DEMO-12-305Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. DEMO -2-17-305
Permit Type: Demolition
Work Classification: Building
Permit Status: APPROVED
Issue Date: 21812017
Expiration: 08/07/2017
Parcel Number
Applicant
671 NE 105 Street
Miami Shores, FL 33138-2053
1122310120100
Block: Lot:
ROBERT MORENO CIO SASHA I
Owner Information
Address
Phone
Cell
ROBERT MORENO C/O SASHA
1 NE 2 Avenue
MIAMI FL 33132-
1 NE 2 Avenue
MIAMI FL 33132-
Contractor(s)
Phone
Cell Phone
RM & ASSOCIATES CONSULTING INC (786)348-3903
Valuation:
Total Sq Feet:
$ 3,000.00
540
Type of Demo: Other
Additional Info: DEMOLITION OF EXISTING POOL
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$2.25
$2.25
$0.60
$150.00
$9.00
$2.40
$168.30
Pay Date
Invoice #
02/07/2017
02/08/2017
02/07/2017
Pay Type Amt Paid
DEMO -2-17-62857
Credit Card $ 50.00
Credit Card $ 68.30
Credit Card $ 50.00
Amt Due
$ 118.30
$ 50.00
$ 0.00
Available Inspections:
Inspection Type:
Final
Review Plumbing
Review Electrical
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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRI AL, PLUMBING, MECHANICAL, WINDODOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT:. I certihat a
construction and zonin• , Futher .re, 1
I th
aut
fore9,oing i
rize the ab
'ormat
e-na
urate and that all work will be done in compliance with all applicable laws regulating
ctor to do the work stated.
Authorized Si. nature: •w -r 7 Applicant /
Building Department Copy
Cor/ ractor / Agent
February 08, 2017
Date
February 08, 2017 1
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
RECE1X/ = O.
FEB 0 7 2017
BY:
FBC 20 14 .I-11
Master Permit No. DttA0 2-11-3 05
Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION El RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City:
G?/ A/ /OS s1/ru
Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): �o6eti feel O Phone#:6gG) 3'/8 - 3903
sirGc4•
Address: (O ?/ NC / O S
City: MA. rn: Sfio.�•s
State: fL Zip: 3 ? /3 $
Tenant/Lessee Name: Phone#:
Email: r#norce'o /G// ri»a.// e+M
CONTRACTOR: Company Name: �% d k2S So tAiLiti $ Phone#: (705) ?Is - so 2y
Address: /1142 9 541/ /Dy sf .V y9 p
City: %Y%,A ; State: ce- Zip: 73 / t .
Qualifier Name: 706€A- 1 ThOfcn o Phone#:
State Certification or Registration #: C44 /520 ? el / Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 3 00 O , o` Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace J`"" Demolition
Description of Work: -AMP /i 1i cn Of GX e s Iini poo
Specify color of color t ru tile:
Submittal Fee 00 Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Bond $
TOTAL FEE NOW DUE $
Structural Reviews $
(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 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 bci1J.j of be approved and a reinspection will be charged.
Uk1 •
OWNER or AGENT
The foregoing instrument was acknowledged before me this
)j day of ,20 1 ,by
I�.Cige vt YVIoYQ.GL.O , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLId:
Sign:
Print:
Seal:
J� t
cl Quk vv
X.
Marisol Quintana
i ,:, Commission#FF172378
Expires: OCT 28, 2018
•OF FvO�= BONDED THRU
,,.. 1ST FLORIDA NOTARY, LLC
APPROVED BY
(Revised02/24/2014)
* * *
CONTRACTOR
•
The foregoing instrument was acknowledged before me this
11 delay of ---lciakkav_ , 20 1.4 , by
T-blo9ee lVLo QJc() , who ias p rsonally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC.
Sign:
Print:
tic( 1.1.5-,Vlk'�
Seal: • t�pi.i'•• Marisol Quintana
?°~•Y •
;�� ���:Commission#FF172378
xp
` Efires : OCT 28, 2018
BONDED THRU
7 Plans Examiner
Zoning
Structural Review Clerk
,' m() 1 At SI 6) ' ,vf
PI •
co,77eviA-- 74/1
1
PERI)
7
APPROVED
ZONING DEPT
/0.00' 07-
N.) 7-
N.)
t»
`;i`A Dr G�DEPT
1 SJt;JECT , 0 CCMPLIANCE WITH ALL, FEDERAL
S ATE /°, i% ,(91.0L S AND RE kitAJIONS
,
to l) 441 -o 4/
r tx' ":i in J'`° vn Poo I
AL F IILI 6 �ti 4 1 /' �,
440 6ois
rte•--•--�.,�
t.
0
0
cj
•7t
4)
2`7
e
0
0
0/, n�r�
•. :r • 79/VC
• CC
•• • • •
(a•
••
••
•• •.• ••
77
Polo/
AI
\...`j`UU r 4/V
1,0
\ I7
---; �;— _t t---; NO-18'33"�fil
•, ...
• . 4, • • • • . • •
7,
••• • •
• ••
• •• •
rl utilities, footings, and/or undorground encroachments are not located on this survey map. • :
mix et record reflecting easements, right of way, and or ownership were famished (o this• •
gent as sawn.
hid ',apnea, data. 11 ahnwn nm mfnrmd to N.f._V D. 442a.
••••.• •
• •• • • ••
••• •• •• •
•
• • • . . •
• • • •• ••
• ••• • •
(COL 5Ja0/ I/70COURJF)O
N07
0o1,.r= S U&0/ o'/
0OU/i,..
t
OUNDART OP171EtVlinf
SCALE: 1" = 30'