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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: