REV-16-3066 RECEIVED
\� Miami Shores Village Noir ?016
e s � �.
� uliding 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 s
FBC 20( i�q
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No. V 1c- 3U6L .
F-1 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION ❑RENEWAL
❑PLUMBING V
MECHANICAL r-1 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
AA
JOB ADDRESS: 30 IV 5 93 14
City: Miami Shores County: Miami Dade zip: ����U
Folio/Parcel#: ..Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: /pFlood Zone: BFE: F,F2E:
OWNER:Name(Fee Simple Titleholder):Vk G eNffA,1-6eij AtCf X QC-If- j Phone#: c�
_ 305 qG qq 66'
Address: 30 /t/6 q13 .r_/
City:t?ALi i st"re'I State: 4L Zip: 331-316'
Tenant/Lessee Name: Phone#:
Email: jt—� it;4c_ -A cy o t o @ 6m4 C... (4t4_-4
CONTRACTOR:Company Name: Phone#: ��
Address: UkA_ 6;' yQ
City f✓ State: Zi p: 53-0 ,�
Qualifier Name: C� Phone#: Z6� ZI/ R% 1/
State Certification or Registration#: LW )Z,Mj 16 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State Zip:
Value of Work for this Permit:$ �_ 4000 Square/Linear Footage of Work: e®J'/
Type of Work: ❑ Addition ❑ Alteration ❑ New ED/Repair/Replace ❑ Demolition
Description of Work: /fuft77F/JC&jdT4 rigg � Z
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ ` CCF$ o c6/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notaryy$
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. /n the bsence 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
`1 day of IIAEnINZ .20 10 by `l day of Myf;�& 20 ICP by
FWAII1O S fAGC l Q0 M 0 ,who is personally known to 61CA= "A ,who is personally known to
me or who has produced R Cifliet,% LIC. as me or who has produced $:L D►zILfl"* Lf C WS*C- . as
identification and did take an th. identification and ho did take an oath.
NOTARY PUB C NOTARY PU C:
Sign: Sign:
Print: ylcr-T QA4-1 Print: QAv1r s4-L--
Seal: ��� ,,��
Seal: ;�ot'"� `•%;;� YINET CAMPBELL
?c Y�'•.,�, YINET CAMPBELL : Notary Public-State of Florida
.= Notary Public-State of Florida =''
,N. aP My Comm.Expires Oct 30,2018
J My Comm.Expires Oct 30 2018 .",F oa,•
''��„q„�Q: �`'' Commission*fF*44;W� Commission#FF 173169
APPROVED BY LPlans Examiner Zoning
1
Structural Review Clerk
(Revised02/24/2014)
r< � STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (854) 487-1395
,00
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-4783
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 F STATE OF FLORIDA
from architects to yacht brokers,from boxers to barbeque 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 CMC1250516 ISSUED: 016/15/2016
to serve you better. For information about our services,please
log onto www.myfloridalicense.com. There you can find more CERTIFIED MECHANICAL 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
serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of eh 489 FS,
and congratulations on your new license! Expiation gate AUG 31,2018 05a tlao'-c1422
DETACH HERE
RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 7
CONSTRUCTION INDUSTRY LICENSING BOARD
CNIC1250516 ` =
The MECHANICAL CONTRACTOR F.
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration dates AUG 31,2018
VERA, RICARDO
AVR CONTRACTORS,CORP
8177 WEST 36TH AVE APT 6
HIALEAH FL 33018
0
ISSUED: 06/1512016 DISPLAY AS REQUIRED BY LAW SEQ# L1606150001422
r
........... _....... .................. ....... ...................
016110
Local Business Tax Receipt
Miami—Dade County, State of Florida
_THIS I$NOT A BILL-DO NOT PAY
7194129
BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES
AVR CONTRACTORS CORP RENEWAL SEPTEMBER 30, 3017
8177 W 36 AVE APT 6 7476197 Must be displayed at Place Of business
HIALEAH FL 33018 Pursuant to County Code
Chapter 8A—An.9&10
OWNER SEC.TYPE OF BUSINESS CAYMENT RECEIVED
AVIR CONTRACTORS CORP 196 GENERAL MECHANICAL CONTRACTO Y TAX COLLECTOR
r,O RICARDO VERA CMC1250516 $45.00 07/11/2016
vVorker(s) I ECHECK-16-169812
This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license,
permit,at a certification of the holder's qualfilications,to do businem Holder most Comply with any governments'
or nongovernmental regulatory laws and requitemeau which applyto the busfness.
The RECEIPT NO,above most be displayed on all commercial vehicles—Miami—Oad SCU"Sec 6a-276.
For more information,visit wwwalthunklade-Rogb-ollwo