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RC-17-2369 (2)SNORES `,` Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 F�ORiDp` Permit NO. RCA 0-17-2369 er itPermit Type: Residential Construction Work Classification: Garage Enclosure Permit Status: APPROVED Issue Date: 3/14/2018 ] Expiration: 09/10/2018 Project Address Parcel Number Applicant 9730 NE 5 Avenue Road 1132060171470 Miami Shores, FL Block: Lot: JOHN & MARIE PERIKLES Phone Cell JOHN & MARIE PERIKLES 9730 NE 5 Avenue Road (786)236-0254 MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone LEADING EDGE CONTRACTOR SERV (786)406-2488 In Review 'omments: Date Approved:: In Review Date Denied: Fype of Construction: GARAGE CONVERSION INTO MAS Occupancy: Single Family Stories: Exterior: =ront Setback: Rear Setback: -eft Setback: Right Setback: 3edrooms: Bathrooms: 'tans Submitted: Yes Certificate Status: certificate Date: Additional Info: Bond Return : Classification: Residential Fees Due Amount CCF $132.60 DBPR Fee $99.07 DCA Fee $66.05 Education Surcharge $44.20 Notary Fee $5.00 Permit Fee $6,604.14 Scanning Fee $3.00 Technology Fee $176.80 Total: $7,130.86 Valuation: $ 220,138.00 Total Sq Feet: 4073 Pay Date Pay Type Amt Paid Amt Due Invoice # RC-10-17-65227 03/14/2018 Check #: 1010 $ 4,000.00 $ 3,130.86 03/14/2018 Credit Card $ 3,130.86 $ 0.00 Available Inspections: Inspection Type: Review Electrical Review Plumbing Review Structural Review Mechanical Review Planning Review Building 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 inform on is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the abovpZnained contracW to do the work stated. March 14, 2018 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy March 14, 2018 i ��f �' C� w�� VNS �Z'i0A) G Miami Shores Village RCiVED °g Building Department artment OCT o 2ey 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 % Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201�1 BUILDING Master Permit No.�� PERMIT APPLICATION Sub Permit No. 1;AILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS JOB ADDRESS: 1 —w 00 ❑ CHANGE OF CONTRACTOR ❑ CANCELLATION [--]SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: Y3 I V Folio/Parcel#: is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Address: -3c) C J'1 iJL City: LI L-- State: Tenant/Lessee Name: Email: 6%` � 11-s p: CONTRACTOR: Company Name: U 1 °ti —� 'L C� (/1 r G �� Phone#: �`� 9D�1 Z1j VY Address: ,vl'o ►-✓ vtC , City: 'V \ C C-x , Qualifier Name: _ ( `:5L!/ ) ®�Z--, State Certification or Registration #: :7_q0 hone#: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: '' Zip: Value of Work for this Permit: $ , , ©) Square/Linear Footage of Work: `3 0-13 Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: jZC— IS 13 4 3 Specify color of color thru tile: Submittal Fee $10 Permit Fee $ G6 9 I T CCF $ �ZZ,60 CO/CC $ f Scanning Fee $ C5ZD Radon Fee $ DB`P�R $ Q1 Notary $ t5- Technology Fee $ Training/Education Fee $ 1 zo Double Fee $ Structural Reviews $ Bond $ (0 TOTAL FEE NOW DUE $ IJQ CJ (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 reins a will be charged. Sig Signature OWNER or AGENT l CONTRACTOR The foreggirt� instru c� t w s knowledged before me this r da of 20 by who i rsonally kno 0 me or whothprodu ed as identificatid wh did take an oath. NOTARY P: The foregoing instrument was acknowledged before me this day of o ul `` 20 by y2cf�4(L7 COSwPi'o is personally known to me or who has produced r1y72 as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal:LORETTA COMES Seal: * * MY COMMISSION 0 FF 964664 EXPIRES: March 21, 2020 �'�, �` 8oMWThru8ud et Notary )eya APPROVED BY Plans Examiner ******************** Zoning Structural Review (Revised02/24/2014) Clerk