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DEMO-10-22-2545Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 10/21/2022 Permit NO.: DEMO-10-22-2545 Permit Type: Demolition Work Classification: Residential Permit Status: Approved Expiration: 04/21/2023 Location Address Parcel Number 77 NE 106TH ST, Miami Shores, FL 33138 1121360060310 Contacts Tomas Castellanos Owner HOMEOWNER Contractor 77 NE 106 ST HOME OWNER TOMAS. E.CASTE LLAN OS@ GMAI L.COM =f Description: Valuation: $100.00 Inspection Requests: 305-762-4949 Total Sq Feet: 0.00 Fees Amount Application Fee -Other $50.00 CCF $0.60 DBPR Fee $2.00 UCA Fee $2.00 Lducaon Surcharge $0.30 Scanning Fee $3.00 Technology Fee $5.00 Walls, Signs, Other Demolition Fee $50.00 Total: $212.90 Payments Date Paid Amt Paid Total Fees $112.90 Credit Card 10/21/2022 $112.90 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 r�gui`'^nstr�ctio�and zoning. Futhennore, I authorize the above named contractor to do the work stated. Aut orized Signature: Owner / Applicant / Contractor / Agent Date October 21, 2022 Page 2 of 2 Miami Shores Village �.:.�0IVED Building Department DC 072022 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 - --jz-e — INSPECTION LINE PHONE NUMBER: (305) 762-4949 FFB`�C 2(V BUILDING Master Permit No..LM'�0 — Ln ?e -2s4s PERMIT APPLICATION Sub Permit No. [—]BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 71 09 10& City' Miami Shores County' Miami Dade Zip: '33130 Folio/Parcel#: //'�?/ 3 & 0060 3/0 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: _Flood Zone: BFE:2 OWNER: Name (Fee Simple Titleholder. :-S �' l�'5%�!/any� 2F�FE:�C/ Phone#: Arlrirocc- -7-7 u E ) 06 �T City: "Iami Sbo les State: Tenant/Lessee Name: Email oS CONTRACTOR: Company Name: <— AJ / 4 '> Phone# Address: Email: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: _Zip: Value of Work for this Permit: (Lv— 4-0 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alterationn ❑ New ❑ Repair/Replace [Demolition Description of Work: RErTtO�o) 6" YYL--)C) 5�ec-;, Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ DCA Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ P&Z Review $ Bond $ TOTAL FEE NOW DUE $ I1 (Revised04/05/2022) ' 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 OWNER or AGENT The foregoing instrument was acknowledged before me this day of �OC+kld .20 9-2 by T6iVYK7S L (10-gk ✓" who is personally known to rme or who has produced L- L-iCPr'-y— as CONTRACTOR The foregoing instrument was acknowledged before me this day of me or who has produced 20 . by who is personally known to as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: Seal: Seal: Y� q APPROVED BY Plans Examiner (` Z� Zoning Structural Review (Revised04/05/2022) Clerk 1 survey 15' Wide Alley Plat Limits FIP 10' Asphalt Pavement 0.6, Encr 0.5' CI N M N_ w 0 Lot 14, O Block 207 00 0 0 FA 0.2' CI 70 7C `OE S y T / L 0 i 1 a0 / 1 / Lot Y5, Blopk 207 , AC , Ell o N -12y14' o c / �a 7 Gate LA 0.6• CI Co 9 anc! 0-11. �t t _ 77 PL )06 '�;7- oci 0 7 zozz BY�� CI) � N OC�• Wo N 1� i W Dxk p• o Lot 16. n 2 p Block 207 0, St 20.7' x I o 8 o p a A o �r a�a Residence �, � I Z � o k, y{ �7 a tF ! 7 A' ..Maim I �rpaQoQw'oocaJ>`� •w FfE=12.4Xc 040 �o Q iv N N FIP BOB e?" SW42'36"E 75.00' 5' 5alwcik