FW-6-18-1771 CanceledMiami Shores Village
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Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (30S) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (3051 762-4949
NOV 0 4 2024
FFBC 2023
BUILDING CANCELLED Master Permit No. 1 w- io-
la-I-I�I�
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION []RENEWAL
J❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: r'jQL -
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: S0213 (ap2l II 60 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
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OWNER: Name (Fee Simple Titleholder): SDhd L%IA4 �'r1�1QSk one#: crx
Address: mtok 'to") aJ-A-
City: AA vA State: Zip: 331LQR ��
Tenant/Lessee Name: PhoneM NS - 3 Z2 -S ^�rI
Email:
CONTRACTOR: Company Name:
Address:
Email:
Qualifier Name:
State Certification or Registration #:
of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Email:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: f'en� t,J' 4S n-P%J1W DL0r L, »�� rg C> I C' o t�
f t 29- 1-D -(x"G � r\r Q r_A t 2LkS � ® p2na& rf X o
Specify color of color thru tile:
Submittal Fee
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
DCA Fee $
Training/Education Fee $
CCF $ CO/CC $
DBPR $ Notary
P&Z Review $
Double Fee $
Bond $.
(Revised04/26/2024)
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
City State Zi
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. ,
Signature Signature
OWM or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
dayofI`J-O-Ve 4 6X20 by
(4 personally known t
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
GPQL 272p�A�.'9 i
The foregoing instrument was acknowledged before me this
day of
me or who has produced
20 by
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner
as
Zoning
(Revised04/26/2024)
Structural Review
Clerk
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Miami Shores Village
20050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 07/12/2018
Location Address Parcel Number
581-585 NW 113 ST, Miami Shores, FL 33138-0000 3021360211150
Contacts
Permit NO.: FW-6-18-1771
Permit Type: Fence/Wall
Work Classiflcatlon: Wire Fence
Permit sta tus:.Expired
Expiration: 02/24/2019
EYE VISION ENTERTAINMENT INC Owner
37 N 45 AVE, BRIGHTON, CO 80601
EYE VISION ENTERTAINMENT INC Applicant
37 N 45 AVE, BRIGHTON, CO 80601
CONSTRUCTION & CONSULTING Contractor
CONTRACT
GILBERT DAVID MORALES
7434 SW 48 ST Suite B, Miami, FL 33155
Business: 7862365755 david@candcc.net
Description: INSTALLING BLACK CHAIN LINK FENCE ON BACK Valuation: $ 2,400.00 Ins ection Requests:
AND SIDES OF PROPERTY Visit our website www.msvR:gov and
Total Sq Feet: 338.00 Click on Permits
Fees
Amount
CCF
$1.80
DBPR Fee
$5.07
DCA Fee
$3.38
Education Surcharge
$0.60
P&Z Review Fee
$35.00
Permit Fee- Wire & Wood
$338.00
Scanning Fee
$9.00
Technology Fee
W.
Total:
$395.25
Payments
Date Paid
Amt Paid
Total Fees
$395.25
Credit Card
07/12/2018
$345.25
Credit Card
06/28/2018
$50.00
Amount Due:
$0.00
Applicant Copy
For Inspections, Call (305) 7624949 or Log on at https://bidg.miamishoresvillage.com/cap/.
Requests must be received by 3pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that maybe found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,
public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES.
October 30, 2024 Page 1 of 2