REV-16-1992 Miami Shores Village ju -�
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
rf BC 20
BUILDING Master Permit No. c! 1�—)
PERMIT APPLICATION Sub Permit No.'t`&(� I V
BUILDING F— ELECTRIC ❑ ROOFING REVISION EXTENSION RENEWAL
PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
Q �r,,t� e CONTRACTOR DRAWINGS
JOB ADDRESS: 9%�� /�L 11-2 �7
City: Miami Shores County: Miami Dade Zip: 3ULP
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): T/ffig,!1Y2 S/L!/,VzeA Phone#:
Address:
City: / SHceff State: 1�� Zip: 3 ��
Tenant/Lessee Name: Phone#:
Email: /�
CONTRACTOR:Company Name:C A/,r7e60d7Y0& ,E0�'L�J/�Q p Phone#:
Address:20 Q 6! AOX .!?.07* tel! JK 4jrj./�f
City: W1/—AAlYZ424 State: 7-G Zip: 33wyGy `'
Qualifier Name: tO 6IM(W . -,J A`C^4A1 Phone#: 305�J�'9��d
State Certification or Registration##Ca C /k6 6 Certificate of Competency#:
DESIGNER:Architect/Engineer: M"if h49!/!.4 P4 Phone#: .3o,'T
Address://?� C O��L � { �ID� City: � ! State:�Zip: --)3Z!0,5
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ,[ ❑ New ❑ Rep//air/Replace' ❑ Demolition
Description of Work: &11�661V_:e•�/�� 'l /UCS /�
Specifjrcolor,of;color-thru>tile:
Submittal Fee$ Permit Fee$ Q " �'" CCF$ Lam✓ CO/CC$
Scanning Fee$ r< e'()�Radon Fee$ '� DBPPR$$ Q,-Q Notary$
Technology Fee$ Training/Education Fee$ d " TV Double Fee$
Structural Reviews$ '1120 'W Bond$
TOTAL FEE NOW DUE$
(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 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.
Signature Sigature
OWNER or AGENT2 CONTRACT
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of Sy `y 20 lv by ` S day of �V l�'( 20 ( Lo , by
!911111ct 1'dA2 who is personally known to �SfA�n RS rn4►1 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 PUBLIC: NOTARY PUBLIC:
Sign: Sign: �,...,y , ,...�.: ....
w"nq
Print:J1?f /mac. : Notary Public-State of Florida print: n t Q _+°. e` Notary Public-State of Florida
_. Y -.. . 2018
Seal: ,�p� Commission#FF 164325 =? Commission N FF 164325
ATF OF F��•`'� Seal: ,;� .
Bonded tluough National Notary Assn. Bonded through National Notary assn.
****************************** ********** ****************************************************************
APPROVED BY L Plans Examiner Zoning
`-j
r / Structural Review Clerk
(Revised02/24/2014)