DEMO-17-956Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
237 NE 102 Street
Miami Shores, FL 33138-2426
Permit
Permit NO. DEMO -4-17-956
Permit Type: Demolition
Work Classification: Building
Permit Status: APPROVED
Issue Date: 4/11/2017
Expiration: 10/08/2017
Parcel Number
1132060134950
Block: Lot:
Applicant
GREG SLUYTER
Owner Information
Address
237 NE 102 Street
MIAMI SHORES FL 33138-
Phone
Cell
Contractor(s)
SLUYTER CONSTRUCTION
Phone
(970)379-9730
Cell Phone
Valuation:
Total Sq Feet:
$ 500.00
145
Type of Demo: Walls & Signs
Additional Info:
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.00
$2.00
$0.20
$5.00
$100.00
$9.00
$0.80
$119.60
Pay Date Pay Type Amt Paid Amt Due
Invoice # DEMO -4-17-63600
04/11/2017 Credit Card $ 119.60 $ 0.00
Available Inspections:
Inspection Type:
Final
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 ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFID VIT: 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 ing. Futerrrlore, I authglize the above-named contractor to do the work stated.
Authorized Applicant / Contractor / Agent
Building Department Copy
April 11, 2017
Date
April 11, 2017 1
BUILDING
PERMIT APPLICATION
EigUILDING ❑ ELECTRIC
❑PLUMBING ❑ MECHANICAL
JOB ADDRESS:
City: Miami Shores
Folio/Parcel#:
Occupancy Type:54 t oad:
23-? &
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
RECEI VIJ
A'R.06 2017
--,,--FssBB�C 20 Jy
Master Permit ikki-- E�P -q15
Sub Permit No.
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
/0257
��– County: Miami Dade Zip:
Is the Building Historically Designated: Yes NO
Construction Type: eos Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): S Phone#:
Address: 7 3 r) C
City: %U (An,.t S ((J 2r S State: I ^l Zip: ✓ 3 Cj
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: ( _S Le Phone#:
23i /U/r
Address: 2-,�(' jn S �
City: Y vc r•.�,0 c 5' ` r c t-�:1) State: F(« Zip: ( g
Qualifier Name: C; 1' € S ((c,v Phone#:
State Certification or Registration #: t"/2.C. / 33 (t A g Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 5-0 b c ' Square/Linear Footage of Work: 1 "'t
Type of Work: ❑ Additionti�❑ Alteration 1:11 New
Description of Work: F/t'otaO /^ ACS % v §
❑ Repair/Replace Demolition
30"�Lc L65
Specify color of color thru tile:
Submittal Fee $ N Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $ 65 , CO
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ (]
TOTAL FEE NOW DUE $ (-1 - 60
(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 will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 1 , by W day of , 20 n, by
LIP,tersonally known to
G2R_G iALt.S S1.t)► , who is personally known to Ge pkw,N)
me or who has produced me or who has produced
identification and who did take an oath.
NOTARY P IC:
Sign: t
as
Print: <1 at) ) `P -
Seal:
*************
o.(Plt Notary Public State of F'nrida
? ° Sindia Alvarez
'' My Commission FF 156750
or s.P Expires 09/03/2018
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
APPROVED BY t " ' ' Plans Examiner
(Revised02/24/2014)
Structural Review
as
Ahh' Ar
,_,w - .s.---. ---s - - .
aeV °oe, Notary Public State of Florida
Sindia Alvarez
�4 My Commission FF 156750
Expires 09/03/2018
OF A.
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Zoning
Clerk
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