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RC-18-3084f 9 A S�74 dyl , el 3oal 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 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS REC N 11 P19 i FBC 20'l QQ Master Permit No. �C— l0— IS -3C84 Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF *ANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I 58 ! ty� I O A S_�_ City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: I Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): & a�Y i C4 l I /� Address: 1384 N - �O`'C S� City: n , 0A S V\_0 C-eS State: Tenant/Lessee Name: Email ne#: 816 ` sss _ I�9 j ne#: CONTRACTOR: Company Name: NA, 1 �'7 �S i �y 1Ac Phone#: Address: City: State: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: _ DESIGNER: Architect/Engineer: Phone#: Address: City: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addit' n ❑ Alteration ❑ New Repair/Replace Description of Work: `n �Q 6 , Qh IQ -IV IV VC 18 —�01 Specify color oA color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $_ DBPR $ State: p: 3`513$ p: Zip: ❑ Demolition 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 Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 rei7ectione a will be charged. Signatur Signature OWNER or AGENT CONTRACTOR The foregoing ins rum t was acknowledged before me this day of 20� by ► 01rCipiwho is personally known to me or who he&oroduced identificatiVanho d take an NOT RY P Sign: Print: ; A A (A Seal: x ************ APPROVED BY (Revised02/24/2014) J YANADYPRIEM MY COMMISSION k FF 214031 EXPIRES: March 25, 2019 Bonded Thru Noten Public Undernrdn The foregoing instrument was acknowledged before me this day of as me or who has produced 20 by who is personally known to identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: as *************************************************************** Plans Examiner Structural Review Zoning Clerk fio NVlfNa� C/II/ZoIq Tcz p loy�Sf �eC�z the REC 1 '' uN 11 2 19 ME PERMIT ADDRESS: 1384 NE 104TH ST Miami Shores. FL 33138 PARCEL: 1122320320260 APPLICATION DATE: 10/04/2018 SQUARE FEET: 400.00 DESCRIPTION: RUSTED WASTE LINES, REPAIR CONCRETE TILE Al EXPIRATION DATE: 04/02/2019 VALUATION: $15,000.00 DRYWALL. PAINT. CONTACTS NAME Contractor DAVID PAUL HESTER DAVID PAUL HESTER Owner BEATRICE & JOSE GARCIA COMPANY DAVID HESTER, INC. CBC DAVID HESTER, INC. CBC ADDRESS 420 NE 115 ST MIAMI, FL 33161 420 NE 115 ST MIAMI, FL 33161 1384 NE 104 ST MIAMI SHORES, FL 33138 REVIEW ITEM STATUS REVIEWER . Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov Review item used to allow building to comment during a plan review Comments: 1. Provide details and specifications for the concrete slab. 2. Provide note for required termite treatment. 3. 3. Clearly mark the work area on the plans. Plumbing v.1 Requires Re -submit Maykel Massanet email: pl@msvfl.gov Comments: FBC 107.1 plans shall be submitted to DERM for review and approval January 11, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1 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 < U FBC 201� BUILDING Master Permit No. To— o--') _30g PERMIT APPLICATION Sub Permit No. pUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP l CONTRACTOR DRAWINGS JOB ADDRESS: 13 v City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type: Load: Construction BFE: OWNER: Name (Fee Simple Titleholder): ,Type: Q 1JJG/T %/��w (� - �jFlood /Zone: �T/ ��% Phone#:_ Address: 5a4l l i✓ City: Tenant/Lessee Name: Email: hPa.�(�I'c 4ay1C,fA, State: Zip: one#: NO _ FFE: U j� H ) CONTRACTOR: Company Name: tJ3 C C- Phone#: \ �D — Z+Q Address: 4-1-0 N�' City: Prl(r Qualifier Name: F _State: �" ` Zip:. 331 L Phone#: State Certification or Registration #: C— 10 L?i TZCertificate of Competency #: DESIGNER: Arch itect/Engineer: Phone#: S Address: 13 GL4 nQ1 v ©L4 S A— City: M% N _S �notle5 State: F4 (4- M Value of Work for this Permit: $ -� 1 © co Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration V �{. ❑New M-fiepair/Replace Ell Demolition Description of Work: � I1 v W C ` to to Specify colorof color thru., tile: Submittal Fee $ `�'' Permit Fee $ CCF $ CO/CC $ Scanning Fee $ _ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ _ Bond $ TOTAL FEE NOW DUE $ _ (Revised02/24/2014) 11 01 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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." a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must Notice to ApplicAt promise in goodlfaith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose pro , qy'Is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for, the fpe inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspon will not be approved and a reinspection fee will be charged. , 1 , Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this / -1 Qy day of ��`;;6— 120 / 6G by D day of 1r3�Q 20 Jc, by 1k,d /, who is personally known to who is personally known to me or whip has p#p ced�G��tP�%�s me or who has produced as identifica on and who did take an oath. identification and who did take an oath. NOTARY PU'BLIC:/? / NOTARY PU Lac: Sign:_ Print: Seal Notary Public -State of Florida Commission # GG 148525 My comm. Expires Oct 16, 202 t Boded thtouch Naticral hctary Assr. Sign: v Print: Seal: ;; ' .*16, SINDIA ALVAREZ MY COMMISSION # GG 238273 EXPIRES: September 3, 2022 Bonded TIVu Notary Public ftenv bm ***************************************************************************************************** APPROVED BY Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk