30 NE 94 St (10)Issue Date: 9112/2006
Owner's Name: ENRIQUE LORENZO - LUACES
Permit Type: Driveways /Sidewalks /Slabs
Work Classification: Addition /Alteration
Job Address: 30 94
Additional Information
Miami Shores Village, FL
Miami Shores Villag
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 03/11/2007
Contractor(s) Phone
ARTISTIC CONCRETE USA INC 305 - 888 -4565
Primary Contractor
Yes
Comments:
TO REPLACE EXISTING ASPHALT DRIVEWAY /ADD NEW WALK WAY WITH
STAMP CONCRETE 3.000 PSI FIBER MESH
Type of Work: DRIVEWAY Additional Info:
Bond Return :
Classification: Residential
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
and zoning. Futhermore, I authorize the above -named contractor to do the work
stated.
Fees Due Amount
Bond Type - Contractors Bond $300.00
CCF $1.80
Education Surcharge $0.60
Permit Fee $116.30
Scanning Fee $3.00
Technology Fee $3.13
Total: $424.83
Building Department File Copy
Applicant Signature
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: DS - - - 2285
one: 786/942 -9475
1131010340180
Lot:
PB:
Total Square Feet: 826
Total Valuation: $ 2,350.00
Re • uired Ins • ections
Foundation
Sidewalk
Landscaping
Final
Invoice Number
DS - 9 - 06 - 26077
Total:
Amt Due
$424.83
Amt Paid
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
Inspection Date: 11/28/2006
Inspector: Grande, Claudio
Owner: LORENZO - LUACES, ENRIQUE
Job Address: 30 94 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: ARTISTIC CONCRETE USA INC
Building Department Comments
Monday, November 27, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -26126
Permit Number: DS -9 - 06 -22$5
Permit Type: Driveways /Sidewalks /Slabs
\, t,
��' � Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number 786/942 -9475
Parcel Number 1131010340180
Lot:
Phone: 305 - 888 -4565
Page 2 of 2
d
Inspector Comments
Passed
A
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Date: 11/28/2006
Inspector: Grande, Claudio
Owner: LORENZO - LUACES, ENRIQUE
Job Address: 30 94 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: ARTISTIC CONCRETE USA INC
Building Department Comments
Monday, November 27, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -26126
Permit Number: DS -9 - 06 -22$5
Permit Type: Driveways /Sidewalks /Slabs
\, t,
��' � Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number 786/942 -9475
Parcel Number 1131010340180
Lot:
Phone: 305 - 888 -4565
Page 2 of 2
on the mail box
Passed
;
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 10/18/2006
Inspector: Grande, Claudio
Owner: LORENZO - LUACES, ENRIQUE
Job Address: 30 94 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: ARTISTIC CONCRETE USA INC
Building Department Comments
Tuesday, October 17, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
il't#i1
FY
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Foundation
Work Classification: Addition /Alteration
Block:
Phone Number 786/942 -9475
Parcel Number 1131010340180
Lot:
Phone: 305 - 888 -4565
Page 2 of 2
........ ...............................
........ ...............................
fsi�titi� =rEz
......... ............. ................ ..
Inspection Date: 10/17/2006
Inspector: Grande, C
FIP
Owner: LORENZO - LUACES, ENRIQUE
Job Address: 30 94 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: ARTISTIC CONCRETE USA INC
Building Department Comments
Monday, October 16, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Foundation
Work Classification: Add'otion /Alteration
Block:
Phone Number 786/942 -9475
Parcel Number 1131010340180
Lot:
Phone: 305 - 888 -4565
Page 1 of 2
Passed
Inspector Comments
��i;
�J
i�2ai_ /
/, rG 6 ,
roc
1
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
........ ...............................
........ ...............................
fsi�titi� =rEz
......... ............. ................ ..
