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REV-17-2755 Miami Shores Village y, a Building Department RECEIVE® 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 0V 20 O17 Tel:(305)795-2204 Fax:(305)756-8972 V I INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 200,,E BUILDING Master'Permit No. CCi1'1' l�S7 ( PERMIT APPLICATION Sub Permit No. �ty R- Z-+ S S ❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION -❑RENEWAL h F-JPLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP (� �J y, CONTRACTOR DRAWINGS JOB ADDRESS: 1"Vy"A City: Miami Shores County: Miami Dade zip: 33 :3 Folio/Parcel#: 320(p -O13q&50 Is the Building Historically Designated:Yes NO Occupancy Type:�` Load: Construction Type: Flood Zone: BF E: FFE:' ! OWNER:Name(Fee Simple Titleholder).4,c�) I �?1d1 .LM Phone#: Address: 2 1 City:_ State: Zip: 131$q Lo Tenant/Le a Name: Phone#: Email: 'S7.'Cb Go�1��ry-rn CONTRACTOnR:I Company Name: � ��pL� •� � ' Phone#: ?650 23��•01,11 3 Address:- 12A* k City: VIM CAlU)CIS State: Zip: Qualifier Name: � Phone#: 3�6 23tl • -1�.� State Certification or Registration#:S*' 's?•(42,.J Certificate of Competency#: r DESIGNER::Architect/Engineer: y4-, ,� ,, --•' �-.fP'hone#: 26• Address: ��l Nv"I' �• City:t'1LA�'�1 C�WI State: lZip: 33�3g -` Value of Work for this Permit:$ cSLJ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Dem'olition Description of Work: ^•y� `�('`' (�f` ,1 r n w� !V 4l/��UO�/�t 'J T'v'V1rS��iV �1(J�` T•W"�1l/`��I 'r ^rs -: 3-'�4�i ^9 ,ti f�` •i. V S Specify color of,co1;6r`thru tale. -1TtrM $° ly.' u.ra.. J Y• ":. �� r� Submittal Fee$ °. :Fr^+ �`....t� Permit Fee$ CCF$ CO/CC$ s Scanning Fee'$ «• �7 Radon Fee$ DBPR$ , ; ._s Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ G i TOTAL FEE NOW DUE$ 1 O (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City �Sf} y State Zip Mortgage Lender's,Name(if applicable) Mortgage Lender's Address City ' t 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 aTO' 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." y "t 't 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 pioperty issubject 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 V-4 OWNER or AGENT CiDNTRACTORvSJ+'� Thefore- instrument was acknowledged before me this The foregoing instrument was acknowledged,before me this y f i� ens�,P r— —, v y Clciv er�nh:e 1"F> Alz., �� v da of ty ,20 1 b �. eda of� ,20 1 b ra..•+f 14 t k Uw-Lrwho is'ersonally kn wn to �f�1 fj 1�CtE�S" who i p sonall I wn to me or who has produced as me or who has produced as x• a ider*iification and who did take an oath. identification and who did take an oath'.` NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: _ Print: —�IMc�C� 1 t��` 'Y�: �� _ .Prin Seal: Ismael A.Pabon Seal: ' �1� ��t% f.l ,l. Q yr' Commission#GG082163 s ae A Gabon " Expires: Ma 13, 2021 _ Commission#GG082163. =, - Expires: March 13 2 1 . -`, o�� Bondedthru on Notary *** 4 APPROVED BY 7 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) NOTE: ALL SHEETS MUS BE REVIEWED.:. MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMO REWURCES Herbert S. Saffir Permitting and Inspection Center ,, ••• ' 11805 SW 26th Street(Coral Way) • Miami, Florida 33175-2474 • (786) 3a H404,000 •' • APPLICATION FOR MUNICIPAL PERMIT APPLICANTS ;•. •, �°'° THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE.REStUt AND/OR ENVIRONMENTAL SERVICES " " •'•' •••••• PROVIDE MUNICIPAL PROCESS