MC-18-1088 (2)Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. MC-4-18-1088
Permit Type: Mechanical - Residential
P't errs i
Work Classification: Addition/Alteration
Permit Status: APPROVED
issue Date: 5/7/2018 1 Expiration: 11/03/2018
rrotect Aaaress Parcel Number Applicant
190 NW 101 Street 1131010230170
Miami Shores, FL Block: Lot: RICARD PROPHETE
Owner Information Address Phone Cell
RICARD PROPHETE 190 NW 101 ST
MIAMI FL 33150-1214
Contractor(s) Phone Cell Phone
RUIZ CONSTRUCTION INCORPORATI (305)688-9770
Tons:
dditional Info: REPLACE FABRIC AWNINGS
lassification: Residential
oproved: In Review
omments:
ate Denied:
,anning: 1
Fees Due
Amount
CCF
$1.20
DBPR Fee
$2.25
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$150.00
Scanning Fee
$3.00
Technology Fee
$1.60
Total:
$160.45
Date Approved:: In Review
Type of Work: REPLACE FABRIC AWNINGS
Valuation: $ 2,000.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC-4-18-67291
04/25/2018 Credit Card $ 50.00 $ 110.45
05/07/2018 Credit Card $ 110.45 $ 0.00
Avananle I
Inspection Type:
Final
Review Mechanical
Underground
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 ELECTRIChL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDA certify the foregoing information is accurate and that a ork will be done in compliance with all applicable laws regulating
construction and Fu rmore, I thorize the above -named contractor to do the rk stated.
rc". boinlel" May 07, 2018
Authori Signature:Owner / Applicant Contractor / Ag Date
Buildin Department Copy
May 07, 2018 1
Miami Shores Village
n
Building Department Rr-(+r err_
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 APR 2 5 2018
Tel: (305) 795-2204 Fax: (305) 756-8972 � (� /
INSPECTION LINE PHONE NUMBER: (305) 762-4949 1✓/Il
BUILDING
PERMIT APPLICATION
F-IBUILDING ❑ ELECTRIC ❑ ROOFING
PLUMBING & ECHANICAL DPLIBLICWORKS
JOB ADDRESS:
�U xi) lU/ ;�
FBC 20iq
Master Permit No. YQ -1 to - 2 Z glv
Sub Permit No. MG 6 wVn S
❑ REVISION ❑ EXTENSION []RENEWAL
CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip: S 5'1 ry
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood
Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder'): �`� "�" Phone#:
Address:
City: ' `G4-t4 1 , State:
Tenant/Lessee Name:
Email
It
n
l
CONTRACTOR: Company Name: f � m �J�/1 Phone#. r V �U / 2q0
Address: 33 So- 6 w � 'T ib True A i3
City:
1► (eOl 0-644- State: , - Zip:33Dc;fl
Qualifier Name: 2 Z 2 Phone
State Certification or Registration #: C I �✓ f Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone
g'97 q0
Address: ity: State: Zip:
Value of Work for thi ermit: $ Q�" Lev quare/Linear Footage of Work:
Type of Work: Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition
Specify color of color thru tile:,
Submittal Fee $ Permit Fee $ l DCCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $
Bond $ 1 5
TOTAL FEE NOW DUE $ l
(Revised02/24/2014)
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 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. n
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
% day of PPrL 20 by
12 &ARA) Pr1.eYaj.rz� who is rsonally known
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
'q
Print:
Seal: 7f- MY COMMISSION t FF 242181
-a EXPIRES: October 18, 2019
Bonded Thu Notary Ptdk Undeiwnt M
The foregoing instrument was acknowledged before me this
day oi
/ 20 g by
�(� ��(� u% who is personally known to
----------------
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: rns M&-
FOKYSVEV#
Seal: Cortnmw#00002440
w
�� Expires June 14, 2020
-4 of pbe� Doodad Ttw eadpat Notary se"
APPROVED BY `) "4 ✓Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)