ELC-08-19-2013, 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 Ins �ettion Re uests:
CAMERAS WITHIN THE PUBLIC RIGHT OF WAY.
Total Sq Feet: 0.00
9035 NE 2 AVE
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 cogstr�nd zoning. Futhermore, I authorize the above named contractor to do the work stated.
12)S /1S
Signature: Owner / Applicant / Contractor / Agent
Date
September 17, 2019 Page 2 of 2
Miami Shores Village
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
BUILDING Master Permit No.0 LC- 0?!: 1 —9- 10-41
PERMIT APPLICATION Sub Permit Noet- C - oz - 101 - Al
r-JBUILDING �'JELECTRIC ❑ ROOFING ❑ REVISION 7 EXTENSION 0 RENEWAL
F-JPLUMBING M MECHANICAL
MPUBLICWORIKS M CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
DRAWINGS
J08 ADDRESS: 47r
X ve
City: Miami Shores
County: Miami Dade zip: f � 9
Folio/Parcel#:
Is the Building Historically Designated: Yes NO
Occupancy Type: _ Load: _
Construction Type: _Flood Zone,
BFE: FFE:
OWNER. Name (Fee Simple Titleholder):
Address: TYfi2 41Z 2nd
City: -e-4j-j
Tenant/Lessee Name.
15 �.iore 041 e &
b V 7a
AVe
State:
Zip
<
X 4a. '��a W( —Phoned:
Email:
CONTRACTOR. Company Name:.
Phone#:
Addrw., 194'A4-�' 41'lel //f
City: 1114 0�94 /,;,t nd&-4 State-. I—APt-;W0, Zip: -'3al 51
Qualifier Name, Y&JA. Phone#: IW5
State Certification or Registration #: Certificate of Competency z-
DESIGNER: Architect/Engineer: &2g
Phone#-, 36i!5* -6�0- iF49
Address: IL-�/ dle' zdl6, city: X64 44 1 State: 05� Zip: �13
Value of Work for this Permit: Square/Unear Footage of Work:
Alteration Repair/Re lac TypeofWork: 0 Addition New eplac 0 Demolition
Description of Work: 40 1* MUe nx.';
Specify color of color thru tile;
Submittal Fee Permit Fee $ CCF CO/Cc
Scanning Fee $
Radon Fee $
DBPR Notary $
Technology Fee Training/Education Fee $ Double Fee
Structural Reviews Bond $
TOTAL FEE NOW DUE
(R&hsed02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
city State
Mortgage Lender's Name (if applicable) _
us
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 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 o 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 ottachment. 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 20 by
who I �!� 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 I�A U 20 -J by
9 A A personal) n to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
W
Sign:
Sign:
Print:
Prin
SeSeal;NOWY
pubw state of Fowa"Mfta
Seal:
Sydney Herrera
My Cwon GG 3 34W3
101041202
ar
Expm
M A* into),
APPROVED
BY
Plan, Examiner
(Reyised02/2412014)
, Notary PuM State of Fk*ds
Sydney Heirrera
J,/MY Ccft""W GG 343073
Expires 10104IM3
Zoning
Structural Review Clerk