DS-18-462Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit NO. DS-2-18 462
Permit Type: Driveways/Sidewalks/Slabs
Work Classification: New
Permit Status: APPROVED
Issue Date: 2/26/2018
Expiration: 08/25/2018
Parcel Number
Applicant
1499 NE 104 Street
Miami Shores, FL
1122320320110
Block: Lot:
PATRICK LONGMAN
Owner Information
Address
Phone
CeII
PATRICK LONGMAN
1499 NE 104 ST
MIAMI FL 33138-2663
(305)677-3046
Contractor(s)
CHAMPION CONCRETE
Phone CeII Phone
(305)252-8055 (786)402-4802
Valuation:
Total Sq Feet:
$ 8,600.00
1200
Approved: In Review
Comments:
Date Approved:: In Review
Date Denied:
Type of Work: PAVERS DRIVEWAY
Bond Return :
Scanning: 3
Additional Info:
Classification: Residential
Fees Due
Bond Type - Owners Bond
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$500.00
$5.40
$2.00
$2.00
$1.80
$150.00
$9.00
$7.20
$677.40
Pay Date Pay Type
Invoice # DS-2-18-66539
02/22/2018 Check #: 2796
02/26/2018 Check #: 5550
Bond #: 3670
Amt Paid Amt Due
$ 50.00 $ 627.40
$ 627.40 $ 0.00
Available Inspections:
Inspection Type:
F''al
Revi
'on
g
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 respnsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMB! , MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify th
construction and zoni Futherm
all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
I authorize the above -named contractor to do the work stated.
er / Applicant / Contractor / Agent
February 26, 2018
Date
Building ' epartment Copy
February 26, 2018 1
1
yt
41,47r.
,041.
s1/414,t
35 e-7f-i-t3?3
JOB ADDRESS:
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
❑ ROOFING
RECEIVED
OCT 0 3,1018
-41
FBC 201�
Master Permit No. DS `3oc. °
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
ri aq 104 s-�-
City: Miami Shores County:
Folio/Parcel#: t i L2YZ. 0.3 2 (2 U V
Occupancy Type: Load: Construction Type:
Miami Dade
❑ CANCELLATION ❑ SHOP
DRAWINGS
Zip: 33 / 3
Is the Building Historically Designated: Yes NO
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): .P' iLie>O LLJ.?6t7fA Q' Phone#:
Address: tuftAEi oie 9!
City: IN44s illsoiL State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: H/011 /) 6»k )'(C?
Address: ((7260 J w.) VL.
City: i/ Oti{4/(
Qualifier Name:
State:
J4—i 64 ,;L t)
State Certification or Registration #:
Phone#: 115 ZSLroST
Phone#:
Zip: -312f
Certificate of Competency #: G-G.- O$3_S 00(1-
DESIGNER: Architect/Engineer: Phone#:
Address: City:
Value of Work for this Permit: $ t 0 0
Type of Work: ❑ Addition ❑
Square/Linear Footage of Work:
State: Zip:
Alteration ❑ New ❑ Repair/Replace
Description of Work: 0 WI (5l b S tC J ` "l L0 2
1 Z.OU
❑ Demolition
Specify color of:color thru tile:
gl
Submittal Fee $.. :_ Permit Fee $;r
Scanning Fee $
Technology Fee $
Structural Reviews $
CCF$ fir, a.tt,
Radon Fee $ DBPR $_
Training/Education Fee $
Notary $
Double Fee $
Bond $ `--�
TOTAL FEE NOW DUE $ J •�
(Revised02/24/2014)
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of
inspection will not be approved and a reinspection fee will be charged.
{ I OWNER or AGENT
- The foregoing instrument waswacknowledged beforetme this
,7jA " dayo�f`O1.� b,/er/ ,20 I2 ,by
Pc1:�'s r ; c_\ , WIQ544 1.61 , who is personally known to
me or who has produced tif \f1'.s ep,AS-$2-1 as
identification and who did take an oath.
