DS-17-2362Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. DS -10-17-2362
P e Permit Type: Driveways/SidewalkslSlabs tin i
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 10/612017
Expiration: 04/04/2018
Parcel Number
Applicant
151 NE 101 Street
Miami Shores, FL 33138-
1132060131950
Block: Lot:
SHARON HELD
Owner Information
Address
Phone
Cell
Contractor(s)
CHAMPION CONCRETE
Phone CeII Phone
(305)252-8055 (786)402-4802
Valuation:
$ 7,980.00
Total Sq Feet: 1030
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: DRIVEWAY PAVERS REPLACE EXISTING
Bond Return :
Scanning: 3
Additional Info: DRIVEWAY PAVERS REPLACE EXI:
Classification: Residential
Fees Due
Bond Type - Contractors Bond
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$500.00
$4.80
$2.25
$2.00
$1.60
$150.00
$9.00
$6.40
$676.05
Pay Date
Invoice #
10/06/2017
10/05/2017
Bond #: 3521
Pay Type
DS -10-17-65220
Check #: 2673
Credit Card
Amt Paid Amt Due
$ 626.05 $ 50.00
$ 50.00 $ 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 conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume r-sponsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLU ING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT. I certi hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoni ' g. Futhe ore, I authorize the -named contractor to do the work stated.
October 06, 2017
Owner / Applicant / Contractor / Agent
Building ' epartment Copy
Date
October 06, 2017 1
oco\Pv
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
BUILDING
PERMIT APPLICATION
• UILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: /5/ /lie- /0/ /r
City: Miami Shores County:
Folio/Parcel#: //- 3zDd - 3` 1 q.5l
Occupancy Type:
Master Permit No.
Sub Permit No.
❑ EXTENSION ❑RENEWAL
❑ REVISION
❑ CHANGE OF
CONTRACTOR
RECEIVED
6)1CT)e
FBC 20N
bS A -Z-5CO2-
❑ CANCELLATION ❑ SHOP
DRAWINGS
Load: Construction Type:
Miami Dade Zip: ' 3 y
Is the Building Historically Designated: Yes NO
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 5mi-RD/V // i,9 Phone#:
Address: /57 / Nt /0/ Sr
City: ml'�I� ShO12) State:
Tenant/Lessee Name: Phone#:
Email:
Zip: YY2?L
-GI 78.-4333
CONTRACTOR:/Company Name: (i %�j�
1 �N �� Phone#: !/J Z-52
Address: / D 2-( Ne 63 7wA /QJ
City: v 90,07 -(Stater Zip: /A
Qualifier Name: �.. //,�9 114,/�d Phone#:3 9 �O %a5
State Certification or Registration #: Certificate of Competency #: c 2 5 iood/
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 7/'Vs 4 V Square/Linear Footage of Work: 95t
Type of Work: El Addition 4O. Alteration ❑ New
❑ Repair/Replace n Demolition
Description of Work: ...._fri/WeAdy74,41,1-00
, /4?/4✓C P /I/ /6 vOMII-e--Why 4-0tU'
•
Specify color of •color thru`tile: • .
Submittal Fee?�
$ 50 P3 1 d ::,:.Permit Fee $.1S6 Cay
CCF $ ..SCO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ g-')' Y--
TOTAL FEE NOW DUE $ NI -2..,G 4'
•
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding'Gorripany'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 ch posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
0 ' or AGENT
The foregoing instrument was acknowledged before me this
/ day of 4 )5l/77 ,20 /7 , by
<:-&//.7e9-77 hZe.Y , who is personally known to
me or who has producedP FLA -44373-7 7D )&
L
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
i.'
Seal:
Aer /7 G?�/Sv'
4'ta';;.. "�MAGALY LLAPUR
t :'= MY COMMISSION # FF213776
74.4 ' , EXPIRES March 25, 2019
ckeS 4
APPROVED BY
(Revised02/24/2014)
Signature
CO TRACTO
The foregoing instrument was acknowledged before me this
c:7( day of�6Pr- , 20 /7 , by
who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: 2
Print:
et'
as
Seal: 404% MAGALY LLAPUR
.'. :" MY COMMISSION # FF213776
daµ;,.EXPIRES March 25, 2019
*********************4i4r i1-1 fir..+....F2ai'A1+.e437,44Cwat** **************
Plans Examiner
Zoning
Structural Review Clerk
BOUNDARY SUMP'
• 0
FIP 1/2"
Lot 20
Block 14
0)
Z
0
a)
G
:/2”
0
w
cC
0
Li
l
r'
4.
t r-
M
d -
L` '
U J
Z
�m w
D
15' Alley ,
-:: 7.5' Asphalt:' ::::::::::::::::'::..::::':: `:11::: o :
1):.::•:.: ,r
10.00' .9,
,//
g,,;1
,'
A/~
o
4
10.00'
4.00'
o
'r' _
.00'
O�
One Story
#151- 10.50'
04
0
N
°
.•
4
r
ssa
.. .
• a
•
4 d .
° 8.00'
1
.0
J
10.50'
0
30.00' '�
10.00_
•
•
1(.
i,
'50.00 (M); 5' Sitibi
• • 1
.r:' }i': 1 :.I
23'%Parkway
�,^ �,.p
,
......................T i :: it:af may::=::? ':::: .
te' /9;(>1-1:4:4
-4)174 -r..drio 4,01
FIP'r„ik_
/4')?. /� live
/V43/1,11 "6144 -
Legal Description:
Lot 21, Block 14, MIAMI SHORES /SECTION
AMD, according to the Plat thereof, as recorde(
Book 10, Page 70 of the Public Records of
Miami -Dade County, Florida.
•
• •• ••
•• •
•
••••
• •
Lot22 ••••
Block 14 ••:•
•• ••
•
•
••••
• •
••••
•
• •
•••• • •
• •
••••
• •••
• • •
.• •
• •
•Pioperty Address: 151 JSTE 101
Mei Shoi
• Folio N'o.' 4 J 320 -013-1950
• • •
• • •
Certify to:
0 DARIN HELD &W/ SHA
U
FIP 1/2" 100.00
FIP 1/2"
RECEIVED
OCT O 2017
GRAPHIC SCALE
0 10 20 40
( IN FEET )
1 inch = 20 ft.