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RC-16-2471`g00RES 9,` Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 FGORipp' Phone: (305)795-2204 Project Address Permit NO. RC-9-16-2471 ■ Permit Type: Residential Construction rWorkClasSifiCatfon: Addition Permit Status: APPROVED issue Date: 2/1012017 F Expiration: 08/09/2017 Parcel Number Applicant 515 GRAND CONCOURSE 1132060171340 Miami Shores, FL Block: Lot: GREGORY PALMER Owner Information Address Phone Cell GREGORY PALMER 515 GRAND CONCOUSR (305)220-7663 FL :ontractor(s) Phone Cell Phone MEC CONSTRUCTION, LLC (954)410-4695 Approved: In Review Comments: Date Approved:: In Review Date Denied: Type of Construction: ADDITION Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Yes Certificate Date: Fees Due Amount Bond Type - Owners Bond $500.00 CCF $150.00 CO/CC Fee $150.00 DBPR Fee $112.50 DCA Fee $112.50 Education Surcharge $50.00 Permit Fee $7,500.00 Plan Review Fee (Engineer) $80.00 Plan Review Fee (Engineer) $120.00 Plan Review Fee (Engineer) $120.00 Scanning Fee $96.00 Technology Fee $200.00 Total: $9,191.00 Valuation: $ 250,000.00 Total Sq Feet: 917 1 Available Inspections: Inspection Type: Final PE Certification Tie Beam Bond Beam Window Door Attachment Slab Termite Letter Framing Insulation Drywall Screw Trusses Plan Submittal Roof Sheathing Spot Survey Wall Sheathing Rake Beam Footing Window and Door Buck Roof Trusses Density Fill Cells Columns Wire Lathe Final Building Declaration of Use Review Plumbing Review Plumbing Review Electrical Review Electrical Review Planning Review Planning Review Building Review Building Review Structural Review Structural Review Mechanical Review Mechanical In cons era ion of the issuan o me of thi ermit, 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 Occupancy: Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: ADDITION OF NEW BEDROOM ANC Classification: Residential Pay Date Pay Type Amt Paid Annt Due Invoice # RC-9-16-61246 02/10/2017 Check #: 2815 $ 8,991.00 $ 200.00 09/07/2016 Check #: 4116 $ 200.00 $ 0.00 Bond #: 3311 February 10, 2017 1 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit No. C-9-16-2471 Permit Type: Residential Construction Per ' Work Classification: Addition Permit Status: APPROVED Parcel Number Issue Date: 211012017 1 Expiration: 08/ 9/2017 Aoolicant 515 GRAND CONCOURSE 1132060171340 Miami Shores, FL Block: Lot: GREGORY PALMER Owner Information Address Phone Cell GREGORY PALMER 515 GRAND CONCOUSR (305)220-7663 FL Contractor(s) Phone Cell Phone JMEC CONSTRUCTION, LLC (954)410-4695 oved: In Review ments: Approved:: In Review Denied: of Construction: ADDITION Front Setback: Left Setback: Bedrooms: Plans Submitted: Yes Certificate Date: Fees Due Amount Bond Type - Owners Bond $500.00 CCF $150.00 CO/CC Fee $150.00 DBPR Fee $112.50 DCA Fee $112.50 Education Surcharge $50.00 Permit Fee $7,500.00 Plan Review Fee (Engineer) $80.00 Plan Review Fee (Engineer) $120.00 Plan Review Fee (Engineer) $120.00 Scanning Fee $96.00 Technology Fee $200.00 Total: $9,191.00 Valuation: $ 250,000.00 Total Sq Feet: 917 Occupancy: Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: ADDITION OF NEW BEDROOM ANC Classification: Residential Pay Date Pay Type Amt Paid Amt Due Invoice # RC-9-16-61246 02/10/2017 Check #: 2815 $ 8,991.00 $ 200.00 09/07/2016 Check #: 4116 $ 200.00 $ 0.00 Bond #: 3311 required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. Avauame I Inspection Type: Final PE Certification Tie Beam Bond Beam Window Door Attachment Slab Termite Letter Framing Insulation Drywall Screw Trusses Plan Submittal Roof Sheathing Spot Survey Wall Sheathing Rake Beam Footing Window and Door Buck Roof Trusses Columns Review Plumbing Review Plumbing Review Electrical Review Electrical Review Planning Review Planning Review Building Review Building Review Structural Review Structural Review Mechanical Review Mechanical 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 February 10, 2017 2 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Parcel Number Permit -No. RC-9-1,6-2471 Permit Type: Residential Construction Work Classification: Addition Permit Status: APPROVED Issue Date: 2/10/2017 1 Expiration: UUMP/2017 Applicant 515 GRAND CONCOURSE 1132060171340 Miami Shores, FL Block: Lot: GREGORY PALMER Owner Information Address Phone Cell GREGORY PALMER 515 GRAND CONCOUSR (305)220-7663 FL Contractor(s) Phone Cell Phone JMEC CONSTRUCTION, LLC (954)410-4695 Approved: In Review Comments: Date Approved:: In Review Date Denied: Type of Construction: ADDITION Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Yes Certificate Date: Fees Due Amount Bond Type - Owners Bond $500.00 CCF $150.00 CO/CC Fee $150.00 DBPR Fee $112.50 DCA Fee $112.50 Education Surcharge $50.00 Permit Fee $7,500.00 Plan Review Fee (Engineer) $80.00 Plan Review Fee (Engineer) $120.00 Plan Review Fee (Engineer) $120.00 Scanning Fee $96.00 Technology Fee $200.00 Total: $9,191.00 Valuation: $ 260,000.00 Total Sq Feet: 917 I Available Inspections: Occupancy: Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: ADDITION OF NEW BEDROOM ANC Classification: Residential Pay Date Pay Type Amt Paid Annt Due Invoice # RC-9-16-61246 02/10/2017 Check #: 2815 $ 8,991.00 $ 200.00 09/07/2016 Check #: 4116 $ 200.00 $ 0.00 Bond #: 3311 Inspection Type: Final PE Certification Tie Beam Bond Beam Window Door Attachment Slab Termite Letter Framing Insulation Drywall Screw Trusses Plan Submittal Roof Sheathing Spot Survey Wall Sheathing Rake Beam Footing Window and Door Buck Roof Trusses Density Fill Cells Columns Wire Lathe Final Building Declaration of Use Review Plumbing Review Plumbing Review Electrical Review Electrical Review Planning Review Planning Review Building Review Building Review Structural Review Structural Review Mechanical Review Mechanical construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. February 10, 2017 Authorized Signature: Owner / Applicant / Contractor / Agent Date ruary 10, 2017 3