ELC-08-19-2012, 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
Description: INSTALLATION OF LICENSE PLATES RECOGNITION Valuation: $ 0.00 Inspection Req ests:
CAMERAS WITHIN THE PUBLIC RIGHT OF WAY.
8690 BISCAYNE BLVD Total Sq Feet: 0.00
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
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$109.50
Deposit
09/17/2019 $109.50
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 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 cons EucU sand zoning. Futhermore, I authorize the above named contractor to do the work stated.
12 j Itf
Signature: Owner / Applicant / Contractor ! Agent Date
September 17, 2019 Page 2 of 2
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: 1305) 762-4949 kok"
FBC 20 P
BUILDING master Permit No,
PERMIT APPLICATION Sub Permit No.C—U— QB- Ict - ;01�
[]BUILDING )��'ELECTRIC ROOFING REVISION [:] EXTENSION [DRENEWAL
OPLUMBING MMECHANICAL [-] PUBLIC WORKS CDCHANGE OF 0 CANCELLATION []SHOP
CONTRACTOR DRAWINGS
folio/ParcelM :!��Oof Is the Building Historically Designated: Yes _ NO
Occupancy Type- Load: -Construction Type, _Flood Zone: BFIE: FFE:
OWNER: Name (Fee Simple
MEWL-rZAM
City- Zip:
tate; X! /a( 0, :7 7;1
Tenant/Lessee Name: .... ......... Phone#-
.. .. . . .......
Email:
CONTRACTOR: Company Name:, Phone#:
Address:
City: 111;(-1eA'0� n5 State: es2_10 _Zip;
Qualifier Name: Phone#: N96
State Certification or Registration #: Certificate of Competency #:
DESIGNER, Architect/Engineer: 04:� 14�14'a 4 Phoneg:
Address: 4�LL xf& I Avj:2'3�111e ld419 City; /I State: Zip: 9
Value of Work for this Permit: $ Square Linear Footage of Work:
Type of Work: 0 Addition Alteration XNevi F-1 Repair/Replace Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee Permit Fee CCF $ CO/CC
Sunning fee $ Radon Fee $ DBPR Notary
Technology Fee fee$ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 10.i. 150
(RevisedOZ/2412014)
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 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 with 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 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
—Lg-- f .................. day o. 201 by
Z;' AwiJ A lmeA,,,`who isAierro-nally knoto
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC.,
Signature_
�CON RACTOR
The fare ping instrument was acknowledged before me this
day of IJ� U 20-J CII � by
'it !11JIK�6116, --who lj�personallyj�n to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Sign:_
Print:
t-OW
Print:
Seal:
N081V PUM StAllb Of Florida
Seal:
Sydney Heffera
my Coyawnitin G43 343073
axw4ft 1004o073
4 A
A 00
APPROVED
BY
���� /
9 Plans Examiner
Structural Review
(RevisedO2124/2014)
jW kot*y PubW Stato of Florida
Sydney He ffera
My COMMM1001 GG 343013
EXPAS 10t04I2t)23
Zoning
Clerk