REV-18-3171Miami 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 ❑PUBLIC WORKS
RECEIVEL;
OCT 161pp
FBC 20nb
Master Permit No. CC-5-18-1362
Sub Permit No. V'E_y tys t 1
0 REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9499 NE 2nd Ave., Miami Shores, FL 33138
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#:11-3206-013-3760 Is the Building Historically Designated: Yes NO X
Occupancy Type: M Load: See plans Construction Type: I I - B Flood Zone: X BFE: 81 FFE:
OWNER: Name (Fee Simple Titleholder): Bank of America NA Phone#: 954.541.6773
Address: 101 N. Tryon Street,
City: Charlotte
Tenant/Lessee Name:
Email: Mike.Wedel@am.jll.com
state: North Carolina
CONTRACTOR: Company Name: CAL Development
Address: 6850 Lyons Technology Circle
City: Coconut Creek
Qualifier Name: Eithne Catherine Keane
te: Florida
zip: 28255
Phone#: 954-292-6007
e#:
_Zip: 33073
ne#: (954) 564-0655
State Certification or Registration #: CGC1512095 Certificate of Competency #:
DESIGNER: Architect/Engineer: Infinity Engineering Group, LLC (PERMIT CONTACT) phone#: 813-380-6930
Address: 1208 E. Kennedy Blvd., Suite 230 City. Tampa State: FL Zip: 33619
Value of Work for this Permit: $ J � LJ66 3() Square/Linear Footage of Work: j 00 O
Type of Work: ❑ Addition XAlteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of work: Mill/overlay and resurface entire lot including Alley. Replacing the ADA parking
stalls with concrete instead of asphalt.
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ //22 3 CCF $ ZO CO/CC $
Scanning Fee $ [9 ' Radon Fee $ DBPR/ $ �3y Notary $
Technology Fe&$ w_--i , Training/Education Fee $ I T 0 Double Fee $ jo
Structural Reviews $ Bond $ 10
TOTAL FEE NOW DUE $
(Revised02/24/2014)
i
Bonding Company's Name (if applicable) N/A
Bonding Company's Address N/A
City N/A State N/A
Mortgage Lender's Name (if applicable) N/A
Mortgage Lender's Address N/A
City N/A State N/A
Zip N/A
Zip N/A
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 a proved and reinspection fee will be charged.
142 Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 0C4&Q_ 20 1 1S by
who is personalLyknown to
me or who has produced
identification and who did take an oath.
The foregoing instrume t was acknowledged before me this
R1411-day of 20 by
Eithne Catherine Keane , who is personally known to
as me or who has produced
identification arrd wdo did take an oath.
NOTARY PUBLIC: NOTARY
Sign: y J�`'—" ' Sign:
Print: Print:
Seal: ;'k",-I ''•• LUCY GUTIERRE2,10005 Seal:
o
;' Notary Public • State of Florida
commission 11 GG 22209 t My Comm, Expiroit Juh 1, b22 f
Bonded through National Ntltar Assn
APPROVED BY Plans Examiner
Structural Review
TARYN L REIS
Notary Public - State of Florida
Commission M FF 997689
My Comm. Expires Jun 11, 2020
Bonded through Natian2i Nntw„ a...
as
***********
Zoning
Clerk
(Revised02/24/2014)