DS-17-512 4
Permit NO. DS-2-17-512
OR&V y Miami Shores Village at Permit Type:Driveways(Sidewalks/Sla s
�n10050 N.E.2nd Avenue
Miami Shores,FL 33138-0000 Pentil Work Classification:Addition/Alteration
Phone: (305)795-2204 Permit Status.APPROVED
i.
FLORIDA
issueo*s:$/812017 Expiration: 09/04/2017
Project Address Parcel Number Applicant
220 GRAND CONCOURSE 1132060133520
Miami Shores, FL Block: Lot: DOUGLAS TURKEL
Owner Information Address Phone Cell
'DOUGLAS TURKEL 220 GRAND CONC
MIAMI SHORES FL 33138
Contractor(s) Phone Cell Phone Valuation: $ 2,500.00
CHAMPION CONCRETE (305)252-8055 (786)402-4802
Total Sq Feet: 220
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved: : In Review
Date Denied: Review Building
Type of Work:STONE WORK ON WALKWAY Additional Info:
Bond Return: Classification:Residential
Scanning:3
e
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
hl
CCF $1.80
DBPR Fee Invoice# DS-2-17-63092
$2.00 03/08/2017 Credit Card $67.80 $50.00
DCA Fee $2.00
Education Surcharge $0.60 02/28/2017 Credit Card $50.00 $0.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $2.40
IT otal: $117.80
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 AFFID IT. the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an z�i e, a orize the above-named contractor to do the work stated.
March 08,2017
orized Siam:!u :Owner Applicant / Contractor / Agent Date
I"
Buildi epartment Copy
March 08,2017 1
Miami Shores Village R , _. i
Building Department FE11 o'
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 [IQ Y: _
�o �\ Tel:(305)795-2204 Fax: (305)756-8972
�Z l.`
2
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 (ys-{�
BUILDING Master Permit No. 10S ' J Iy
PERMIT APPLICATION sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION -RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF [:] CANCELLATION ❑ SHOP ,
CONTRACTOR DRAWINGS
10B ADDRESS: Z�-0 ( D
City: Miami Shores County: i Dade Zip: 1
Folio/Parcel#: Is the ��ally Designated:Yes NO S
Occupancy Type: Load: Construction Type: Flo one: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): ,t r 01 6-Ai&41 1 LIAZ IG�_� Phone#: 3Q'E> 8- (Z`(
� ( �
Address: 220 � �D (tD441 ,dc.t-���
City: �1 -�1�1 .�-�� State:
Tenant/Lessee'Name: Phone#:
Email:
CONTRACTOR:Comp -ny Name:C�1;�e V1.�lDKA � c Phone#:
Address:} DL3V
0 $
City: OJLPj� State: -- Zip: 2✓� �7� 7
Qualifier Name:!J tQ-/1`b^Qi 1�>1s fZi�1� Phone#: _345 cl-7 �5
State Certification or Registration#: Certificate of Competency#: C251& 0(9e4
DESIGNER:Architect/Engineer: Phone#: -3oG,-�&Z-1 laS
Address: � -�N�W - City: State: Zip:
Value of Work for this Permit:$ 2� 7. �/)Cy_ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New AR epair/6place
❑ Demolition
i Description of Work: 1 -'
2-0
Specify co/or,of co/or, hru t�le�� C �ZCQ�C d-'1I��_' {L "•"�`( k=Y ?'��
Submittal Fee .ermttl Fee$ loo CCF$1 ._CO/CC
Scanning Fee$ I L� Radon Fee$ 2 ��\\ DBPR$ 2 j _ , Notary$
Technology Fee$ Z ` Training/Education Fee$ V -b b Double Fee$
Structural Reviews$ Bond$ Q
TOTAL FEE NOW DUE$ L Fo
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip r'"'j
Mortgage Lender's Name(if applicable) r
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.
16 �
"WARNING TO OWNER: YOUR FAILURE' TQ' RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE MR,MOVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT TH 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 f such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature '
ENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
�4 day of 20 by -� day of 20 by
64 who' personally known t 4;-� �X0 ��b ,w ' personally known o
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 PUBLIC: NOTARY PUBLI -
7 Sign: Sign:
Print: Print:
Seal: SPRY Pve Jesse Walters Seal: �PµY Poe Jesse Walters
Notary Public-State of Florida ® ��� Notary Public-State of Florida
m c Commission#GG 32294 Commission#GG 32294
Ex es 9/21/2020 ' " ' 9rFo aoP� Expires 9/21/2020
APPROVED BY Plans Examiner _ Zoning
Structural Review Clerk
(Revised02/24/2014)
OWEST
Turkel do Gigi Turkel �V-j'lo1SS L1 tLVVIt: SURV
LOWES
ADJ GRADE
SIA oRIGiU'! OLDE �,�,+nc� C,0rxc04p-Se).
lc6u y CLJGI up-fAI#lG -a -
"Vrr al t s
DESCRIPTION: i0
7, 8A9 NGV.D i� �fl � '
26
sion: Miami Shores Section No. One. Amended
ing to the Plat thereof as recorded in 01 . ••••••
: 10 Page: 70 27 ' ; •
Records of MIAMI-DADE County, Florida. fee:** • ••
...... ......
ESS: •• ' '
.... . .....
ND CONCOURSE .• • •
SHORES, FL 33138 ":": •••
chments Noted: 44 E
SKETCH
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IERMIT #:
Miami Shires Village O./S'-P �,�`r,vp��c I
PPROVED BY DATE Cox Cu2.6. Cj OJ
ONING DEPT o� r
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SUBJECT'(0 CCP , • 'NCE WITH ALL.FEDERAL
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- -dus"for tkk an by I to wMm tt is R CO
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`4d-Thk aarrey k—t to be Used far aarwfrUcfren, /
of TI.M.T.Kear any atto uu wltbeat written cse- 4 ,
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tithe search are r-f riflaered
_ *ne fbed Wfermati-A— berean does not brgly `.l
__;•'hc refcrenud prrperty will or will ret bs free n� `..
•i.:fkadkq ar damoge and dace eat ca ft Ikbaity
on'M part of Ms fas,any offleer or wMleyea tbsrtef.
far airy danoge ,ai
tbaf resdts from rebs.an d /% q
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ma::e.1 of t:::e ace male ar:rtyl:ad. - �.
F'Unda�grand mss.ff any,not located.
Z hereby certify Mat the m+e7 r.preeeaeea i. .
,a ..mots tlra ariniawra t.A0kd stm-
?dards "61G b7� .f THOMAS J. KELLY, INC.
In�61617-d fTwtde Admbrktrat(vcc Cods
pornrwrt 472.OZ7 FIs.Stabrtes.
• L.B. #6486
1 SURVEYORS-MAPPERS-LAND PLANNERS
rJOSEe'A., EA,P.S.b M.#4858
� STA F Fl.OPIDA 333 PALERMO AVENUE CORAL GABLE5, FLORIDA 33134
�" AM UNLESS lffw TED WITH AN
EMBOSSED SURMORS•s SEAL (305)444-7692 DADE (954)779-3288 BRWD