REV-19-1586Miami 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
cEzvED
JU 10 019
BY:
FBC 201 I
BUILDING Master Permit No. CC -10-18-32861 Z15)) ( I
PERMIT APPLICATION Sub Permit NoZ— –o - 1 E-Pjo
BUILDING ELECTRIC ROOFING Q REVISION EXTENSION RENEWAL
F-IPLUMBING MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9835 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 Phone#: 305 252 1584
Address: 10820 SW 200 Dr #100
City: Miami
Tenant/Lessee Name: Sins Gastrobar
Email: sins@sinsgastrobar.com
State: FL 33157
Phone#: 7868637798
CONTRACTOR: Company Name: dArl MP r qV gh M'l%iTQI)Phone#: 305 219 0427
Address: 6_0 / U) J. 5—
City:
Qualifier Name: I rrdGD-v 4
FL Zip: 35djd .
E z Phone#: b06!%2
State Certification or Registration #: 4.41 l 16 8; Certificate of Competency #:
DESIGNER: Architect/Engineer: Yan Luis Solis PE M. - 305 484 5596
Address: 14245 SW 21 Terr
Value of Work for this Permit: $
ne#.
City: Miami State: FL
Square/Linear Footage of Work: 2,500 SF
Zip: 33175
Type of Work: Addition Alteration New .Repair/Replace Demolition
Description of Work: Revised bar layout, floor plans and MEP accordingly and electrical panels.
Specify color of color thru tile: -
SubmittalSubmittal Fee,$.._ ,., - •W'?ermit Fee $r CCF
Scanning Fee $
Technology Fee
Structural Reviews $
Revised02/24/2014)
Radon Fee $
Training/Education Fee $
DBPR $ 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.
JZSignatureSignatu
OWNER or AGENT
The foregoing instrum t was acknowledged before me this
d(av of 20 ' by
i iLk "S , who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
0
APPROVED BY
Revised02/24/2014)
ARAYSLAGO
Notary Public - State of riorica
Commission = GG 246553
My Comm. Expires Oct 26. 2022
as
The foregoing
ii=sonally
before me this
J
day20 t6) by
4` ', y G known to
I
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: 9(
Print:
Seal:
Plans Examiner
Structural Review
ANAYS LAGO
Notary Public - State of Florida
tea' Commission 4' GG 2)16553
My Comm. Expires Oct 26. 2022
Zoning
Clerk