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REV-19-2356Rev- 4L"-- 15,co IF 235b nc�d�'1U�Ill►`�l?9Zc� Miami Shores Village REczlvED Building Department NO 202 19 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 �� BUILDING Master Permit No. RC-03-19-539 PERMIT APPLICATION Sub Permit No. REV-10-19-2356 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ RE SION ❑ EXTENSION [—]RENEWAL F-IPLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS 1080 NE 104th St, Miami Shores, FL33138 JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 11-2232-029-0200 X Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: SHORES 104 LLC 305-778-8787 OWNER: Name (Fee Simple Titleholder): Phone#: POBOX 613248 Address: MIAMI FL 33261 City: State: Zip: N/A N/A Tenant/Lessee Name: Phone#: remy@quilliot.com Email: DAVID HESTER INC 786-246-6429 CONTRACTOR: Company Name: Phone#: 420 NE 115th Street Address: Miami FL33161 33161 City: State: Zip: DAVID HESTER 786-246-6429 Qualifier Name: Phone#: State Certification or Registration #: CBC1261342 Certificate of Competency #: DESIGNER: Architect/Engineer: SCOTT WEINKLE Phone#: _ Address: 400 KINGS POINT DR - STE 1507 City: SUNNY State: Value of Work for this Permit: $ RW O' `S"D Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration BATHROOM #3 REVISION Description of Work: Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Permit Fee $ Radon Fee $ 786-546-5046 FL Zip: 33160 ❑ New ❑ Repair/Replace ❑ Demolition RAISE FLOOR OF EXISTING BATHROOM N/ PLATFORM IN GARAGE CCF $ CO/CC $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Structural Reviews $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City N/A State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 charge Signature OWNER or AGENT The foregoing instrument was acknowledged before me this � /V day of O V2.M �X ( 20 I q by F,9ZYhy a u i \1 ! O k- who is personally known to me or who has produced 'F- t)r►y2r L[Cier1 as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: I<e-ylf) I—OwCA 31cK Seal d. Signature CONTRACTOR The foregoing instrument was acknowledged before me this —C� day of ko yews )o e , 20 1 °l , by 1 lck, o( who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: SSign: N-t - C ail Print: Seal: as :✓' :�q� KEVIN LAIPCIGIER Notary Public - State of Florida BETTINASEIFRIED .•.<: Commission C GG 364682 =f ' ************ *�s%*a>Rt*#t;4`C�H!`°'E7i�lii'• ,l '� i�� � ******************** �* *llt'�'I�SI4?41i:�r�* ************* ,= EXPIRE obey 2022 APPROVED BY Plans Examiner Zoning 6 Structural Review Clerk 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 ❑BUILDING ❑ ELECTRIC ❑ ROOFING RECEIVED F 14 2020 BY• FBC 201� Master Permit No.RC-03-19-539 Sub Permit No.REV-10-19-2356 0 REVISION ❑ EXTENSION ❑RENEWAL ■PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS:1080 NE 104 Street City: Miami Shores County: Miami Dade zip: Folio/Parcel#:11-2232-029-0200 Is the Building Historically Designated: Yes _._ NO Occupancy Type: Load: Construction Type: _Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):SHORES 104 LLC Phone#:305-778-8787 Add ress:1080 NE 104 Street City: Miami Shores , state: FL zip: 33138 Tenant/Lessee Name: Email: info@quilliot.com e#: CONTRACTOR: Company Name: Edward Rojas Plumbing Corp Phone#: 786-443-9846 Address:880 NE 111th Street City: Biscayne Park state: FL zip: 33161 Qualifier Name: Edward Rojas Phnna#- State Certification or Registration #: CFC 049431 Certificate of Competency #: DESIGNER: Architect/Engineer: Scott Weinkle Architect Phone#: 786-546-5046 Address:400 Kings Point Drive City. Sunny Isles State: FL zip: 33160 Value of Work for this Permit: $900 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of work: bathroom #3 (garage) under REV-10-19-2356 plumbing work Specify color of color thru tile: Submittal Fee $ �0 Permit Fee $ Scanning Fee $ Technology Fee Structural Reviews $ Radon Fee $ Training/Education Fee $ CCF $_ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ W (Revised02/24/2014) a 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 abs f such posted notice, the inspection will n tion fee will be charged. Signature Signature , OWNER or AGENT R The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 05 day of February 20 20 by 05 day of February 20 20 , by Remy QUILLIOT , who is personally known to Edward Rojas . who is personally known to me or who has produced Florida ID as me or who has produced Florida ID as identification and who did take an oath. identification and who did take an oath. NOTARY P LIC: NOTARY PUBLIC: Sign: Sign: / NOER WENDEL Print Print: ?