DS-18-1773Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit NO. DS-6-18-1773
Per rt
m. Permit Type: Driveways/Sidewalks/Slabs
Work Classification: New
Parcel Number
Permit Status: APPROVED
6/2018 Expiration: 01/02/2019
Applicant
29 NW 99 Street
Miami Shores, FL 33150-
1131010180520
Block: Lot:
QUICK EQUITY BUILDER INC
Owner Information
Address
Phone
Cell
QUICK EQUITY BUILDER INC
29 NW 99 Street
MIAMI SHORES FL 33138-
(954)605-7880
i
29 NW 99 Street
MIAMI SHORES FL 33138-
Contractor(s)
LLORENS CONTRACTING LLC
Phone Cell Phone
(305)450-3252 (305)450-3252
Valuation:
Total Sq Feet:
$ 700.00
360
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: NEW DRIVEWAY
Bond Return :
Scanning: 3
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
$0.00
$0.00
$0.00
$0.00
$0.00
$100.00
$0.00
$0.00
$100.00
Pay Date Pay Type
Invoice # DS-6-18-68076
06/28/2018 Credit Card
07/06/2018 Credit Card
Amt Paid Amt Due
$ 50.00 $ 50.00
$ 50.00 $ 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 AFFIDAVIT: I certify that all the foregoing information
construction and zoning. Futhermore, I authorize the above -named
s accurate •d that all work will be done in compliance with all applicable laws regulating
r to do the work stated.
July 06, 2018
Date
Authorized Signature: Owner / Applicant / Contractor
Building Department Copy
/ Agent
July 06, 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
RECEIVED
JUN282018
BC 201-
BUILDING Master Permit No. 0
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL El PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 2 No
( 6j th-.QQ
City: Miami Shores County: Miami Dade Zip: 3'S )Vb
Folio/Parcel#: I (- 2) 0 \s' 0 (k •- 0 5L to Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): (VJUC jiit h/ 4./1 ( c f tt one#: / �� I D��d o
Address: �� � iXt e Lk)(z_ f - l
City: a S�d� State: 1t Zip: 3Tr'J
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: L Zeee,t,
Address: V3 J 3 /JZ)
Phone#L) itSP • 3Z- 6-
City: State: /'L. Zip: 3 3 / 7
Qualifier Name: (I,, ei./e� /�7�/0,� .0 t Phone# VP2 •3Z-T2-
State Certification or Registration #: C�G�g/S-A? 92_3 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace^-�El Demolition
Description of Work: 70 r-�n 'Q c Ds 1 ^—1 " ` 'T(98 t, . k
7
Specify coldr of color.thru,:tile: 9... ..:
Submittal Fee Permit Fee $�-
0,9 .. • r a .. ...
,Tee -y lXy %1 .i
CCF $
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $ ` Double Fee $
CO/CC $
•
J,:4t 110w4
Notary $
Structural Reviews $
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $ • CO
y •
Bonding Company's Name (if applicable)
OWNER or AGENT
Bonding Company's Address
City R State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City , °y - �,. * �A 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
CONTRACTOR
The fore: g instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
�7 day of -WAIL. , 20 /d , by 02 day of 1 h.'U .) , 20 l & , by
, who is personally known to Ca►rmtvi I %even S , who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
?.: • :N.MIS ON a FF987003
' „z•,�;ES April 27, 2020
`
39E-0153 Floridallote .rvroe.oem
1!7
identification and who did take an oath.
NOTARY PUBLIC:
Sign
Print:
Seal: MY COMMISSION 1K'FF98`7003
a EXPIRES April 27. 2020
(e07) 3984153 Fleridalloterysemae.ttem•
*********************************************************************************************s*************
APPROVED BY
7
10/
Plans Examiner Zoning
(Revised02/24/2014)
Structural Review Clerk