BPP-18-2957Miami 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
PE
IT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
JOB ADDRESS: l 44 l
RECEIVED
OCT 0 9 2018
Q-4 T
FBC 201
—1
Master Permit No. 2 ISr-
Sub Permit No.
❑ REVISION ❑ EXTENSION
❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION
CONTRACTOR
ei2,0„
City: Miami Shores County: Miami Dade
Folio/Parcel#:
Occupancy Type: Load: Construction Type:
&f- / (
El RENEWAL
❑ SHOP
DRAWINGS
Is the Building Historically Designated: VS% NO
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): L7 4'In'" 2. &C47 -1/11i1'ts—ne�
Address: ( 1 6 3 O (f c 0'T 4/)4
City: n 1 State: P L.-
Zip:
1(,0 )
Tenant/Lessee Name: die#:
Email:
Address:
CONTRACTOR: Company Name:
I t 6co of �
3
City: Yet l evYh ( State: V L
Qualifier Name: (. L. L_- . ,7 '
State Certification or Registration #: , _) ? - Z 1,0
Phone
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of,Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace n Demolition
Desc�iption�of Work ��.` IL} � "= "r (.,'�!1 �� IF c,�� J 4 P 'PO (16
fi
Zip:
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bondirig Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (ifapplicable)
A
Mortgage Lender's Address
:City i are; r N/. _ 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 cerkify4hat all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating opz ction and zoning.
"WARNING TO OWN ER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUPAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICErr ` 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 occur even (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved an illet
rpection fee will be charged.
Signature
47.43
OWN F AGENT
The foregoing instrumerlcknowledged before me this
day of , 20 , by
, who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Signatu
CONTRACTOR
The foregoing instrument was acknowledged before me this
GI /► day of OC* ,20�_by
M IGho �jl --co JJAY who is perrson�ally known to
me or who has produc�d 'E'{ 1 icon
identification and who did take an oath.
NOTARY PUBLIC:
ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss
APPROVED BY
Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
‘vr-
ofrpoLl o`-) e4' ► 2-`715
P E _ va-, t 6J
40 PC__ L uAT1 a w )\/6 —vim b
/1/42
�iS (�?i'isaiT /ut Aor" 6G &,./Ge.•
"ee'l Azr 0/, 4-4 /40÷
6/1/rbe 4
ac4.44,-( 1-;,-,r Pr"
MPv%k
•
vocc'1)0' 1 (�
BUILDING vi''`'
PERMIT APPLICATION
'BUILDING ❑ ELECTRIC ❑ ROOFING
['PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: ' ((00 NE- 1 01 Sfl2LCT
City: Miami Shores
County:
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
DC 1 : 2017
BY • !•
sL14-
FBC 20 I `I
Master Permit No. 6 Pt7 I \ `29D
Sub Permit No.
El REVISION EXTENSION El RENEWAL
[l CHANGE OF ❑ CANCELLATION SHOP
CONTRACTOR 4pRAWINGS
Miami Dade Zip: 3Si
Folio/Parcel#: I ( 32 5 02a 050 Is the Building Historically Designated: Yes NO�� 7�
Occupancy Type:' Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): C n, n, A C eIrtfr
Address: I )°9$ 2/sL'11" - 'SvvD
City: 011 4n41 546 4-r '
Tenant/Lessee Name:
Phone#:
State: �' Zip: 331(o i
Phone#:
Email: 1-11 N-MriA'DNSTTZ()QXl( )t' a•- 'i 1 Lt
CONTRACTOR: Company Name: CI 44" "'
Address: I I (A$ L-4 gt'V O
City: ,ti. iqn.,�
Qualifier Name: n" IL"6k- C'14.IL
Cork.) oa..1
a3
State:
Phone#:
Phone#:
State Certification or Registration #: I'CZ 310 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
Value of Work for this Permit: $ 3 I7°' Square/Linear Footage of Work: 4 a0
Type of Work: ❑ Addition ❑ Alteration ❑ New
Zip:
71
Repair/Replace ❑ Demolition
Description of Work: "71- DeLr- A 1- L 4 Lac) r nv4-' C.4." A
S1-a o'd E,2 _ C LALC-illr.- arc- C: V C 1L (R- vS c{ EAo
Specify color of color thru tile:
Submittal Fee $ ES , Q Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $
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
commenced prior to the issuance of a permit and that all work
construction in this jurisdiction. I understand that a separate p
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information
applicable laws regulating construction and zoning.
installations as indicated. I certify that no work or installation has
will be performed to meet the standards of all laws regulating
ermit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
is accurate and that all work will be done in compliance with all
"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 exceCdit
, h = a; , ant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be e '
PP'' 4: cl I e person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted a e 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
(
The = "-goi : instrument was acknowledged before me this
/I
OWNER or AGENT
day of C" 4 C1_, , 20
CO`Yc,P (4/> , wh
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
e/7/gis,44td
•i""_'"'rk;; CHRISTIAN GUTIERREZ
MY COMMISSION # GG078303-
EXPIRES February 23, 2021
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 4L+L__ , 20
by
n)fcanc,(- 14PL_ ,whoi •ersonallyk - nto
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
4.,"
/S'097-7, tN (7 S" r'' Z
CHRISTIAN GUTIERREZ
MY COMMISSION # GG078303
EXPIRES February 23, 2021
******************************************************************************
APPROVED BY Plans Examiner
v*w vw***
Zoning
(Revlsed02/24/2014)
Structural Review Clerk