DEMO-17-2063Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit NO. DEMO-$-17-2063
Permit Type: Demolition
Work Classification Mechanical
Permit Status: APPROVED
Issue Date: 8/23/2017
Expiration: 02/19/2018
Parcel Number
Applicant
1250 NE 91 Terrace
Miami Shores, FL
1132050010550
Block: Lot:
GREG BAUMANN
Owner Information
Address
Phone
Cell
GREG BAUMANN
1250 NE 91
MIAMI SHORES FL 33138-
467-8655
Contractor(s)
GABY AC CORP
Phone
(786)290-1982
CeII Phone
Total Sq Feet:
$ 500.00
0
Type of Demo: Mechanical
Additional Info: DEMO ALL DUCK WORK IN PROJE
Classification: Residential
Scanning: 1
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
Pay Date
Invoice #
08/16/2017
08/23/2017
Pay Type Amt Paid Amt Due
DEMO-8-17-64879
Check #: 1516 $ 50.00 $ 58.60
Check #: 1547 $ 58.60 $ 0.00
Available Inspections:
Inspection Type:
Final
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 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. Futhermore, I aut - e above-namedcontractor to do the work stated.
4 �t
Authorized Signature: Owner Applicant /
Contractor / Agent
August 23, 2017
Date
Building Department Copy
August 23, 2017 1
BUILDING
PERMIT APPLICATION
❑ BUILDING ❑ ELECTRIC
❑ PLUMBING MECHANICAL
JOB ADDRESS: IZSO Iuf 91 i Tt rrgcc
City:
Miami Shores County:
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
FBC 201 s+h
Master Permit No. 'DCYYUD 11. \ 2JC 3
Sub Permit No. Dtmo 11_2-66
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONT'1k /u�� DRAWINGS
ELF
En
3
zip:33� 1
Miami Dade
Folio/Parcel#: r/J 3205— C (/ / U 5 50 Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type: Flood Zone: BFE:
OWNER: Name (Fee Simple Titleholder): Gac� Q 4 7e.vvjtr
Address: MOO N. ciiShote fir ATV, LOOS -
City: M oa c t State: l _ Zip: 33132
Tenant/Lessee Name: Phone#: 30$-'{(o1-'�brS
Email: Cte:E64:2u.-414." Q q+wgkk• Cow\
FFE:
CONTRACTOR: Company Name: ( 6by Pti c Corp
Address: Pr /y Vl) 3 S+- 44 I
Phone#: SOS -►{tol -VegS
Phone#: 1 NO. 4
City: fl10 ha ham` pp {{ State: f-L CANrE Zi :>S� O 12 p
Qualifier Name: La V roi N1 r 4 I o tc a:. c.EVIVP L�O j b Z
State Certification or Registration #: CAC !g /30(Hi Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 500
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration n New ❑ Repair/Replace ,Demolition
Description of Work: D.trno an n 7u(71-wo /" in tort'.,r- arm .
Specify color of color thruJJtile:
Submittal Fee $ DO 1 o Permit Fee $ t) (/` -KF $
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $152) "06
(Revised02/24/2014)
CO/CC $
Notary $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) 't—'D 15c4v\lc_
Mortgage Lender's Address qoo S i corua Blur‘
City 1-&' c» ‘\ Shc'CS State "Ft- Zip 3\3'
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 es
promise in good faith that a copy of the notice of commencement and construction lien
in. $2500, the applicant must
delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencer�ir 'a; 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 AGENT
The foregoing0instrument was acknowledged before me this
` day of Z/ t(Iy , 20 11 , by
C-zvet BaUMcalt r , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
00. - Michael Feffner
F'= Commission # GG044827
"= Expires: Nov. 3, 2020
Bonded thru Aaron Notary
**************************
APPROVED BY
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
f " -day of.l\J C , 20 I: — , by
worn titebditickn, who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
D-Trytai-le_et
Zalty Jomolca
•I Commission # GG078728
Expires: March 2, 2021
VW Bonded thru Aaron Notary
***..*.***.*`l*.,. ......***..*************.*,*......**.....****.****..*.****.*****
‘ Plans Examiner Zoning
(Revised02/24/2014)
Structural Review Clerk