DS-18-3120Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: DS-10-18 3120
Permit Type: Driveways/Sidewalks/Slabs
Work Classification New
Permit Status: Approved
Issue Date: 11/05/2018-I Expiration: 04/08/2019
Parcel Number
905 NE 92ND ST, Miami Shores, FL 33138
1132060050010
Contacts
GARRETT SCHAEFER
905 NE 92 ST, MIAMI SHORES, FL 33138
Mobile: 9178421768
Owner
ALL QUALITY ELECTRICAL SERVICES, INC
SAMUEL LIGHTBOURNE
14500 NW 16 CT, MIAMI, FL 33167
Business: 3059687832
Contractor
Description: CONSTRUCTION OF CONCRETE PAD TO 27KW
GENERATOR PLACEMENT.
Fees
Amount
Application Fee - Other
CCF
Concrete/asphalt/pavers, slabs, dways,
swalks
DBPR Fee
DCA Fee
Education Surcharge
Planning and Zoning Review Fee
Scanning Fee
Technology Fee
Total:
$50.00
$1.20
$50.00
$2.00
$2.00
$0.40
$35.00
$3.00
$2.50
$146.10
Valuation: $ 1,100.00
Total Sq Feet: 27.00
Inspection Requests:
305-762-4949
Payments
Total Fees
Credit Card
Credit Card
Amount Due:
Date Paid
11/05/2018
10/10/2018
Amt Paid
$146.10
$96.10
$50.00
$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.
NERS
ulatin
: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
and zonin( Futh r ore, I au horse e ab9ve named contractor to do the work stated.
C )G-/cam7
Authorized Signature: Owner
Applicant /
Contractor / Agent
Date
November 05, 2018
Page 2 of 2
Technology Fee $
Structural Reviews $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY.
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 (/^�
FBC 20
BUILDING Master Permit No-1 — 31(
PE MIT APPLICATION Sub Permit No.y (� )
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
['PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ElCANCELLATION ❑ SHOP
9 S� CONTRACTOR DRAWINGS
JOB ADDRESS: Fac- Air
City: Miami Shores County: Miami Dade
Zip: /
Folio/Parcel#: //" 3 00 S 00 Is the Building('Historically Designated: Yes NO j//
Occupancy Type: S F Load: Construction Type: as Flood Zone: N)BFE: FFE:
RECEIVED
OAT 118
.
OWNER: Name (Fee Simple Titleholder): G/Q, Cs Phone / / 7 — T 2-�/ !, -4d
Address: FQ r A,2- 91- S
City: Ali Gt/1�L ` (J)- -d State: . 33 / 3(
Zip:
Tenant/Lessee Name:
Email:
41,14
Phone#:
CONTRACTOR:: Company Name: �% 91J/t?/ Phone#: 3a J 5' d l7(1 JAddress: /7S �l • / L
city: la 114 State: Zip: 3 3 /.67
Qualifier Name: / Cl/Yyi u-t VL Z/ Y Phone#: - —56 (/7(�3)-
Cepo13s` f/�
State Certification or Registration #: %3� Certificate of Competency #: �. ���C./� y7er
DESIGNER: Architect/Engineer:
Address:
Value of Work forth' Permit $ // / 0 0
Type of Work: Addition ❑ Alteration
Description of Work:
Specify color of color thru tile:
1New
Phone#:
City: State: Zip::
Square/Linear Footage of Work: Tr
Repair/Replace ❑ Demolition
r!A9-,.«ee /0*,r,e
1,44J 7 eti
Submittal Fee $ 6() O. c Permit Fee $ (a0. O'' ' CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Training/Education Fee $ Double Fee $
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $ vl c ( 0
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Zip
Mortgage Lender's Address
City State
Zip
Applitation 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: 1 certify that all the foregoing information is accurate that all work will be
done,n compliance with all
applicable laws regulating construction and zoning. 1
"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.:,' ,:, , ..,, r:;, ; ,, .
Notice to Applicant As a condition to the issuance of a building- . ' -,I , •
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 approve d a reinspection fee will be charged. ,
Signature
CONTRACTOR •• }
The torggoing instru nt was acknowledged before me this The foregpi�g instrume t was ackno v!edged before me this
OW NI AGEN
day pf , 20 � , by ` day of
r(tl
--
, who is personally known to
�
me or who has produced PE L
taen nfi a on an w o t a e an oa
NOTARY PUBLIC:
Sign:
Print:
Seal:
AP
as me or who has produced
201 S� by
to
a�
Notary Public - State of Florida.
• : �L`, r E Commission # FF 933693
My Comm. Expires Nov 4, 2019
Bonded through National Notary Assn.
******************s**********s**** ::s:***:****************************************************************
t entt cation an w o I a e an oat
NOTARY PUBLIC:
Sign:
Prin
Seal:
O ,Y� • ubh ,� c
�'``• Commission # F •
i N,I t`
`Op,OYMy Comm. Expires Nov 4, 2019
t i" Bonded through National Notary Assn.
APPROVED BY 1 ' F-F Plans Examiner
Structural Review
(Revised02/24/2014)
Lo(')
Clerk
Zoning