REV-18-1222VA Miami Shores Village
Building Department R ._ 'E0
' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 MAY 0 9
Tel: (305) 795-2204 Fax: (305) 756-8972 � r
INSPECTION LINE PHONE NUMBER: (305) 762-4949 r 1
FBC 20F:k
BUILDING Master Permit No. RC--3-18-542
PERMIT APPLICATION Sub Permit No.V—E\ je—\222.
❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
1080 NE 92N D Street
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: 33138
11-3205-027-0400
Folio/Parcel#: Isthe Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): GUCo Holding LLC Phone#: (786) 712-6806
Address: 2700 Sw 3rd Ave Suite 2F
Miami FI 33129
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email: Juan@cpcoin.com
CONTRACTOR: Company Name:
Cp Construction & Investment LLC Phone#: (305) 926-0977
Address: 2700 Sw 3rd Ave Suite 2F
Miami FI 33129
City: State: Zip:
Qualifier Name:
Carlos Cortes Phone#: (786) 317-4198
State Certification or Registration #: CGC1508210 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: i IG &Ar1 CA-,N 141 S �COJ— Y CIS =At LGSA—
New C(0s'A A-iywC"II 1
Specify color of color thru tile: tt ff
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ �� �Jo Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ S - C7O
(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 reinspection fee will be charged.
Signature Signature D
OWNER or AGENT
The foregoing instrument was acknowledged before me this
CONTRACTOR
The foregoing instrument was acknowledged before me this
Qq day of `I
20 to , , by
_4 day of 6,ta-,4
20 (A by
y�
who is personally known to
0-61(LS -ice ( NJ(0\
who is personally known to
me or who has produced
identification and who did take an oath.
1►f0r_1:VA'111-iIrig
Sign:_
Print:
Seal: ;a*. yams Commissidn # GG077310
=4`= Expires: Feb. 27, 2021
•'•'•a�.,�''� Bonded thru Aaron Notary
as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: ; ��A ' A8 Montero
Com ission # GG077310
Seal: Expires: Feb. 27, 2021
°•';?;a�� Bonded thru Aaron Notary
APPROVED BY !3� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)