DS-18-2529Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: DS-018-2529
Permit Type: Driveways/Sidewalks/Slabs
Work Classification: Addition/Alteration
Permit Status: Approved
Issue Date:.10/19/2018'
Expiration: 04/01/2019
Parcel Number
9290 N BAYSHORE DR, Miami Shores, FL 33138
1132050270240
I
Contacts
RICK! LEE LONDON
9290 N BAYSHORE DR, MIAMI SHORES, FL 331382949
Owner
HOME OWNER
HOME OWNER
Contractor
Description: REMODEL EXISTING DRIVEWAY , WALKWAY &
APPROACH FROM CONCRETE TO CUSTOM CONCRETE SQUARES
TO REPLACE PERMIT#DS17-2834
Fees
Amount
50% Renewal Fee
Notary Fee
Total:
$87.50
$5.00
$92.50
Valuation: $ 14,500.00
Total Sq Feet : 1,640.00
Inspection Requests:
305-762.4949
Payments
Total Fees
Credit Card
Amount Due:
Date Paid
10/19/2018
Amt Paid
$92.50
$92.50
$0.00
Building Department Copy
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
reg ing construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
(L(&,cQP VKCLut.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
October 19, 2018 Page 2 of 2
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
OCT 19 2018
FBC 2011A
BUILDING Master Permit No. DS' )S --2S 24)
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Ir7 c1 l t—1 0�-ft-
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: k - 3 —021 " v - ' Is the Building Historically Designated: Yes NO
Occupancy Type: Load: %) Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Title/holder): 1'\... i}K L SYTi\ l ' r Phone# t
(1C��';� �ho�c�c� l4LH
Address: `'c)l- 1\i
��Of-
City: , (, }� 1 ' - ,r
'"S State: n Zip: B 3
Tenant/Lessee Name: Phone#:
Email:ili,;��` CtCJrLt. fiutvf\AAke-u_3r C)tikA
CONTRACTOR: Company Name: Y "-I' Phone#:(z9
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ CA Square/Linear Footage of Work: L�4.0
Type of Work: ❑ Addition . Alteration ❑ New ❑ Repair/Replace ❑ Demolition
T i
Description of Work: C-eVY\JO l •-r'1- K '& 1 )J 9, ., -E � Ce ALL"
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
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 postednotice, the
inspection will not be approved and a reinspection fee will be charged. , )
, i . ,.. .r i i, l /
r
Si natur c
Signature
OWNER or AGENT CONTRACTOR
The o�./
foregoing instrument was acknowledged before
me this The foregoing instrument was acknowledged before me this
day of el , 20 I __ , by day of , 20 , by
IG1�t�l : 7 , who is Kergonally-kaywn to , who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: % NOTARY PUBLIC:
Sign:{
Print:
Seal:
***************************
APPROVED BY
0011111
•:` '�i Sign:
March s/ . ��,.
6 0. Print:
30• NXt y-'
=_< 2z x„ •b i— • = Seal:
: >6° C' •
• c� c‘,4111
rw
I/, Ifdl{4t�.�a
n / 1� Plans Examiner Zoning
(Revised02/24/2014)
Structural Review Clerk
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Tel: 305-795-2204 Fax: 305-756-8972
inspection Number. INSP-000883-2018 Permit Number: DS-09-18-2529
Scheduled inspection Date: October 22, 2018
Inspector: Naranjo, Ismael
Owner. RICKI LEE LONDON
Address: 9290 N BAYSHORE DR
Project:
Miami Shores, FL 33138
Contractor: HOME OWNER
HOME OWNER
Permit Type: Driveways/Sidewalks/Slabs
Inspection Type: Building Final
Work Classification: Addition/Alteration
Phone Number:
Parcel Number 1132050270240
Phone Number.
Building Department Comments
REMODEL EXISTING DRIVEWAY , WALKWAY & APPROACH FROM CONCRETE TO CUSTOM CONCRE I E SQUARES TO REPLACE
PERMIT#DS17-2834
Checklist Item
General Comments
Passed
False
Comments
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 19, 2018
For Inspections please call: 305-762-4949
Page 4 of 41
10
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 /�
Tel: (305) 795-2204 Fax: (305) 756-8972 �`-1
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 I `4
BUILDING Master Permit No. b
PERMIT APPLICATION
RECEJ\.ED
EP 25 018
BY
Sub Permit No.
fUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL El PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: n2, SO N : Zia/ Aare
City:
Miami Shores County: Miami Dade Zip: 33)38
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: ConstructionlType: Flood Zone: BFE: FFE:
OWNER: Name (Fee
Simple
�Titleholder .4<l l�w Phone#:� - 11
Address:C1'�"�C �^1\�,, O Q\1 �f `�1' � ° 4�- �/�
City: �l c21 State: /1/1144t11440Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: ;;��F-\c� ►sk;c Ca,cct.te Gceup Phone#:
Address: \ \ c12 S D ; x‘e tlwy # 214
City: Q.r,ectes'E State: VL Zip: 33IS6
Qualifier Name: \sec�oc ` were. Phone#:
State Certification or Registration #: Certificate of Competency #: E09000 b4
DESIGNER: Architect/Engineer: Phone#:
Address: �� `(.` ✓... , . City: State: Zip:
Value of Work for this Permit: $ Y `Y.�.z)• . J' : Square/Linear a/Linear Footage of Work:
0 N'ivy w ❑ Repair/Replace ❑ Demolition
Type of Work: ❑ Addition ❑ Alteration
Description of Work:
-'tom U;OC: TFemIT
Specify color of color thru tile:
Submittal Fee $rli Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $ 5 ' O
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $-Ds. I-4 `2 G 3
TOTAL FEE NOW DUE $ a- • 0
(Revised02/24/2014)
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 \ Wl WC
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of Cat' I N4 2 -, 20 I , by
CMG_ t L E 014)(10 , who is personally known to
me or who has produced -FL / CA-C'C N Cc.- as
identification and who did take an oath.
NOTAR UBLIC:
Sig r
Print:
Seal:
Nb 1G Alvo ' - --6
SINDIA ALVAREZ
MY COMMISSION # GG 238273
, EXPIRES: September 3, 2022
s �P' R . , Thar Notary Public Underwriters
***********************
APPROVED BY
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
14 day of Septoib-er,20 I Q ,by
V e, Y 1 , who is personally known to
me or who has produced D i' I de rJ
-
identificatiori.and who did take an oat
NOTARY PUBLI
ign: _
Seal:
Licol st
crew
******** **********
as
Commission # MONO
Expires: December 15, 2019
8ondC0 Von Anon I .v
tiorentino
Commission # FP943ifi1`
' Expires: December 15, 2019
, Bonded t ni Aaron Notary
**************************
Plans Examiner Zoning
(Revised02/24/2014)
Structural Review Clerk