DS-16-1111 Permit
Miami Shores Village Penn#Tjrpe:Dlabs
10050 N.E.2nd Avenue NW Wolk GIa5Sif7C&--6,Repair
®' Miami Shores,FL 3313&0000 P p
Permit Status:APPLIED
Phone: (305)795-2204
R Issue Data 4126/2016 Expiration: 10/23/2016
Project Address Parcel Number Applicant
102 NW 108 Street 1121360100010
DOUBLE TT LLC
Miami Shores, FL 33168-4313 Block: Lot:
Owner Information Address Phone Cell
DOUBLE TT LLC P.O.BOX 90393
KEY BISCAYNE FL 33149-
P.O.BOX 90393
KEY BISCAYNE FL 33149-
Contractor(s) Phone Cell Phone Valuation: $ 1,500.00
LANDA ENTERPRISES CORP (786)333-5248
Total Sq Feet: 220
Approved:In Review Available inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Work:CHANGE PIECES OF SIDE WALK Additional Info: Review Planning
Bond Retum: Classification:Residential Review Building
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# DS-416-59530
DBPR Fee $2'00 04/26/2016 Credit Card $121.20 $0.00
DCA Fee $2.00
Education Surcharge $0.40
Notary Fee $5.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $121.20
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 foFFIDANAT-
AL,PLU ING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS t all the foregoing information is accurate and that all work wilt be done in compliance with all applicable laws regulating
constructioon F o ,I authorize the above-named contractor to do the work stated.
April 26,2016
Aorized Si n Applicant / Contractor / Agent Date
Biuildin men Copy
April 26,2016 1
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone:(305)795-2204 Fax:(305)758-8972
Inspection Number: INSP-257526 Permit Number: DS-4-16-1111
Scheduled Inspection Date: May 09,2016 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Mesa, Michael
Inspection Type: Final
Owner: , Work Classification: Repair
Job Address:102 NW 108 Street
Miami Shores,FL 33168,4313 Phone Number
Parcel Number 1121360100010
Project: <NONE>
Contractor: LANDA ENTERPRISES CORP Phone:(786)333-5248
Building Department Comments
CHANGE PIECES OF SIDE WALK infractio Passed comments
INSPECTOR COMMENTS
False
Inspector Comments
Passed 1
Failed
Correction a
Needed
Re-inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee Is paki.
May 06,2016 For inspections please call:(305)762-4949 Page 21 of 45
Miami Shores VillageAPR2i62016
Building Department 1y:
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 20r
BUILDING Master Permit No. -QG 1`E-2g�-qo
PERMIT APPLICATION Sub Permit No. ADS 16- 14 t i
'BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF ❑CANCELLATION O SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 10 z uaj to IST
City Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee
'Simple Title-holder): D ��U� .C l 11 C Phone#: 50 X S k(n �S�I�3
Address: (O CAME O 1S
City:, H-'-Lj`K:. OQ.c C State: l Zip:M l
Tenant/Lessee Name: Phone#:
Email: cc
CONTRACTOR:Company Name: L L�!ns�ia Phone#:
Address: SS4 &U,) 19—X ov
City: yk,:-nb•-kS State: Zip: ��"
Qualifier Name:rrw 1 GC>'�-� Phone#: :) -'a
State Certification or Registration#:Tt"S a 3 Certificate of Competency M
DESIGNER:Architect/Engineer: Phone#:
Address: y City: State: Zip:_ .
Value of Work for this Permit:$ ISS• Square/Linear Footage of Work: Z SCS
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition-
Description of Work: QJACir\63liF 6� t i
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ p CCF$ CO/CC$
Scanning Fee$ Radon Fee$ 206 DBPR$ �- Notary$
Technology Fee$ {68 Training/Education Fee$ 0840 Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 4 21.2'`
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City —State Zip
Mortgage Lender's Name(if applicable)
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 a building permit with an estimated value exceeding$2500,the applicant must
promise in goodfaith 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-certrlkd cWo e recorded notice-of commencement-must-be-posted-at theJob-9ft-
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 inspectionfee will be charged.
Signature ,x Signatur
v
�or AGE CT R
The forel)ing instrument was acknowledged before me this The foregoing qnstru ent was*ackndged before me this
day of ANUL- 20 ay
by day of 20 by
LJ:5
ZL-J--J�:�yho ls4j@��to who is personally known to
me or who has produced as me or who has produced as
Identification and whodid take an oath. identification and who did take an oath.
NOTMY PU 811.1 Q NOTARY PUBLIC:
Sign:
Sign:-
AV
Print: Print:
�V'w-W-IF
r.k,,;k-
% -,a
Seal: No"Puw staw of Florkle Seal:
Udis M Fuerfts
My Comn*Ww EE 841144
Expires 10109/2016 off
.=*Wr*40 ********
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(RL-AsedO2/24/2014)