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DS-04-19-878 1` ?t t�1 �� '�,\ `��i C, � ilt� �}ti* � \,.�U�:\��.,'�z`�,`�uU�tq_��4l� v� Y y� x r�t,11@ti'a����{ h.�'"`��+��'�'+i���.�`� ��'��'`�''i��i �,�'�`�� �i� �,�,�, '���1 ��a � �� ��i 11���{�i��'t����.��x �*3� q���ti U������'��� ����5��'4 �� � ��/ �������5`��,�i�;���?���1{�?��'�t1���1��zzz$���{u ������z��� � � '�'\t�2ay '� , s� z� 1?4`�i�) r �'�j ��� �' �1 u2 `a{* v,, 1 � ��a� i� \�r�;�s��V� �z � ,. �.'�',� . I��T11��1�6'�S�6��c3�� � � ���� �4���������a�ti�l��t��`�ii�"�' �� � � '° GS 20P50 N�2 Ave ��` ` �1 � z ` � ; �'�� c�}��t }m ax�i ", lt � � ti u� �` r��� ��y � ti��at �; �t ��� � a� '� '��'�� 'l��`��gr`�ti �x� ��C � �' �t . E�. � ��� hl1(amiShoresF�33138 � � � `��� � �, � � �k '��i�k ����� ���,:�� , ' ,. ��.���`�` .` „���� � � ti`�+.•;t��e�� �k t'��,;`�i������',� .`��.1.,.� . {,-,..� ,��.� 3Q�J'795'22Q4 �`�'�, �`' � � �5y� �s,�v�1. l � ''}2� � '� �-`� ���'���AtA�" ��, ::� �� � , Expie�ati�r�: 02�1?j2020 lac�t�ar�kddr�ss Ra�cel(Vurr�ber 227Q(�E 9 H S�',!l�i�mE SPtcar�s,FL 3�13$ 11320SQ�9oS&0 ��nta�ts CAIV�llO�e VIGTQRIA VIt�E�a�S t)usrn�r Fk.(JRILd��t1f�.DlNG CONSTRUCTPC}N INC C�nt�`actoe � 2270 NE 97 ST,�i1�Mi SHQRES,F�3313� SIXTO ENRlQUE�IUNQZ 190 W 12 ST 19,HiAI�EAN,FL 3301Q Ins �etion Re uests Descr�ption:CONCRETE SQUARE AT FRONT ENTRY � Vaiu�tion: $ 1,5QO.Q0 ������,�,}3 �� ; : � q �`�`���'�,���i��s ��'���� ����� � E �-�t�t s ����: ��a.aa �� ``` � I a �'tit.`�,1,u2 ����i...i.�"�,.i�,i,a� ��u Fees Am�u�t paym�nts [?at�Paid �m�PaEd Application Fe�-�iher $5(3.00 T�t�l F�eS $152.1� cCF $2.z0 Credit Card 0$f 20J2019 $1�2.1Q Concretejasphalt/pavers,sla�s,dways, $50.4fl ��-���t Card 04/22J2Q29 swalks $50`QO ���R�e� �z.oa ��,�u�,t���: $a.oa DCA Fee $2A0 Educatian Surchar�e $0.4Q Flanning and Zoning Review Fee $35.00 Scanning Fe� $9.44 Teehnology Fe� $2.SQ °T�t�l, �15�.10 t� [ � En e�n�ideeati�n of th� issuanc� tca m� �f thi� p�rmit, E agree to pe€�arm th�w�rk cov�red he�eurtder in campli�nc�with a!! ordinanees ar�d regul�tions jJ�C��I11Iti� ��t�f�40 �Pl� I[t S�fiG� CDtl�t?I`CTIf� WI$�f ��tB p�2i1�, tff�Wttt�S� 5����R1�Pi�5 AE' S��Gi�iC��iOCiS SU�?Rll��(� �� ���' �CO�t@f �Ut�1QCI�1�S Q� ftflt3PStl ��SOt�� Viliage. In a�cepting this p�rmit[ a��ume r�sp�nsib'tlity for aIl work done by eiEher my�etf, my ag�nt, servant�, cae�mp(�y�s. I understand that sep�r�te permits are r�quired for�L�Cl�RiCA�.,P�URItEi1NG,MECHA€�#CAL„WIN�C)VVS,DOQk2S,Rt?OFING at�d StN1ENMING('f?QL wrork. pWP1ERS AFFIDAVIT: ! certify tt�at �II th� foregoing infarmation is �ccurate and that alE wark wii! be dc�n� in cor�pliance with aif applicable Vaws egulatin con�truction and oning F therrrrcare, (auth�rize th�abav�n�med contractor to do the wark stated. � � .., , �� � � � �n� ��, ° . �� r ..---� � � f � �� .... �� icca t! �Cantractar I Ag�nt t�ate R�uthoriz�d Signature:Qwner ! App' _ � .._._ . _r.� iami Sh�r s Villa�e ���� �� uildin� D�p�rtmer�t �, �� �� ������ � � ._� .. 