RF-19-2886VillagcEi`TED
Miami Shores a
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 (�
FBC 20 1`�
BUILDING
CANCELLEDIVIaster Permit No. I -- 2 I - ` - 0
PERMIT APPLICATION
Sub Permit No.
❑BUILDING ❑ ELECTRIC
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL
[:]PUBLICWORKS CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOBADDRESS: \0°\0 VA IL
t
k05\,", 5\—V e.e.�-
City: Miami Shores
County: Miami Dade Zip:
Folio/Parcel#:
0 2,n C7 — QA 0Q Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
l )^^SCOW' 1Grx�1-C' 1 f Phone#: 305 -33�-3GG
Address: G1y K F C)S
5 'V
City: %-A1 Gyy11 J�\Oy4z S
State: Zip: J3 i 3 ` S
Tenant/Lessee Name:
Phone#:
Email:
CONTRACTOR: Company Name: T c,%Cn t O t:f " �� nr-1%AP% Phone#: Zc)S -cA(o7 1A4,P -
Address: 1-�>o Ste/
City: zk o' r, 0-xW State: T— Zip: ?��d 7� A
Qualifier Name: St�f�� �./-_C.� Phone#: c,,4-A(.,,4
State Certification or Registration #: l: Cl^ \3�0(�5'� Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: �o Square/LinearFootage of Work: k.13%
Type of Work: ElAddition ❑ Alteration ❑ New E ooRepair/Replace ❑ Demolition'
Description of Work: !�-7\ o, 9", �
X21 a i� c at Ca- a- tines c o �► 1--- My� e 1 Qa
Specify color of color thru tile:
Submittal Fee $ 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 Dame (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 a building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will ,g, r�L ,
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of
me or who has produced
20 , by
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 20 zU by
LC, who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC: ---Notary Public State of Florida
Jahnn Lopez
My Commission GG 318891
o F ' Expires 03/27/2023
Print:
Seal:
APPROVED BY Plans Examiner
Structural Review
�y t •4, Notary Public State of Plaids
Jahnn Lopez
y , ; t• My Commission G631ml
No h Expires 03Q7/=
Zoning
Clerk
(Revised02/24/2014)
EAGLE OF THE KEYS ROOFING
'33005' CONTRACTOR VVC_
METAL ROOF SPECIALIST
Tiles-Shingles-Flai'Roofs & Repairs
New Roofs / Re -Roofs
Serving Miami and Florida Keys
ti
Ic. 8 Insure �+�++wi� "^w.:• .="..'Wr.
Residential & Commercial
eagleofthekeys@gmail.com
786-410-5202
Company: Eagle of the Keys Roofing, Inc.
Project Address: 1090 NE 1051h Street Miami Shores
Property Owner: Oscar Zapata Jr
Roofing Contractor: Jorge Lara
Date: February 10, 2020
Dear Bulding Department:
The reason for writing this letter is because we are no longer going to be doing this work
due to a disagreement with the owner in price. We did not do any work on the roof.
For any questions or concerns, please call me at: 305-394-4641
Respectfully,
Jorge Lara (President)
Eagle of the Keys Roofing