Inspection Date: 10/17/2006
Inspector: Grande, C
FIP
Owner: LORENZO - LUACES, ENRIQUE
Job Address: 30 94 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: ARTISTIC CONCRETE USA INC
Building Department Comments
Monday, October 16, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Foundation
Work Classification: Add'otion /Alteration
Block:
Phone Number 786/942 -9475
Parcel Number 1131010340180
Lot:
Phone: 305 - 888 -4565
Page 1 of 2
5 ��ncs
t.c fir„
Lamc
AFFIDAVIT
• •
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'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, .( r d' does hereby attest that the
(property owner)
attached survey, performed by e���
(name of surveyor's company)
performed on
(date of survey)
N -'TAI;" PUB! IC- S':'t'; OF PLORIn. '\.
z } :,1ia.r13 Negrin
Cc.naission ' DD4485 a
r Tics: JUT" 07, 2Gr')
is an accurate representation of the existing conditions and
SWORN TO AND SUBSCRIBED before me this day of
Affiant is personally known to me, produced
Affiant/Property owner
Witness(sign and print) Witness(sign and print)
0
• •0•
•.
•
•
•
•
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted -or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
n i p
BUILDING
PERMIT APPLICATION
FBC 2004
%Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 331 31
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. .
Master Permit No.
U
Permit Type (circle):( Building 7 Electrical Numbing Mechanical Rooting
Ovvner's Name (Fee Simple Titleholder) e 14, .11W1/4-/e- 2- Phone )) "c j4N
Owner's Address -3 ;..) 4 / S
Contractor's Company Narr e
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Contractor's Address /t
Cit / 1 )t,:k State
Qualifier Name
State Certificate or Registration No.
Phorc
-
City /- .) State 1 Zip ' - "1
Tenant/Lessee Name Phone 14
Job Address (where the work is being done) 31 At , ,:i 44 _s '-
City Miami Shorts Village County Miami-Dade Zic i '3 /-;
FOLIO / PARCEL # ( 0 i '' 4/' ; 1.- 4 / 4. 1 ,'., 1 ' k 3 Ms.; .54-,e, .A%-/ /A.ee ,i'' II'
Is Building Historically Designated YES NO
t I:6 Phone
Square [Linear Footage Of Work:
Structural Review. $ Total Fee Now Due $
Zip
Phone #:
4 4 C (
Certificate of Competency No. ‘
(
Type of Work: EAddition EAltcration T New 1 cpair,e,laec Demolition
Describe Work: ("tore 14f e' '
4*.(
p
r rc. I /7 .1 it-t" -
Submittal Fee $ Permit Fee $ 4 , 4- -' CCF $ ,.,, CO/CC
Notary S Training/Education Fee $ 4,r,, Technology Fee $
Scanning S --IL. ()( Radon S
Bond S Code Enforcement S
DPBR $ Zoning $
Double Fee S
See Reverse side ->
(I/
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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
The foregoing inst
day of
who is personally known to me or who has produced
,T5 "11'ty 619
NOTAR l LIC:
Sign:
Print:
My Commission Ex.ires:
er or Agent
APPLICATION APPROVED BY:
(Revised 02/08/06)
State Zip
State
nt was acknowledged before e this
by
As identifuatig vvho did take
%C
F lires: '
Zip
�li Siature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 , by
who is personally known to me or who has produced
as idefit�c?} a take an oat
f
NOTARif
IC: nti r `
11 � � 17
.. r � ��� who 5`5,
Sign:
Print:
My Commission Expi - s:
* * * * * * * * * * * * * ** ********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
7
`7
* * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
Permit Number: DS -9 -06 -2285
Invoice Number: DS -9 -06 -26077
Applicant: ENRIQUE LORENZO - LUACES
Company Name:
Date
Tuesday, September 12, 2006
09/12/2006 Check
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -9000
Phone: (305)795 -2204 Fax: (305)756 -8972
Payment Type Check Number
4375
Owner Address:
334 NE 100 ST
MIAMI SHORES„ FL 3313E
Job Address:
30 94
Miami Shores Village, FL
Amount
$424.83
Change
$0.00
Total Payment: $424.83
Page 1 of 1
Thti: property (1ecriped as:
Lot !, and Lhe West k of Lot 8,
Block 3,
AN AAENi)ED Ph/1 OF
:.11AMI SHORES SECTION NO. 1,
„ Icc(,iding to the Plat
th(!reof, as recorded in
Book 10, Page! 70
the Public Records of
County, Florida.
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