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CC-17-2742 Miami Shores Village �,�LG��� Bui-lding Department RECEIVES - �C10050 N.E.2nd Avenue, Miami Shores,Florida 33138 NOV 1 10117 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20N BUILDING Master Permit No. CC..1 Z,,,, PERMIT APPLICATION sub Permit No. �ILDING ❑ ELECTRIC i ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑SHOP r _ _ CONTRACTOR DRAWINGS JOB ADDRESS: 15-10 "'A� City: Miami Shores County: Miami Dade Zia: 3 Folio/Parcel#: is the Building Historically Designated:Yes NOy Occupancy Type: Load: II t�Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): I� ln�. 1 1� � ��� �� ���C Phone#: 3 OS +� Address: 111C) 1C) F�"r`1 C- l 7� b=�- -log. City: 0 ,CW� State: � Zip: 3'Z�> ( '51 Tenant/Lessee Name: Sit Phone#: Email: CONTRACTOR:Company Name: (4.. b, Phone#: C)3. Address: -I OO �S�4-xJ �S - City: I`'t J 14" 1 State: Zip: -J [J� 1 Qualifier Name: o— Phone#: L State Certification or Registration#: J�� �" `T//��-Uertificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 0 020' Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: G�-t'� OOYs. I3eAO ,. Specify color of color thru tile: n 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$ � •-5r (Revised02/24/2014) Bondi ng.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." Nance to Applicant: As a condition to the issuance o q1i�t estimated value exceeding$2500, the applicant must promise in ood aith that a co o the notice of ca t and construction lien law brochure will be delivered to the person 9 f copy f 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_ i Signature OWNER o AG T OR The foregoing instrument was acknowledged before me this The foregoing in tru ment was acknowledged before me this dayofp�N�� ,20 �� bydayo 20 7 by -1-i N�•,who is ersonally known to `, r� � ho is personally known to me or who has produced as me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PU LIC: _�]�•�, 111111 I 14 a,� _ Sign: Sign: to Print: � Print: NiKx Seal: ti..`.�`� , MISS/0 Seal: = �� cai4214 w SOOL 202 .2c DD. co EXPIRES ! �•OQ ��`,•�00 o \� *s*t*****r*******s***s**** �htOQ�gb APPROVEdBY'�' r Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 2-o�� cH 2 � , Act ©I�" � CCl��24�2 v fiu /K 1510 NTE I oS' sr � C To s PtR, 0� �r� cry AOP05� '8 ..: . .... ...... ...... . ...... • . . . . ...... M RECEIVED r.JAN2018 Miami Shores Village Building Department RECEIVED 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 NOV 1 s 1017 Tel:(305)795-2204 Fax:(305)756-8972 w INSPECTION LINE PHONE NUMBER:(305)762-4949 . z FBC 2014 BUILDING Master Permit No�G-i ' 2--13 PERMIT APPLICATION Sub Permit No.eC/l1 - ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL i ZPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑CANCELLATION ❑ SHOP ^� CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade zip: Folio/Parcel#: -U — a�30 d S3 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: ' � I -moii OWNER:Name(Fee Simple Titleholder): 1 0 1 S V') E C_V�Y � Phone#: Address: 1,69-0 Q City: State: Zip: 3 I Tenant/Lessee Name: A Phone#: i Email: CONTRACTOR:Company Name: f�/. G//�f J� �� hone#: Address: 39_1 7 /?W City: jQA4 LO�jG (4 State: r/ Zip: Qualifier Name: 1' P d1'r-0 (;/U 5.M'*) t` Phone#:-70.;,- State Certification or Registration#: ��2� 2d 2 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: i Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: i Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ,, Demolition Description ofWork: N-0 0 V)A • , 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. 1 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 commement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certp f e recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days aft permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be c %, O Signature Signature '��. OWNX or EN CONTRACTOR C The foregoing instrument was acknnow-le-ged before me this The foregoing instrument was acknowledged before me this O'S day of '�� { 20 L by �'='0.3 day of 20! 7 by � Y—� 1�.who is personally known to a "y �yz,y„, /1w6 is personally known to t me or who has produced as me or who has produced RIZ f �•wY P� CESAR RAMOS identification and who did take an oath. identification and who did take an o ? •�" NotaryPublic-Stateof •: • •= Commission#GG 139002 NOTARY LIC: fN NOTARY PUBLIC: ���OFr`�o My Comm.Expires Aug Florida28,2021 1µr,�r1t11t�ltfF +�{1 ����• , HondedthroughNalionalNotaryAsso ` I 4A. j 'r �• Pk rrrrrrre �yG w Sign Sign °r Yr>f�t r'r tom` " J .•; Print: Print: e� • scot.l3 2041 0` , , EfiIMlE4~ eo•# Seal: �b' O ►'�'" Seal: �� #; �gtt7192t o: $ 1.AS - S. A� `,``��� +'r d l►? `S . •.. .:.:•,,, 'rrii��bllC,Slade+���`� *****ss******s**s*s*s*sssss*ssss***s** *s** s*ss*sss*sssssssssssssssssssssssssssss�k�oA��y�,s+k�ss**sss**ss**sss APPROVED BY / Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014) t