ACT-18-2137Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Parcel Number
issue Date: 8/
Permit /VO. ACT-8-18-2137
Permit Type: Awnings/Canopies/Tents
Work Classification: Miscellaneous
Permit Status: APPROVED
612018
Expiration: 02J12/2019
Applicant
262 NE 103 Street
Miami Shores, FL 33138-2431
1132060134870
Block: Lot:
EVELYN GONZALEZ
Owner Information
Address
Phone
CeII
EVELYN GONZALEZ
262 NE 103 Street
MIAMI SHORES FL 33138-
(305)389-4517
262 NE 103 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone
SOUTH FLORIDA RESTORATION INC (305)651-9660
CeII Phone
Valuation:
Total Sq Feet:
$ 1,000.00
0
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: REMOVING AWING
Classification: Residential
Code Comments: :
Code Denied:
Additional Info: REMOVING AWING
Color Approved: In Review: In Review
Code Approved: : In Review
Scanning: 2
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
P&Z Review Fee
Permit Fee
Scanning Fee
Technology Fee
Amount
$0.60
$2.00
$2.00
$0.20
$35.00
$100.00
$6.00
$0.80
Total: $146.60
Pay Date
Invoice #
08/10/2018
08/16/2018
Pay Type
ACT-8-18-68512
Cash
Cash
Amt Paid Amt Due
$ 50.00 $ 96.60
$ 96.60 $ 0.00
Available Inspections:
Inspection Type:
Final
Review Building
Review Planning
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 AFFIDAyq: I certify that all the .regoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an o g. Futmore, I size the a -named contractor to do the work stated.
Authorized Signetyf'e: Owner
licant Contractor / Agent
Building Department Cop
August 16, 2018
Date
August 16, 2018 1
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
cfyh
FBC 20I"?
BUILDING Master Permit No. A CT J p - Z13`i
PERMIT APPLICATION Sub Permit No.
]BUILDING ❑ ELECTRIC n ROOFING 0 REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL 7PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: /" L "
/0:3 s
City: Miami Shores County: 7V Miami Dade
Zip:
Folio/Parcel#: ( `JA))- 0 t "i n Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone: BFE:
3S�
NO °L
FFE:
OWNER: Name (Fee Simple)Titleholder): C Piione#: '3 0S)3gP/5)
Address: Q(0 4 • - 10 3 s
City: Mice044 5 h d
State: 7-&
Zip:
C. �
Tenant/Lessee Name: y71 � ��� Phone#:
Email: '2-"V'2(G, v" �j 0 K Z€i/t' Z 5376 `7 j%�CX// /� • l_ o ryi 1 VO
i.
CONTRACTOR: Company Name:, )1Y1 Tl...��{, `\CICa, .-e -ttt51 Phone#: bs )Cl (o bit:, . f
Address: C:5—i- Nt c \ L'VY-, ��QQ-t 0
City: H ( Cis r- , State: V-L Zip: 3-3) c
Qualifier Name: v, (A --he- 0,--) r ,c c_ Q . Phone#: 2 CS ES I GI Co (f,CD
State Certification or Registration #: eic. i5 2 a-Ct.z Certificate of Competency #: C.
DESIGNER: Architect/Engineer: + , Phone#:
Address: City: State:
00
Value of Work for this Permit: $ ,��-S Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work: Pe-fYY7✓C Ca UV1/4'1 \ f15
Et
Zip:
Demolition
Specify color ofcolor'tihru. tile: =. :: .'• , s; ^
v .•; t
Submittal Fee $ • •S•� ;d�'3'''Permit Fed $''• % CCF $ CO/CC $
Scanning Fee $• -' — Radon Radon Fee $ DBPR $ 1 Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
c
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City . r 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 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
(Pt 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
`?~ i c inspection will not be approved and a reinspectiodfee will be charged.
r�
P
Signature
r`9
OWNER or AGEN
IN
The foregoing instrume/jwas acknowledged before me this
' 0" day of TT U S� 20 D by
\14. C,C7A ZOl l`Eg , who is personally known to
me or who has produced :J ivA.r �tC\LflS'f as
identificatio and o did a an :.th.
NOT
Sign:
Print:
Seal:
RY PU
;��ryY Pyi, YANADY PRIETO
MY COMMISSION R FF 214031
. EXPIRES'. March 25, 2019
************
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
t O day of Cs)Sr , 20 (g , by
vka _e9nMIS_Ci1Q_ , who is pi ersonally know o
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Print: Nit C 1'A Lc -
Seal:
NILDA LOPEZ
• :'c MY COMMISSION # GG056663************* ***
o. EXPIRES D lka>
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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ss; .lt�\ Ill
ERM T' #: / Ct (s-2J l
Miami Shores Village
APFRO\'ED
BY
DATE
ZONING DEPT
BLDG DEPT
�
t "'j
SUBJECT 1.0 CCMPLIANCE WITH A FE RAL
STATE AN CUIJN)Y iiULES AND REGULATIONS