DS-16-1280Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit No. DS-5-16-1280
Permit PType: Driveways/Sidawatks/Siabs
er I Work Classification: Repair
Permit Status: APPROVED
Issueoate:5112/2016 I Expiration:11/08/2016
rI VJCGI MUUF V55 Parcel Number Applicant
548 GRAND CONCOURSE 1132060171410
Miami Shores, FL 33138- Block: Lot: ASHLEY M ABESS REVOCABLE
Owner Information Address Phone Cell
ASHLEY M ABESS REVOCABLE TRUST 548 GRAND CONCOURSE (917)657-0713
MIA MI FL 33138-
548 GRAND CONCOURSE
MIAMI FL 33138-
Contractor(s) Phone Cell Phone
WE'R' ALL CONSTRUCTION LLC (786)229-0445
In Review
Date Approved:: In Review
Date Denied:
Type of Work: REPLACE AREAS OF SIDEWALK.
Bond Return
Scanning: 3
Fees Due
Amount
CCF
$2.40
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.80
Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$3,20
Total:
$119.40
Additional Info:
Classification: Residential
Valuation: $ 4,000.00
Total Sq Feet: 25
Pay Date Pay Type Amt Paid Amt Due
Invoice # DS-5-16-59745
05/12/2016 Credit Card $ 119.40 $ 0.00
Available inspections:
Inspection Type:
Final
Foundation
9
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. Futhermore, I authorize the above-named�cgntrXtorJo do the work stated.
Authorized Signature: Owner / Applicant / Contractor
Building Department Copy
/ Agent
May 12, 2016
May 12, 2016 1
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
ABUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
RJEC`
AY 1 2Q16
a
JrA
�
F BC 20 1 H
Master Permit No. C 2,339
Sub Permit No. S((�3 -128c)
❑ iEVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: \6_4 8 6;> C 0 to Ly V IZ C. E.
City Miami Shores County: I Miami Dade Zip'
Folio/Parcel#: Is theBuilding Historically Designated: Yes NO
-
Occupancy Occupancy Type: Load: Construction Type: I Flood Zone: BFE: FFE:
O.WNER:.Name FeeC Simple Titleholder): ��v���7��S I � � � S s P_hone#: 3/ 7 - -G 713
City: ��A 1 n i' SvtiCr S State: a'' -Zip: SIP
Tenant/Lessee Name:
Email:
Phone#:
L ` V I
CONTRACTOR: Company Name: �� A�� G� ►�S-��v c- `I Phone#:�y �'Z Z �J �D �l �S
Address: ,_2)c� D
City: �-, /� i.-*- State: J _Zip:
Qualifier Name: IZ v nA- I a K- a s _Phone#:
State Certification or Registration #: C J 131e 9$ Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address:
Phone#:
City: State: Zip:
Value of Work for this Permit 0U• ^ Square/Linearr Footage of Work:
y 11 El El Alteration ❑ New U Repair/Replace El Demolition
Wor c:
escription of Work c L 0 G A (?E-A-T p C $ 1•D W
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
Structural Reviews $
(Revised02/24/2014)
Bond $
i
TOTAL FEE NOW DUE $
I
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
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. 1 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.
(1, r 26;;;?
Signature I Signature / 616M�
OWNER or AGENT
The forgoing instrument was acknowledged before me this
day of 20 /6 , by
. who is personally known to
me or who has produced %i t as
identification and who did take an oath.
NOTARY PUBLIC:
CONTRACTOR
The foregoing instrument was acknowledged before me this
_ day of 20 by
A r; c, r 120 A..) -5 , who is personally known to
me or who has produced 0e-, =z f ,5 �c r f . as
identification and who did take an oath.
NOTARY PUBLIC:
Marco A. Caso
Sign:
Sign:
•`�•YF^''''
. Pa '.
Notary Public
IAl/
State of Florida
Print:
Print:
°�
�'�,�
18
oo:P"Y HEINRICH C. HUECK
c
FF��.•
`
Commission No. FF152135
Seal: _ + t =
t , Notary Public . State of Florida
Seal:
Bonded through CNA Surety
My Comm. Expire, Sep 30, 2018
Commis ion # FF 164339
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'S L('
11Jr
APPROVED BY
Plans Examiner
Zoning
Structural Review
(Revised02/24/2014)
Clerk
JVFIIV ItiAIi FIA ASSVC.IAI tS IIVC:. -
Professional Land Surveyors& -Me ere MAP OF BOUNDARY SURVEY
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