Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
REV-17-2822
MiamiShores.Village Building Depa rtment 10050 N.E.2nd Avenue, Miami Shores,, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 15041DING PERMIT APPLICATION *BUILDING 0 ELECTRIC 0 ROOFING DPLUMBING ri, MECHANICAL Ei PUBLIC WORKS JOBADttftEss: 1050 NE 107 ST" City: Miami Shores FoIio/ParceI#:11 -2232.-028-0520 occupancy Type: RES Lod: County: RECEIVED \I 2 9 1011 4_4 F8 201q Master Permittio. RC-7-17-1991 SubCermit C8ZL REVISION 0 EXTENSION ORENEWAL fl CHANGE OF ICANCELLAflON, [I SHOP CONTRACTOR, DRAWINGS, MamiDade Zip: Is the Building Historically Designated: Yes REMODEL Flood zone: Construct4on Type NO X BFE: FFE: OWNBR:iNaime)(Fee 5impileirglehoidel-h:.0A5RIELIIVIARTIN:KUSKUNOV „phone*: 788-483-831 5 Address: 1050 NE 107 ST L, city: IAIV11 SHORES Tenant/Lessee Name: N/A -state: FL Email: GABRIEL©NATURALISTONE.COM Zip: 33161 • CONTRACTOR: Company warne: FORTIS:CONSTRUCTION GROUP Address: 8725 r4W 143171-I'TER, STE:30a MJ City: MIA A Qualifier Name: AGUSTIN MORALES State Certification or Registration tt: CGC1523422 Certificate of Competency .#: liEsiGNER: AregtectiEtiginer: .-iliAN - FERNANDETBARQUIN .P:E :phone#: 785-3364)881 , ,Address: 2520 Nk/1/97TH AVE „ city. : DORAL state: FL zip: 33172 Anduevif Wonkier thisTermit: P Square/Linear footage &Work: 2 50 LF Type of Work: El Addition 0 Alteration . New E Repair/Replace 0 Demolition Description of Work: MN ALUMINUM PERGOLA AS PER PLANS, 1?-421°.1C t G"'‘ )g theC60/e—S Phone#: Fovidriect 788,-252-37740,‘ State: FL irp: 33172 Phone#: 786-226-4264 Spedfy color of color thru tile: Submittal Fee $ Permit Fee $ 653 CCF $ CO/CC $ 'Scanning Tee $ 49 - CO Itadonfee$ 1311PR $ Technology+Fee $ rrainingiEducation Fee Double Fee $ .,Strotturalaeivievis$ RC) • CR) Nary$ Bond$ TOTALfatIOWDUE$ vo 4. co (Revised02/24/2014) ""Bonding Company's -Name (if applicable) Bonding Company's Address .rcy State f :� Mortgage -Lender sis arzie (if°applitable.} Mortgage Leader'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 apermit and that all work will be ;performed to meet the standards of all laws regulating 'condtructionl in this rurisritcttonI-.. iderstand that a separate.? permit,/nut ;be secured for )ELECTRIC, +PL11MBlistG, Sid-NS,'POOI.S,. FLfRNACES,BOiLfR ,;fit iTfRS, TANCCS L1tfi CONINT1ONERS;ITC..... 'OWNER'S, fftfltAVIT: ".I certify ,that .all'the foregoing'iriformation is accurate and that all work will be done in compliance with all_ applicablelaws regulating construction and zoning. - - _ "WARNING TO OWNER: YOUR FAILURE TO;,RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN.YOUR PAYING. TWICE FOR "IIt IPPROVEMEFTS= TO YOUR''P`ROPERTY._ IF YOff INTEND 'TO OBTAINFINANCING, CONSULT WITH YOUR LENDER QR` AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.” Notice to Applicant: As a condition to the issuance of a building permit with -an estimates' 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. fsrst.4nspection ►vhtcci occurs •seven 17,1-days -tar ;the - dd *hal& 'sissited. dd th:e i rwe 4::swch posted notice, the inspectaon.w711.nat:be ftppr ve4 and a rea . pectic a fre H iiff be Charged. Signature OWNER orAC#ENT The foregoing instrument was acknowledged before me this /D day of . �,.-T , 2Q+ / 7 ,.by av Ate'= ,i16,(1,e116,+ ito persorta4ly, known to me or who has produced' ' as identification and who -did 'ta'ke an oath. NOTARY PUBLIC: Sign: Seal: 47 LL . fir ****************4 ***'��°*y) *** o hNationalNotaryAssn.WW APPROVED BY CRevtsed02/24/2oi41 JULIAN A CARDONA " .,nY nUe �" Notary Public - State of Florida • : r:v; •_ Commission # FF 191910 -• P4:i.My Comm. Expires Jan 21, 2019 CONTRACTOR The foregoing instrument was acknowledged before me this ,p /a dQy lc of: pT— , 2Ci_ / bY i' VS7f od - / h.4.-4-ES Fact is personally istatik%crovun to ;, me or who Pras produced. as._. identification and who did take an oath. NOTARY PUBLIC: - , PI'axis Exarniiler- Structure Review!:;. 1,n ,,,, • JULIAN A CARDONA =? •. �: Notary Public - State of Florida * _* Commission # FF 191910 9��� o, My ,, FOFfAPP Comm. Expires Jan 21, 2019 ° ,,,,,,,,, Bonded through National Notary n..s.. t " *********** Zonfo& Cleislt:..