RC-18-3604Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date: 02/04/201
Parcel Number
395 NE 96TH ST, Miami Shores, FL 33138 1132060135930
Contacts
Permit ND.: RC-12-18-3604
Permit Type: i uNing (Residential)
work Ciass*atwn. Aiteradon
Permit Status: Approved
Expiration: 06/03/2019
GONZALO & CATHERINE AMBER PEREZ Owner
JTRS
395 NE 96 ST, MIAMI SHORES, FL 33138
EURO PAINTING & FINISHES LLC Contractor
ISMAEL RODRIGUEZ
223 NE 108 ST, MIAMI, FL 33161
Home: 7865939759
Inspection Re
Description: 2 OPENINGS FOR KITCHEN, SLIDING DOORS AND Valuation: $ 13,500.00 Requests:
Inspe 2ction Re
OPENING FOR DINING ROOM SLIDING DOORS. -4949
Total Sq Feet: 0.00 -j I
Fees
Amount
CCF
$8.40
DBPR Fee
$6.08
DCA Fee
$4.05
Education Surcharge
$2.80
Permit Fee
$405.00
Scanning Fee
$12.00
Structural Review ($90)
$90.00
Structural Review ($90)
$90.00
Technology Fee
$10.13
Total:
$628.46
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$628.46
Credit Card
02/04/2019 $628.46
Amount Due:
$0.00
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 eAre required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
:onstruction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Signature: Owner / Applicant / Contractor / Agent
Date
February 04, 2019 Page 2 of 2
IVIldl I II JI IUl CJ V 111draC
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
PUT 1�k C.
BY. —7� 1
FBC 20 I �_..
Master Permit No-y— e_
Sub Permit Naxy `Q� - �� lao
[ REVISION [ EXTENSION ❑RENEWAL
❑PLUMBING [:]MECHANICAL [:]PUBLIC WORKS [:]CHANGE OF [:] CANCELLATION [:] SHOP
,,
CONTRACTOR DRAWINGS
JOB ADDRESS: 1" 'L
S kee,(,
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: I) _ ?_0 G— 01 3 513 0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 404 �7 � � � � ,✓� Phone#:�1' —'?
Address: 345 `J6 461L S?F�� 11
City: 14j"o m Si State: I�� Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:PV rAA7hone#:
Address: 72 3 kF A
City: Ap d A, l State: 11L-� Zip: 1
Qualifier Name:16717AI �a/r�'%"'� Phone#:
State Certification or Registration #: Cl! /33 �3YY Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: -7Zyt X2E 2-12. City: TF e!�IG,A State: /t Zip:
Value of Work for this Permit: $ ,..yo Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑� New ❑ Repair/Replace _❑ Demolition
Description of Work: l&'V /o "L �l.�G l�?dG - _ R, ✓ 41 b r < < P
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ ( Dn • CA CCF $ i CO/CC $
Scanning Fee $ 12 CA3
Radon Fee $ • 03 DBPR $ Z C)O Notary $
Technology Fee $ 2 - e) Training/Education Fee $ 0 • 0 d Double Fee $
Structural Reviews $
Bond $
TOTAL FEE NOW DUE 9 1 to S -
Bonding Company's Name (if applicable)
6
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.
OWNER or AGENT
The foregoikg instrument was acknowledged before me this
201 by
i Ui[�Z ems• , who is personally known to
me or who has producedt--N'G ida, &&Leda � &fW—as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
CONTRACTOR
The
foregoing instrument was acknowledged before me this
O '',�day cof 20 by
tabtal,/j �� , who is personally known to
me or who has produced&'O&Oeo
identification and who did take an oath.
NOTARY PUBLIC:
Print: Nahvie, &/
o�PpY P(/#, J natauc iuuy ��,� Natalie King
Seal: _ State of Florida seal: Z° - State of Florida
OF P�My Commission Expires 12/16/2019 � � My Commission Expires 12/1612019
a0m ' ion No. FF 944254
commission No. FF 944254
APPROVED BY Plans Examiner Zoning
Ad, i
Structural Review
t 6 0-1
Clerk