ELC-08-19-2001, 9990 NE 2nd AveMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
9990 NE 2ND AVE, Miami Shores, FL 33138 1132060132080
Contacts
MIAMI SHORES VILLAGE Owner AUM CONSTRUCTION INC. Contractor
MIAMI SHORES VILLAGE HUMBERTO ORTIZ
10050 NE 2 AVE, MIAMI SHORES, FL 331382304 278 ATLANTIC AVE, SUNNY ISLES, FL 33160
Other: 3057511271 Business: 3054564848
Inspection Requests:
Description: INSTALLATION OF LICENSE PLATES RECOGNITION Valuation: $ 0.00
CAMERAS WITHIN THE PUBLIC RIGHT OF WAY.
Total Sq Feet: 0.00
950 NE 96 ST
Fees
Amount
Application Fee -Other
$50.00
DBPR Fee
$2.00
DCA Fee
$2.00
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$109.50
Payments
Date Paid Amt Paid
Total Fees
$109.50
Deposit
09/17/2019 $109.50
Amount Due:
$0.00
Building Department Copy
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
z./s>/e/
re: Owner
/ Applicant / Contractor ! Agent
Date
September 17, 2019 Page 2 of 2
Miami Shores Village AUG 2 9 2019
Building Department
100SO N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762.4949
FBC 20 V+
BUILDING Master Permit No. C LC,— 021 110
PERMIT APPLICATION Sub Permit No. C.- Lc,— ()B— 19 - 9001
FBUILDING )S°ELECTRIC ROOFING REVISION M EXTENSION F1 RENEWAL
E]PLUMBING MMECHANICAL F�PUBLICWORKS �CHANGE OF [:)CANCELLATION E]SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 7`16 -�r
City: Miami Shores County: Miami Dade zip;
Folio/Parcel#: -4`.�` Is the Building Historically Designated: Yes NO
Occupancy Type. _ Load: Construction Type: _Flood Zone: OFE: - FFE:
OWNER: Name (Fee Simple Titleholder):
City: 'e" '`d
Tenant/Lessee Name:
State:
0
Email:
CONTRACTOR. Company Name: .111'1& 4�$f lA', %%Phone#,.
Addr*Kv
W"12W.FAM
p: ?1-*/ -3 5
DF-SIGNER:Architect/Eng*tneer: /4-�' Phone#: 33�--769-
Address: 14Vc" g,(,4149
City: A*41 44 State:,_Zip:
Value of Work for this Permit: $ Square/Unear Footage of Work,
Type of Work: El Addition M Alteration New F3 Repair/Repiace ED Demolition
Spec* color of color thru tile.-,
Submittal Fee $ Permit Fee $ CCF co/cc $
Scanning Fee $ Radon Fee $, BPR Notary
Technology fee $ Training/Education Fee $ Double fee $ ........ ..
Structural Reviews $ Bond $
TOTAL FEE NOW DUE
(Rev4002/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
city State
Mortgage Lender's Name (if applicable) _
Mortgage Lender's Address
city
Sta to
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.P..
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 low 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_ --
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of U . 20 by
l
7' P.4 l#
R4 %-
e�(,who ovally kno to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Signature_
CON RACTOR
The foregoing instrument was acknowledged before me this
day of t T�AU, 20 by
to
me or who has produced as
Identification and who did take an oath.
NOTARY PUBLIC.
Sign:--. Sign
Print: Printi
Seal: r NOS" Pubfic State of FROW"M Seal:
Sydney Herrera
my Cowavaimm GO 343073
exp"s 101"2023
APPROVED BY /`Pl`�ans Examiner
Structural Review
illevisec$02/24/2014)
.00 ftp� Wary Pike state at Fkwida
Sydney Herrera
W Conwufton
Eo"s 1"12023GO 343073
Zoning
Clerk