DEMO-18-187 (3)Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit NO. DEMO-1-18-187
Permit°'Type: Demolition
Worts Classification: Building
Permit Status: APPROVED
Issue Date: 2/2012018`
Expiration: 08/19/2018
Parcel Number
Applicant
1420 NE 101 Street
Miami Shores, FL
1132050230050
Block: Lot:
MATTHEW ALLEN
Owner Information
Address
Phone
Cell
MATTHEW ALLEN
1420 NE 101 Street
MIAMI SHORES FL 33138-
(305)673-2847
Contractor(s)
G 7 HOLDING INC
Phone CeII Phone
(305)673-2847
Valuation:
$ 10,000.00
Total Sq Feet: 5900
Type of Demo: Building
Additional Info: TOTAL DEMOLITION OF SINGLE FAMILY H
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$6.00
$9.60
$6.40
$2.00
$640.00
$9.00
$8.00
$681.00
Pay Date
Invoice #
01/24/2018
02/20/2018
Pay Type Amt Paid Amt Due
DEMO-1-18-66215
Check #: 10874 $ 200.00 $ 481.00
Check #: 10872 $ 481.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Review Building
Review Building
Review Planning
Review Electrical
Review Electrical
Review Mechanical
Review Plumbing
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. FutherrJr ore, 1 -. tJho .ze the above -named contractor to do the work stated.
Authorized Signatu
er / Applicant / Contractor / Agent
February 20, 2018
Date
Building Department Copy
February 20, 2018
1
BUILDING
PERMIT APPLICATION
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
RECEIVED
JAN 2 4 2016
e5A_.
FBC 20n
Master Permit No.D 1-10 0 -ir7
Sub Permit No.
I6UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION pi RENEWAL
PLUMBING ❑ MECHANICAL LI PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION El SHOP
CONTRACTOR
JOB ADDRESS: 11420 �� `O` Gy .eC-V
Occupancy Type: Load:
DRAWINGS
City: Miami Shores County: Miami Dade
Zip: 3313%
Folio/Parcel#: II- 32OS - OZ 3 - 00$ p Is the Building Historically Designated: Yes NO '.,'
Construction Type: Flood Zone: BFE: FFE:
h1ai-+nii. w A I IC 11
Address: 14ZO NE 101 Skv'a-e.k.
City: 1111(AM% Skor..al
OWNER: Name (Fee Simple Titleholder): Pones. (03 Z`b y }
Tenant/Lessee Name: Phone#:
Email:
State: t L- Zip: 88 i3
CONTRACTOR: Company Name: G 4)0lct' (195 r TviC . Phone#
Address: I(oa2 AI1b'i Pvac) 416OZ
City: Y11to. nil, QeCt.(In
Value of Work for this Permit: $ I0, 6 06- 60
Type of Work: ❑ Addition ElAlteration ❑ New ❑ Repair/Replace I El/Demolition
, Description of Work: 1tt
rcc ( All MO )1 iU/1 O r S I.
/lq l..( Pi.. rtn , 1 if 1,14S e e)vi ,..,t Wu c/
fOo(i anr� F,o 0 ten) 1o0(c �F- � o�Puw‘,44'ons t- Pi lire/s i
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Permit Fee $ G 140 • W
Radon Fee$ (o•t O
Training/Education Fee $
CCF $ CO/CC $
DBPR $ / _ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE$ 448 I CO
State: F(- Zip: 3 (.q
Qualifier Name: Gre DO vL Phone#:
State Certification or Registration #: (--(7(,i 5 )Lj 6S Z Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:i
Address: City: State: Zip.
Square/Linear Footage of Work 6. 303.O IpcoL (sso If 4hc v'Ji
1330
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 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 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.
• Signature
}
OWNE .r GENT
Signature
TRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
,20 I4 ,by
, who is personally known to
g-u day of JV b ✓-eim h Y ,20 I , by I/ day of
t tQ ) A Berl 0 personally mow
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Si
Print:
„eal
ANL
TALIA RICKARDS
Notary Public • StateofeFlorida
`
My Comm. Expires Jan 13, 2019
yerthrouli National notary Assn.
r*
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
s Examiner
Structural Review
Aiguk% Crista Stefanick
?'F • Commission0FF085515
=sky►•'p=` Expires: FEB. 03 2018
n,F„arWWW.AAR0NNOTARY.com
as
Zoning
Clerk
(Revised02/24/2014)