REV18-3089-5LA I
L5
per
3
7000- oa
BUILDING
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
PERMIT APPL ATION
❑BUILDING ELECTRIC ❑ ROOFING
FBC 20
is
it
Master Permit Noy, l l S l /
OA
Sub Permit No. 1'*V 1 h� -3087
Vq REVISION ❑ EXTENSION [:]RENEWAL
❑ PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
.�/ i
CONTRACTOR DRAWINGS
JOB ADDRESS: /` �� /D YC/ A't i
Folio/Parcel#: Is the Building Historically Designated: Yes NO -
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titlehholder):��—S
Address:��
City:�/��/>>.�? , T State: Zip:/
Tenant/Lessee Name: _
Email: ///1 S K�)
Phone#:
� 305-3
CONTRACTOR: Company Name, 5%+ le? r+�n►un «fi an > Phone#:
Address: h t I 00� 00 3 2- �9l6 Ce -
City: State: Zip:),33 1 Z
Qualifier Name: X ('SPS CGS 11b Phone#: 305
State Certification or Registration #: -Ec1300 � Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $� D�y Square/Linear Footage of Work: X
Type of,Work:°"'EI Addition��"❑ Alteration ❑ New ❑ Repair/Replace
, ,❑Demolition
Description of Work: 'x
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ �d� �� CCF $ ! kCO/CC $
Scanning Fee $ 3' Radon Fee $ DBPR $ Notary $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Training/Education Fee $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ OP3 • TT
cl 1
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
r.
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 _
NER GE
The foregoing instrument w nowledged before me this
ZZ/L dayof !/v r� ,20 le by
Lyir Rey,--?cx', who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:"
Sign:
Print: h�lyZ-
Seal: ; . ;:L FA
RRAH FlE1TrAN
? ;�c MY COMMISSIONS FF216$49
EXPIRES April o2.2()19
APPROVED BY
(Revised02/24/2014)
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 0 C4 -v6 20 by
Q „/e S+CS (mss h , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
j A;�^" nt VMESU TRUJILLO
_*; MY COMMISSION N FF 229944
Sign:•. :!- EXPIR
�Rf, Thru Wary POO WWgrwbrn
Print: y S SC
Seal:
*************************************************************
Plans Examiner Zoning
Structural Review Clerk
RICK SCOTT, GOVERNOR
JONATHAN ZACHEM, SECRETARY Florida
dtDpr
STATE OF FLORIDA
DEPARTMENT OF BUSINESS-ANDPROFESSIONAL REGULATION
ELECTRICAL,CO'rITRA ,. ,ORS�LICENVSING BOARD
THE ELECTRICAVCONTRACTbR H_ EREtN=1S CERTIFIED UNDER THE
PROVISIC)h'JS OF CHAPTER h89, FLORIDXSTATUTES
3, f 146'4
a j� *s -11o"o
RE
AJAR COMMUNICAfI6NS'IN6
nR. *-111,126 NwU1/"32ND�PKLACE1
AM 111 011
Mi j'r
MIi MI-- F�L"3 3125 } :f
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EXPIRATION,DATE/CJGU51' 31, 2020
Always verify licenses online at MyFioridaLicense.com
O. D �
Do not alter this document in any form.
. • This is your license. It is unlawful for anyone other than the licensee to use this document.
al��.
We 1,0usi aess-TTax--fcei pt
j Miami—Dade County, State of Florida
-THIS IS NOT A'BILL - DO NOT PAY
7183160
BUSINESS,NAME/LOCATION RECEIPT NO.
PRECISION STAR ELECTRICAL CONTRACTORS IN RENEWAL
C.r 7463778
x.2271 SM61 ST •AV€37
4.i17VAMl FL33155
LBT
'EXPIRES
SEPTEMBER 30, 2019
Must be displayed at place of business
Pursuant to County Code
Chapter 8A - Art. 9 & 10
'OWNER y F� SECL-TYPE OF BUSINESS
-PRECISION STAR ELECTRICAL CONTRACMRS`TN 96 ELECTRICAL CONTTO
RACR If'TAX
EC13006fi21 1 .ItsiTAX
C/0 ORESTES CASTILLO, PRESIDENT ,� $75.00
Workers) 1 CREDIT(
This ukal Busines! Tax Receipt only confirms payment of the Local BusinessTax. The Receipt is note
/permit, or a certification of the holders ualifications, to do husines's. Holdei'mustcomply1 ith any gol
or nongovfirnmentarreguratory laws and requirements which'appiyto the business.
"
The
RECEIPT N0. above msst be displayed on all commercial vehicles - Miami -Dade Code Sec 8
For more information, visit y iniamidade.aoyhixeallector•+,.i
0/2018 f
—18-052117