DS-20-384Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: DS-02-20-384
Permit Type: Driveways/Sidewalks/Slabs
Work Classification.- Addition/Alteration
Permit Status: Approved
Issue Date: 02/28/2020 ( Expiration: 08/26/2020
Location Address Parcel Number
940 NE 99 ST, Miami Shores, FL 33138 1132060143380
Contacts
VICTOR MAYORGA Owner VICTOR MAYORGA Applicant
940 NE 99 ST, MIAMI SHORES, FL 33138 940 NE 99 ST, MIAMI SHORES, FL 33138
CAIBAI CONSTRUCTION LLC Contractor
JOSE LOSA
Business: 7862292770 caibaiconstruction@gmail.com
Description: DRIVEWAY AS PER APPROVED MASTER PERMIT Valuation: $ 900.00 Inspection Requests:
Total Sq Feet: 461.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
Concrete/asphalt/pavers, slabs, dways,
$50.00
swalks
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Planning and Zoning Review Fee
$35.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$145.30
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$145.30
Cash
02/28/2020 $95.30
Credit Card
02/21/2020 $50.00
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 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating constructia onnd zoning. Futhermore, I authorize the above named contractor to do the work stated.
/l /
Authorized Signature: Owner / Applicant / Contractor / Agent Date
February 28, 2020 Page 2 of 2
Miami Shores Village RECEIVED
Building Department FE 212020
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 I�°
BUILDING Master Permit No.tR�C-7-18-1842
PERMIT APPLICATION Sub Permit No. `)S - a 2- ?Z
FM -]BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 940 N E 99th Street
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 11 -3206-014-3380 Is the Building Historically Designated: Yes NO X
Occupancy Type: SFR Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Victor A. Mayorga & Claudia Colom Phone#:1(860) 944-2341
Address: 940 NE 99th Street
City: Miami Shores State: Florida Zip: 33138
Tenant/Lessee Name: Phone#:
Email: victor.mayorga77@gmail.com
CONTRACTOR: Company Name: Caibai Construction LLC Phone#: 1(786) 229-2770
Address: 10876 SW 24th Ter.
City: Miami State: FL Zip: 33165
Qualifier Name: Jose A. Losa, Jr. Phone#: 1(786) 229-2770
State Certification or Registration #: CGC058065 Certificate of Competency #:
DESIGNER: Architect Engineer: Fernando Prieto Phone#: 1(561) 248-8809
Address: 2328 1Oth Ave, Suite 200 city: Lake Worth State: FL Zip: 33461
Value of Work for this Permit: $ 900 Square/Linear Footage of Work: 466 .
Type of Work: ❑ Addition ❑■ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Driveway, as per approved Master Permit
Specify color of color thru tile:
Submittal Fee $ _9D ' 0; Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $ Notary $,
Double Fee $ _
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bon&ng company's Address
city
FiiF-IT-I
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
20
state
E3
zip
AppPication is hereby made to obtain a permit to do the work and instigations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all wvork 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 win 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."
Aratice to Apptecaant- As a condition to the issuance of o building permit with an estimated value exceeding $2500, the oppEcant must
promise in good faith that a copy of the notice of commencement and construction teen, low brochure whY be delivered to the person
whose property is subyecr to -attachment.. Also, s: certified cqoy of the recaraded notice af.cesm.ra,errce nenr must be posted of the fob site
for the first inspection which occurs sever, (f j days after the building perrrrit is issued. in the absence of such pasted notice, the
inspection wig not be approved alpd a rein ection with be changed.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
2-0 day of 2o2A-')__ by
tip�ersonany known to
me or who has produced �� t2� k — uCIP N is
identification and who did take an oath.
C--,bsQ 'I'l
Si natur
CONTRACTOR
The foregoing Instrument was ackno%vledged before me this
20th day of February ZO 20 . by
Jose A. Losa, Jr. , who Is persoawal`y known to me
or who has produeed a$
identification and who did take an oath.
NOTARY PU LING- NOTARY PUBLIC,
Sign: Sign;
Print:
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seat �••w••�•• f1":M • $tM$ 01 FWWa
SINDIA ALVAREZ
CNrIad,Isipar ty fF 1i7617
MY COMMISSION # GG 238273 Cain. tq*n tv 2#. 2M
EXPIRES: September 3, 2022em
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APPROVED By J Pions Examiner y Zoning
structural Review Clerk
JRevir,ed0212+!20141