RC-16-2418Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit NO. RC-8-16-2418
■ e
Permit Type: Residential Construction
rrri' Work Classification: Alteration
Permit Status: APPROVED
Issue Date: 911'412016
Expiration: 03/13/2017
Parcel Number
Applicant
53 NW 99 Street
Miami Shores, FL
1131010180500
Block: Lot:
DENISE DELGADO
Owner Information
Address
Phone
Cell
DENISE DELGADO
53 NW 99 Street
MIAMI SHORES FL 33150-
(646)573-2213
53 NW 99 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone
ALUMINUM OUTDOOR DESIGNS LLC (954)399-8231
Cell Phone
Valuation:
Total Sq Feet:
$ 950.00
72
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Construction: LEGALIZATION OF 12 X 6 PATIO C
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted: No
Certificate Date:
Bond Return :
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.00
$2.00
$0.20
$100.00
$3.00
$0.80
$108.60
Occupancy: Single Family
Exterior:
Rear Setback:
Right Setback:
Classification'.
Pay Date Pay Type
Invoice # RC-8-16-61154
09/14/2016 Check #: 6500
Amt Paid Amt Due
$ 108.60 $ 0.00
Available Inspections:
Inspection Type:
Window Door Attachment
Framing
Insulation
Drywall Screw
Final PE Certification
Window and Door Buck
Fill Cells Columns
Review Building
Review Planning
Review Electrical
Review Plumbing
Review Structural
Review Mechanical
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 T. I
construction and in
Authoriz
that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
rmore, I authorize the above -named contractor to do the work stated.
ature: Owner / Applicant / Contractor / Agent
Buildin • ' epartment Copy
September 14, 2016
Date
September 14, 2016
1
4((oVo
BUILDING
PERMIT APPLICATION
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
AUG 3 0.2016
BY:
FBC 20141-t-h
Master Permit No. f - `(P ; 21.1
Sub Permit No.. — '
*BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL El PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 53 NW 99 STREET
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#:11-3101-018-0500 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): DELGADO, DENISE
Address:53 NW 99 STREET
Phone#: 646-573-2213
City: MIAMI SHORES state: FLORIDA
Zip:
Tenant/Lessee Name: Phone#:
Email:
Ak hc•w, Ov o f P{ S/ ,v D. Q A.
CONTRACTOR: Company Name: ALUMA OUTDOOR DESIGNS D, S.A.
Address: 12076 MIRAMAR PARKWAY
Phone#: 9543998231
City: MIRAMAR state: FLORIDA Zip: 33025
C4vc
Qualifier Name: CAROL REQUEJO
State Certification or Registration #:
DESIGNER: Architect/Engineer: TARNOWSKI ENG
Address:7360 NW 5 STREET
Phone#: 9543998231
fiCititcate of Competency #: 14BS00420
Value of Work for this Permit: $ ISM
Phone#: 9547274247
City: PLANTATION State: FL Zip:
�
Square/Linear Footage of Work: 1
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: RENEW PERMIT (j.1-1-2A1-I UN �L ra 'dc TI's Cs�A11a2
to RvI1C 'LS-`a.c% ‘N, HI Ne
Specify color of color thru tile: Submittal Fee $ p Permit Fee $ b0 - CCF $ 0 - CO/CC $
Scanning Fee $ 03 Radon Fee $ 2. ' DBPR $ ' W Notary $
60
Technology Fee $
Structural Reviews $
Training/Education Fee $ O ' 2.0
Double Fee $
Bond $
p
(Revised02/24/2014)
j rn
TOTAL FEE NOW DUE $ l O
S(4,4 & ..1. Yh u.�.do
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
The foregoing instrument was acknged before me this The fore strument was acknowledged before me this
Z Z. day of
/41.)G:.i'zT , 20 % CI , by 2..
%Qi'n-:PQ , who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath.
Signatur
NOTARY PUBLIC;
Sign:
Print:
o��p : °�e0,° SANDRA I. MURADO
Seal: e ' ''• MY COMMISSION t FF 014902
EXPIRES: July 10, 2017
"„, Be, endedThruBudgetNotaryServices
CONTRACTOR
, 20 It , by
Dwho is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
****************************** ** ** **************************
APPROVED BY
61(0
i MY COMMISSION A F 1t0e1st72
.• : EXPIRES: March 28, 201°
":ps_r4l`', Bonded Tbru Notary Public Underwriters
Plans Examiner Zoning
t_sgf
CC
41.
(Revised02/24/2014)
Structural Review Clerk