DS-18-3431Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
22 NW 105TH ST, Miami Shores, FL 33150
Permit °NO.: DS-11-184431
Permit Type: Driveways/Sidewalks/Slabs
I Work Classification: Addition/Alteration
Permit Status: Approved
Issue Date:11/13/2018
Parcel Number
1121360131170
Expiration: 05/13/2019
I
Contacts
WHALEN GROUP, LLC
22 NW 105 ST, MIAMI SHORES, FL 33150
Other: 3057106801
Owner
BRUNO CONSTRUCTION CORP
VICENZO ANTONIO BRUNO
Business: 3057668984
Contractor
Description: DRIVEWAY REPLACEMENT WITH PAVERS TO
REPLACE PERMIT#DS18-1087
Fees
Amount
Application Fee - Other
Concrete/asphalt/pavers, slabs, dways,
swalks
Total:
$50.00
$12.50
$62.50
Valuation: $ 2,500.00
Total Sq Feet:
800.00
Inspection Requests:
305-762-4949
Payments
Total Fees
Credit Card
Amount Due:
Date Paid
11/13/2018
Amt Paid
$62.50
$62.50
$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.
.NERSF.FIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regplating gonstruction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Autho%ed Signature: ZYVIrT / Applicant / Contractor / Agent
8/(27/
Da
November 13, 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
BUILDING
PERMIT APPLICATION
0 BUILDING 0 ELECTRIC 0 ROOFING
FBC 20
Master Permit N0 --5431
Sub Permit No.
0 REVISION 0 EXTENSION 0 RENEWAL
0 PLUMBING 0 MECHANICAL 0 PUBLIC WORKS CHANGE OF
CONTRACTOR
JOB ADDRESS: ZZ._ (K__) L.-‘) tt)
ih
City: Miami Shores
Folio/Parceltt:
County:
Occupancy Type: Load:
OWNER: Name (Fee Simple Titleholder):
Address: ,
City: State:
Miami Dade
Is the Building Historically Designated: Yes
Co struction Type:
0 CANCELLATION
0 SHOP
DRAWINGS
zip: 376
BFE:
NO
F:://10 ti4
Tenant/Lessee Name: Phone#:
Email:
one#:
CONTRACTOR: Company Name: tab
Address:
020 C": 12_2Zr
City: ik3
Qualifier Name: / Vi j1F(-,
State Certification or Registration #.
DESIGNER: Architect/Engineer:
Address: City:
Value of Work for this Permit: $ 21 30$
Type of Work: E Addition 0 Alteration
State:
6
-
Zip:
Phone#:
eerl'tificite of Competency #: , • .
Phone#:
Square/Linear Footage of Work:
State: Zip:
EiTh0
0 New Repair/Replace 0 Demolition
Description of Wor17:174 ATZLAI-1%1/41' Lisrm
TO -Ds• c 6)-1 0 .e
v • 4.•
•
Specify color of
• n..1) •-;,..1 ?" 1
Oir
Submittal Fee
LAaf.".1:1' YM
r “YiV!)t
331 .3!' 1011 <'`.'f E
CCF $
Scanning Fee $ Radon Fee $ DBPR $ • k Notary $
Technology Fee $ Training/Education Fee $ 1 Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ -, Ex)
(Revised02/24/2014)
,a
Y
********
rt'f'1; 1, .r
Bonding Company's -Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) I'
Mortgage Lender's Address
•
City State' Zip
4. -
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 performeno 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.
4
"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 , building permit with an estimated value;exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the 'building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
OWNER or AGENT
Theforegoing instrument was acknowledged before me this
day
t
who is p
me or who has produced
identification and who did take an oath.
NOTARY PU$LIC:
/
Sign: S" '
0
n.wn o
Print: Ali� F _ y
Seal: , ANTHONY E. KILISSANLY
,•••••••,• ,L ;*: MY COMMISSION # GG 100640
is EXPIRES: May 2, 2021-
; d,We Bonded Thru Notary Pyhlic Underwriters
f*******w*-****** *******
APPROVED BY
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
' day of !
p
20 % , by
ho is perso ly known to
me or who has produced j1/2I24, j Y./P71s
identification and who did take an oath.
NOTARY'PUBLIC
Sign:
Print: Alen ;)% t : : 1LSS' ,0/7
_xi:.t
Seal: f•.,O:4 " ANTHONY E. KILISSANLY
• a •. s MY COMMISSION # GG 100640
��` EXPIRES: May 2, 2021
,�►,t°r Bonded Thru Notary Pubtk Underwriters
Plans Examiner
Structural Review
I It-
Zoning
Clerk
(Revised02/24/2014)