REV-19-202Miami Shores Village
�Building Department ��
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 N
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC�� 20'p� q
BUILDING Master Permit No.
PERMIT A P I Sub Permit No. (VC, t —' 2d2
)K�BUILDING ❑ ELECTRIC41 REVISI N ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 911 0 141
City: Miami Shores County: Miami Dade Zip: 3313
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Names (Faee Simple Titleholder)
,�C��VD C 7'j IC(�V S�IQ_ \ `aG _Phone#: IJPS 5
Address: l 1 �i , 1 -2 - (� '
City: �a o k-A S%O('-f- S State: zip: 3313 g
Tenant/Lessee Name: Phone#: k)
Email: "!56c.,('
CONTRACTOR: Company Name:
Address:
City:
Qualifier Name:
Phone#:
Phone#:
Zip:
State Certification or Registration #: 1 1� Certificate of Competency #:
DESIGNER: Architect/Engineer: ga� 1 T oz 1 Phone#: �i5�{, g9 a - 0-)8y i
Address: k k o�(� JuM,r PQrtC1. 0--#QkCity: Kkr'CLtAA ' State: Zip: 3309
Value of Work for this Permit: $ 3b0a - 0-0 Square/Linear Footage of Work:
Type of Work: glAddition ❑ Alteration ❑ New ' 0 Repair/Replace _ ❑ Demolition
Description of Work: (z2-V ISNPn 1 G[>(-rc�;an � �� . �L_C- 'a4 Q 1A$ r
VoM4, GaZQ0Ujbll -�o swrin'QA c'onne A �i c„� O-L n�Q off -1-; ter, -fin
Specify color o,
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Technology Fee $_
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ q2 ' Oc)
(Revised02/24/2014)
Bonding Company's Nam�'il plicable)
Bonding Comp y'sAddr
City t�
Mortga Lende/sAddress
me (if applic le) _
Mort se Lende
Zip
Zi
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 �— Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of20 j by
who is personally known to
me or who has produced �.21 �>'Ll� as
identification and who did take an oat��titlllll
n ' ' ARL
NOTARY PUBLIC:
Sign:
The foregoing instrument was acknowledged before me this
day of 20 , by
who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: :_A.. * —Z Print:
Seal: �TFOF�F�O� Seal:
/l11►ffIi11N
as
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
AA26002444
AM THIT
ARCHITECT, INC.
January 22, 2019
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Re: Proposed Addition For:
Mr. & Mrs. Hague
299 N.E. 99' Street
Miami Shores, Florida 33138
Permit # RC18-984
Dear Sir or Madam,
The intent of this letter is to describe the changes presented in the attached revised architectural &
structural drawings. Please see the clouded portion of the plans indicated as revision #3 on architectural
plans & as Revision 91 on structural plans. The connection of the existing house to the new addition will
be achieved by a 6ft wide space with a sloping roof in lieu of the approved flat roof.
The flat roof original design in that area as approved had to be modified to a sloping roof (to match exist.)
because of the existing conditions that were uncovered during construction.
Sincerely:
Ralph E Tait, R.A
AR95832.
11820 Miramar Parkway Suite 121, Miramar, Florida 33025 Phone: 954-592-2841 Fax: 954-392-7502 Email: rtaitgftaichitectinc.com
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