DS-18-495Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Pei
m
Permit NO. DS-2-18-495
ennit`Type: Driveways/SldewalkslSlabs
rkClassification: Addition/Alteration
hermit Status: APPROVED
Issue Date. 3/1/2018
Expiration: 08/28/2018
Parcel Number
Applicant
841 NE 95 Street
Miami Shores, FL
1132060142940
Block: Lot:
ARTURO CADILLA
Owner Information
Address
Phone
Cell
ARTURO CADILLA
841 NE 95 Street
MIAMI SHORES FL 33318-
841 NE 95 Street
MIAMI SHORES FL 33318-
Contractor(s)
HOME OWNER
Valuation:
Total Sq Feet:
$ 5,500.00
800
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: REPLACE EXISTING DRIVEWAY FOR PAV
Bond Return :
Scanning: 3
Additional Info:
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.00
$0.00
$0.00
$0.00
$5.00
$62.50
$3.00
$0.00
$70.50
Pay Date Pay Type
Invoice # DS-2-18-66587
02/27/2018 Credit Card
03/01/2018 Credit Card
Amt Paid Amt Due
$ 50.00 $ 20.50
$ 20.50 $ 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 is accurate and that all work will be done in compliance with all applicable laws regulating
construction d z rig. Futherm , I authori the above -named contractor to do the work stated.
March 01, 2018
Authorized Signature: Owner / Applicant / Contractor / Agent
Date
Building Department Copy
March 01, 2018 1
kvt M"n
92-X2*10').
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
REC
FHB 2018
BY:
FBC206
Master Permit No. DS
Sub Permit No.
`F j BUILDING 0 ELECTRIC 0 ROOFING 0 REVISION ❑ EXTENSION 0 RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores ` 1 County: Miami Dade Zip: 33 1 3 O •
Folio/Parcel#: [ 3 2 �% (o (i i L129 `f O Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): — � UL Phone#: a sa- a 0 )
Address:
- 03E qS St
City: M) Cly111) Gjn 0'e s State: C v Zip: 33 I b '
Tenant/Lessee Name: Phone#:
Email:
;CONTRACTOR: Company Name: *) OWnlr Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#: 1.} `I `'
..�+:a'x •.,,.5j $.1 . $ fir„
Address: City: State: Zip:
Square/Linear Footage of Work \ . '
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Q/w-� - D S` -I 17-�5' r-E) l aU�
r
Value of Work for this Permit: $i($ 5 I Soo U
:1 !Li
S
Specify color of color thru tile:
ti
Submittal Fee $ SO f, a Permit Fee $ (62.50 CCF $ CO/CC$ .--
Scanning Fee $ 3 Radon Fee $ DBPR $': c-, ° t Notary $ E ,
Technology Fee $ Training/Education Fee $ �. Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 10 . So
(Revised02/24/2014)
Bonding Company's Name (if applicable)
BondingCompany's Address
Zip ... �.
.�, t v
State -� • . � � ;rr":'
City s
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
t
City _ `t • ^�; t ,`
' : State Zip
L.r .:,r ' t,Yr.
-
•
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
Signature
OWNER or AGENT CONTRACTOR
The foregoing instru ent was acknowledged before me this The foregoing instrument was acknowledged before me this
qq^ 27 day of� C • 20 18 , by day of , 20 , by
�t r-4-V t0 l acki 1t G, w o is personally known to , who is personally known to
T
me or who has produced . �J Y %l/ r i.G)Qr% Q as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY P NOTARY PUBLIC:
IP'
v. p
�fi0
Sign:
Print:
Seal:
APPROVED BY
Y!{NADY PRIEid
MY COMMISSION # FF214031
EXPIRES: March 25, 2019
Bonded Thar Notary public Underwri : rs
Sign:
Print:
Seal:
Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)