FW-18-1529Miami Shores Village
RECEIVED
Building Department JUN 051018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 , A
Tel: (305) 795-2204 Fax: (305) 756-8972 ((
1 ( ( INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
QBUILDING ELECTRIC ROOFING
FBC 20F t-
Master Permit No.CLL 8 62-4
Sub Permit No. 'i- W6-15201
REVISION EXTENSION RENEWAL
PLUMBING MECHANICAL PUBLIC WORKS CHANGE OF
CONTRACTOR
JOB ADDRESS: 1280 NE 105th Street
CANCELLATION SHOP
DRAWINGS
33138
Folio/Parcel#: 11 -2232-027-0120 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Miami Shores Villas, LLC Phone#: (305) 807 - 6126
Address: 724 NE 79th Street
City: Miami State: Florida Zip: 33138
Tenant/Lessee Name:
Email: coryreiter@gmail.com
e#:
CONTRACTOR: Company Name: Exakt.US, LLC Vr%,'
Phone#: (305) 310 - 1054
Address: 6800 SW 40th Street, Suite 196
City: Miami State: Florida Zip: 33155
Qualifier Name: Juan Militello Phone#: (305) 469 - 2858
State Certification or Registration #: CGC#1510923 Certificate of Competency #:
DESIGNER: Architect/Engineer: Ramms Engineering, Inc Phone#: (305) 822 - 3141
Address: 2100 W 78th Street, Suite 311 City. Miami State: FL
Value of Work for this Permit: $ 20,180 Square/Linear Footage of Work: 200 I/f
Zip: 33016
Type of Work: Addition Alteration X New Q Repair/Replace Demolition
Description of Work: Remove existing aluminum railings and replace with new aluminum railings.
Specify color of color thru the:
Submittal Fee $ Sd Permit Fee $ ZdD CCF $ (Z • 6O CO/CC $ - k
Scanning Fee $ 3 Radon Fee $ ? DBPR $ 3 Notary $
Technology Fee $ OA (n Training/Education Fee $ • 20 Double Fee $
Structural Reviews $_L10 Bond $
TOTAL FEE NOW DUE $ 17 b
Rev1sed02/24/2014)
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
rte = •u
OWNER or AGENT
The foregoing instrument was acknowledged before me this
t%1,l d ay of SON 20 l$ by
CO (p01- , who is personally known to
me or who has produced f L IbL as
identification and who did take an oath.
NOTARY PUBLIC:
ACTOR
The foregoing instrument was acknowledged before me this
lt l day of20 1 by
who is personally known to
me or who has produced FAL as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: Sign:
Print: J ave
Print:
Seal: o sva SKYE LEA WEAVER
n:. NotaryPublic-StateofFlorida Seal: t;arPo'•• SKYE LEA WEAVER
Commission t GG 076373
My Comm. Expires Feb 23, 2021
c % Notary Public - State of Florida
Commission 1 GG 076373
My Comm. Expires Feb 23, 2021FF Bonded through National Notary Assn.
Bonded through National Notary Assn.
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
Revised02/24/2014)
0
13o ar
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
RECEIVED
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
a 2Q 8
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
QBUILDING ELECTRIC ROOFING
PLUMBING MECHANICAL PUBLIC WORKS
JOB ADDRESS: 1280 NE 105th Street
Folio/Parcel#: 11 -2232-027-0120
FBC 201 -q -
Master Permit No.CvC — i 5 2
Sub Permit No
REVISION EXTENSION RENEWAL
CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
33138
the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Miami Shores Villas, LLC Phone#: (305) 807 - 6126
Address: 724 NE 79th Street
City: Miami State: Florida Zip: 33138
Tenant/Lessee Name: Phone#:
Email: coryreiter@gmail.com
CONTRACTOR: Company Name: Exakt.US, LLC
Address: 6800 SW 40th Street, Suite 196
Cit,. Miami State: Florida
Qualifier Name: Juan Militello -61%(
hone#: (305) 310 - 1054
33155
hone#: (305) 469 - 2858
State Certification or Registration #: CGC#1510923 'Certificate of Competency #:
DESIGNER: Architect/Engineer: Ramms Engineering*,Inc Phone#: (305) 822 - 3141
Address: 2100 W 78th Street, Suite 311 City: Miami State: FL Zip: 33016
Value of Work for this Permit: $ 8,000 Square/Linear Footage of Work: 2,500 sq/ft
Type of Work: ElAddition Alteration New Repair/Replace Demolition
Description of Work: Remove existing concrete walkways and replace with new concrete walkways.
Mms—ta kkMT7
Specify color of color thru tile:,
Submittal Fee $
Scanning Fee $
Permit Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
Revised02/24/2014)
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $ _
TOTAL FEE NOW DUE $
r
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
City State 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. Ol
Signature
OWNER or AGENT
The (foregoing instrument was acknowledged before me this
I4) ` day of -504'6 . 20 10 by
i"
l 6 EL who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal:
APPROVED BY
Revised02/24/2014)
The foregoing instrument was acknowledged before me this
day of Some 20 18 by
Svc :V- —, CRL0 who is personally known to
me or who has produced rc 6L as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
PULE-tW d"Jt r Print:
2otpsir"a,,; SKYE LEA WEAVER Seal: ;.o1vRr"a,, SKYE LEA WEAVER
Notary Public -State of Florida : _ Notary Public - State of Florida
Commission # GG 076373 Commission # GG 076373
9,F My Comm. Expires Feb 23, 2021 r' M Comm. Expires Feb 23, 2021OFFV
oo Y P
Bonded through National Notary Assn. •, Bonded through National Notary Assn.
OF
Plans Examiner
Structural Review
Zoning
Clerk