DS-17-2117Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit NO. DS-8-17-211' 7
Pa Permit Type: Driveways/Sidewalks/Slabs
ermiWork Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 8/30/2017
Expiration: 02/26/2018
Parcel Number
Applicant
601 GRAND CONCOURSE
Miami Shores, FL
1132060172140
Block: Lot:
CARLOS FELIPE LEMOS
Owner Information
Address
Phone
Cell
CARLOS FELIPE LEMOS
601 GRAND Concourse
MIAMI SHORES FL 33138-
601 GRAND Concourse
MIAMI SHORES FL 33138-
Contractor(s)
ELECTRICAL SERVICES JC INC
Phone
(305)244-8628
Cell Phone
Valuation:
Total Sq Feet:
$ 250.00
11.25
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: PREFAB SLAB FOR GENEREATOR
Bond Return :
Scanning: 3
Additional Info:
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.00
$2.00
$0.20
$100.00
$9.00
$0.80
$114.60
Pay Date
Invoice #
08/21/2017
08/30/2017
Pay Type
DS-8-17-64948
Credit Card
Credit Card
Amt Paid Amt Due
$ 50.00 $ 64.60
$ 64.60 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Planning
Review Building
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.
Authorized Signature: Owner / Applicant
Building Department Cop
ntractor / Agent
August 30, 2017
Date
August 30, 2017 1
JOB ADDRESS:
City:
Folio/Parcelt:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
► ON hnTCOd/Se
Miami Shores County:
//',3.2U6o—U/17 —„ /110
Occupancy Type: Load:
Construction Type:
RSCS1v °
p,\IG 21 15I
FBC 20N.
Master Permit No. et 1 - l 1- / 9340
Sub Permit No. D �1 \ \ 1
❑ REVISION ❑ EXTENSION ID RENEWAL
❑ CHANGE OF El CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Miami Dade Zip: i / 5 0
Is the Building Historically Designated: Yes NO X
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titlehol ): 4/tO S '1 r 1 eS Phone#:
Address: 0/4 ZW , C�b4GiOti/Z SC
-
City: Z- Zip:/
City: �A.iNi G.� !�/���' State: /' K�3t7 !r
Tenan essee Name: Phone#:
Email:
CONTRACTOR: Company Name: L% /Lak/CQ / (1w/CES
Address: '�"T' Jh) • M2 aye
City:
Qualifier Name:
State Certification or Registration St
DESIGNER: Architect/Engineer: Phoned:
Address: Gty: State: Zip:
Value of Work for this Permit: $ ,25 D Square/linear Footage of Work: , \ • V
Phone8:(5) w0
zip,:
Phone*: 'O3-) , 24 -36.2s
%q 04 i State:
�V,eT/GLD
/ 3DO55la 0 Certificate of Competency 4:
Type of Work: ❑ Addition ❑ Alteration
Description of Work: �/P. ��d c /e b
New
❑ Repair/Replace
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Educadon Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ Ci —T GO
(Revised02/24/2014}
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Tip
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
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.
"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 condition to the issuance of o 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 low 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 tosted notke, the
inspection will not be approved and a reinspption fee will be charged.
Signature)
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of Oc-tic.) S , 20 , by
C'c.ri'.OS--Gi''tc S , who is personally known to
me or who has produced
Identification and who did take an oath.
NOTARY PUBUC:
as
Sign:
Print:
Seal:
'w
APPROVED BY
(Revised02/24/2014)
Josefina Jara
'�':... Commission 0 GG109716
Expires: May 30, 2021
; Bonded thnl Aaron N
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
to day of (O(_,Voc , 20 ) -] , by
CH r (o s �f , who is personally known'foe
,
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: `GS% t
Seal: `,�!(b,,, Josefina Jara
?• i., �"= Commission l GG109716
;"- Expires: May 30, 2021
Plans Examiner
Structural Review
Zoning
Clerk