DEMO-18-3443Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date:11/14/2018
Per mlr WO.: DEMO-11-18-3443
Permit Type: Demolition
Work Classification.- Electric
Permit Stotts: Approved
Expiration: 05/13/2019
Parcel Number
909 NE 99 ST, Miami Shores, FL 33138
1132060340230
Contacts
I
VASCO PINTO BAPTISTA LOPES DA SILVA
909 NE 99 ST, MIAMI SHORES, FL 33138
Other: 3056062285
Owner
CARIBE S ELECTRIC INC
HENRY HERNANDEZ
7812 NW 72 AVE, MEDLEY, FL 33166
Business: 7862556212
Contractor
VASCO PINTO BAPTISTA LOPES DA SILVA
909 NE 99 ST, MIAMI SHORES, FL 33138
Other: 3056062285
Applicant
Description: DEMOLITION OF EXISTING KITCHEN CABINETS
AND WALL SIDING REMOVAL OF CERAMIC TILE AT LIVING
ROOM
Fees
Amount
Application Fee - Other
CCF
DBPR Fee
DCA Fee
Education Surcharge
Electric, Plumbing, Mech, Gas Demolition
Fee
Scanning Fee
$50.00
$0.60
$2.00
$2.00
$0.20
$50.00
$3.00
Technology Fee $2.50
Total:
$110.30
Valuation: $ 500.00
Total Sq Feet: 0.00
Inspection Requests:
305762-4949'
Payments
Total Fees
Credit Card
Amount Due:
Date Paid
11/14/2018
Amt Paid
$110.30
$110.30
$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
Village. In accepting
permits are required
OWNERS AFFIyX
regulating co jtllrl,
I•
'n strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
is permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
T: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
n and zoning. Futhermora h thorize the above amed contr tor to do the work stated.
Aut .rized Sig ture: Owner / Applicant / Contractor / JAgent
Date
November 14, 2018
Page 2 of 2
BUILDING
PERMIT APPLICATION
El BUILDING al ELECTRIC
❑PLUMBING ❑ MECHANICAL
JOB ADDRESS: go'7 NE
City: Miami Shores
Folio/Parcel#:
Occupancy Type:
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
CP
FBC 201—/
Master Permit No. yV/2e» O-- l "Z i`O� 1
Sub Permit No. 1� )15' 'gug3
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
99 3Tree-
County: Miami Dade
RECEIVED
NOV 14101d
st4 4-1
❑ CANCELLATION ❑ SHOP
DRAWINGS
Zip:
Is the Building Historically Designated: Yes NO
Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 1%'3C0 l O u25 ( Q Jl v Phone#: 60
Address: CM ( j? el? S72
City: /21 arr>> `jhOTe S State: Zip: j 3 / - e'
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Ca{1 be St t: Phone#: C5)5) Vc)
Address: / �O U.). go S / %wee-[
In ��
'' ii State:
Ll1�4 crn curl z-
Qualifier Name:
State Certification or Registration #: C13D.
DESIGNER: Architect/Engineer:
Address: y� City:
Value of Work for this Permit: $ ,SO(2 Square/Linear Footage of Work:
Type of Work: ElAdditionAddition ❑ Alteration I New ❑ Repair/Replace
Zip: 3 501 Z -
Phone#: 7%--Z G2 / 2
)CS-ar3--3a 9-(.
Certificate of Competency #:
Phone#:
State: Zip:
Description of Work:
Demo
E Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
J O day of ,1/4Tr‘"%. , 20 /1' , by
e 0 G— 0,669. , who is personally known to
me or who has produced as
identification and who did take an oath.
NOT
Print:
Seal:
JULIA SALA
i;'-.;: ei- Notary Public - State of Florida
'a' Sn°; �o Commission tt GG 242596
' '';..° My Comm. Expires Nov 21. 2022
Bonded through National Notary Assr.
Signature
CONTRACTOR
The foregoi g instrument was acknowledged before this
/2 day of ✓ , 20 / , by
to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
my (,
Sign:
Print:
Seal:
ho
= MY COMMISSION # GG 132472
EXPIRES:August 7, 2021
••?„, `3`'• Bonded Thru Notary Public Underwriters
************. * * * **********************************************************************
APPROVED BY
Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review Clerk