RC-14-1274 Miami Shores Village7BY:
Building Department4
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
V Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 )0
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: lbU
City: Miami Shores County: Miami Dade Zip• 3$
Folio/Parcel#: Is the Building Historically Designated:Yes NO�.
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address: 2s(�) ---Ar-eA-
City: 1 0.M SY1Cs(eS State: Zip;
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: C,)(-On,% Phone#: -!905 (0$S O`{I Q.
Address: H04C( o KILA-� La L'c,.ir�
City: �. . d`-'�•� t State: zip: 3�1(a$
Qualifier Name: OrLan& Nes ia. Phone#:
State Certification or Registration#:_d-96C-4-51(0,54 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ d Square/Linear Footage of Work: a
Type of Work: ❑ Addition ❑ Alteration ❑ New 50 Repair/Replace ❑ Demolition
Description of Work:
T
Specify color of color thru We:
Submittal Fee$ Permit Fee$ _ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ F Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$6 _
(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
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
P*x day of �Lx�Q 20 by J-r day of 120 by
who is p rsonally kn t0 C -�Gr�o �Qle5o qS who is ersonally kno 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: li( � Sign.
Print: Y� Print: a
Seal: Seal:
BARBARAA ESTEP ' REBECA M.PASTRANA
MY COMMISSION FF 073875 MY COMMISSION#EE672621
EXPIRES:March 29,2018 'A,�� EXPIRES:February 07,2017
' Rf Bonded Thru Notary Public Underwriters
APPROVED BY Z Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
6/12/2014 RoomSketcher®Home Designer
RECFIVD
�17 201JUN
L13YB
:
CITY
COPY
n ,n 1 x )lT� p'
N C'�tJN'I J bE P,4GRE?�iAN
t i P;;0'ECTED RECEPTACL—
i :Cr t'TAI LI UNDER SINK.
IV, ALS ,i_i, sPP! i/'NCI-S ON ;FDIC riTED GKTS.
MIAMI SHOWS VIUAGE
APPROVED BY � DATE
O
ptj
BAIHROQM
AND ptuMSM6-/�-
y
iIAECHAN,CA
I
ADD SMOKE/CARBON MONOXIDE DETECTORS.
ANY AND ALL CLOTH AND RUBBER SLOG, 1
INSULATED CONDUCTORS TO BE REPLACED
:UCJECT 10 Ci:Mf-likd LE WITF ALL FFDFFAL,
P• V(-C—Q-4-- j;,TATE #AND 'COUNTY RULES AND RE11LATIONS.
http://pl anner.roomsketcher.com/pri nt.php?imag eU RL=http%3A//projectmedi a.roomsk.etcher.corTV55/6ff/c8O-/f26/8-11/e3-b/d99-/d8d/385/b26/1 c8/orig i nal 1/1
6/17/2014 Property Search Application-Miami-Dade County
Actual Area 2,249 Sq.Ft
Living Area 1,708 Sq.Ft
Adjusted Area 1,974 Sq.Ft
Lot Size 11,500 Sq.Ft
Year Built 1940
�\
LaY e rs
\
fi
�o
m
s
r
t
aft
p
�.�.....
Featured Online Tools
http://www.miarT idade.go\dpropertysearc[V#/ yg
I1
f J
i+
1 