RC-16-2598Miami Shores Village REcpp
Building Department JAN 1 2018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 IBY: ".1
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 2014
BUILDING Master Permit No. Tc. 1-6 -2,S9?)
PERMIT APPLICATION Sub Permit No.
❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF 111 CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: (0,-.2-,4/6d d� "
City: Miami Shores v / County: Miami Dade
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
OWNER: Name (Fee Simple Title older
Address: %6il/�(' Oq
i?rn/ Somas
Construction Type:
Flood Zone:
City:
State:
BFE: FFE:
Phone#l.J OS -80)-- 169-1
30S--IS-3i302
Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
140m -e OL)(Y.
Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace n Demolition
Description of Work:
C N Cr ltcX4 o n 0V m;-�-
Rc lb -Lsi 8
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
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
11" day of Unca , 20 ,rapp , by day of 20 by
3Grdra t--kor), Jtdlo is personally known to , who is personally known to
me or who has produced D(0Y42,/ l cgotsf as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY P
Sign:
Print:
Seal:
***********
,01,V '''' ' YANADY 'r IETO
COMMISSION N FF 214031
EXPIRES: March 25, 2019
R° q°'` Bonded Thtu Notary Public Underwriters
NOTARY PUBLIC:
Sign:
Print:
Seal:
**************************************************************
APPROVED BY C.D'" f v' / Plans Examiner Zoning
(Revised02/24/2014)
Structural Review
Clerk
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BUILDING
PERMIT APPLICATION
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
SEP 20 2016
5-'
FBC 20 ICI T
Master Permit No. N C Z 55c4ie
Sub Permit No.
BUILDING ❑■ ELECTRIC 0 ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
[I PLUMBING ❑■ MECHANICAL ElPUBLIC WORKS ❑ CHANGE OF
CONTRACTO
JOB ADDRESS: 10628 NW 2nd Ave
CANCELLATION ❑ SHOP
DRAWINGS
City: Miami Shores
County: Mia
Zip:
Folio/Parcel#:11-2136-002-0070 Is the Bu oricall ' ignated: Yes NO X
Occupancy Type: SFR Load: Construction Type: k " ood Zo BFE: FFE:
Cotto d
Sanra �'
OWNER: Name (Fee Simple Titleholder): Ms.t_ Phone#: (305) 801-1697
Address: 10628 NW 2nd Ave
City: Miami Shores State:
Tenant/Lessee Name: N/A
Email:
Phone#:
Zip: 33150
CONTRACTOR: Company Name: TBD (Dry
Address:
Phone#:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Moreland ArchitectuLLC Phone#: (305) 401-4450
Address: 2551 Trapp Ave
Value of Work for this Permit: $ 275,000
Type of Work: ❑ Addition ❑ Alteration
City: Miami State: FI Zip: 33133
Square/Linear Footage of Work: 1,790 SF
❑■ New ❑ Repair/Replace n Demolition
Description of Work: Demolition of existing single family home and new construction single -story
single family home.
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 t
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT
TO OBTAIN FINANCING, CONSULT WITH YOUR LEND
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building p
promise in good faith that a copy of the notice of commencement
whose property is subject to attachment. Also, a certified copy o
for the first inspection which occurs seven (7) days after t \ged. inspection will not be approved and a reinspection fee will be
ork will be d•,`n compliance with all
CE OF MMENCEMENT MAY
YOUR Po ' ERTY. IF YOU INTEND
R AN A , v ' NEY BEFORE RECORDING
ith an estimvalue exceeding $2500, the applicant must
onstructio n law brochure will be delivered to the person
ecorded not of commencement must be posted at the job site
g permit sued. In the absence of such posted notice, the
OWNER or AGE T a CONTRACTOR
The foregoing instrument was acknowledged e this a foregoing instrument was acknowledged before me this
(G day of I-TaZ2 '`` ro by day of , 20 , by
'"Door @_ Qpersonally known , who is personally known to
me or who has produced -1)i