REV-18-33242\�� 0\'
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BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
Miami Shores Village
Building Department O T 81 2018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 IBY;�/f'Vo�_
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 1-7:) r
Master Permit No. R C. -1- 18
Sub Permit No.
❑ ROOFING XREVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: / V U D N G /O S S+
City: Miami Shores County: Miami Dade Zip: 33 3 8
Folio/Parcel#: 11 — Z Z 32. " O ZB _ d 9L) Is the Building Historically Designated: Yes NO k
Occupancy Type: Res Load: Construction Type: fV SOI,kr Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): V4r0A,%4bl? LGStc%Ae — SFck/-0. Phone#: 3OS — 7 (
Address: 'o 80 NE /D,s S-f" c
City: m Z clMi S h D re- S State: F L Zip: 3 3! S oO
Tenant/Lessee Name: '& //+- Phone#:
Email: • L e S r (Zh o <r (:-A_ /n ckC . o M
CONTRACTOR: Company Name: W/^0 ICU n solp'r Phone#: qO 0 —�O� 7 6 U O
Address: 34g7 per4VJ AA1Q-
City: M l Q im I State: Zip: 3 •� / 3 3
Qualifier Name: r,? rA r e f1 6-0 1 d; rs Phone#:
State Certification or Registration #: s o 7 6-t- Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address:_ 10 V'(jam itC y: State: Zip:
Value of Work r this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Ov S OI a.(" r-e at o in S k O w S
COAA-ec Ai Jn CjXAKq.k
Specify color of color thru tile:
SubmittalSee $ . Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
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.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
Z:�- day of G C T 20 1 y by
V0,('0*)P— k 5k]—ktLQ—, who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: c
Print: O
Seal:
�q
**************
APPROVED BY
Signature`s/%�Y`'
CONTRACTOR
The foregoing instrument was acknowledged beforemethis
Z� day of O C 7— 20 0 by
DCA G"o l tL�/1 who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: `, ,, __
Print: Ste.y rl ✓Yl-ol '�I
Notary Public State of Florida
Steven Howard Goldman Seal:
My Commission GG 228355 Notary Public State of Florida
Expires 06/0712022 Steven Howard Goldman
Ryl
My Commission OG 228355
10 Expires 08/07/2022
1
Plans Examiner Zoning
Structural Review
--,-,�
(Revised02/24/2014) � L11hi
Clerk
PERMIT ADDRESS: 1080 NE 105 ST PARCEL: 1122320280090
Miami Shores, FL 33138
APPLICATION DATE: 10/31/2018 SQUARE FEET: 0.00 DESCRIPTION: PV SOLAR -REVISION SHOWS CONNECTION CHAN(
EXPIRATION DATE: 04/29/2019 VALUATION: $0.00
CONTACTS NAME COMPANY ADDRESS
Applicant VERONIQUE LESTRADE
SFARA
VERONIQUE LESTRADE 1080 NE 105 ST
SFARA MIAMI SHORES, FL 33138
Contractor DAREN GOLDIN GOLDIN SOLAR, LLC
, FL
DAREN GOLDIN GOLDIN SOLAR, LLC 2251 SW 27 ST, APT 7
MIAMI, FL 33133
Owner VERONIQUE LESTRADE
SFARA
VERONIQUE LESTRADE 1080 NE 105 ST
SFARA MIAMI SHORES, FL 33138
REVIEW ITEM STATUS REVIEWER
Building v.1 Approved Ismael Naranjo email: naranjoi@msvfl.gov
Review item used to allow building to comment during a plan review
Electrical v.1 Requires Re -submit Michael Devaney email: nu119
Comments: PHOTOVOLTAIC INPUT TO BE IN MAIN PANEL, NOT SUB PANEL
Structural v.1 Approved Orlando Blanco email: nuII16
December 12, 2018 10050 NE 2 Ave Miami Shores FL 33138 m Page 1 of 1
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PERMIT ADDRESS:
1080 NE 105 ST
PARCEL:
1122320280090
Miami Shores, FL 33138
APPLICATION DATE:
10/31/2018 SQUARE FEET:
0.00 DESCRIPTION: PV
SOLAR -REVISION SHOWS CONNECTION CHAN(
EXPIRATION DATE:
04/29/2019 VALUATION:
$0.00
CONTACTS
NAME
COMPANY
ADDRESS
Applicant
VERONIQUE LESTRADE
SFARA
VERONIQUE LESTRADE
1080 NE 105 ST
SFARA
MIAMI SHORES, FL 33138
Contractor
DAREN GOLDIN
GOLDIN SOLAR, LLC
,FL
DAREN GOLDIN
GOLDIN SOLAR, LLC
2251 SW 27 ST, APT 7
MIAMI, FL 33133
Owner VERONIQUE LESTRADE
SFARA
VERONIQUE LESTRADE 1080 NE 105 ST
SFARA MIAMI SHORES, FL 33138
REVIEW ITEM STATUS REVIEWER
Building v.1 Approved Ismael Naranjo email: naranjoi@msvfl.gov
Review item used to allow building to comment during a plan review
Electrical v.1 Requires Re -submit Michael DeVaney email: nu119
Comments: PHOTOVOLTAIC INPUT TO BE IN MAIN PANEL, NOT SUB PANEL
Structural v.1 Approved Orlando Blanco email: nulI16
December 12, 2018 10050 NE 2 Ave Miami Shores FL 33138
.m.... ... Page 1 of 1