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EL-15-2302 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 FBC 20 BUILDING Master Permit No. I?C- (5 ` Z._� 1 PERMIT APPLICATION Sub Permit No. iL is-- z3o z ❑BUILDING 4ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP /1 p CONTRACTOR DRAWINGS JOB ADDRESS: 6 7 /\I GAJ !� City: Miami Shores County: Miami Dade Zip: 33.E0 Folio/Parcel#: 310 I-o33 -OW Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: -TIOWNER:Name(Fee Simple Titleholder): /�I'�?Gt f 16/ASCO Phone#: ��uG 61 Address: City: lkmi S p7we S State: /-c- Zip: 3 3166 Tenant/Lessee Name: Phone#: 'Email:- 70M 9, OAS&6W5 A'! jzn. (ym CONTRACTOR:Company Name: G I-M i cd— /l.��skit'S Phone#'. Address: V/U d S 6J 4 ' 5k&,t City: Warn; State: Qualifier Name:ost c.idy A044$64--?, n _$V�G? Phone#: 7870 241x781," State Certification or Registration#: R7COW00 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 4756 Square/Linear Footage of Work: 1L7d C;p Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: U Dciru jyl G S.eYvIC-P, c_,//,e kzr" P, ih I Specify color of color thru tile: Submittal Fee$ �� Permit Fee$ �✓ ©� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ 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 Signature n4d,12� OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 9 day of 09 20 by 9 day of . O`9 20 IS` by JPS 7�Cf� ,who is personally known to O&1/G IdO YV �/1 At�P ,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: 2w�Sign: Sign: Print: RIAS11 Print: Commission#FF 897808 . ARIE FARIAS ��1► • Seal: s; �'.�_ My Commission Expires Seal: �*i Commission#FF 897808 March 12, 2018 ��,+�i7Y3 My Commission Expires March 12, 2018 ************************************************************************************************************ APPROVED BY S'VI"�:'is Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 9 to ,� sat 54 ct ti `� 1 Gig „ Lgocie,caw/scs/maii-swcl/js&k= aii.maim.en.bMQjMUt4F4Y.0/m=m—i,t,it/arnPiPGSMD9v_cHscY4oF3✓QOW999 vpiL87MPr.._XMmgGsvA.-. 111 Local Business Tax Receipt 1L:8Lt_j'.Miami--Dade County, State of Florida THIS IS NOT A BILL-00 NOT PAY 3893075 _" .. - ._...-- � �Is•i:•rawtt�rll:rci�� r� — •If6t:lSlIPT AtC9.14 MASTERS INCXPIRES ELECTRICAL RENEWAL SEPTEMBER 30, 201+6 84fl0 SIN 44 ST 5857'902 MIAMI,FL 33144 Must be displayed at pleoe of boalness P■rrstaent to County Coda Chapter 8A-Ad9 a 10 OWNER SBC.TYPE OF BUSt"89 AC ELECTRICAL MASTERSlNC IN ELECTRICAL By TAXCOLLECRECETOR CONTRACTOR 75.00 09/30!2015 Worker(s) 3 97E000003 0?35.15.00es2s This Loeai BuDlnsas Tau lie4aifl only oonAma pa fmoatoT Lha toed!8usin■h Te+s.Tho Aace{pt is rtKa ilcaraa, $ertnN,OfaC■Pollicnlitm0TtheN310 Aqus811o216Dns,todo6■sinaas.IiarosrsuncottufMwhhmlypovammsnlai et mmeoveramaeiat reguleiary lanessasd ragsim meta whish apply to the buWnsst. The REMPTADO,ob"omastdedispisyedonall comm Ciaivahloles.M4vm"#A*CadaSec Sa- E. am For Innta I.rlor■ratloa visit mvvstmietwidndttd�tdDJJlb�n[ Municipal Contractor's Tax lbeeipt Miami-Dade County. State of Florida THIS IS NOTA BILL-00 Nor PAY CC NO:97ED00003 IMO BUSINESS NAM EILOGA TION RECEIPT NO. EXPIRES a 27WM MA5 IW INC 840SW14ST SEPTEMBER 30, 2018 MLWI,FL 33144 7473132 PwS011AI to County Cade Sec 10-24 OWNER PYPE OF a V6114 ESE BA7TRCAL MAST&SINC aAE MGu.CONTRACTOR PA YM ENT RECEIVED BY TA8 COLLECTOR 200:00 091 30120 J S 0236-15-006628 lNetweiptisnot widiAmaral**IapMunicipaifies:AvenILMborat,f#sieeyy,xrygis Maastbrdort;,MitvHtakmPit rtkMtoHay.I'S►tanesLSunny Ish�BeaetSTownof Aer Bay. N�� Fa tnoreirrtarceaan..isll. �f x[SA'.tli a t?igtlfd9l