RF-18-3291Miami 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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
PLUMBING
JOB ADDRESS:
lira
2 xtu9
MECHANICAL ❑PUBLIC WORKS
FBC 014
Master Permit Nor c
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF
CONTRACTOR
❑ CANCELLATION
❑ SHOP
DRAWINGS
City: Miami Shores
Folio/Parcel#:
Occupancy Type: Load:
County: Miami Dade Zip: 33 t 6 8
Is the Building Historically Designated: Yes NO
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): R. k a. fi tit I Phone#: 3 0 5 - - 6 _ 63 g3
Address: Lj 2. n t W / - 5-f-
City: M 16 MA �?iteNIL 5
State:
PL
Zip: 33 1 G
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: M4 Coi(t-S ' '•' 1, L Phone#: 90-- 6 -862 l
Address: 4020 SW G jtrike
City: DA* I in t'ate: Zip: .33 3/9
Qualifier Name: Atcf\ k DQ.. s��/ Lf4 Phone#: q9j- -7-r7 c 7?6129
State Certification or Registration #: CeC / 32-ei 3S- Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
p
Value of Work for this Permit: $ 1 O ICI 0 0 , IS;SS9
Type of Work: ❑ Addition
❑ Alteration ❑ New
Desc�riptionoff.
SqWork:--I /2r..roo-i 1—!a� I1 R �(
uare/ Linear_
Foota a of Work:
El Repair/Replace ❑ Demolition
So
Specify color of color thru tile: t o +') e, ,
1i
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $
Notary $
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $
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 A�f�ICORDING
YOUR NOTICE OF COMMENCEMENT." 66
Notice to Applicant: As a condition to the issuance
promise in good faith that a copy of the
whose property is subject to att
for the first inspection wh
inspection will not be appro
Signature
The.../fooregoing instr
h
I7 day of
a building permit with an estimated value exceeding $2500, the applicant must
mencement and construction lien law brochure will be delivered to the person
►ed copy of the recorded notice of commencement must be posted at the job site
days after the building permit is issued. In the absence of such posted notice, the
reinspection fee will be charged.
OWN or A NT,
ment ��asppacknovGledged before me this
w0 w 20 i/ , by
**titian. C. 1.Qdd 1 4414 wois personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
u‘mstO
LAUREN VARGAS
x ' } 't r:CMAIISSiON OFF 904176
.ram` ; / XPIIiES: August 13, 2019
aloha 'Anmow vublkundernrib rs
ignature
ONT CTOR
The foregoing instrument was : cknowledged before me this
as day of A-._5uS- , 20 l? , by
le.Prikat6 1O u c , who is ersonall known
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
ign:
Print: "Ms
Seal:
**********************************eat*********************** **
APPROVED BY
Plans Examiner
:+"bTASHA LYNN SOLOMON
����P MY(pCOMMISSION
�# GG020288
sir *F
***********
Zoning
(Revised02/24/2014)
Structural Review Clerk
Maharai Gonzalez
From:
Sent:
To:
Cc:
Subject:
To whom it may concern/Yani,
Rhett Traband <stonecoldrhett@hotmail.com>
Tuesday, October 30, 2018 9:21 AM
Inspections
Stephanie Traband
Cancel permit application
My name is Rhett Traband. I am the homeowner with my wife of 42 NW 107th st, Miami Shores, FL 33168. We hereby
cancel any permit application filed by DMG Construction and/or Alejandro Davila. We have no contract or agreement
with either of those entities/people. We understand they filed a permit RF 18-32-91. They have no right to file such a
permit.
We are proceeding with Century Roofing as our roofer. Century Roofing has our authorization to file a permit for our
house. If you have any questions please contact me at +13059756339. I will be in the office today to sign any
applications or paperwork.
Sincerely,
Rhett Traband.
Sent from my iPhone
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ARAI K. GONZALEZ
' MAHMY COMMISSION # GG 044602
*� onii EXPIRES: November 2, 2020
Bonded Thru Notary Public Underwriters
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