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08212150_Building Department Copy
Permit NO.:PW-08-21-2150 Miami Shores Village 10050NE2Ave Miami Shores FL 33138 305-795-2204 Permit Type:Public Works Work Classification:Public Works Permit Status:Approved Issue Date:08/23/2021 Expiration:02/23/2022 Location Address Parcel Number 11320601701509636NE5AVE,Miami Shores,FL 33138-2443 Contacts DENA &DENNIS HELING &WILLIAM CRUZ DENA&DENNISHELING& WILLIAM CRUZ 9636 NE 5 AVENUE ROAD,MIAMI SHORES,FL 331382443 DENA &DENNIS HELING &WILLIAM CRUZ DENA &DENNIS HELING & WILLIAM CRUZ 9636 NE 5 AVENUE ROAD,MIAMI SHORES,FL 331382443 Owner Applicant WILCON CO WILLIAM CRUZ 9636 NE 5 AVE,MIAMI SHORES,FL 33138 Business;7863998855 Contractor Inspection Requests:Description:EXTENSION OF DRIVEWAY/CHICAGO BRICKS REPACE DS-08-21-2129 $3,000.00Valuation:305-762-4949 Total Sq Feet:450.00 AmountFees Date Paid Amt PaidPayments $0.60 $100.00 $3.00 $2.50 $106.10EducationSurcharge Public Works Permit Fee Scanning Fee Technology Fee Total Fees Credit Card 08/23/2021 $106.10 $0.00AmountDue: $106.10Total: Building Department Copy In consideration of the issuance to me of this permit,I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village.In accepting this permit I assume responsibility for all work done by either myself,my agent,servants,or employes.I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDO\A/S,DOORS,ROOFING and SWIMMING POOL work. c^ify that all the foregoing information is accurate and that all work will be done In compliance with all applicable lawslor^tructioi/a^claoninrf Futhermore,I authorize the above named contractor to do the work stated. OWNER?AFEIDAVITy regul&tii /I Date/Applicant /Contractor /AgentAuthorizedSignature;Owner Page 2 of 2August23,2021 Miami Shores Village Building Department BNTE^RBD AUG 17 Z0218 ;\10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPEaiON LINE PHONE NUMBER:(305)762-4949 BY: FBC 20 BUILDING PERMIT APPLICATION Master Permit No. Sub Permit No. UNBUILDING □RENEWALEXTENSIONREVISIONELECTRICROOFING CANCELLATION SHOP DRAWINGS CHANGE OF CONTRACTOR MECHANICAL PUBLIC WORKSPLUMBING QJ^JOB ADDRESS: Miami DadeCity:Miami Shores County: Is the Building Historically Designated:Yes Flood Zone: NOFolio/Parcel#: Occupancy Type:FFE:BFE:Load:Construction Type: l/JiH'r^Cm.Phone#:OWNER:Name (Fee Simple Titiehoider):, Address: City:. 3?(99Zip:State: Phone#:Tenant/Lessee Name: UJ\\ijpyO Co yg ,ruu p City:SVl Email: Phone#:CONTRACTOR:Company Name: Address: zip7?^^?VState: Phone#:Qualifier Name: Certificate of Competency#:_ Phone#: State Certification or Registration #: DESIGNER:Architect/Engineer: Address: Value of Work for this Permit:$ Type of Work:D Addition D Alteration Description of Work: Zip:City: Square/Linear Footage of Work: I I Repair/Replace CA-hrai^ State: I 1 DemolitionNew 'oy X>,I u Specify color of color thru t/7e; Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $. CO/CC$ Notary $ Double Fee $ Bond$ TOTAL FEE NOW DUE $,IQfe-(O Permit Fee $ Radon Fee $ Training/Education Fee $ CCF$_ DBPR$ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address ZipStateCity Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip.City State 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 ail 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 ail 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. U 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 certiifed copy of the recorded notice of commencement must be posted at the Jobsite 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 opproyed and a reinspection fee will be charged. MXSignatureSignature. CONTRAiOWNERoXAGENT The foregoing instrument was acknowlepged before me thisTheforegoingInstrumentwasacknowledgedbeforemethis .20^24 .by who is personally known to day of Qjj ^2-4—-by\Hl .,20dayof )\\UvVTa (yu j who is personally known toUziu me or who has produced identification and who did take an oath. me or who has produced identification and who did take an oath. asas NOTARY PU DENACRUZY*;Notary Public-State of Florida »Commission #GG 305462 My Commission ExpiresApril07,2023 NOTARY PUBLIC: DENA CRUZ Notary Public-State of Florida My Commission Expires April 07,2023 '.P/ \ Print: Seal: ««*******«**«**«««**«*«*«**#**W«***«**«***«****«******«*iti*««*««««*«i|t**«*«*******«***«*»W«**««*«****«*« ZoningAPPROVEDBYPlansExaminer ClerkStructuralReview (Revised02/24/2014) 003374 Local Business Tax ReceiptMiami“Dade County,State of Florida -THIS IS NOT A BILL -DO NOT PAY LBT i 5953626 BUSINESS NAME/LOCATION WILCON CO 9636 NE5TH AVENUE RD MIAMI SHORES FL 33138 EXPIRES SEPTEMBER 30,2022 RECEIPT NO. RENEWAL 6210769 Must be displayed at place of business ' Pursuant to County Code Chapter 8A -Art 9 &10 OWNER WILCON CO SEC.TYPE OF BUSINESS 196 GENERAL BUILDING CONTRACTOR CGC1612642 PAYMENT It ECEIVEO BYTAX COLLECTOR S45.00 07/13/2021 CHECK21-21-050845Worker(s)4 This Ucal Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license,permit or a certification of the holder's qualifications,to do business.Holdsrmust comply with any governmentalornongovernmentalregulatorylawsandrequirementswhichapplytothebusiness. The RECEIPT NO.above must be displayed on all commercial vehicles -Miami-Dade Code Sec Sa-276. 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