RC-17-2252Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. RC-9-17-2252
Permit Type: Residential Construction
Work Classification: Repair
Permit Status: APPROVED
Issue Date:10/5/2017
Expiration: 04/03/2018
Parcel Number
701 GRAND Concourse
Miami Shores, FL 33138-2475
Owner Information
Address
1132060172230
Block: Lot:
Applicant
Phone
OLGA NADJA ZUBRIK
Cell
OLGA NADJA ZUBRIK
701 GRAND Concourse
MIAMI SHORES FL 33138-
(305)604-1518
Contractor(s)
T&S ROOFING SYSTEMS INC.
Phone
305/265-2654
Cell Phone
Valuation:
Total Sq Feet:
$ 8,000.00
0
•
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Construction: SINGLE
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted: Yes
Certificate Date:
Bond Return :
STRAPS ON ENTIRE HOU
Occupancy: Single Family
Exterior:
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info:
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Plan Review Fee (Engineer)
Scanning Fee
Technology Fee
Total:
Amount
$4.80
$3.60
$3.60
$1.60
$240.00
$80.00
$9.00
$6.40
$349.00
Pay Date Pay Type Amt Paid Amt Due
Invoice # RC-9-17-65100
10/05/2017 Credit Card $ 349.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Review Building
Review Structural
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWN
con
S AFF c VIT: I certify
ruction and z ning. Futher
hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
ore, I aut •.:.,=., = above -named contractor to do the work stated.
orized Signature: 0 n r / Applican- Contractor / Agent
October 05, 2017
Date
Bi i ding Depart
October 05, 2017 1
Value of Work for this Permit: $
Type of Work: ❑ ddition
Description of Work: J lh
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
RECEIVED
SEP 19 ZOy)
5R
FBC 20N
Master Permit No. RC-i 1 — 31r—)151
Sub Permit No.
El BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL El PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Kt NACICIIf I (..0 vY :P e
City: Miami Shores County: Miami Dade
Folio/Parcel#: 11— WO - 011 Zed/ ► J(J Is the Building Historically Designated: Yes
Occupancy Type:
Load:
OWNER: Name (Fe Simple Titleholder)•
Address:
ka1M l
City:
Tenant/Lefsee Name:
Email:
Construction Type: Flood Zone:
Y e-' State:
Zip:
BFE:
Phone#:
NO
FFE:
Phone#:
Zip:
-5-613
CONTRACTOR: C4mp9ny Name: T
Address: 1"`
fc
i6 N
City: lv (C1li�( State: Zip: 3 T) ( 1
QualifierLName: 0)S ` `—'\ O VPhone#:
State Certification or Registration #: ' 1S166 (6 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Square/Linear Footage of Work:
❑ Repair/Replace ❑ Demolition
Phone#:
cI()CC
❑ Alteration
5—f"q‘(k
El New Y I^,, 2u'
OA -- ✓A+, (•C� 5 e
Specify color of color thru tile:
r
Submittal Fee $ Permit Fee $,� ii`7 0 • 0D CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ C I
TOTAL FEE NOW DUE $ 3�9 .
(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. 1 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
Lt
OWNER or AGENT
Signature
CONTRACTOR
The foregoing instrumentcwas acknowledged before me this The foregoing instrument was acknowledged before me this
1� day of Qt',e `l-' • , 20 11 , by J day of j� w+- • , 20 f by
O\�R 7_J\y'(� K , who is personally known to t CJ1 S 1v�1 O , who is personally known to
me or Lho has produced as me or who has producedd\\\ as
identification and who did take an oath:, ,. identification and who did take an oath.
NOTARY PUBLIC: +' NOTARY PUBLIC:
AtrilA° Atts.
Seal:
Notary P Olio - State of Fl
Commi sion # GG.044
MY CO-hm. Expires Nov 3
**********************************ems*
Sign:
Print:
Seal:
APPROVED BY - t' / Plans Examiner
Structural Review
(Revised02/24/2014)
,'+"':dry r,-,biic - Siaie o
Zoning
Clerk
RECEIVED
EAGLEVkW SEP 191011
TECHNOLOGIES
Premium Report
June 13, 2016
Claim: Angel Suarez
701 Grand Concourse, Miami Shores, FL 33138-2475
Report: 14721895
`LENGI.H DIAGyRAM.
Total Line Lengths:
Ridges = 136 ft
Hips = 231 ft
Valleys = 199 ft
Rakes = 91 ft
Eaves = 335 ft
.. .
• • •
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•••••
.,_
• • • • •
• •
••.•
• .•
..
• • • • __
•.•••.
•
FlashiO!'7tt .••••• • •
o
Step flaVittit = 67 fE
Parades± ft •
• •• • •
•
•• •• ••••
•••••• •
• • •
• • • •
• • • • • •
• . • •
•• .
N
v
s
E
Note: This diagram contains segment lengths (rounded to the nearest whole number) over 5 feet. In some cases, segment labels
have been removed for readability. Plus signs preface some numbers to avoid confusion when rotated (e.g. +6 and +9).
•••••
• •
•••.•
000000
•
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of EagleView Technologies Services. It remains the property of EagleView Technologies and may be reproduced and distributed only within the requestor's company. Any reproduction or distribution to anyone outside
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Copyright 02008-2016 EagleVlew Technologies, Inc. — All Rights Reserved —Covered by U.S. Patent Nos. 8,078,436; 8,145,578; 8,170,840; 8,209,152; 8,515,125. Other Patents Pending.
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