•: .- Seal: �'yv'P� -.,. EMMAA. RJUEIit Seal: -1 o: ,,.' EXPIRES August 23, 2020 Notary Public • State of Florida iam> age o�s3 'N'pry C° 0011 Commission # GG 268386 "•• °w My Comm. Expires Oct 23. 202i **************** ******** 1 `/y�*********************************************************** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 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 FBC 20 9 BUILDING Master Permit No.aG_0 3 _) / - �3 PERMIT APPLICATION Sub Permit No. REV"i y 23S-� 6 ( - ❑BUILDING ELECTRIC ❑ ROOFING XREVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION [:]SHOP / Cj , CONTRACTOR DRAWINGS JOB ADDRESS: / O� . � 1// City' Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder)): n ��bdt__ � /(OGPhone#: 30�— Address: ?o32X g;13 2— 1it�b �+ City: �* State: PA Zip: 3I Tenant/Lessee Name: ��) �A— Phone#: Email: &rol p ( wo CPr- CONTRACTOR: Company Name: Address: Qualifier State Certification or Registration #: DESIGNER: Architect/Engineer: Add Certificate of Competency #: hone#: 50�'6 _State: Zip: 33) Value of Work for this Permit: $ _S1s2'j Square/Linear Fiotage of Wor Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Repla Description of Work: Specify color of color thru tile: Submittal Fee Scanning Fee $ Technology Fee $_ Structural Reviews $ Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $ DBPR $ ❑ Demolition - 2.35-b CO/CC $ Notary $ Double Fee $ Bond $ ?? ''� TOTAL FEE NOW DUE $ //W �J ' (Revised02/24/2014) 1 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 jse In the abs ce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. -r Signature OWNER or AGENT The foregoing instrument was acknowledged before me this day of t�v 20 by vxvy ��U1 who is personally known to me or who has produced - 72( lF-a- U-C�)S`t as identification and who did take an oath. NOTA PUBLIC: Sign: Print: Seal: ;a► SINDIA ALVAREZ MY COMMISSION # GG 238273 EXPIRES. September 3, 2022 • Bated Thru Ndm Pubk Undswft ******************* The foregoing instrument was acknowledged before me this _ day of P NVPf-q� 20,96 by rl 1—C S Ul t who is personally known to uC'— me or who has produced r�-�(2d Teoas identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ;, SINDIA ALVAREZ V. MY COMMISSION # GO 238273 EXPIRES: September 3, 2022 �� • Bonded Tluu NoM Public UnderWters APPROVED BY : Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) ErTirRED Miami Shores Villa F j20 1 o zozo e g BY: BY:__(� 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 FBC 20 BUILDING e7A4�1' -02 -a 'Master Permit No.RC-03-19-539 PERMIT APPLICATION Sub Permit NO.REV-10-19-2356 BUILDING ❑ ELECTRIC ROOFING ❑■ REVISION ❑ EXTENSION RENEWAL F-IPLUMBING ❑■ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS:1080 NE 104 Street City: Miami Shores County: Miami Dade Zio• Folio/Parcel#:11-2232-029-0200 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):SHORES 104 LLC Phone#:305-778-8787 Address:1080 NE 104 Street City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: info@quilliot.com CONTRACTOR: Company Name: i- &U C• VQ,ML Ali Phone#: 7 R Address: v 2,1 1`1-1-st, City: f , )V, State: } Z Zip: Qualifier Name: b 3 t- 6 1/42a Phone#: /,oG State Certification or Registration #: Certificate of Competency #: G S S $ r%G irrF+ DESIGNER: Architect/Engine . Ott Welnkle Architect I Phone#: 786-546-5046 Address:400 Kings P nt Drive Value of Work for City: Sunny Isles State: FL zip: 33160 Square/Linear Footage of Work: Type of Work: eration L1 New ❑ Repair/Replace ❑ Demolition Description of work: bathroom #3 (garage) under REV-10-19-2356 mechanical work Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC $ DBPR $ Notary Double Fee $ 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 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature) Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this 05 day of February , 20 20 by Remy QUILLIOT , who is personally known to me or who has produced Florida ID identification and who did take an oath. NOTARY Pri Seal: EMMAA.ORJUELA 'y' Notary Public • State of Florida e,F®�i Commission # GG 268386 APPROVED BY as The foregoing instrument was acknowledged before me this D to day of .20 1h by A-D;S$- N who is(fiersonally knowrrito V IV me or who has produced Florida ID as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: . J tA0 Notary Public • St1ta of 110Hd1 21411111 Seal: My Comm. Expirs S@p t, 2021 " Bonded through National Notlry AIJA, _ Plaxamin Zoning Structural Review Clerk (Revised02/24/2014)