1C?050�1.E.2nd Avenue, Miami Shares, Florida 3313$ ��� �eei.(�o�)�ss-z2o��aX:(�o�}7s6-s�72 �� � ��€��`.��.. lNSPECTION�.INE PHONE NUMBER:(305)762-�F949 �� �� � � 4 �� � ��� �a .�� �r� _���,.�� ����.����i Mast�r Permit No. �� ��� � �� � PERMIT A►PPLIe�4TIQN su��ermit �vo. ' �C1ILDING � E�ECTRK � RC}OFING � REVISI�N � EXTENSlQ�V �RENEWA� �PLUM�ING � MECHANICA� �PU�I.IC WQRKS � CHANGE QF � CANCEL�ATION � SHC}P COtVTRACTQR DRAWINGS �os�QQ��ss: � ���� .,� �.�- �;� ���� City: Miami Shores Cauntv: Miami Dade Z�p: FalioJParcel#: Is 4he Building Historically Designated:Yes NO Occupaney Type: Load: Construction Type: Flood Zane: BFE: FFE: � OWNER:Name{Fee Simpl�Titlehald�r): �°'���W"��� ,� «� r`��`�����; Phone#� �� �� ��x� � �� � �: �� �� :� F.� Address: '`'" � � Gity: ��-���� "�=r�����'��'� State; �� ` Zip; TenantJl�esse�Name: Phane#: �...��. Email: ,� ` CC�NTRACTt?R:C�mpany Name: ����°C� �.� ��'����� � � ���;'>=; �` Phone#: +��'��-� ��� �"��e�`, ,� A,ddress: ��� �^� < �� � , • ���'` � �'� City: �.'����i��'�� � State: ��-" Zip: �-���`'`� Qualifier Name: ��P'�"�� �:=.„ �~���`�"'�:. Fhone#: t`����.� ��,�.-- ���=3�' State Certification ar Re�istratian#: ����` ����°��°`:�~" C�rti�icate af GQmpeter�cy#: �ES#{�NER.�rchiCectlEngir�eer: Pl�one#: �ddress: City: Stat�: Zip: � . j � � Value a€1Nc�rk for this Permit:$ �'r ,�� Sqc�ar�jtinear�oota�e of Wark. < �c�' =�` � Type of Work: ❑ �ddition ❑ Alteeation ❑ New Q RepairjR� (ae� ❑ Demolitian �escription of Work: ��t�'���_ ��- ��f���� �.'� �°"����� �,���'� _—�-- .Specify cotor of colc�r thru tile: Submittal Fee$ Permit F�e$ CCF$ COjCC$ Scanning F�e$ Radan Fee$ DBPR$ Notary$ Teehnalagy Fee$ Training/Education Fee$ Dauble Fee$ Structural Reviews$ �and$ �roT,a�FEe r�ow�u�$ � ��;� . �c� (Revisedd2J24f2414} Bonding Ccampany's Name(if applicable) �""��~ Bonding Company's Address �.��� City State Zip Mortgage lender's Name(if applieable) Martgage lender's Address X�.. City �'"� State Zip Applieation is hereby made to abtain a permit ta do the work and installations as indicated. I certify that no wark or installation has ccamm�nced prior to the issuance af a peemit and that al[ work will be performed ta meet the standards af all laws regulating eonstruetion in thi� jurisdiction. I understand that a separate permit must be secured for ELEGTRIC, PLUMBING, SIGNS, PO��S, FURNACES, BOlLERS, HEATERS,TANKS,RIR CONDITIONEftS, ETC..... OWNER'S AFFlDAVIT: i certify that all the foregaing information is accurate and that all wark will be done in campliance with all applicable laws regulating constructian and zonin�. '°WARNING TQ QiNtVER: YC?UR FAILURE TO RECC)RD A Nt�TICE OF Ct3MMENCEMENT MAY RESULT tN Yt1UR PAYING TWICE FOR IMPR�VEMENTS TQ YC3UR PRQPERTY. IF YOU INTERID TO t?BTAINf FIRIANCtNG, CUNSU�T W1TN YQUR �ENDER AR AN ATTQRNEY �EFORE RECQRDtMG ISJl1� IY�T�4G �[- CVIYtM�tVL�tVF�IyT.)J 1Votiee to Appllcant: As a condition to the issuance of a building permit with an estirraated vatue exceeding$25t?0, the cappticant rraust pramise in good faith thaT a capy eaf the natrce of comrr�encement and cvnstructian lien law 6rochure wi!