RF-16-1795 �Z Miami Shores Village
' DEC
Building Department ILI
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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 2010 �r
BUILDING Master Permit No. \j
PERMIT APPLICATION Sub Permit No.V-.�I
L-
❑BUILDING ❑ ELECTRIC ROOFING [0 REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: / C,3 C-5 A/_ 4E, ' . AV
City: Miami Shores Countv 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 Titleholder):_Mr-;. %3onn, e /L/1 UMF(-),,4 `n/A I i c)rd• Phone#:
Address: / C 3 C) N J: . ; A v'e
City: AA1'u 1111" State: F I. .
Zip: .33 BJ 7
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: 71, Mee 1"e5 4r/a Phone#: Wit' /jt%
Address: i3
City:_ } ,Ca r i State: r/c,%�i rl e- Zip:
Qualifier Name: l ati L/r�Zt;tJPZ Phone#:
State Certification or Registration#: C C Z NO Certificate of Competency#:
DESIGNER:Architect/Engineer:_Je>Se A. A4L:j y•1-;ni e7 P. L, v,•1 9-A✓ 4✓v,4 Phone#:2d;
Address: `� �/� % 'j�' S+Y�c t City:_� �C� c. State: d�� Zip: f C)/e)
Value of Work for this Permit:$ TSquare/Linear Footage of Work: s�—
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: �� )�v.c c c,3,.>� ✓ °� r �vry fpdtf: 's� ,c'%. ¢ �', i Mr av b
Specify color of color thru tile: /�
Submittal Fee$ Permit Fee$7-15 • W CCF$ CO/CC$
Scanning Fee$ —6'm Radon Fee$ DBPR$ Notary$�
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ 2Q. Bond$
TOTAL FEE NOW DUE$
(Revised02/24J2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable) t� �L
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 CONDITIQNERS,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 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 the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
0 .........
(b�NER car 4�(NTRACTOR
The foregoing instrument was acknowledged before me this The fore i instrument was acknowledged before me this
day of 100116W 6±t�: 2C 16 by day of D1 20 11, by
who is personally known to sr who i Q!!s �to
me or who has produced&4"iA Aj-w1ug L&djas me or who has produced as
,_7_'
I
identification and who did take an oath, identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Print:
ow Print: P1,
Seal: COMM. #2133395 Se
Notary Public-Caldomia. KNAPA Q PALMER
Los ArigelAc4urdy MYCOMMISSIONOFF'OW
co Fxpi Nov.9,2019
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revsed02/2412014)
9
JOSE A. MARTINEZ, P.E.
CIVIL STRUCTURAL ENGINEERS
24 E 5T" Street, Hialeah. Florida 33010
Ph.(305)887-4417 fax(305)884-3967
October 28, 2016
City of Miami Shore
Building and Zoning Department
Reference: 10305 NE 2 AVE MIAMI SHORE, FL. 33138
To Whom It May Concern,
Please, note that existing MT 18 reinforced with variable x 8"x 1/2" plywood each side w/ (8)
l Od common nails each side (4) each member of the above referenced project are structurally
adequate to support the design loads.
VARx8N2' PLYWOOD \All (8) 10d
COMMON NAILS Ell-8IE r
((4) EA MEMBERS) :
i
41,
2"XAFTE E
Respectfully,
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