ELC-08-19-2002, 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 Lmww��
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
Description: INSTALLATION OF LICENSE PLATES RECOGNITION Valuation: $ 0.00 Inspection Requests:
CAMERAS WITHIN THE PUBLIC RIGHT OF WAY.
Total Sq Feet: 0.00 ,
�i
1030 NE 107 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 arVdzning. Futhermore, I authorize the above named contractor to do the work stated.
Signature: Owner
/ Applicant / Contractor / Agent
Date
September 17, 2019 Page 2 of 2
AUG 2 9 tj"q
Miami Shores Villa e
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
FBC 20 h-
BUILDING Master Permit No, G L C— 08— 19 -- 0711
PERMIT APPLICATION Sub Permit No. &— Qs— 19 — ;W;t
[]BUILDING t�rELECTRIC ROOFING REVISION M EXTENSION []RENEWAL
F-1 PLUMBING M MECHANICAL FIPUBLIC WORKS E] CHANGE OF F-1 CANCELLATION SHOP
CONTRACTOR DRAWINGS
J08 ADDRESS: zj2 31�2 &442 Z2
City: Miami 5hores C.Qu()V: Miami Dade zis);
Follo/Parcel#: eLf/zz Is the Building Historically Designated: Yes NO rK
Occupancy Type: _ Load: Construction Type:
OWNER. Name (fee Simple ritleholder):z-mi !&r—e#
city- 'emu :,der i
Tenant/Lessee Name:
State:
Flood Zone: BFE: FFE:
Email:
CONTRACTOR. Company Name: . X 411W. �,K Yhone#:
Address:, 7-
city: a4'41�%4
Qualifier Name:
93111FAWIXAM
State Certification or Registration 4:1 WJP'Z4? .2 Certficate of Competency #- 2-
DESIGNER: Architect/Engineer: &� '40.t'a � /4'� Phone#:
Address: 4�t af4y I il- 14ye`>'� d'4'f -I laCity: A*4*1 (,' State: Zip:
Value of Work for this Permit: $ Square/Unear Footage of Work:
Type of Work: F-1 Addition F1 Alteration New Fl Repair/Repiace Demolition
Description of Work: -7-,4 C. /,t A,Jgfc"# 4 P1 IMA z':4' bt e rA-4
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ . CCF $ CO/CC $
Scanning Fee $
Radon Fee DBPR $ Notary $
Technology Fee $ Tralning/Education fee $ Double Fee
Structural Reviews Bond $
TOTAL FEE NOW DUE$
fRevised02/24/2014)
Bonding Company's Name (if applicable) _It-1114
Bonding Company's Address
City
State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State 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 013TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT.11P
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_ �', J
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of 20 by
Z7, '41nil 4 fly kno A—Y-4t� , who I t!!2t.,,w4 to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: No*V PubW StSIS Of FlOrift
rP Sydney Herrero
Ex
Cormosion GO 343WOM73
Expires 10104=3
MA
APPROVED BY/(�.� Plans
(RevisedO2/24/2014)
Signature_
CON RACTOR
The forep oingtinstrument was acknowledged before me this
day of IsAU .2 21 . by
oersonalb. In-1, to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Print: C�
Seal: '0 Notary PUbIle State ot FWft
Sydney Herrera
My CornmMan GO 343073
01 Expires i"f=
Examiner Zoning
Structural Review
Clerk