RC-16-930 C ' 46-934
®y�,o11R Miami Shores Village ® Peffflfl p�': @SOde1tt9Sl Construe 0
10050 N.E.2nd Avenue NE
Work_ t SSIficatiorr oat
Miami Shores,FL 33138-0000
�TB613� Phone: (305)795 2204 I �Alei r tit Status:APPROV901
Issue Date:716120'16 Expiration:,01/02/2017
Project Address Parcel Number Applicant
273 NE 99 Street 1132060134420
SANTIAGO Ht RRERA
Miami Shores, FL 33139-2407 Block: Lot:
Owner Ir..onnation Address Phone Cell
SANTI.ACO HERRERA 273 NE 98 Street
MIAMI SHORES FL 33138-2407
169 NE 43 street
MIAMI FL 33137-2407
Contractorts) Phone Cell Phone- Valua6ian 1UG.a0
LIVING EARTH REMODELERS (954)925-500: Total Sq Feet. f
Approved. iri Review �~ Available Irspections:
Comments: I ln,npotinn T%inp:
Date Approved::In Review Final
Date Denied: Solar
Type of G^nstruction:SOLAR WATER HEATER SOLAR A Occupancy:SinnIe Familv a as spm
Storie- Exterior:
Front Setback: Re--Setback:
Left Se`buc : Riga Setback,
Bedrooms- Bachrooms: W
Plans Subm tied:Yes Certificate Status:
Certificate Date: Additional Info:
Bond Return: Classification:Residential
Fees Dt.te Amount Pay Date Pay Typa Amt Paid Amt Due
CCF $0.60 Invoice if RC-4-Ili-59310
DBPK Fee $2.00
DCH Fee $2.00 07/06/2r 6 Check `:::';35 o '4 0 $ 0.00
Education d,:rcharge $0.20
Perm'Fea $100.00
Plan Re✓ieri Fey(Engineer) $120.00
Scarping Fee $9.00
Technology Fee $0.80 �.
Told, $234.60
In coris,de,atijn of the issuance to me of this perry t, I agree to perform the work ccvered hereunder in comp] thce vvith SII ordinances and regulations
pertaic+nn thereto and in strict conformity with the plat s,drawings,statements or specificat-ons submitted to the pro] ma lithorities of Miami Shores Village. In
accepting this permit I assume responsibility for all ork dor- Llnderst?ea rh.t sAepar?te r,rmits are
required for G+ FCTRICAL,PLUMBING,MECHANICA.,WINDOVAIq DOORS Rr1nFiNr any+ctnnAPRAI ir,pent w� <
OVVivcr:c uA�iiT: I oeiur"y that al he foregoing informatics is accurate a id that all be d-ne is Zom )lia-_ gulating
construction and zoning. Futhermore,I a V
7e the a ove named contractor 4o do the workstated.
Ju 106, 2016
Authorized Signature:Owner / Applica rt / Contractor / !`.gen+ — — Jate—
Build—i.'! Department Copy
July 06, 2016 1
Miami Shores Village
Building Department I RRCRT7ffD
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 APR 0 6 2016
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 ✓
FBC 201 .
BUILDING Master Permit No. V& T _29
PERMIT APPLICATION Sub Permit No. P,Gl --
Vt7BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 273 NE 98 St
City Miami Shores County: Miami Dade i Zip:
Folio/Parcel#:11-3206-013-4420 Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder):Santiago Herrera Phone#:786-378-4060
Address:273 NE 98 St
City: Miami Shores State: FL Zip: 33138-2407
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: ��`�` 1 Phone#: OL-'S\4 C11 ZS
Address:
City: State: Zip: 3-,- _.�!�
Qualifier Name: �^� Phone#:312 310 o�S
State Certification or Registration#:C'(2)(2 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 5;o (l��
Specify color of color thru tile: �(\\tt��
Submittal Fee$ Permit Fee$ I(YJ CCF$ 0 .60 CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ "2- Notary$
Technology Fee$ Q Training/Education Fee$ Double Fee$�a
Structural Reviews$ �ao `W Bond$ C�
TOTAL FEE NOW DUE$ 239
(Revised02/24/2014)
s
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 OFOMMENCEMENT 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.
XSignatur Signature —
OER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 1A� 20 by le7!;— day of rte` ,20 f �o , by
who is personally known to who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBL NOTARY PUBLIC:
Sign: . Sign: �w�
Print: R ,� ,_t r L -s' Print:
EAMON TONER
Seal: +`" `3 Seal:
Notary Public -state of Florida
p 1011 t 9
,,04 a Pie EAMON TONER
My Commission Expires Mar 5,201721`" °': Notary Public State of Fiorida
Commission# EE 880934 ,.' ; My Commission Expires Mar 5,2017
I,
�....
EE 8909:s�
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)