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DS-18-1087Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit IVO. DS-4-18-1081 ■ Permit Type: Driveways/Sidewalks/Slabs M I Work Classification: Addition/Alteration Permit Status: APPROVED Parcel Number Issue Date: 512/2018 Expiration: 10/29/2018 Applicant 22 NW 105 Street Miami Shores, FL 33150-1242 1121360131170 Block: Lot: WHALEN GROUP, LLC Owner Information Address Phone Cell WHALEN GROUP, LLC 22 NW 105 Street MIAMI SHORES FL 33150- (305)710-6801. !YCE 22 NW 105 Street MIAMI SHORES FL 33150- Contractor(s) BRUNO CONTRUCTIUON CORP Phone (305)766-8984 Cell Phone Valuation: Total Sq Feet: $ 2,500.00 800 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Work: DRIVEWAY REPLACE WITH PAVERS Bond Return : Scanning: 3 CANCEL Additional Info: Classification: Residential E� Fees Due Bond Type - Owners Bond CCF DBPR Fee DCA Fee Education Surcharge P&Z Review Fee Permit Fee Scanning Fee Technology Fee Total: Amount $500.00 $1.80 $2.00 $2.00 $0.60 $35.00 $125.00 $9.00 $2.40 $677.80 Pay Date Pay Type Invoice # DS-4-18-67290 05/02/2018 Credit Card $ 627.80 $ 50.00 04/25/2018 Credit Card $ 50.00 $ 0.00 Bond #: 3739 Amt Paid Amt Due Available Inspections: Inspection Type: Final Foundation 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. O ERS AFFID IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating cons r io and zoni .. Futhermore, I authorize th aboveftamed contractorbo do the work stated. u orized Signa ure: Owner / Applicant / Contractor / Agent May 02, 2018 Date Building Department Copy May 02, 2018 1 • BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC 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 114 FBC 20 19- Master Permit No.S (p an Sub Permit No. ❑ ROOFING ❑ REVISION ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS JOB ADDRESS: 2- City: Miami Shores /' County: Folio/Parcel#: / / 2/ Tt '0/3—/C/ Occupancy Type: Load: Construction Type: 0 CHANGE OF CONTRACTOR ❑ EXTENSION ❑ CANCELLATION Miami Dade Zip: ENEWAL /CR DRAWIN��Q Is the Building Historically Designated: Yes NO x OWNER: Name (Fee Simple Titleholder): t A 4/O1J1b // Address: 2�3 AJG //.5/ 3T Flood Zone: 8 City: it,//44 / Tenant/Lessee Name: Email: (N.4i State: /r/t //� CONTRACTOR: Company Name: +� / ✓/1/ Address: City: /et State: Qualifier Name: DWI � � L )ry utQ Phone#: 1 tC) State Certification or Registration #: t� 1' n C) Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: 21500 Value of Work for this Permit: $ Square/Linear Footage of Work: BFE: FFE: / Phone#: ((DS-) 7� -!O O c/ Ca4 ot Zip.rliJ'i Phone#: ©i,5 ✓4/e)A4/> Phone#: ✓V S-1 1Q VCo 73/ S� Type of Work: n Addition Alteration ❑ New Description of Work: t 6 J CA. \ Zip: goO Repair/Repl e ❑ Demolition S Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $ CD Permit Fee $ I ZS CCF $ 1. BO 2-.4o Structural Reviews $ Radon Fee $ 2 DBPR $ Z. Training/Education Fee $ O.bo CO/CC $ Notary $ ` Double Fee $ Bond $ (Revised02/24/2014) �42 3s I - TOTAL FEE NOW DUE $ 12l . So 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 secs; d for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC ' 441a.OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that allwtiteD 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signattn OWNER or AGENT Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 2,14 da f , 20 / ' , by ( L1 day of , Dial % , 20 / ?" , by (�i h is personally known to 1 / = 1AnNc% �-O who is per onally known to .l Uri--x p "Y j me or who has produced 0 a - � � as me or who has produced 1� c�e-.._ as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: t�✓ f CC Seal: +s COMMISSION # R►U2540 EXPIRES: JWy 16,-201$ www- ARY.COM APPROVED BY identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Plans Examiner Structural Review CHANTAL GLOOR COMMISSION # RF142510 EXPIRES: July 16. 20111 Ii Zoning Clerk (Revised02/24/2014) .....N W. 1 05th STREET ................................................ ..................................... ::17 . 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