DS-18-1048Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Perms
Permit NO. DS-4-18-1048
Permit Type: DrivewayslSidewaiksiSiabs
Work Classification: New
Permit Status: APPROVED
Issue Date: 5/15/2018
Expiration: 11/11/2018
Parcel Number
'Applicant
544 NE 106 Street
Miami Shores, FL 33138-
1122310140200
Block: Lot: ,
LEISA & MICHAEL WILLIAMS
Owner Information
Address
Phone
Cell
LEISA & MICHAEL WILLIAMS
544 NE 106 ST
MIAMI SHORES FL 33138-2046
Contractor(s) Phone
ALL QUALITY ELECTRICAL SERVICE: (305)968-7832
Cell Phone
Valuation:
$ 500.00
Total Sq Feet: 161.5
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: CONSTRUCTION OF CONCRETE PAD TO
Bond Return : •
Scanning: 1
Additional Info: CONSTRUCTION OF CONCRETE PF
Classification: Residential
Fees Due
,CCF
DBPR Fee
DCA Fee
Education Surcharge
P&Z Review Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.00
$2.00
$0.20
$35.00
$100.00
$3.00
$0.80
$143.60
Pay Date
Invoice #
04/20/2018
05/15/2018
Pay Type
DS-4-18-67236
Credit Card
Check #: 1729
Amt Paid Amt Due
$ 50.00 $ 93.60
$ 93.60 $ 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 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
construc
VIT: I erti
oning. uther
the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
rize the above -named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent
May 15, 2018 .
Date
Building Department Copy
May 15, 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
BUILDING Master Permit No.
PE MIT APPLICATION Sub Permit No.
airA BUILDING ❑ ELECTRIC ❑ ROOFING
❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS
JOB ADDRESS:
S V / /'/6 /6 6 s�
RECEIVE:
APR 2 0 2018
FBC xot�
Li t8 - t0(-4om
Ds its- you P)
❑ REVISION EXTENSION
❑ CHANGE OF ❑ CANCELLATION
CONTRACTOR
•
City: Miami Shores County: Miami Dade
Folio/Parcel#: /1 - / - 0 / Q 6 Is the Building Historically Designated: Yes
Occupancy Type: S F toad:
❑ RENEWAL
❑ SHOP
DRAWINGS
Zip: 3 3 / 3 6
NO Y
Construction Type: C /J .S Flood Zone: %L% BFE: FFE:
OWNER: Name
p(Fee
/Simple Titleholder): ] r (',� ei .1/!/7 le.„144 Phone#: / 1 t 7 7 / T"J7
Address: S.-7
City: /iE /t4 '( �l/�OY State: 1:/- .
lj
Tenant/Lessee Name: /-'� Phone#:
Email: C?eL74?V6LIi P. 9)JLiJi /, fJhi
CONTRACTOR: Company Name: , AI/ 06_/ ' e1.R- c y t ?9.5— % 1,' 7832,
Address: 15'7S-o S. l �� `/1✓�
City: ! e'L Gild .i tate: tit Zip: 33 / 4 7
Qualifier Name: c Pv) 00-1 h JiV V )2 -. Phone#: 30-9 4 7 c? -
State Certification or Registration #. / 462130/353W6 Certificate of Competency #: 6 S 00 0 �71/
DESIGNER: Architect/Engineer: Al/4 Phone#:
Address:
Zip: 3313e.
Value of Work for this Permit: $
Type of Work: [17( Addition n Alteration
Description of Work: C O S 6 U �iT%l/YI
rho
e/71
Phone#:
City: State: Zip:
Square/Linear Footage of Work: / 7/• S J 7
❑ New ❑ Repair/Replace ❑ Demolition
Grrr c r e��e.10Cvri f j u�eon� 7L
7jre..c' 4 t€4_
Specify color of color thruftile:+• ` r:f
F*t � tS y10 23F.493 t • b , C
• �� `` �' '' ``14T Permit Fee $ ( U
Submittal Fee $
Scanning Fee $
f` Radon Fee $ a ' 03
Technology Fee $' � . ; Training/Education Fee $
Structural Reviews $
CCF $ _ ; CO/CC $
DBPR $ /. Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ '3 ' 6()
ay'
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City 1 „" 'II' State Zip
-v s N r 5
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
.;
I 'Q
State • Zip
Application is herebm yade 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;ah'dkorisi'ruction, lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the r corded notice bf 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
['tSignature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
—,aday of V 1- ----`-3 , 20, by
f, it kat t i,Lc p'AS , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
:Ada
cdrea itogUr.PSLAA
ALEJANORA GRIGORESCU
•T" 'n
MY COMMISSION ! FF 143529
of . _ EXPIRES: July 21, 2018
t°e„foo Bonded Ttru Budget meta Services
d/
CONTRACTOR
The foregoing instrumt was acknowledged before me this
v d y of C/p v 11 " — 0 ,`'� by
****************************** *****
APPROVED BY
n
�� �:►'f1e �_ lll1�rvlyv''oh is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
w-)drG N6500NAA
Seal: :at'"r"'(y ALEJANOMGRIGOREBCU
* * MY COMMISSION $ FF 143529
EXPIRES: My 21, 2018
J'•Q of Ft" Bonded lbru Budget Notary SeMcu
*** ********************************************* ******************
Plans Examiner % Zoning
J.
(Revised02/24/2014)
Structural Review Clerk