/be deGvered to the perscan whose praperty is subject to attachment. Aiso, a certified copy of the recorded notiee Qf commencement must be pasted at the job site for ihe first ir�speetion whieh occurs s�verr (T) days after the buitcfing permit is issued. Irr the absence of such posted notice, the inspection wilt not be approved and a reinspection fee wNl be eharged. � E ,�,� ._. � �� ..�.�, � � .� _ �._.-_ w,�r,,.. _ � � � �..��,� Si�nature � :� �� � nat�re OWNER ar AGE(�T CONTRA�TOR The foregoing instrument was acknawledged before me th� The foregoing instrum�nt was acknawled�ed before me this `t� ,,:`.�r�'� r`� �,'a r`j `I � ..� �- } `l ,r',`� day of 2Q f � , bY �, t � day of 20 �� by �#��.,-�"�.,a',�;? �.��� � ��:��-� ,�-_, � � t�'' �a who is personally known to ���'`��� �������� �;who is personally knawn to ,�� ' � me or wrha has produeed ��°��°'� �"�5�`���'�;�' as m�or who has praduced ��,� �� �' ��-�i���'�`as identificatian and who did take an aath. identific ' n and who did take an oath. NCITARY RU�I.tC: NOTA Y PI��LIC: ✓P tf� F [.a� � ....�,.,.. „...,... ' ... � ..... .. . .¢ . .. .... S''.�.. .. .... 2 n;. AY+M�'�S''4 ``."-.�' : T ..�. � lR 4 YA ...,e::- ��t. "� _. �,+1� 1t`� z t� "�; Print: �' ,�,�r� c�..= ���,�'�:�.__. rint: t ,; ,,.t ,; <>t,��'� s��� � � �:, � t,ca "�,� � - l� Seal; �,,�"�vs,, .�cS�.tSGCt�d F� Seal: j ��? � � z ����, i, ,, i� ,t.rti `�.� � ,{ ,r, , ' ' '� �.. __ ---� � � ��'s`C �6SSIOP�#�v 4vb �.�... __..._���� , � �'d � EXPiE�E�:A#�y 20,�021 �. ��:����*�n�*��*�**���**�������`��°� �� *��**���:�**��a�������»:���:��x����*���**���x����ra�*��*�x��*�:����:�*��*���*����* 4 �� �. APPftOVED BY � ��� � � Flans Examiner � � �� ` Zonin� Structurai Review Clerk {Reviseaaztz4/zala) �� � � F1c�rid� ��ild�r�g �c�n��r��ti�r� Ir��. �7�6�44�-6934 190 W 12th ��. Unifi 19 �li�l��h, FI 33010 I�icense�# ��� 12501�5 Da�e: �tat� of � Ce��r�ty eaf � � �~ ��` � Befor� rr►e this day pers�nally �pp�ared � �� �° �t� � � wha, b�ing duly �worn„ d�po��� �nd �ays: Tt��t h� or sh�will b�th� �nfy p�rsor� warking �n the project Ic��ated �t: � � ��� � � �� � �c�r�tr�ct�r�ig�at�e� Sw�rn fio (c�r�ffirm�d} �nd ��b�ceibed bef�r� m� this �� day af �°� . 20 ��l , by �0� ��,a ���� Per�car��lly Know Qr produ�� id�ntificati�n �`yp� of identific�tie�r� produced �-c�.__ �- ,� x�������aat���sr��a�> ����lIS f��'�� �;>- �.` �'l yo�s�.�,. ;,'*�� ��,�r�`+�tvhlS.cjG'� 'j�y,� ` ���, �,��tch b,�,�t��« �- �� r'3 w,�� � � ��y� f�i��#� Ype� � tamp Nam� �f Notary F ..� U .�"��s e�"�:�.?'�`�4 t�t�`> �4 #���,�^�'0 .�s�. Y'.����''"aE�'a a�a a��`�q'�"°� �`������t���#g��t����@ , � � s _ � . �.�,"�C,��C�I� �`l�� ... � �,= .�� 1�� $`��, 15-�1113 .���,.� '��, .. � .� ..,.�. _. � ���. . . . .� . .�, �,sv � . 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