DS-18-1051Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
F'errx
m
Permit NO. OS-4-18-1051
Type: Driveways/Sidewalks/Slabs
Work Classification: New
Permit Status: APPROVED
lssue.oats:5/15/Q18 Expiration: 11/11/2018
Parcel Number
Applicant
1053 NE 95 Street
Miami Shores, FL
1132060143600
Block: Lot:
SEAN SHEA
Owner Information
Address
Phone
Cell
SEAN SHEA
1053 NE 95 ST
MIAMI FL 33138-2547
Contractor(s) Phone Cell Phone
ALL QUALITY ELECTRICAL SERVICE (305)968-7832
Valuation:
Total Sq Feet:
$ 800.00
56
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: CONSTRUCTION OF CONCRETE PAD FO
Bond Return :
Scanning: 1
Additional Info:
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 Pay Type
Invoice # DS-4-18-67239
04/20/2018 Credit Card
05/15/2018 Check #: 1730
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 AFFtD /IT: I certify th
constructio and ning. Fut ermo
ng information is accurate and that all work will be done in compliance with all applicable laws regulating
the above -named contractor to do the work stated.
Ad`tAorized Signature: Owner / Applicant /.
Contractor / Agent
May 15, 2018
Date
Building Department Copy
May 15, 2018 1
Technology Fee -$
Structural Reviews $
Tenant/Lessee Name: dr) CO/5
Vie 15 Oeis'v?, hth
),5"" tL -
Email:
CONTRACTOR: Company Nam Xlf
Address: /Y7 �O
City:
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
BUILDING ❑ ELECTRIC ❑ ROOFING
FBC 20k -I—
Master Permit No.
Sub Permit No-DS ( 8- (bB1
❑ REVISION ❑ EXTENSION El RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ElCANCELLATION ElSHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
/o s-D /Or Qs` S
City: Miami Shores
, b v County: Miami Dade Zip: /
Folio/Parcel#: /1— 3? (/ 4 " 0/ yV Is the Building Historically Designated: Yes NO e
Occupancy Type: sly Load: Construction TJ5/(Le,_
e: C8 5. Flood Zone:
OWNER: Name (Fee Simple Titleholder): c` �ih
/ Address: v -S 3
! . /
City: % C[ ,L,LI, C.� 2, u1-L? State: /`•'l • Zip:3 3 1 op�
BFE: FFE:
Phone#77C . 7 .7' 77' d-
Phone#:
Phone#:-0 / b 0 743�
State Z• 331.47
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address:
Value of Work for this Permit: $ U
Type of Work:
Addition El Alteration
Descripti of Work: (Cr"? S Ar"7J GTI
6 Tr 06.c4J AI
t?,
Cam01,6)01 _ Phone#:.p._,�
g 769-31—
V9 Certificate of Competency #:93SJ v a2 4/7r
e /3a 0 353(
•
Phone#:
City: State: Zip:
Square/Linear Footage of Work: �� (24)7.
❑ New
CM7ie.4,P
90/44
❑ Repair/Repla ❑ Demolition
d
Specify color of color thr�u°t►le:; "� !(
Submittal Fee $ .••• �' Permit Pee $'
�/
Scanning Fee $ Radon Fee $ a
4 ae
Training/Education Fee $ Double Fee $
Bond $
TOTAL FEE NOW DUE $ c - 6(
-- 1 +vet NCO/CC'$
CCF $'
DBPR $ Notary $
(Revised02/24/2014)
y4 .. i
Bonding Company's Name (if applicable)
t ! t1►°iNyR , (fi
Bonding Company's Address
City _ ` -. ► +- i State Zip
Mortgage_ Lender's Name (if applicable)
4_, <
Mortgage Lender's Address
City' i t .: 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 s ven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a einspection fee. will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged beforeme this
day f li'%`! _ � 20 . / /g "`by
G,'/? � , �sZCI� ,who is personally known to
moor who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
&corm ais o�baSu \
ALEJANDRA GRI
®_ .s * MY COMMISSION t FF 14�ug
` •, �j . EXPIRES: July 21, 2018
of F►O !ended rrru 3411349(4001,
APPROVED BY
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
.day of " -� '20 -- -d by
Gt%1 UPS(— �l(j l nie who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner
o.x)dt'dt (���DY2SCtS�
ALEJANDIIA GRIGORESCU
# * MY COMMISSION I FF 143529
' EXPIRES: July 21, 2018 , - -
(ID
S,
C/ Zoning
(Revised02/24/2014)
Structural Review Clerk