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RF-16-3457 Permit No. RF-12-16-3457 `Sy�OREq`�4 Miami Shores Village Permit Type:Roof 10050 N.E.2nd Avenue NE Per 1"t Work Classification:Tile Miami Shores,FL 3313&0000 Permit Status:APPROVED Phone: (305)795-2204 LORIDp Issue Date: 12/23/2016 Expiration: 06/21/2017 Project Address Parcel Number Applicant 715 NE 91 Street Number: BLDG A 113206044001 Miami Shores, FL 33138-0000 Block: Lot: SHORES PLAZA EAST CONDO Owner Information Address Phone Cell SHORES PLAZA EAST CONDO MIAMI SHORES FL 33138-0000 Contractor(s) Phone Cell Phone Valuation: $ 38,570.00 RODMAN ROOFING INC (305)264-3551 Total Sq Feet: 5600 Type of Work:Re Roof Available Inspections: Additional Info:RE ROOF ENTIRE BUILDING COLOR THRU Inspection Type: Classification:Commercial Up Lift Report Scanning:4 Tin Cap Final Roof Tile In Progress Review Roof Renailing Affidavit Cap Sheet Fees Due Am]$375,00 Pay Date Pay Type Amt Paid Amt Due CCF DBPR Fee Invoice# RF-12-16-62455 12/23/2016 Check#:3197 $460.66 $0.00 DCA Fee Education Surcharge Permit Fee-New Roof Scanning Fee Technology Fee Total: $4 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,PL BING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT- ce . that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zon' g. F erm , I authorize ve-named contractor to do the work stated. December 23, 2016 Author a fgn re:Owner / Applicant / Contractor / Agent Date Building Department Copy December 23,2016 1 y Miami Shores Villagect-- Building Department DEQ, 2_3 20(o 10050 N.E:2nd Avenue,Miami Shores,Florida 33138 t� Tel: (305)795.2204 Fax: (305)756.8972 $y- ,(—iC_� BUILDING Permit No. _k-',IF kr,- 16- k--%v� PERMIT APPLICATION Master Permit NoA f I �0- ?,� - FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder) :at _U wei Plaza tgsi- Phone# �3RS-793-S9yr Owner's Address tj4S in A I S�rrdf City M t p r»i State / Zip 3308 Tenant/Lessee Name/—A Phone# 3Q.i'--793S - 95S' Job Address(where the work is being done) ^j ! _ �2 1 7 p c J S�ret City Miami Shores Village County Miami-Dade Zip 33 1 3$ Is Building Historically Designated YES NO ✓ Contractor's Company Name F���mn n -f��a t T n Phone# - Ztoq -35.► Contractor's Address i.Lv%"k to City %A kg4n"A State l Zip --1)3I Qualifier arts 9\QAMa.n State Certificate or Registration No. C C Co�;-\5 4 7 Certificate of Competency No. k33&% Architect/Engineer's Name (if applicable) Pt Phone# 3 0-T - V.)N A $Value of Work For this Permit �j$,S 7 p t �f Square Footage Of Work: 5( L*CSb 111 Type of Work: ❑Addition ❑Alteration [-]New ❑ Repair/Replace El Demolition Describe Work: iSe%Ci20k ft4ky- )14,A11,v8c. ��i_�tnwClp�.trW1i•1- L'1C��vcr� lZ-�o—�b �1=-$-II,-1�4► Submittal Fee$ Permit Fee$ CCF$ CO/CC Notary$ Training/Education Fee$ Technology Fee$ Scanning$ Radon $ Zoning Bond $ Code Enforcement$ Structural Plan Review. $ Total Fee Now Due$ (Continued on opposite side) COPY Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Iy 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 ELECTRICAL WORK,PLUMBING, SIGNS, WELLS,POOLS, FURNACES,BOILERS,HEATERS,TANKS and 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 X c Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this_Z day of 20_>by l_(�✓LJ I Ct J&A)4,v-t-- day of :& , 20 >by Kayy, Lid mail who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. L X X4,4 as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: �. t Sign: K Print: 0 YIIfb ri Print: p My Commission E res: JOHN BOWERS Y M Commissi fires: •: #= MY COMMISSION#FF Bonded Thru Notary Public Underwriters =x: JOHN BOWERS � MY r, EXP-.MS 30 "-•.� SIONlfFFOO40 " oF Fd r RES:April 1,2017 Bonded Thr, APPLICATION APPROVED BY: Plans Examiner Engineer Zoning Chc 05/13/03 Belleair Beach Blend ! 1HBCS6258 STANDARD f� Made to Order in Lake ffWales and Pompano ft4 Miami Shores Village r_ �3l , MAY 8 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 -- BUILDING Permit No. Zr — PERMIT APPLICATION Master Permit No. FBC 20 Permit e: BUILDING ROO _ VVI .. . NCEL L EN OWNER:Name(Fee Simple Titleholder): 'Thi QIa za PeuV ilk Phone#: Address: %5' AX 11 5 f r ee f a City: ►0A I Shorts State: rL Zip: _3 b Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 4� 1'l �. �i'I S- - City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR:Company Name: CI fY an 2oofinq , Inc . Phone#: 305 2 C Address: I I,� J 1 Z T�f G/ City: /C / State: �� Zip: 33 ) (1 1D Qualifier Name:�jQ 1�A �o d m a/7 Phone#: State Certification or Registration#: (f 02 051 l 0 Certificate of Competency#: contact Phone#:3�S- 2(0'-l- 355 J Email Address: roz im a t-oo P c, c� y�h a(J• CU1`l'1 DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ $,5 7 p. 1p Square/Linear Footage of Work: rJ lo do(5 to Type of Work: ❑Addition ❑Allteration ❑New EKep*_eplace> ❑Demolition Description of Work: Q2.,root ef4,y,c `oki�d,j� �r%elvNw COO J�ruQ ~C�\< Submittal Fee Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$5 DBPR$ 3 Bond$ EZO ASO Notary$ Training/Education Fee$ Technology Fee$ &I Double Fee$ Structural Review$— TOTAL FEE NOW DUE$ 4(.O• �QO gif0. 6c DondinkCompany'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 ELECTRICAL WORK,PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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•f rst 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 Owner or Agent Contractor The foregoing instrumen ,was acicliowledged before me this /l.' The foregoing instrument was acknowledged before me this 10 ay of ,20, 21 by _W-L65 -ldl�� , day of r ,2016 ��!,by kUMM&P , who is rsonally owne or who has produced wh personally known to a or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign. Print: Prin : My Commission Expires: ,r Y'" BRAND►WARD My Commission E MY COMMISSION#FF 171733 JOHN BOWERS ,�+:erg• _ . EXPIRES:January 5,2019 MYBor COMMISSION#FF 004030 PuWic Underwrkers �: Thm ;;•, EXPIRES:April 1,2017 Bonded Thru Notary Publ c Underwriters N1, 171L.- APPROVED BY _ _dans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)