DS-18-1344 a
Permit NO. DS-5-1 8-1344
'°RtE Miami Shores Village Pefmit Type:Driveways/Sidewalks/Slabs
10050 N.E.2nd Avenue NE aloft(Classification:Addition/Alteration
,
Miami ShoresFL 33138-0000 Perill
Phone: (305)795-2204 Permit Status:APPROVED
issue Date:6/412018 Expiration: 12/01/2018
Project Address Parcel Number Applicant i
9430 NE 6 Avenue 1132060140780
Miami Shores, FL Block: Lot: LUIS RODRIGUEZ
Owner Information Adaress Phone Cell
XIOMARA RODRIGUEZ 9430 NE 6 AVE
MIAMI SHORES FL 33138-2738
Contractor(s) Phone Cell Phone Valuation: $ 1,100.00
ALL QUALITY ELECTRICAL SERVICE (305)968-7832 Total Sq Feet: 220
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved: : In Review Final
Date Denied: Foundation
Type of Work:CONCRETE PAD FOR PLACEMENT OF 22 Additional Info:CONCRETE PAD FOR PLACEMENT Review Planning
Bond Return: Classification:Residential Review Building
4
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
Invoice# DS-5-18-67593
DBPR Fee $2.00
DCA Fee $2.00 05/17/2018 Credit Card $50.00 $ 101.20
Education Surcharge $0.40 06/04/2018 Credit Card $ 101.20 $0:00
P&Z Review Fee $35.00
Permit Fee $100.00
i
Scanning Fee $9.00
Technology Fee $1.60
Total: $151.20
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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. 1
OWNERS 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. Futhermore,I authorize the above-named contractor to do the work stated.
June 04, 2018
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 04, 2018 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
�"FBC 20 1z'BUILDING Master Permit NO. U I S –us
PERMIT APPLICATION Sub Permit No.� Is L3 4
�UILDING 0,-ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF ❑CANCELLATION D SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: L2V3 0 = c '`�
city: Miami Shores Count
: Miami Dade Zip: 3
Folio/Parcel#:11," 3.;L(, j'.�'• 0 f Y �'0 7t(e Is the Building Historically Designated:Yes J NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: OE:
OWNER:Name(Fee Simple Titleholder): Ic-l1/'C Zelk l L Phone#: .6CS 7Y Ogs
Address ,
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: "/ v �/�17�7G Phone#: �J 7ty I' ,7d?�2—
Address:
/ i� nyl' 31 ( 7
City: State:
Zip:
(lualifier Name: - . ,' Phone#:3oi- &t 7y'32
State Certification or Registration#:)�`J/ /3 3�3 Certificate of Competency#:
DESIGNER:Architect/Engineer: /lL Phone#:
Address: City: State Zip:
Value of Work for tM Permit:$_4/ - r" Square/Linear Footage of Work: 2.10" SQ FT
Type of Work: Addition ❑ Alteration New ❑ Repair/Re lace ❑ Demolition
P
Description of Work:
Specify color of color thru tile:
Submittal Fee$ P, Permit Fee$ ,r CCF$ CO/CC$ ,•
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ O
TOTAL FEE NOW DUE$ O
(Rev4sed02/24/2014)
)
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. 1 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 regylating
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
promisO 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.
44Signature 1 Signature
OWNER or AGErdged
CONTRACTOR
The foregoing instrument was acknowlefore me this The foregoing instrument was acknowledged before me this
day of C' 20 Q) by of 20 119 by
LU 1 z I who is personally known to / S0 ✓P 'whoispersonall knownto
me or who has produced as me or who has produced as
identification and who UIG laKe n oath. identification an who did to a an oath.
NOTARY PUBLIC: NOTARY PUBLIC: t'
Sign: / Sign:
L `�CA /
Print: � vy 1 v ► '�(U Print: 1lv W
,". °°o. ALEJANDRA GRIGORESGU ro`�Rr P6% ALEJANDRA GRIGORE9CU
Seal: 'p Mr COMMISSION t FF 143529 Seal:
My COMMISSION A FF 143529
# * EXPIRES:July 21,2018 , * EXPIRES:Jul 21,2018
Ednded TAru Beet Nobry Servkes �''�ov 0-4� Bonded TAru y
Budget Notary Services
;71
APPROVED BY Plans Examiner r Zoning
Structural Review Clerk
(Revised02/24/2014)
COD
Job Address Job Description: Contractor Information 'Iwo
9430 NE 6"'Ave All Quality Electric
Miami Shores,33138 Pour Concrete Pad for
Owner Information 22kw NG fired Generator 14500 NW 16 Ct
Residence of Pad weight = 2,200 lbs or greater Miami, FI. 33167
Luis Rodriguez 1 305-968-7832
Notes: Combined height of generator and slab will be 35"
55" Long 6" High
32" Wide
0 0 0 0
Concrete Pad
3000 PSI W/ #5 Reinforcing Bars Each Way
Sakrete Cement, Weed blopk jUptgri�al gppjied ^�
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SURVEYOR'S CERTIFICATE
AIS SURVEY MEETS THE STANDARDS OF PRACTICE SET SOUTH PENINSULA SURVEYING, CORP.
TATE BOARD OF LANDS ORS IN CHAPTER 5J-17 LB No.: 7583 :
VISTRATIVECO EPdRSU TTOSECTION472.027FLORIDA LAND DEVELOPMENT CONSULTANTS
SOUTH P NINSULA SURVEYING,CORP.
S I ( SURVEYORS-PLANNERS
CONSTRUCTION LAYOUT
SAN G M J R SIDENT 1795 NE 164 STREET
P SS S R EYO D MAPPER NORTH MIAMI BEACH,FLORIDA 33162
S No.6698 STA FLORIDA. DIRECT:(305)687-9191 OFFICE:(305)354-8887 a-MAIL INFO@SPSURV.Gt?!.4