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DS-18-2145as8-z�us 9 y� Miami Shores Village �eHO12Fs 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 fitORtDA Permit No. DS-8-18- 145 Permit Type: Driveways/Sidewalks/Slabs Pen Work Classification: New Permit Status: APPROVED Issue Date:9/1912018 1 Expiration:03118/2019 Project Address Parcel Number Applicant 43 NW 110 Street 1121360030610 Miami Shores, FL 33168-4318 Block: Lot: INTER MALL INC INTER MALL INC 8260 SW 2 Street MIAMI FL 33144- 8260 SW 2 Street MIAMI FL 33144- Contractors) Phone Cell Phone TOP CRAFTS INC (305)258-1439 In Review Date Approved:: In Review Date Denied: Type of Work: NEW PAVERS DRIVEWAY Bond Return Scanning: 1 Fees Due Amount CCF $2.40 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.80 P&Z Review Fee $35.00 Permit Fee $125.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $173.40 Additional Info: NEW PAVERS DRIVEWAY Classification: Residential Phone Cell (786)231-7789 Valuation: $ 3,500.00 Total Sq Feet: 815 Pay Date Pay Type Amt Paid Amt Due Invoice # DS-8-18-68523 09/19/2018 Credit Card $ 123.40 $ 50.00 08/13/2018 Credit Card $ 50.00 $ 0.00 Avanaoie inspections: Inspection Type: Final Four Review Planning 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 ce that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fut more, I authorize the above -named contractor to do the work stated. tf sty weS' September 19, 2018 Authorized Signa ure: Owner / Ap licant / Contractor / Agent Date . Building Department Copy September 19, 2018 1 BUILDING PERMIT APPLICATION Miami Shores Village RECEIVED Building Department AUG 1 2o�a 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 0c, 20144 Master Permit No. kC-3—l4--1"Z3 Sub Permit No.D<� Ig _ 2 IQ's OBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 43 NW 110 ST City: Miami Shores County: Miami Dade Zip: 33168 Folio/Parcel#: 11-2136-003-0610 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: T BFE: FFE: OWNER: Name (Fee Simple Titleholder): EUCLIDES J. JIMENEZ Phone#: 786-231-7789 Address: 8260 SW 2 ST city: Miami State: Florida Zip: 33144 Tenant/Lessee Name: n/a Phone#: Email: CONTRACTOR: Company Name: Top Crafts Inc. Phone#: 786-258-1439 Address: 14619 SW 99 ST City: MIAMI State: FL Zip: 33186 Qualifier Name: LUIS O RODRIGUEZ Phone#: 786-258-1439 State Certification or Registration #: CGC1509617 Certificate of Competency #: DESIGNER: Architect/Engineer: Juan J. Farach Phone#: 305-551-9621 Address: 14730 SW 50 TER City: MIAMI State: FL Zip: 33185 Value of Work for this Permit: $ 3,500.00 Square/Linear Footage of Work: 815 Type of Work: ❑ Addition ❑ Alteration Description of Work: new pavers driveway. Specify color of color thru tile:, ❑� New ❑ Repair/Replace ❑ Demolition Submittal Fee $ Permit Fee $ ( 2-!5 ' 00 CCF $_ Scanning Fee $ Radon Fee $ 2 • C50 DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ —j $ 2�: :E3S • Gp (Revised02/24/2014) CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE '4 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) _ Mortgage Lender's Address City State Zip 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 broch will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commence ent must be posted at the job site for the first inspection yhich occurs seven (7) days after the building permit is issued. In the a ce of such posted notice, the inspection will not be p 2roved and a reinspection fee will be charged. Signature Signature WNER or AGVTr7 CONTRACTOR The foregoing instrume t was acknowledged before me this The foregoing instrument was acknowledged before me this �'� day of �+✓1 IL-1 20 19 by 3' a day of 20 by a>✓%1aeS �1 I �7n , who is personally known to c« GEC , who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sig Sig � Print:,, pod I; ' Print:` CC i f y�Q� f2m ✓��11. Seal: ""•,'� JACOUELINE RODRIGUQ '� Seal: J MY COMMISSION # FF 916636 a• � ,IACgU9JNERODRIGUQ • r EXPIRES: September 9, 2019 ; MY COMMISSION # FF 016636 , }�.• Bonded Thru Notery Pubic Undervrtiters =H EXPIRES: September 9, 2019 11 Boded Tbru Notary Pubic LWOM crs ############################### # ############################ ########### APPROVED BY Plans Examiner _Zoning Structural Review Clerk (Revised02/24/2014)