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REV-17-2364Miami Shores Village RECEIVED Building Department OCT 042017 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 ONE NUMBER: (305) 762-4949 VFBC 20 BUILDING e mit No. PERMIT APPLICATU mit No.���y �IUIILDING ❑ ELECTRIC ❑ ROOFING REVISION EXTENSION RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 12 " I Al t W `-76 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: - 31 01 ^ d Z S- 0) 00 is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: - OWNER: Name (Fee Simple Titleholder): Fi 1 �` �OtG< // 0" 1 CA V) r Phone#: 7-8 (n 97- 5 �3/ Address: l Z -! /y L✓ e7G S � n� ! City: In1d -W ��?. %r?is State: r ZI � 3,3130 Zip: 331 3 0 Tenant/Lessee Name: Phone#: Email:l_-- CONTRACTOR: Company Name: *��� �T�+ �]Q( �'�y� �" Phone#: 8(p �G�J �v�? Address: r City: Atakvvi Qualifier Name: State: G1 ii bCo Zip: Phone#: State Certification or Registration #: /Z ZO Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: �,c�� Zip: • Value of Work for this Permit: $ Square/Linear Footage of Work: `--tom Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: C7��� �.Z�!'iV �i^��'►%� p2 arm Specify color of cc-ollo}r'thru tile: ` Submittal Fee $ Permit Fee $ CCF $ nt Scanning Fee $ ` Radon Fee $ DBPR $ Technology Fee $� Training/Education Fee $ Structural Reviews $ 12- 0 _ 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 apprgyed and a reinspection fee will be charged. Signature Signature OWVfR or AGENT TRACTOR The foregoing instrument was acknowledged before me this day of � `�� r , 20 1 by E✓"k- C-OVPN»I` who is+I personally known to me or who has produced 1 Ue4 IACty'l-S &L as tif'cation and who did take an oath. NOTA Y PUBLIC: f n: Print. Seal: p •.99.� �- n CS J •�, oo ############### JIyI r l Plans The foregoing instrument was acknowledged before me this day of ©Cj\,) 20 1 . by e f 141 07mvH b16 , who is personally known to me or who has produced 0-�,1.5-e-4 U Ce--4 L as identification and who did take an oath. Structural Review Clerk (Revised02/24/2014) g 2018 details - Business Tax Account NORTHERN STAR CONSTRUCTION INC - TaxS... Page 1 of 2 If paying delinquent taxes (2016 and prior) by mail, acceptable forms of payment are: Cashier's Check, Certified Funds or Money Order. If paying delinquent taxes (2016 and prior) in person, acceptable forms of payment are: Cashier's Check, Certified Funds, Money Order, or Cash. The information contained herein does not constitute a title search or property ownership. Amount due May be subject to change without notice. 2017 2nd Quarter Tax Bills are Payable on September 1, 2017 2017 Tax Bills are Payable on November 1, 2017 2018 Details — Business Tax Account NORTHERN STAR CONSTRUCTION INC P.� Business Tax Account #6829528 Account details I ` Account history 2015--- ..._.� �.._......_2011_J Paid Paid Paid Paid Paid Account number: 6829528 Business start date: 06/01/2011 Physical business location: MIAMI BEACH Business address: NORTHERN STAR CONSTRUCTION INC 683 NE 193 ST MIAMI, FL 33179 Mailing address: NORTHERN STAR CONSTRUCTION INC C/O KEITH GAMBLE 683 NE 193 ST MIAMI, FL 33179 Owner(s) NORTHERN STAR CONSTRUCTION INC C/O KEITH GAMBLE 683 NE 193 ST MIAMI, FL 33179 Flags Home Business 01 Print account application (PDF) Receipts And Occupations Receipt 7103195 Contracting 10/01/2017-09/30/2018 NAICS code: 23899014' Print this bill SUB -GENERAL BLDG CONTRACTOR Units: 1 Documentation Required by Occupation: State/County License or Certificate Document Received: CBC1258283 https:Hmiamidade.county-taxes.com/public/business_tax/accounts/6829528 10/4/2017