DS-19-2702Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: DS-1 1 -19-2702
(� I ��'✓' , O r) Permit Type: Driveways/Sidewalks/Slabs
work classification: Addition/Alteration
Permit Status: Approved
Issue Date:12/09/2019 I Expiration: 06/08/2020
Parcel Number
1181 NE 92ND ST, Miami Shores, FL 33138 1132050270340
Contacts
ANDREW & DANIELLE BEYDA Owner CRR GENERAL CONTRACTORS INC Contractor
1181 NE 92 ST, MIAMI SHORES, FL 33138 ALEXANDER M RODRIGUEZ
18255 SW 68 CT, SOUTHWEST RANCHES, FL 33331
Business: 3057107861 arodriguez@crrgc.com
Description: NEW DRIVEWAY Valuation: $ 4,000.Inspection Requests:
00 1305-762-4949
Total Scl Feet: 600.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
Concrete/asphalt/pavers, slabs, dways,
$75.00
swalks
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.80
Notary Fee
$5.00
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$3.13
Total:
$184.33
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$184.33
Credit Card
12/09/2019 $184.33
Amount Due:
$0.00
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 i all thg information is accurate and that all work will be done in compliance with all applicable laws
regulating constra.n-". g. he a au ortze-the.above named contractor to do the work stated.
Signature: Owner
/ Agent
Date
December 09, 2019 Page 2 of 2
Miami Shores Village RECEIVED
%jtajk(j 11 I, 'Building Department NOV 13 2019
0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 BY'A A Ak_A"k
INSPECTION LINE PHONE NUMBER: (305) 762-4949 W
FBC 20 ��
BUILDING Master Permit No. /-7 ca "2/0
PERMIT APPLICATION sub Permit No.1,6 1�-� 9 -290Z
�UILDING ❑ ELECTRIC ❑ ROOFING
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County:
Miami Dade Zip:
r�
Folio/Parcel#: J&� a`(
Is the Building Historically Designated: Yes NO 1—
Occupancy Type: Load: Construction Type:
Flood Zone: BFE: FFE:
OWNER: Name (Fee Titleholder):p Z5&4�
Phone#:
Simple
L
Address: 1/-Z1 d_
_&
e ^�
City: ! 1` " ('P l fJ�2&& State: /—r
Zip:
p:
Tenant/Lessee Name:
Phone#:
Email:
CONTRACTOR: /"
Phone#:
yName:
/Company
Address:
City: /Tc%� State: Zip:
Qualifier Name:
Phone#:s
State Certification or Registration #:
Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address:
City: State: Zip:
Value of Work for this Permit: $
Square/Linear--FF—000tage of Work: /d-
Type of Work: ❑ Addition ❑ Alteration El New LL;I Repair/Replace ❑ Demolition
'
Description of Work: lor-41 a-"(
Specify color of color thru tile:`
Submittal Fee $ Permit Fee $
CCF $ .- CO/CC $
Scanning Fee $ Radon Fee $
DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $
Bond $
TOTAL FEE NOW DUE $
(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.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of &Oyt°M GJeK , 20 PI by
who is personally known to
me or who has produced
identification and who did take an oath.
as
The foregoing instrument was acknowledged before me this
day of �nxA�U _ 20 by
6 l personallyk n to
me or who has produced C&
identification and who did take an oath.
NOTARY PUBLIC: NOTARY P C:
jQ
Sign: --7�� Sign.
Print: {' �L Print: C'l (��l
Seal: : '0, TRACYL.LOPEZ Seal: NL t
MY COMMISSION 0 GO ? l 31 VARGZ
Y SSi
;+ 340105 *: til :,�/ Gi 1 # G 238273
;P`,.' EXPIRES: JunA 20, 2023 * vXFI{ZES: Se
•.,p'ii�q.•' BorMedThruNo4ary 'F�FF,oQ,,' Plember3,2022
PubNothtdaMRNers Bonded Thru Not
s**s*********s********r**********a********** '�::: �x�idflrAtr>tt•srs ,,
APPROVED BY G/ Plans Examiner �� Zoning
Structural Review Clerk
(Revised02/24/2014)