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REV-16-3065 Miami Shores Village RECEIVE® Building Department % >��s 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 ��_ ( (9 FBC 20N BUILDING Master Permit No.ZEV/6 PERMIT APPLICATION Sub Permit No. PF—U(/ -1%S F-IBUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION DRENEWAL PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF El CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 30 N e� !G�,3 5+ City: Miami Shores County: Miami Dade Zip: ��13 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: /�1Flood Zone: BFE: FFE: J OWNER:Name(Fee Simple Titleholder): U,& a"40 'Z06A.Ar C G AX,4,� Phone#: 3S gF��LI a/�i Address: :0 1/ ^13 .f- City: &`2tmx` &LA' State: Zip:_ 3313K Tenant/Lessee Name: /� Phone#: Email: -Fi4ti5/4CC' b (7 O AA(� 694-41 . LOLd, CONTRACTOR:Company Name: ,A IK' , Phone#: Address: ) City: �� Q x State: �C�C�/2�{''/b Zip: =����/ �✓/// Qualifier Name: � (A / Phone#: Y��12 �y State Certification or Registration#: (�J (/ &216-22, Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 100 Square/Linear Footage of Work: S4 Type of Work: ❑ Addition// El Alteration El New ��--- 1 Repair/Replace El Demolition Description of Work: &,44?V'OOun r$[,t,t�t,-0 • 7—�X 17/�te4 Specify colo ,,of 016 ru dic-c Submittal Fee$ hh 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) n 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 D 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 th bsen 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 r/ day of 20 fZp by day of W"IYL 206 by ®AAC_E� -rAC.r—t l>D1M 0 ,who is personally known to f3J0,W_ffl LOA ,wwhholis personally known to me or who has produced FL DRIM LJOWSE as me or who has produced ffi as identification an who did take an oath. identification and who did take an oath. NOTARY PU LI NOTARY PUBLIC: e Sign: Sign: °>r'1 Print: ....0 Print: iN& YINET CAMPBELL Seal: Notary.Pu0lic-State of Florida Seal ,••.•�'" �,y, YIAtET i91 o�F My Comm.Expires Oct 30,2018 _ CAMPBELL I' ,OF,F�O d Commission#FF 173169 '�` •- N�-1!blic-State of Florida III1,11\\ �N ;9,F �o;,'MY Comm Expires Oct 30,2018 **�****�**�r**��*�**�x�x**** * • *****�**���**�**�xs �*�kr,raat'�****�tS�I0tJi8�9t0e�Fkf�'F1�N'dJx�* ***�**�xx�****+� APPROVED BY � - Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) w STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ' D i CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 VERA, RICARDO AVR CONTRACTORS, CORP 8177 WEST 36TH AVE APT 6 HIALEAH FL 33018 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque l DEPARTMENT OF BUSINESS AND restaurants,and they keep Florida's economy strong. >.. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order CFC1429522 ISSUED '06/15/2016 to serve you better. For information about our services,please to onto www.myfloridalicense.com. There you can find more CERTIFIED PLUMBING CONTRACTOR information about our divisions and the regulations that impact VERA,RICARDO you,subscribe to department newsletters and learn more about AVR CONTRACTORS,CORP the Department's initiatives. Our mission at the Department is:License Efficiently,Regulate Fairly.We constantly strive to serve you better so that you can IS CERTIFIED under thetsiovisior9s or Ch.48t FS. serve your customers. Thank you for doing business in Florida, and congratulations on your new license! Excsstw date nuc 3'.ze, ,^s 3sc a,eas DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION r CONSTRUCTION INDUSTRY LICENSING BOARD - ; 3 CFC1429522 The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 VERA, RICARDO Q AVR CONTRACTORS, CORP 8177 WEST 36TH AVE APT 6 HIALEAH FL 33018 ■ ISSUED: 06/1612016 DISPLAY AS REQUIRED BY LAW SEO# L1606150001099 Local Business Tax Pecei pt Miami-Dade County, State of Florida THIS IS NOT A BILL-DO NOT PAY R LmET 7203373 7-1) $U SIN':-SS NAM EILOCA 7 ION RECEIPT NO, EXPIRES AVR CONTRACTORS CORP RENEWAL SEPTEMBER 30, 2017 8177 W 26 AVE 96 7486228 k4ust be displayed at place of bus,MeSS HIALEAH, FL 33018 Pursuant to County Code Chapter&A-Art.0& 10 01 NE P SEC IYPF OF BUSINESS PA�%AENT REOFNED AVIR CONTRACTORS CORP 196 SPECIALTY PLUMBING By TAX COLLEC7OR C/O RICARDO VERA ARES CONTRACTOR 45,00 07/1112016 Worker(s) I CFC1429522 ECHECK-16-169812 This Local Business Tax Faceipttry cowmapayment of the Local BusinassTmt.The FecePt isnot alicertm, perrrit,m a cerci"cationof the hdder'squali"Calicm Odobuslnem MtW trust=1011 with any gm8mmmw or nwgownnwm regwatety laws and requimyermtwhich soytothebuUttess. The REMPTNO above mM be displayed octal[cmgrerdsl vehides-Mian-tom Code Sac Ea-M MIAPt For am