Application w contractor (signed) RC-07-20-1613 - ApprovedBUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
T I 305 795 2204 fax• (305) 756-8972
DEL 0 3 D�[�
e.( I
INSPECTION LINE PHONE NUMBER: (305) 76241949 L{-Ln'
FBC 20 11
Master Permit No,gc—�fl—?�D—I613
Sub Permit No.
❑■ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING [—]MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 561 NE 106th Street
G : Miami Shores County: Miami Dade Zi
Foiio/Parcela: 11-2231-014-0140 Is the Building Historically Designated: Yes NO X
Occupancy Type: R-3 Load: Construction Type: Flood Zone: N/A BFE: N/A FFE: N/A
OWNER: Name (Fee Simple Titleholder). David & Angela Benjamin Phoned: 305-332-3812
111ra, 561 NE 106th Street
City: Miami Shores State: Florida
Tenant/Lessee Name:
Email. davidbenjamin7@yahoo.com; angelafbenjamin@hotmail.com
CONTRACTOR: Company Name: Miran Construction, LLC
A A.i2640 Hollywood Blvd, Ste 200
Phones
33138
786 925-0084
City. Hollywood State: FL z,p. 33020
Qualifier Name: Julio M. Miranda Phone►+: 786 925-0084
State Certification or Registration N CGC 1516201 Certificate of Competency If:
DESIGNER: Architect/Engineer: Victor J. Bruce Phorten: (305) 310-5030
Address:370 NE 101st Street _ City: Miami Shores State. FI Zip: 33138
Value of Work for this Permit: $ 120,000 Square/Linear Footage of Work: +/- 789 sq. ft.
Type of Work• ❑ Addition I.9.1 Alteration ❑■ New ❑ Repair/Replace ❑ Demolition
Description of work: 1) Addition of Master Suite with bedroom & bathroom; 2) Garage Conversion into Laundry
& Walk -in -closet; 3) New Terrace & pool (under separate permit)
Specify color of color thru tile:,
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary 5
Technology Fee S Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revisedo2 f24/2014 i
rfr,nd.rge Cuwpooy Nmm' III aPPh, able)
Rand -1g ( nmliany'
CITY - _ ---- S1,114' - --
mul lfl•Igr• I ndrr t N.unr (II appht a!1!I I
MC,rlf;ago I orulo, . Arl;hrc,
( IIy . - - -- S1,rSr
Zip
Z-P -- --
Apf+Ru,rignl Is hn, u•by in-rrlr l0 oblam d ut'rrnd 10 (10 I1t0 work and onlaIIdllpns ds Indredled I crrrllly lhal Flo vra,k oI it 1 0,0 --n I,-
I-WiriwarPCl prior 10 Ihi +S;u.uu,r' of ,r pr+nut dull Ehat all work -,II be Perlorrned to meet the ',landards OI .111 I(!Gt•IS LPOCM
r unti#urti,m in Iln+ IUI+'•1I'Llion I Ur111r•r4ldnd • lhdf d 'PPt1l,lle pCI Intl mull be SC[Urcd for ELECTRIC, PLUh $ING,
I 11FTNA(14. II011116 II(AII RS. TANKS. ioIi CUN41TIdNFPS. E'C
OWNI A'S Ar11UAVIT I n rtlly thdl all the lo!cl;omg inlormatic n .1c(0r,111' mid Thal all work will be done u1 romphan•__ ::11' 1 i
,rppll(ablc law', u•p.ulal�np co;n'.Uuction and ronu)P,
"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."
Nnfrrr 14; Applirdn! A: 0 e011114r0A 10 (hi., 11s(lRn4r old Lluildff?(, ocrenrf ]vrrh or r l rrlared volur . •rrrdlna 575W. 11„ cvv' 1 j it
P+nnulr Ic! f700d jailh dtaf a COPY at (1W foolicr of Camnidncenlew and ConNfaIL21100 lien low broChurr will be 11chveh'd IJ Ill'' ore
1yrgr+r PrOl7+'r ry r( suUlrr f to ulTtlt nrllrrlf r11+G. a rrlfrJrrd cnPY nJ rhr rc'Ci+r did nnncr nJ Co,I�nlfll�;i7hir ryCr Fst °f suC npnShol c� d lr 1('IJ�rU {fry
t.
for thr Just rrspeCl�Ern ev&ch OcC(ns 1'rl•rn 17) tin" nflet Mr budding Prrmrf rS 1sel+r'd
1Ifiri lion tvrlf not br (rayrnved and a Iv!nwr'Clrnn fee will be chifrged
l,l �•�_ 1,., ram- -�� .
tq 11 11V,_-
0WNI:RorAGIN1
Ihi• !c rginnp, Imlru Went w is acknuwlodL.oci befole nle lhls
:(((h d.lynl (luJ�'rlti�tY-- :0_.��- by
1 h ( L� (c (l,i n !•n"� w11n is trrson.rl town to
m1' of who ha'. I'rn(luasccd _._ _ ., ------ ---
iirnldlr.11lnn .111d who (W Take .)n O 1111
NOTARY PUBLIC
CONTRACTOR
the foregoing instrument was icWowltdVj ci below m t'
- -Lday °' -K:JV m_--• 0
Julio M Miranda who 1i PcrS011,11'1 kro n u
file or who has produced �Vt �_- — _I _ �LI%f�
identification anJ who did lahn a 1 o.tlll
NCITARI' PUBLIC:
1+1►LII I IIII11jy
1.
p1,+rr 2 012(i_.---'
I' nl • �C Ill(_ \ _ �141 rl(nll`�Ll L _+ ,- y Khola Fran,,.:
* : �•+ * = S .d Notary Pubh,
St.11 S OGIM14
7, = y-Stale of Flnndd
O; • '�7 d �'�,I�.• .? Comma w-40. 2�1}.
0
.,� y' • At: Lnd`. 4i��\1........................�f 19�� . Eda!IP.S. :a.. .... :r��■
. r ..................... '111r11I71r1ttllt]1],
Al I+ -h 111 R1
j+f i.t.]�V }+1dF1} [ iidnlltlt!1 . •5 i�
Cllu,tn ,11 Rr0 e;s --- - - c „k