RC-14-2111[o 14
o 105 Miami 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
BUILDING
PERMIT APPLICATION
2(BUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS
JOB ADDRESS:
770 NE 9 7 St, Unit 7
1 Ec TN r�
SEP 2014
BY: _
FBC 20 VQ)
Master Permit NJ�Q, 14 r 2-1
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip: 33738
Folio/Parcel#: 7 7-3206-038-0070 Is the Building Historically Deed: Yes NO
Occupancy Type: Load:
OWNER: Name (Fee Simple
City:
Tenant/Lessee Name:
Email:
Construction Type: Flood
Marilyn Bass
Same
State:
CONTRACTOR: Company Name:
Address: 7527 Alt R Sui 9
City: Miami Beach
Qualifier Name: Val a Brown —
LLC Phone#:
FIFE:
327-222-7374
786-317-7997
FL Zip: 33738
e#; 786-377-7997
State Certification or RegistratlIC: CGC7 5 7 3388 Certificate of Competency #:
DESIGNER: Architect/Engineer: Collado & Partners, Inc Phone#: 305-569-997 7
Address: 300 Aragon Ave City: Coral Gables State: FL Zip: 33734
Value of Work for this Permit: $ 27,500.00 Square/Linear Footage of Work: 600
Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of work: New kitchen cabinets, replace toilet and lay, new ceramic floor tile, new 100 amp
load center and new lighting, new interiors doors, complete interior painting.
Specify color of color thru tile:
�
Submittal Fee $ V -0 O Permit Fee $ G4�' CO CCF $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
DBPR $
CO/CC $ GQ), n
Notary $
Double Fee $ 6
Bond $ —
TOTAL FEE NOW DUE $' 34 ✓