NUMBER HERE . • U. Job Address 91 I V= A\jt r�� cul ' M z Contractor No. $ Folio 0 o Last four(4)digits of Qualifier No. l zw �� -3Za(�� 013 - 230 �g 2z Block 3 v� Contractor Name TO - i > Lot 3 `�% � 0 —lam Qualifier Name �05 oa Subdivision SISI PB — zo � �� P9 0z Address y�OL 2!K• Metes and bounds City 5 State-r!l/-Zip, [ ] New Construction on [ J Demolish Current use of property Poq�Vs oif►c� U) Vacant Land [ ] Shell Only ZI Alteration Interior [ ] Addition AttachedA. �'C WW [ J Alteration Exterior [ ] Addition Detached Description of Work [ ] Relocation of Structure [ ] Re-Roof --r© t'atobAV - a [ ] Enclosure [ ] Foundation Only f♦ [ ] Repair [ ] Tent Sq. Ft. LI a5 UnitsFloors [ ] Repair Due to Fire Value of Work� /�ovob-0 [V] MBLD` [ ] Chg. Contractor Owner 1-��Aar'll��(JC7J.u.c LLI IL Category �� [ ] Re-Issue a Address�500MELE �f�1.�:��'� 212 � [ ] MPLU [ '] Re-Stamp City (-IIIA IXC tatef Zip333 w [ ] MLPG ; [y'rsevision W Phone a [ ] MMEC ¢ [ ] Not Applicable for o Last four(4)digits of [ ] FIRE Fire Owner's Social Security No. GG � yName Owner OZ �s o a Address �� W z Address 2� W x City-�1 SAX&1 Stat Zip 3�`� v Z Cite-�2�'41 StateZip J6I� a s Phone ^ 1 1 `t), 1��� a W Phone JDs . ���. t o n J z^ 1 am requesting a Special Request Plan Review(SRI)to be scheduled as soon as possible. There is a minimum charge of a g¢ one-hour. Please contact the Fire Department for current rate. vara U)w 31. 1 st Request: Date: M w LU 2nd Request: Date: cc 3'd Request: Date: If the applicant is a known named violator with: unpaid civil penalties; unpaid administrative costs of hearing;unpaid County investigative,enforcement,testing,or monitoring costs;or unpaid liens, any or all of which are owed to Miami-Dade County pursuant to the provisions of the Code of Miami-Dade County, Florida, a hold on the review may be placed on this application. 12301-192 5/17 BUILDING PERMIT CATEGORIES CATEGORY, DESCRIPTION PERMIT TYPE $UILDING • • , '1,•.•i *Cleo* "GENERAL BUILDING—COMMERCIAL MBLD •'•••SNUB—GENERAL BUILDING—RESIDENTIAL MBLD '08 • : •• �OANVASAWNING MBLD •�b��� ,,•, „•,&OMMUNICATION TOWER MBLD J�5•„ '.,'DEMOLITION MBLD 29 6 ...•METAL AWNING &STORM SHUTTER MBLD 948.60 0 0 • SCREEN ENCLOSURES MBLD -51•• •, DURAL SIGNS (NON-ELECTRICAL) MBLD ' 'SWIMMING POOL MBLD 56 TENNIS COURTS(SURFACE PAVING) MBLD 86 TRAILER TIE DOWN MBLD 88 WALK-IN COOLER MBLD 91 MARINAS MBLD 92 J LOW SLOPE APPLICATIONS(GRAVEL;SMOOTH MODIFIED, SINGLE PLY) MBLD 95 SHINGLES (ASPHALT, FIBERGLASS) MBLD 96 SHINGLES (METAL ROOFS/WOOD SHINGLES &SHAKE) MBLD 97 STAGE 2 VAPOR RECOVERY.SYSTEM MBLD 99 SOIL IMPROVEMENT MBLD 0100 BULK STORAGE PROPANE TANK MBLD 0101 REMOVABLE STORM PANELS MBLD 0107 TILE ROOF MBLD 0110 WATER MAIN MBLD 0111 SITE PLAN MBLD 0112 INDOOR EVENT/EXHIBIT MBLD ELECTRICAL 04 FIRE ALARM SPECIALTY MELE 16 SPECIALTY WIRING MELE 38 GENERATORS MELE 40 BUILDING PUBLIC RADIO ENHANCEMENT SYSTEM MELE PLUMBING 0020 SEWER CONNECTION TO PUBLIC SYSTEM (THIS CATEGORY IS USED WHEN NO BUILDING PERMIT EXIST) MPLU 0024 INTERCEPTOR/GREASE TRAPS (REPLACEMENT OR INSTALLATION THAT IS NOT PART OF A BUILDING PERMIT) MPLU LPGX 01 LIQUEFIED PETROLEUM GAS MLPG 02 MISCELLANEOUS MLPG 04 LIQUEFIED PETROL. GAS/STATE MLPG MECHANICAL 09 ABOVE/BELOW GROUND TANKS/PUMPS & POLLUTANT STORAGE SYSTEM MMEC 38 COMMERCIAL HOODS MMEC 43 FIRE CHEMICAL MMEC 46 SPRAY BOOTHS MMEC 48 SMOKE CONTROL MMEC 52 RESIDENTIAL ELEVATOR MMEC FIRE 32 FIRE SPRINKLER FIRE