ARYL BLIC:
S
Print:
Seal:
r,
.'"'"'''' MARVA M. WIW»AS
s _
,.: MY COMMISSION i FF 203592
EXPIRES: February 5, 2019
Bonded Thai Notary
APPROVED BY
i
(Revised02/24/2014)
^� y
Signature
ONTRACTOR
The foregoing instrument was acknowledged before me this
(A day of. (ti , 20 I , by
C's, > f . (\ I (, who is personally known to
me or who has produced \Th._f J-e (t S l .► C Q(�9-was
Bonding Company's Name (if applicable)
Bonding Company's Address
City • 1 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. _ P.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IrYOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
4
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 bVppsted at the job site
posted notice, the
identification and who di
� t w{
/NOTARY PA1BLIC:
Seal:
*********************
•
Plans Examiner
Structural Review
take an oath.
AA 4., MARVAM.YAWNS
I s MY COMMISSION i FF 203592
;yam1 EXPIRES: February 25, 2019
n ° Bonded Thai Notary Pubic Undenmters
************
Zoning
Clerk
i
4-Ay'
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
FBC20�+� n11
Master Permit No.DS 1 - 4(oZ
Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: II( ` q NE /01/ IF
City:
Miami Shores County: Miami Dade Zip:
Folio/Parcel#: l J^ Z2 ^ £7 _ O// 0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): ,a/rThitt_ LV/V 6/750 PO Phone#: e
Address:! 57- #4,,,
City: t1 it "doh, State:Zip: �
Tenant/Lessee Name: tf
Phone#: Email: / 4(2
'l p 1 (.t9A 7p P
Address: /OZ YO I41' b37yj A /05
fl
CONTRACTOR: Company Name:
City:
Qualifier Name:
01-(1wt c. b /a c)
State:
Phone#:
State Certification or Registration #: Certificate of Competency #: CC,®
DESIGNER: Architect/Engineer: Phone#: GC i. $ 5oO
Address: City: State: Zip:
Value of Work for this Permit: $
rflar
Square/Linear Footage of Work: /rxPO
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
JAI vhoff )
Specify color of color thru tile:
Submittal Fee $ 5.6 • V1° Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $5-0
_
Structural Reviews $ Bond $ I l7 .!�� LP
TOTAL FEE NOW DUE $
(Revised02/24/2014)
b27.1O
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.
1 •
"WARNING TO OWNER: YOUR FAILURE TO RECORD A 1 NOTICE OF COMMENCEMENT MAY
4
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 NOTI`Bf OF COMMENCEMENT."
Notice to•A" licant: As a condition to the issuance ofa building i . pp g permit with an estimated value exceeding $2500, the applicant must
promise in good fait!). that a copy of the notice of commencement and construction lien laini brochure will be . ivered to the person
whose"'property is subject to attachment. Also, a certified copy of the recorded notice of commencement must • posted at the job site
for,the•firthe building permit is, issued. In the a•sence o uch posted notice, the
inspe ytion will nofbe approved and a reinspection fee will be charged.-' •
Signature
"'- OWNER(or AGENT
rtsay : 2v
The foregoing instrument was acknowledged before me this
�/
%5Z�� �dayof !'L�6�U�! � ,
20 /63 by
G%%rAgis personally known to
Y4.
me or who has produced ,t°f9'Z7Q/" 7' /e 74w?
identification and who did take an oath.
NOTARY PUBLIC:
Sign: /C!
Print:
Seal:
k4O7, 398L-S3 Floridalloa'ySery e.:wr
******************************* ***
APPROVED BY
y •
MAGALY LLAPUR
MY COMMISSION # FF2 ; '76
o; ` EXPIRES March 25, 20 ;
*************************
//
Signature
NTRACTOR
The foregoing instrument was acknowledged before me this
7/4 day of *1/-4,4 /et"' , 20 / , by
a'//%%e g, /"who is personally known to
me or who has produced /.%B7-�
�;, a /2s
identification and who did •take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner
Structural Review
MAGALY LLAPUR
MY'COMMISSION # FF213776
a ,d `` EXPIRES March 25, 2019 '
Zoning
Clerk
(Revised02/24/2014)
• s -
Tre-
9620
ONE STORY S.F.R.
