CC-19-2607r
Miami Shores Village
10050 NE 2 Ave
Miami Shores Fl. 33138
305-795-2204
P(s)!Ij U 1sJ��
Issue Date:11/01/2019
Location Address Parcel Number
9280 BISCAYNE BLVD, Miami Shores, FL 33138 1132060141449
Contacts
Permit NO.: CC-10-19-2607
Permit Type: Building (Commercial)
Work Classification: Repair
Permit Status: Approved
Expiration: 04/27/2020
JAMES & JANE DENTICO Owner
10055 BISCAYNE BLVD H, MIAMI SHORES, FL 331382966
HOGAN CONSTRUCTION COMPANY INC Contractor
FRANCIS HOGAN
Business: 3053107971
Inspection Requests:
Valuation:
$ 800.00
Description: CONCRETE REPAIR IN COURTYARD APPROX 300 SQ
FT TO REPLACE PERMIT#CC-4-17-1110
305-762-4949
TotalSq Feet:
300.00
Amount Payments
Amt Paid
Date Paid
Fees
100% Permit Renewal Fee
$150.00
Total Fees
$150.00
Check # 4204
11/01/2019
$150.00
Total:
$150.00
Amount Due:
$0.00
Building Department Copy
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 gjVRNction�azoning. Futhermore, I authorize the above named contractor to do the work stated.
/ Applicant / Contractor / Agent
Date
November 01, 2019 Page 2 of 2
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
BUILDING ❑ ELECTRIC ❑ ROOFING
RECEIVED
CT 3 0 2019
B�sr:
FBC 20 V4
Master Permit No.
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
D CONTRACTOR DRAWINGS
JOB ADDRESS: �L �t
City: Miami Shores i County: Miami Dade Zip:
Folio/Parcel#: �i'��n� (7 `T�� Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: � BF� FIFE:/
OWNER: Name (Fee Simple Titleholder): Phone#:30- 7�t'/�' Kox-
Address: ryry/60S 6 -"
{/If City: 'l � � State: R Zip: JI ZJ
Tenant/Lessee Name: // ! / Phone#:
Email: JDEJ�if1Cd �LA 1 /7-41t/ 7r
CONTRACTOR: Company Name: 7l?Gq T. 4ijo J" Phone#: 6—��
Address: /3 31 J1
City:_ 2),d✓/ State: /< L^ Zipgr�33325
Qualifier Name: ` �T Phone#tav 444 �CP/
State Certification or Registration #: CGC 1510 107 —4 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 1200• 00 Square/Linear Footage of Work: �nn
Type of Work: ❑ Addition ❑ Alteration /i' ❑ New ,Repair/Replace ❑ Demolition
Description of Work: 1 tr W.tlluiL�'�' -
Specify color of color thru tile:
Submittal Fee $ �* Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $ _
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ ) -TT) � CC-)
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 n', J'A
w
e?°�q,Gr
T
The foregoing instrument was acknow edged before me this
/
3 0 day of O� , 20 by
who is personally known to
me or who has produced /as
identification and who did take an oath.
NOTARY PUBLIC: , ��� ANDREATAYLOR SHUE
Notary Public, State of Florida
Commission# GG 307351
Sign: A
MY MM. expires Mar. 4, 2023
Print: rmctre-!�
Seal:
U-0-
Signatu
The fon
ti? day of Oet 2043 by
who is personally known to
me or who has produced PL as
identification and who did take an oath.
NOTARY — MARK EUGENE SMITH
COMMISSION # GG 153832
`,• IRES:October22, 2021
Sign: °P Publlctl dewtsm
Print: thf A R K C 1i 1'i I
Seal
APPROVED BY ' Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)