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DS-19-2732Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: DS-11-19-2732 1pe - L Permit Type: Driveways/Sidewalks/Slabs l Work Classification: New Permit Status: Approved Issue Date:12/31/2019 Expiration: 06/29/2020 Location Address Parcel Number 117 NW 97TH ST, Miami Shores, FL 33150 1131010260100 Contacts AXEL SOLER Owner 11797 S&C CONSTRUCTION CO. Contractor ALEXANDER SOTO 2103 CORAL WAY, MIAMI, FL 33145 Business: 7863060329 Description: CONVERT GARAGE INTO A DEN WITH LAUNDRY. Valuation: $ 3,500.00 Inspection Requests: CONVERT EXISTING LAUNDRY INTO A NEW BATH. CHANGE 305-7624949 REAR WINDOW TO AN EXTERIOR DOOR Total Sq Feet: 900.00 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 Scanning Fee $3.00 Technology Fee $3.13 Total: $138.33 Payments Date Paid Amt Paid Total Fees $138.33 Check # 2061 12/31/2019 $88.33 Credit Card 11/15/2019 $50.00 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�FFIDAt: certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating; onstructi p a zenitlg_ Futhermore, I authorize the above named contractor to do the work stated. / Contractor / Agent Date December 31, 2019 Page 2 of 2 Miami Shores Village �cE1vE� g NO 15 2019 Building Department BY: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 FBC 20 k_C BUILDING Master Permit No. _02)— (C I Jol PE MIT APPLICATION Sub Permit No7S- �" ` 2432- BUILDING ❑ ELECTRIC ❑ ROOFING INSPECTION LINE PHONE NUMBER: (305) 762-4949 ❑ REVISION ❑ EXTENSION ❑ RENEWAL PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ) v� CONTRACTOR ; DRAWINGS JOB ADDRESS: O' I Folio/Parcel#: \.\ !Z21 L V C;AW CJ \ LJIJ Is the Building Historically Designated: Yes NO _ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWI Add City, Tenant/Lessee me: l Email: f i - CONTRACTOR: Company Name: c , " V ' Address: a n ` City: State: 0CAi(3'11Phone#:r l Qualifier Name: J!- c\//-�� s�� Phone#: State Certification or Registratic,6_62�4(7�0 Certificate of Competency #: DESIGNER: Architect/Engineer:Phone#: Z?e;rD Address: (0 0"M 1W J OK PG CC(1Nc T- tole City: µ(AVA_ State: '1 t-Zip: 3�3 ' Value of Work for this Permit: $ 7I, Cj00, Square/Linear Footage of Work: �c10� Type of Work: ElAddition Alteration ❑ New ElRepair/Replace ElDemolition Description of Work: �lF�y��y Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $_ DBPR $ CO/CC $ Notary $ Double Fee $ _ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ ��• 3333 Folio/Parcel#: \.\ !Z21 L V C;AW CJ \ LJIJ Is the Building Historically Designated: Yes NO _ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWI Add City, Tenant/Lessee me: l Email: f i - CONTRACTOR: Company Name: c , " V ' Address: a n ` City: State: 0CAi(3'11Phone#:r l Qualifier Name: J!- c\//-�� s�� Phone#: State Certification or Registratic,6_62�4(7�0 Certificate of Competency #: DESIGNER: Architect/Engineer:Phone#: Z?e;rD Address: (0 0"M 1W J OK PG CC(1Nc T- tole City: µ(AVA_ State: '1 t-Zip: 3�3 ' Value of Work for this Permit: $ 7I, Cj00, Square/Linear Footage of Work: �c10� Type of Work: ElAddition Alteration ❑ New ElRepair/Replace ElDemolition Description of Work: �lF�y��y Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $_ DBPR $ CO/CC $ Notary $ Double Fee $ _ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ ��• 3333 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 aJ# a rtiospection fee w# be 4114r_g�d. Sign OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this IS day of , 20 1 by "JIF day ofyI Gt E 20 ��T by � gel S�1C who is personally known to go'M ,-who is Personally known to me or who has produced TL -L S `t 6o-u� t-(,�_4s6�a as me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: _ NOTARY PUBLIC: as Sign: Sign: Print: O Print: sp#-,�Gv-eZ- TNoINAR Seal: ��rtary Public, State of Florida Seal: �`�'•� HARRY SANCHEZ Commission# GG 266919 :�' comm. expires Oct. 14, 2022 MY COMMISSION # GG094929 dP,-,-'` EXPIRES April 17, 2021 ************************************************************** ************* APPROVED BY Z1 c' Plans Examiner li- +'� Zoning Structural Review Clerk (Revised02/24/2014)