C.B.S. No. 1499
eiA)-(321,2tsy
- Q ,, 44 ¢ •1)14,0
-4,174 019;0
re T 7
t
i
ga
Miami Shores, FL 33138-0000
Phone. (305)795-2204 Fax: (305)756-8972
INSPECTION REQUESTS: (305)1624949 or Log on at htt tila�
llage.com/cap
REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE FOLLOWING BUSINESS DAY.
Requests must be received by 3 pm for following day inspections.
Driveways/Sidewalks/Slabs
Owner's Name: PATRICK LONGMAN 5
Job Address: 1499 NE 104 Street
jvliami Shores, FL
Bond Number: 3670
Contractor(s)
CHAMPION CONCRETE
Phone. nar"; oritr4ctor..;
(30502-8055 Yes µ }
Parcel #:1122320320110
Owner's Phone: (305)677-3046
Total Square Feet: 1200
Total Job Valuation: $ 8,600.00
ORK IS ALLOWED:
'MONDAY THROUGH FRIDAY, 8:OOAM - 7:OOPM.
SATURDAY 8:OOAM - 6:OOPM.
NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS.
BUILDING AND ROOFING INSPECTIONS ARE DONE
MONDAY THROUGH FRIDAY.
74" da4 Wiw-efc
NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS
THE PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER
THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL
REQUIRED TO ALLOW INSPECTION.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT.
STRUCTURAL
INSPECTION `''•.
Foundation t. --
Sternwall
Slab., '- ..{.
Column s (lst:Lift '
Columns_(2nd'Lift);72'-
Tie Beam
Truss%Rafters; -r„Y
Roof Sheathing • t
Bucks
Interior Framing,
Insulation :
Ceiling Grid,,,
a
Drywall-?'
Firewall
Wire Lith
Pool Steel
Pool Deck
Final Pool:,,
Final Fence ;a;'
Screen'Enc[oure.
Driveway,.__„,:;;,
k
. sl
-1NSp
-•
Roof in Progress-:
WINDOWS & DOORS
INSPECTION
FINAL
PUBLIC WORKS
FINAL
ELEC-RtCAL
INSPECTION :
Terriporary
30'_Day Terripoca
Pool Boiiding.'
Pool Deck Bonding
Pool,Wet Niche-
nderground
• Fadter Ground
WaIFRough +
T `mac Ceiling'Roughi~
_ �elephone:Rough_
Telephone'Final
Mop in Progress:
. . ' TV Rough,
Final Roof_
Shutters Attachtnentz_
Final Shutters.
Rails and -Guardrails
ADA compliance,
Z
,.DOCUMENTS �A;,�
Soil Bearing Ce
•
Soil Treatment ten--;'
a.s
Floor ElevatidnSuivey ; 4 . '
Reinf Unit Mas:Cert:
Insulation Certikate
Spot Survey .
Final Survey:,
Truss .Ce(tification
t.
STRUCTURA(tommiNTs
•
I•
4
TV Final'
Cabie;Rough:
CabI Final
Intercom Rough.
liitercorri:.EinaI
atth Rough
Alain Finale 'v
Fire Alarm. Rough
Fire""Alai=�itt' Finial
• Service.Work'Witl
ELECTRICAL' coMMENTS
FIRE
INSPECTION = ; i`‹t DATE x:'
Final Sprinkler s Y;'
FINAL
a
,.y
t
PLUMBING
INSPECTION, -• _
Rough_,
DATE
INSP
Water Service" �
2"d Roughs
Top.Out
Fire'Sprinklers_ '�-"
-
Septic:Tank:
Sewer•'Hook-up;
Roof Drains
c
Gas' ;
-
LP Tank
Well y _
Lawn Sprink[ers
Mai?rOrair
Pool Piping -
BackfloinrPreventor
Interceptor:'
a
Catch Basins`.
f.
Condensate Drains,
HRSFni
FINAL
PI;UMt;ING COMMENTS4- :-
underground Pipe
..1 -;'
Rough:
Ventilation
Hood Rough.
5..
Pressure Test:
FinalHood
y •
,s:=
F rialVent[lat[an '"
FlnalPoo1Heaterr t
Final Vacuumw
MECHANfGAL coMVMMENTs:
•
7.4
.emu `-