FW-18-354Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Issue Date: 2/2712018
Per it NO. FW 2-18-354
Permit Type: FenceMall'
Work Classification: Wood Fence
Permit Status: APPROVED
Expiration: 08/26/2018
Parcel Number
Applicant
265 NE 92 Street
Miami Shores, FL
1132060133561
Block: Lot:
MIAMI SHORES 265 NE 92 ST CC
Owner Information
Address
Phone
Cell
MIAMI SHORES 265 NE 92 ST CORP
265 NE 92 Street
MIAMI SHORES FL 33138-
265 NE 92 Street
MIAMI SHORES FL 33138-
Contractor(s)
ALZATE CONSTRUCTION INC
Phone Cell Phone
(954)599-8434 (305)949-4526
Valuation:
Total Sq Feet:
$ 2,500.00
80
Approved:
Comments:
Date Approved: :
Date Denied:
Type of Construction: Wood Fence
Classification: Residential
Additional Info: WOOD FENCE
Scanning: 3
Fees Due
CCF
Change of Contractor Fee
DBPR Fee
DCA Fee
Education Surcharge
Lost Plans Fee
Notary Fee
Permit Fee - Wire & Wood
Scanning Fee
Technology Fee
Total:
Amount
$0.00
$110.00
$0.00
$0.00
$0.00
$50.00
$5.00
$50.00
$3.00
$0.00
$218.00
Pay Date Pay Type
Invoice # FW-2-18-66418
02/27/2018 Credit Card
02/12/2018 Check #: 1027
Amt Paid Amt Due
$ 168.00 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Planning
Review Building
Review Public Works
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 FIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction nd zoning. jFuthe,{mpre, I authorize the above -named contractor to do the work stated.
Aut orized Signature: wner / Applicant / Contractor / Agent
February 27, 2018
Date
Building Department Copy
February 27, 2018
1
-P1/4 49)
9PA\
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC
❑ PLUM BING ❑ MECHANICAL
JOB ADDRESS: 2 c
City:
Miami Shores
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
❑ ROOFING
El PUBLIC WORKS
Master Permit No.
Sub Permit No.
REVISION
CHANGE OF
CONTRACTOR
roc �: ..
FEB 12-201g
FBC 2014-5,t
C.uD-31
❑ EXTENSION
❑ CANCELLATION
-0E cj, Z � ✓e Lt 1A1 tivIAt J r
County:
Folio/Parcel#:
Occupancy Type: Load:
Miami Dade Zip:
❑RENEWAL
❑ SHOP 'F-e(ice
DRAWINGS
TLC
Is the Building Historically Designated: Yes NO
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): i-I\ &'F41" ,ShOre) 2-6S OE 92 4, &)Q'Phone#: 'TTJ6" 3370 Qg
Address:5'1Q0 COOS A U�
City: IA I SI,
State: FL Zip: 33140
Tenant/Lessee Name: Phone#: 74-a (f, 3 33 9096
Email:
CONTRACTOR: Company Name: P`Z Con ST(UCT l cr
Phone#:_gszt scict
Address:
9 1 ` N l ; \ Au �,t � ci F} 1 FA, 3' 313C,
City: f-k_( t' -M`1 State: (' 1, Zip(-7Y?C
Qualifier Name: 't\ J ` Y7k Phone#:
State Certification or Registration #: ( C LS I 1 1-2-1 Certificate of Competency #: I
DESIGNER:` Architect/Engineer. Phone#:
Address: City:
Value of Work for this Permit: $ 2 Square/linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration 0 New
,State: Zip:
❑ Repair/Replace ❑ Demolition
i I�
Description of Work: (lC" WC Z I h Ur)(›� -
chcxnr r)r -cQC- Vo-e 6 fI reWo, l . c kn
V-0011 130
Specify color of color thru tile:
Submittal Fee $ 50 Fi I A Permit Fee $ SO ' 00 CCF $ CO/CC $
Scanning Fee $ - CC.) Radon Fee $ DBPR $ Notary $ 5
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews1_$ Bond $
{ cr ,Un p�. C faC ('2TOTAL FEE NOW DUE $ I r0 E3 - 03
Z\\
(Revised02/24/2014)-
KKK
{
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 co • of the otice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to atta me . Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which oc f e ven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approve��; - reinspection fee will be charged.
Signature
OWNER or AGENT
Signature
CONTRACTOR
I
The foregoing instrumentwas acknowledged befor a this The foregoing instrument was acknowledged before me this
day of f , 20 / 6 , by `q_.. day of ., 20 t %' . by
clItr-S /-�-t-, whois personallyrknownc'to /mac..' -A tit , who is personally known to
me or who has produced�C 5(/n
I6 `t' ZO 7i me or who has produced 0‹. as
identification and who did take an oath.
NOTARY P
IP
0 I /•
Sign:
Print:
Seal:
Notary Public - State of Florida
Commission: GG 148525
My Comm. Expires Oct 16, 2021
oF ,• BcrdedthrcuchAatiCrslNOUN Assr.
identification and who did take an oath.
NOTARY PUBLIC: `�������j 1it«I111f.*/r/i/,r
., rr
ign: .-=,:� ; ► e • f.!
=0;% gr 4 y `..,
Print: %"^ :,, •°j y
Seal: //rr4,, yUInlu��t �1`\`w
*************************** ###***********##############################################################**#( .gic t
APPROVED BY
Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)
Nijami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHANGE OF CONTRACTOR / ARCHITECT
I,l
Permit'N. W I-7 —' S O\ — 2 ��
'P
Owner's' Name (Fee Simple Title Holder): t ll}'i-k1tt S IC)447 2k,G » c Phone #:
Owner's Address: SOn COIll v1 S t U U1n 4,4 , fIr 33 l4?.
" City: \ /12 (kr h State : (' Zip Code: 3 (6 O
Job Address (Of where work is being done):266 'N C 9 2 .Sk
City: Miami Shores State: Florida Zip Code:
cis `i,.`i 1ok ylu`A
Contractor's Company Name: 1-4,p C..6 `„A 1 n c, Phone #: 'le ., -y Li "Jci C. ci 0 - S _ ti 0 1 `09, )
Address: '5 - i t`\\IJ 15 ? "Ve-1 l , N's3 -60 I
City: 4 t c,..n, c� cr.1s if\ State: . I Zip Code: 330 1 \-A
I Qualifier's Name : A 1\o- S. 'ref n cso-Ki eZ Lic. Number: C6G 1 j to"b37
Architect/ Engineer of Record Name:
Address:
City:
Describe Work: TC C E'
Phone #:
State: Zip Code:
I hereby certify th': t the work has been abandoned and/or the contractor/architect
is unable or un i ing to complete the contract. I hold the Building Official and the
iami Shores harmless of all legal involvement.
Signature
Signature
The foregoing ins before me
this'\ day of y rips- 0,20 IB,by 7 G € slt b ec P t tihis " 1 day of3
instrument
Owner o Agent LJ •,� { C 11 I t ✓.�-tt 1 4 Contractor or rchitect
was aknowledge before me The foregoing instrument was aknowledged
, 2Cq by A, 4.5.
Who is personally known to me or
ho has produced
gaff
Notary Publ'
Sign: _
Seal: `\
YP
as indentification.
ANTONIO E. GOMEZ
cs MY COMMISSIOt' #FF913115
EXPIRES: AUG 25, 2019
Bonded through 1st State Insurance
who is personally known to me or who has produced
as indentification.
NotarY.Prablic:
Sign: AVARRO
MY COMMISSION #FF972714
EXPIRES: MAR 20, 2020
Bonded through 1st State Insurance
Seal: