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PW-07-19-1523 �fi�ll���\\��\`��� `�`:`,\`.,ti'�i�t��l 4?.`����1�`��'� ��L��\ti<)�`�t\�t�� �,���„���..\1���.� ��� l;�, 1�..`,�a�,��:. ��14 ��� ��`���{�����1�`��� \���`��`����vt���� ��� ��� � ��������1��y�, �, �� .,, < �ti,,, t���t�� Y� $��t��\ l �����i �a�t,� \��� l�, . }�� ��,1�{ \�����`�l�s�iz�Y����\�����i��f;\'���a��\ly t � £�;,i ."a� �,� \`�2t�� 1���`Z�3 g4...• 2�,�a ti\ ��`<, �, , a���.s`,';,�z\\'�1ti iZ� ��s'1`i����.�i> '�i`.*,.�4L"Zo1�..�1�U�1�.:�1�, � C3 �^�`^� �`��`a,����`��`�5����������� `�7\�������� �����,'���`�����t`� � � :��"<' : �I�171���'1�C�S�6f�� � '�� f� ''���1���`s����L�`�r������t��`;��r \� �`������zt\���e����`t���l s��t ��?`ti��'4;`��,\�`��,SS ��1.,'�4�ri` �,' �� � L� �' � y�i�.. c � � � ��`��,�'�4 ���,�,Z,� �{i��� } �.. � �.�..^� � j Z � a i l e \ � ��e �`,\�tii\�� ���,c i � S �.`� �� �.���?d�rC�i�V� � � t � }l� C� 1\ \\ � ��l��C1Z�S1�\a�:`�'2��"{''��'��,��\\�,v` �`,����� `�.1`4�1i 4Y � � �. , �a ^`,\ t�.�� t o1�: ���1\ ��3; ��� 1� �li�`��sZ��<�'����l �, �� � �,�m��� �}��� �� �@ .. � S� �118tT}I$�1Qf2S�L 3�1�$ \�4 1ti��� `c��,i� "n ��`,.�; �1,. ; .\ �� `v���� 1 t4 �� `� t .. 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Q2/��/2Q�A ���`��,`�u�"„���:�s�a,,����x,.� t����,����?��3.����<<� Location Address Parc�i Nurr�b�r � 431 NE 94'TH ST,M[�rr�i Sh�res,FL,3323� 1l3206Q14Q5f?� C�ntaets � ����.�w�,w..�,��,�....��...�.����� .���.��� �.,�,� T�,.�� �..� �����.������ ,.�.��.�.�� �,e��� � LUIS ARIAS �wrn�r �EADING EC3GE CC?NTRACTQR SERVI�ES �ontractar � 1496 NE 1Q4 ST,MIAMI SNC}RES,F(�33138 INC } � R�BERT�CQM�S � Other.30S7990529 � 17Q25 NW 78 AV�,MIAMI,FL 33015 8usiness:7$6�&Q62488 RO�ERT�a�EAL}EN{�EC}�E.US �.��_....��v ,.. �.__.��_.�.�.�..�m����.�_.�._.�..�._H_m,.�._�.�_.�m.e��_.�. ��� �.,�_.��m,�m.m..mm..� _�m.._,�..._,......n_� Ins �ctt�n Re uests � DeSCriptFon:TWC}Si'ORY AC}DITEON INTERlOR RENQVATIONS � Valuatiott: $ 1 OOQ,OQ �� � �,�} �``���1\��?�,�< ,` ��������.� � fVate:All as Malt shall be restared with hot mix as hakt � ��`��'�t��� `s��t�� �� �� �� P P � l�"���`�?�<<��t`��`��c� `��\\\��°�����\������`��; � on an 8 inch well eompacted lime-rock base and 12 inches = Total Sq Feet: O.QO ,��Z�����u�����\`��_��.����`.���2��������;z` ,, � af sub-base.Limits of restaration shaEl be 2 foat from � outer edge of trench an either side.Inspecti�n af Trench � de th is a must, Fees �mount P�yments [�ate P�id Amt Faid educatian surehar�e $0.2o Teatal F�es $2t}5.7C1 Pubiic Works Permit Fee $100.00 Credit Card 07/12/2019 $��,7p Scanni�g Fe� $�.QO Credit Card 07/02/2019 ��,Q,�p TechnoEogy Fee $2.50 Amount Due: $0.00 Tatal: $5�5.70 Bc�ilding D�partm�r�t �c�pY In consideration of 4he issuance to me of this permit, I agree ts p�rform the work covered �ereunder in compliance with alI ordinances and r�gufa4ians pertaining ther�to and in strict conformity with the plans, drawings, s2atem�nts or specifications submitted to fhe praper authariti�s of Miami Shoees Village. In ac�ptinc�this peemit I assum� respsnsibiPity for all work don�by either mys�lf, my ag�nt, servants, ar�mploy��. I und�rstand that separate permits ar�r�quired for EL�CTRICAL, PI.UM�((�G, MEGk-EANICAL,WINDC?WS, D04RS, RQQFING and SWINEtuIENG Pt�t')t�w�rk. OWN�RS AFFIDAVIT: I cer#ify th�t aIl the foregoing inform�tion is accurate and thaf alI work wi!( be dane in compi'tance with atI applicak�E� laws regufating�constructien and zoning. Futh�rmore, I authorize the abev�named contraeter to d�the wc�rk stated. ' ' �� � •�"�!-'""r'� � �,�� Authorized Signatur�:Own�r / Applicant/ Cantracte�r ! Agent �at� 3ufy 22,2019 Pa�e 2 of 2 � ` ,�,, � I I � 1�� �����=���������� � � ;; ; �� ".%�„;41`; � ° l�I� I �° �1� � � �� � ,z � 10050 N.E.2nd Avenue, Mi�mi Shores, Florida 3313� ��,'�"_�,�. .� . - � � "�� Tel:(305}795-2204 Fax:(3Q5} 756-�972 � ��""�� INSPE�TtQN LItUE Phlt?!VE Nl1MBER:(305}762-4949 � �� � .. ` � P1/las��r P�rmit N�. ��` �� -� �.' �.��� � � � $E�b P�r[tlt� Nta.�� �.� `�� � `"`�°���� �ui��i�� � ���c-r��c � R�o� � � ��v�s��� � �x�-��s�c�r� ��E�Ew��. (���u����� [� ��cN��vEc�� �ugL�c w���s ❑ e����� aF � c��cE���-reQ� �] s��� �.�� � � � � � �� �� � co�v�r��c�r�� ���wi��s !OB ADDRESS: � CrtY: Miami Shores Caunty: Miami Dad� Zip: FoEio/Parcei#: � ��� � � � ``°��`��'' � � C.�� is the Building Histor€caEly Desi�nated:Yes NO Qccupancy Type: Load. Canstruction Type: Flood Zone: BFE: FFE: � �� a OWNER; Name(F���imple Titlehafder�: � � � �� �� � � � � � Phc�ne#�: Address; � ��� �'"� �" ��'�` � � � � / � f City: ��'� `—� �`�'1 = ;a�.� �t.f�,,� State: � Zip: � � �'�� Tenantf Lessee Nam�: Phane#: Email: ,� �r" �,3 CQPVTRACTt3Re Cc�mpany Name; �� �� l �� � � �s��r`c �-� � �, �-�°�1',a' � � '�-C�` �.�t. ��. Ph�ne##: ��4� '� � ^� ,� � .� �� fi,ddress: �-� � ` ��� �`'` �--�' `�" � City: �� `�- � �"� State: d� Zip: �" � / �� "� � �...�.�..:� "� �`�•' C I� „ ¢��` ;� � Qualifier Rtame: � �•� Ph�r�e##; € � � t�� �'� a..e ��,� State Certification or Re�istratie�n#: �. � � �` � � � Certificate of Competency#: DESt��IER:Architectf�ngineer. Phone#: Address: City: State: Zip: Value of Wark for this Permit:$ � � Square/Linear Faata�e�f W�rk: Type of Work: � A,ddition I_._[ Alteration ❑ New ❑ R�pair�Repiace ❑ Demalrtian Description of Work: �� " � ��f�� ��� -� �' �-������ �, �.� � �� ~�`.-� � ,� Sp�cify cvlc�r o,f calc�r thru tile: sub���c�i Fe�S���� ��° Rer�,it Fee S ccF� eo/cc S Scanning Fee$ Radan Fee$ QBPR$ Rlatary$ Technotagy Fee$ TrainingJEducation Fee$ Rcauble Fee$ Stcuctura[Rev�ews$ �and$ TO'fAl FEE Nt?W DUE$ � ' � (Revised0�f�4/2014} � g Bondin�Company's iVame(if applicable} _ �ondin�Company's A,ddress _ City State �i p ____._ Mortgage Cender's Name(if applicable} Mortgage Lender`s Address� _ City 5tate Zip Rpplication is hereby m�de to obtair� a permit to do the wrark and installations as indicated. I certiFy that no work or installatian has commenced prior to the issuanee of a perrnit and that a!I w�rk will be performed to meet the standards of all lav�s r�gulating construetion in this jurisdiction. I understar�d th�t a separate permit must be secured for ELECTRIC, PLUM�ING, SIGNS, PO�LS, FURNACES, BC}I�ERS, HE�TERS,�ANKS,AIR CONDITlC}NERS, ETC..... OW(dER'� RFFID�VIT: 1 eertify that aEl the fc�regoing infc�rmation is accurate �nd th�t all wark will be done in eompliance with all applieab(�laws regulating construction and zoning. " ARNIf�G T"� �WNERa YG1UR F,4tLURE TQ REC�RD A N�TICE QF �q EN�E ENT AY �E511�T IRI YC�UR PAYINt� !CE FCI� IMPFtQVE11�ENTS T� YC�UR PRtQPER . IF Y�11 II�TEND 1"� OBTAiRC F!lVANCtNG, CQNSUI.T' WITH YQIJR �ENQER QR �tV A Q�RRIEY BEFQRE RECt'�RDENG YQUR QTICE �F CO MENCE EN°T." Natice ta Appticant.� As a condition to the issucar�ce af a building permit vvittr an estimated value exeeeding$2500, the apptieant must promise in goad farth that a cc�py caf the rrotiee of commeneerrient and construetiort fien /avv brochure witf be cfetivered t� fihe person whose praperty is subleet ta attachment. Also, a certified capy caf the reeorded noCice of cammencement must be posted at the job site for the first inspeetit�n whieh occurs seven (7) days after td�e building permrt is issued. tn the absence of such pasted notice, the inspectian witt nat be approved and a reins�ectron�'ee wr`ll be charged. �� � � � �� � ,�'``� `� �.. '`_` � � -t`°, "'� Signature �<��� . � � Signature � , NER or AGENT CC3NTRACTOft The for�gaing instrument was acknawledged befc�re me this The foregoin�instrument was ack�owledged b�fcare me this � da of .� :20 ^� , by � day af `��_ ,20 ��� ,by �� � �� �� �� ���° �' � �'-`��' wha is ersonall kr��wn to ,w o�s persQnally knawn ta ��` .�--� �-� , p Y me or who has prad �d� � �� as me or who has produeed `� � as , identification an ha did=�sake an aath. identificatian and wha did take an oath. f.r f§ h1U�fARY Pk7E�ll : �� �; N�T1�R�`P IC: � ,� , Sign: "`° Sign: '� _ Print: m > � RrGnt: � ��� �-"'"� a f� .---� � ,� �Y C�M�1S�I�N�FF 95 St�1t�i�a�.i�A�2� Seal: Seal: ���`�;�. � �, ���k�'$�S:M�CC}i 21,�Gt2`� '�'�� . t�Y�CJtdt?�i�StQ��E'aCa 23�2i 3 �`�+��� �� �� Thru�a��4�o�ty S�r�' �� o;= �XPIf2E5::'aepl�.mt�es 3,��2 �"������"`� E#tts�d�iTittvN � trat?t�r� �� ���*������:�a�:���:���:�x���������***��*�*���a�:��ra�:�����*���*����:�***������*�r��*���� �� *��*�����*�*��*���*s��x APPROVED BY Plans Examiner ZOtlitlg Structural Review Clerk (Revtsed02f��/�Q��1