REV-11-21-2860, 162 NW 108th StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
162 NW 108TH ST, Miami Shores, FL 33168 1121360100060
Contacts
(
Jovens Degage Owner ANOTHER CREATION HOME INC Contractor
162 NW 108 ST, Miami Shores, 33168 NATHANIEL CURRY
Mobile: 3058499102 JOVENS.DEGAGE@YAHOO.COM 1535 NW 180 TER, MIAMI, FL 33169
Business:6782494730 NATECURRY@ANOTHERCREATIONHOM
ES.COM
...................�o�0000m� . °.
Description: REVISING PAGES A-3, A-4, E-1, P-1, M-1, S-2, & S-3 I Valuation: $ 0.00 Ins ectton Requests:
305=762-4949
TO MATCH EXISTING BUILT CONDITIONS ( PER INSPECTOR'S
7771
REQUEST) i Total Sq Feet: 410.00
Fees
Amount
Revision: Major Change of Plans
$90.00
Revision: Minor Change of Plans
$40.00
Revision: Minor Change of Plans
$40.00
Revision: Minor Change of Plans
$40.00
Scanning Fee (Manual)
$24.00
Structural Review ($90)
$90.00
Total:
$324.00
Payments
Date Paid Amt Paid
Total Fees
$324.00
Credit Card
12/02/2021 $324.00
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 d zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized'"jg ature: Owner / Applicant / Contractor / Agent
December 02, 2021 Page 2 of 2
i►jl�l7�Z
BUILDING
PERMIT APPLICATION
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
❑BUILDING ELECTRIC ROOFING
001101111111610-3
Nov 0.3 2021
BY: G: L
FBC 20 X
Master Permit No. RC-09-20-2219
Sub Permit No.a,,��'�
REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 162 NW 108 ST
City: Miami Shores County:
Miami Dade Zip:
Folio/Parcel#: 11-2136-010-0060 Is the Building Historically Designated: Yes NO X
Occupancy Type: ResidentialLoad: Construction Type:
Flood Zone: _ BFE: FFE:
OWNER: Name (Fee Simple Titleholder):3ovens Degage
Phone#: (305)849-9102
Address:162 NW 108 ST
City: Miami Shores State: Florida
Zip: 33168
Tenant/Lessee Name:
Phone#:
Email: jovens.degage@yahoo.com
CONTRACTOR: Company Name: Another Creation Homes, Inc
Phone#: (888)591-8291
Address: 8203 SW 27 Court
City: Davie state: Florida
Zip: 33328
Qualifier Name: Nathaniel Curry 11
Phone#: (678)249-4730
State Certification or Registration #: CGC1519372
Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address:
City: State: Zip:
Value of Work for this Permit: $ 0 Square/Linear Footage of Work:
Type of Work: F07 Addition ❑ Alteration ❑ New
❑ Repair/Replace ❑ Demolition
Description of Work: Revising pages A-3, A-4, E-1, P-1, M-1, S-2, & S-3
to match existing built conditions (per inspectors request)
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
(Revised02/24/2014) * z q ,
N m f � (S�CJa-6-c:)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable) _
Mortgage Lender's Address
City
State
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."
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%t/
� �,
OWNER or AGENiP
The foregoing instrument was acknowledged before me this
o ^ C day of 1 mO V EVE L er 20 0� � by
J 0V(a,v't S Qea c,m who is p re_ gnnah known to
me or who has produced NGi1l as
identification and who d a <e a a
Notary Public State of Florida
NOTARY PUBLIC: �: Ruth Thomas
y My Commission GG 156700
��or Rod Expires 11/12/2021
Sign: - �.
Print: e"+ 1 Vco ro Ct 5
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
aYNJ day of NOVeVY16er ,20 c; O ,by
Nc11 V c,o,e k who is ne_rcpnally knn in to
me or who has produced IV C NnC— as
identification and who did t e ah.
Notary Public State of Florida
NOTARY PUBLIC: , Ruth Thomas
y v My Commission GG 156700
a.14P Expires 11/12/2021
Sign: ���ef'�✓�
Print: t\ v144ii, I k0riltOt. S
Seal: Seal:
•***err************r*�****rs�r***********r**�***�*�s********************************************s*****�***.
Z
APPROVED BY I t f/ Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)