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MCC-19-793Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: MCC -04-19-7--93 - Permit Type: Mechanical - Commercial Work Classification: Alteration Permit Status: Approved Issue Date: 04/11/2019 1 Expiration: 10/08/2019 Location Address Parcel Number 9801 NE 2ND AVE, Miami Shores, FL 33138 1132060134380 Contacts 9801 PARK LLC Owner UNITED RESTAURANT EQUIPMENT & Contractor 4141 NE 2 AVE 204 A, MIAMI, FL 33137 SERVICES CORP REINALDO LOPEZ 509 W 27 ST, HIALEAH, FL 33010 Home: 3052190427 Description: PROPOSED NEW RESTAURANT IN EXISTING Valuation: $ 10,950.00 Inspection Requests: SHOPPING CENTER MECHANICAL FOR UNIT 9801 & 9805 305-762-4949 AMARANTHINE Total Sq Feet: 2,600.00 11 1 Fees Amount Application Fee - Other $50.00 CCF $6.60 DBPR Fee $4.93 DCA Fee $3.29 Education Surcharge $2.20 Permit Fee $278.50 Scanning Fee $3.00 Technology Fee $8.21 Total: $356.73 Payments Date Paid Amt Paid Total Fees $356.73 Credit Card 04/11/2019 $50.00 Credit Card 04/11/2019 $306.73 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. AFFIDAVIT:— I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. -X-- Ge Z.:12 k 'I ( \,n \ i K'A ic;t Signature: Owner / Applicant / Contractor / Agent Date April 11, 2019 Page 2 of 2 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 RECEIVE® APR 112019 FBC 201 Master Permit No. CC -10-18--„351''7 Sub Permit No. ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING & MECHANICAL ❑PUBLIC WORKS []CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9801 NE 2nd Ave City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3206-013-4380 Is the Building Historically Designated: Yes NO X Occupancy Type: A-2 Load: 150 Construction Type: III Flood Zone: X BFE: FFE: 10.35' OWNER: Name (Fee Simple Titleholder): 9801 Park LLC Address: 4141 NE 2nd Ave. Suite #204A hone#: 305 455 1800 City: Miami State: FL Zip: 33137 Tenant/Lessee Name: Amaranthine Restaurant Phone#: 954 394 4140 Email: Yiannikg@gmail.com CONTRACTOR: Company Na'mAe: �' V/V / ��`�v�/ Phone#: � Address:` ��A V” � 2-�- S . 1 _y_ City: � T 1 Ayz: �AA State: FL Zip: ?22/) /0 Qualifier Name: /2,57g -L-00 N ► " P t Z Phone#: '2_1 .1 0 �j Z State Certification or Registration #: C/►C /-to,/ 8 2— Certificate of Competency #: DESIGNER: Architect/Engineer: YCM Engineering Phone#: 305 484 5596 Address: 14245 SW 21 Terr City: Miami State: FL Zip: 33175 Value of Work for this Permit: $ o nC-0 Square/Linear Footage of Work: 2410 SF Type of Work: ❑ Addition ❑■ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of work: Proposed new Restaurant in existing Shopping Center, all interior improvements. Specify color of color thru tile:, Submittal Fee Scanning Fee $ Technology Fee Structural Reviews $ (Revi sed02/24/2014) Permit Fee $ Radon Fee $ Training/Education Fee $ CCF DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) N/A Bonding Company's Address N/A City State Mortgage Lender's Name (if applicable) N/A Mortgage Lender's Address N/A 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 Sign OWNER or AGENT The foregoing instrument was acknowledged before me this y day of Ip If" 1 .20 by GY'Icx% who is personally known to me or who has produced The fo CONTRACTOR ng instrument was acknowledged before me this day of {der k 1 20 l Cl by Petr ka Q Lb V2e7_ who is personally known to as me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: as Sign: Sign: Print: S Print: Seal: �►" ;� NctaLAState of Florida URLUACES M1��; on GG 171127 yv Seal: _� Notary Public State of Florida URSULA B LUACESr.rpw My Commission GG 171127 d�` - <p�2022 , �i�ap% Expires 01121/2022 ************************************************************************************************************ APPROVED BY Plans Examiner Structural Review (Revised02/24/2014) Zoning Clerk