #: Certificate of Competency #: C�-SC�%� DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Square/Linear. Footage of Work: 400 5F e"�! Value of Work for this Permit: $ / go , Type of Work: ❑ Addition ❑ Alteration n New ❑ Repair/Replace ❑ Demolition Description of Work: cogetv 57i 1 -5i e , ° Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ _ DBPR $ Notary $ Technology Fee $ Training/Educatior• Fee $ Double Fee $ Structural Reviews $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ 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 mus be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence o such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AG T The foregoing instrument was acknowledged before me this q y' day of SCk.111 /`e , 20 4A , by ��F`o'ej a tee's � �, �w�ho is personally known to me or who has produced l6_Pruel f '+� as identification and who did take an oath. NOTARY PUBLIC: 40:47,- Stefan Basilic • *s COMMISSION # FF140832 4. EXPIRES: July 10, 2018 �� WWW.AAAONNOT!►Ry COM Print: � �.✓L � c., (c' a Sign: Seal: ******************** APPROVED BY (Revised02/24/2014) * Signature CONTRACTOR The foregoing instrument was acknowledged before me this 1 day of uykwar Li , 20 14 , by , �q � $AS�`1© I who is personally known to me or who has produced -l> t t.t r 4001.S1/4 -k-. as identification and who did take an oath. NOTARY Sign: Print: W yftYqk Seal: P44f,;(--„ ,,ti+� dy YANADY PRIErO _.4 ail MY COMMISSION # FF 214031 1,71f 471 EXPIRES: March 25, 2019 'h qg ie Bonded Thru Notary Public Underwriters ****************************** +t********** Plans Examiner Zoning Struct ral Revie IJo tfl'lb (.vi-et,U red vi., Car kYw„4-, aalA Clerk Mkt( sled o n000- u5NE: X FLOOD lalFORMATION: I /Community •}. —Ne --i2�65: (13 A 4%707/ -705 f; e.. 3f4 40 L • • • 4:5-earocz:-.2.'reere kree-r/ 1 c3/ ..4.14/.. -to. Ata. L.,/eve• 4.4.1 14' LC).1-0 /pi : .e/••?c,, 79•0 /-444,7es/ bee," ...2eS PROPERTY OF: panel NO.: 93 Suffix: J D.a te_ -of F.I.R.M.: 3-2-94 0 .A0000. tO # 6 6 Thi lAsolarly described as: The West 1/2 of Lot:: 3 and all of Lots 4 and 5, Blockr29 ' AN AMENoED PLAT OF MIAM SECTION NO. 1, • according to the plat thereof, as recorded i4 - Plat Book 10, Page 70 of the Public Records Dade County, Florida. Note: Underground enc ,And utillijcs, if Ary, Fenco ownor,hip by vi sua ns only, Leq-i onwEr::hip not determine I::rti.f.AA To: Alexander, Perry P. ••• • • o • • • .; • • • • • • • • 0 • • . P0 Alexander, Perry P., 262 N.E. 96th Street, Miami .6.....wmommm-4#6,16,6w,,wim6p,-4-6,6mmwmww,16.' A BOUNDARY • • • • 1 he0t6 fends *tat the %mon wprw SPhlit. *MOO fhP1•1$ the IT4fItteeln tochnitalttandards vrt twth b Or 8664 01 14pd--Wr4p3rs n t NM.; ISIG174 ikpfda kliTlie113101.4't od parr,t900 111 Ceer 110541 Statu 114w,rwe ho frr 106 I. tive ealimAs: ap r11441o, IS re *Ow bo, 4A1 hr*.. 0;; s. • • • • 4.4 411 //e ,er/reft S V;140 Not valid t.:1/41estemE:osled with iltveyttii'S i• fIR-s. I. !tow NatI • • • • L•A•NNES and GA • • • •itGlwrERS - LAND SURVEY° Mite address 459 Akaldf Avenue :Matti& acidtess: P O. �o* %IC • • (3O5)& -19O9 • SCALF 91 41a,14. 4