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REV-18-3715BUILDING PERMIT APPLICATION X BUILDING ❑ ELECTRIC El PLUMBING ❑ MECHANICAL JOB ADDRESS: 671 NE 105 St. Miami Shores Village Building Department 10050 N:E.2nd Avenue, Miami Shores, Florida 33138 el: (305) 795-2204 Fax: (305) 756-8972 E NUMBER: (305) 762-4949 ❑ ROOFING © REVISION PUBLIC WORKS ster Permit No. Sub Permit No. Dec 1 '; 8 gale FBC20n' RC-5-18-1297 I W I - ` ` ; - 2r\II�-fl n EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores Folio/Parcel#: 11-2231-012-0100 Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder): Address: 671 NE 105 St. City: Miami Shores County: Miami Dade Zip: Is the Building Historically Designated: Yes NO Construction Type: Flood Zone: Carol Invest USA r�C_ State: FI. BFE: FFE: Phone#: Zip: 33138 Tenant/Lessee"Name: Phone#: Email: s S 12 131 v r� L %� v. , Co, •-� CONTRACTOR: Company Name: Joseph S. Robbio, Inc Address: 9400 S. Meadows Circle Phone#: (954) 663-6743 City: Miramar Qualifier Name: Joseph S. Robbio State: FI. State Certification or Registration #: CBC 059462 DESIGNER: Architect/Engineer: Victor Bruce Address: 370 NE 101 St. Zip: 33025 Phone#: (954) 663-6743 Certificate of Competency #: Phone#: (305) 310-5030 city: Miami Shores State: FI. Zip: 33138 Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ri Alteration ® New ❑ Repair/Replace n Demolition Description of Work: Existing permit shows fence at the rear. east side and front of property. I would like to revise it for the rear and east side only. I will obtain a new permit for the front after the pool and deck has been completed: Specify color of `cothru tile: Submittal Fee $ L/ Permit Fee $ CCF $ Scanning Fee $ Radon Fee $ DBPR $ Technology Fee S Training/Education Fee $ Structural Reviews $ CO/CC $ Notary $ Double Fee $ 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. 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence_ of such posted notice, the inspection will not be approved and a reinspection fee will be charged. ''Signature Mon Iotti I Inv-st USA) OWN=' o AGENT The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Joseph S. Robbio IS day of c ere rnbe y , 20 Monica Melotti me or who has produced identification and who did take an oath. NOTARY PUBLIC: , who isp 1S , by n to as Sign: Print: LUCact I C1Sr Seal: ii►4; LUCIAG.ISASI %..fi MY COMMISSION # GG 247475 1 EXPIRES: December 10, 2022 koF ?.. Bonded Thru Notary Public Underwyhei 4111,1 APPROVED BY Joseph S. Robbio me or who has produced identification and who did take an oath. NOTARY PUBLIC:' 18 day of lT'ernbey ,20 1$ ,by to who is p Sign: Print: Seal: as ******** Plans Examiner Structural Review UC'iC► G) 505; I LUCIAG.ISASI ?;: MY COMMISSION # GG 247475 a`EXPIRES: December 10, 2022 4144 ni or Fw,•a Bonded ThN*Wm Public Underw tters �k ******* Zoning Clerk (Revised02/24/2014)