DS-18-254Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit NO. DS-Z-18-254
Permit Type: Driveways/Sidewalks/Slabs
L' P t
er Work Classification: New
Permit Status: APPROVED
Parcel Number
Issue Date. 218/2018 1 Expiration: 08/07/2018
Applicant
94 NE 93 Street 1132060130150
CHARLES WALTER MARIA PAU
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
CHARLES WALTER MARIA PAULA 838 SALZEDO Street
- - - CORAL GABLES FL 33134-
838 SALZEDO Street
CORAL GABLES FL 33134-
Contractor(s) Phone Cell Phone
SFL (786)356-8806
roved: In Review
Date Approved:: In Review
Date Denied:
Type of Work: NEW DRIVEWAY
Bond Return
Scanning: 3
Fees Due
Amount
CCF
$3.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$1.20
Permit Fee
$125.00
Scanning Fee
$9.00
Technology Fee
$4.80
Total:
$147.60
Additional Info: NEW DRIVEWAY
Classification: Residential
Valuation: $ 5,500.00
Total Sq Feet: 900
Pay Date Pay Type Amt Paid Annt Due
Invoice # DS-2-18-66298
02/08/2018 Credit Card $ 97.60 $ 50.00
02/01/2018 Credit Card $ 50.00 $ 0.00
Ayauatne inspections:
Inspection Type:
Final
Foundation
Review Building
Review Planning
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 informati n is r d that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-na actor to do the work stated.
February 08, 2018
Authorized Signature: Owner / Applicant /
Building Department Copy
February 08, 2018
/ Agent
Miami Shores Village
�s Building Department FB01201
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 `I
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No14;���i-s--9
QBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 94 NIE 9J �fi1'GG�
City: Miami Shores County: Miami Dade Zip: 3?�1
Folio/Parcel#: 11• 32�06.O 13.01.50 Is the Building Historically Designated: Yes NO _
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 05%0y 1�< WA1kr- Mama P&aahone#:
Address: Qy Ne q 3 ST
City: MKw rril i51-%prGS State: 'r� Zip: 331 a)?
Tenant/Lessee Name:
hone#:
Email:
CONTRACTOR: Company Name: .�GrL `*NftAP�14G -18, B�f P one#: ?d6
Address: fi/a te .Sim z/D .5T—
City: �•� �►� State �L Zip: Ir a
Qualifier Name:
4
Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ C .r� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: We a ri l e we-
44RS A?. P2A:>\JQL
Specify color of color thru tile:
Submittal Fee 106 Permit Fee $ ��� • CCF $ CO/CC $
Scanning Fee $ Radon Fee $ . d� DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $
Bond $ 1� ( I �'
TOTAL FEE NOW DUE $
(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. 1 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature ZIA 1/3/I$
OWNER or AGENT
The foregoing instrument was acknowledged before me this
3 dayof 'tea,, yl 20 1,6 , by
��PS IA�C.ti1 �'T who is personally known to
me or who has produced VL tw% -kz as
identification and who did take an oath.
NOTARY PUBLIC:
Signature
ONTRACTOR
The foregoing instrument was acknowledged before me this
2 day of Jam 12012 , by
AleX�S Ada , who is personally known to
me or who has produced PL or, -`'1Lf, as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Sign:
Print:
7
✓✓
Print:
Seal: ;� -,
SuYapa T. Vasquez
Seal:
tic
Commission it FF942611
Expires: December 9, 2019
Bonded thru Aaron Notary
APPROVED BY 0 Plans Examiner
F'o
Suyapa T. Vasquez
Commission A FF942611
"'
Expires: December 9, 2019
ded thru Aaron Notary
Zoning
Structural Review
(Revised02/24/2014)
Clerk