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CHANGE OF CONTRACTOR � , ,� '� � F 4�� • i !t x"`�� �� I� I � S I I� u�=� a, �� t� �� }��� �k��r.�� � '��°�"�� `` ( r�� E�f� f n � �'� �C1 t 3 �_�� � ����s'#�1 ��� ��' �' 1OQ50(�.E.2nd Avenue, Mi�mi Shares, Florida 33138 � � �:� � � �,� Fd ret:{�o�)���-2�oa F�x:(�o�)7ss-���a �����_ � r:� `�� m _,.�_` �� INSPECTEON ItNE PHOiVE Nl1M�ER:{3Q5}762-4949 .�-'"'� r ���. F 4 �� 'L � M�ster Permit No.��` ��� � �� "� ER IT LI� 1'°I su�ta P�r�it tuo:��'��. �-, � ��� � , �.� (�BUILDING � ELECTRIC (� ROOFlNG � REVISIQN � EXTENSiQN �RENEWAL d PLUMBIRIG � MECHANIC,�� ❑PUBLI�We}RKS CH�NGE QF � G�NCELLATIC�N � SHt�P � ' CQIVTRACTQR DRAWIfVGS loB a�Q�Ess: _ �`�. ; �.t� �� �T Citv: Miami Shores Cauntv. Miami Dade Zip• ���'�� FolioJParcel#: ��� ��� �-���`�� Is the Building Historieally Designated:Yes €VQ� � Qccupancy Type: Laad: Constructiorr Type: F1ood Zane: BFE: FFE: QWIVER. Name(Fee Simple Tikleholder}: €�� � �f� '�a� � �� Phone#: Address: �''� � �� �� City: �C�� ����� State: �'�r�� ��� _�____ ��p � ��,��� ..�_ Tenant/Lessee Rlame: Phane#: Email: co�rRacrc��:cam�a�,y�v��,�: �� � �tr�� �� 1���` Pn�n�#: ��� � � �� ���� Address: ���`2e � '��r"� �r�' c��y: �-� �� s��ce: ---__ __ ����_ Zip: Qualifier Name: � ���'� Phone#: State Certificati�n e�r Registration#: �� ����� Certificat�af Competency#: DESIGNER:Archit�ct/En�ineer: Phone#: Address: City: State: Zip: Value of Work far this Permit:� Square/tine�r Foota�e af Work: Type of Wark: ❑ Addition ❑ Alteration [� New ❑ RepairJReplace ❑ Demoliti�n Description of We�rk: ���t� ,�� �� � ���°�'��� ��������f. �� Specify c�lor�f e�l�r thru til�: su�mE�t��F��� P�r�,Ec Fee S cc�S ' co/ec� Scanning Fee$ Radon Fee$ D�FR$ Netary$ Technology Fee$ Training/Education Fee$ Dauble Fee$ Structural Reviews$ Bond$ TQTAC FEE NQW DUE$�. � � ��� (Re��seaoa/zalzQl4) . �onding Company's Name{if applicable) " Bonding Cornpany's Address _ City State Zip Mortgage�ender's Name(if applicable� Martga�e Lender's Address City State Zip Applieation is hereby made to obtain a permit to do the work and insta(lations as indicated. 1 certify that no work or installatian has eommene�d prior to the issuance of a permit and that all work will be performed to meet the st�ndards caf all laws regu(atirrg constructian in this jurisdiction. I understand that a separate permit must be seeured for ELECTREC, PLUNIBING, SIGNS, PQOLS, FURNACES, �C3ILERS, HEATERS,TANKS,AIR C�N[�ITIONERS, ETC..... 4WNER'S� AFFIDAVIT: ! certify that all the foregoing informatian is accurate and that all work will be done in compliance with all applicable laws regulatin�eonstruction and zaning. "VUARNING T4 �WNER: Y�UR FAILURE T� RECORD A NQTICE OF COMMENCEMEIVT MAY RESlJI.T IN YQUR PAYtNC TWIGE FQR IMPRO�VEMENTS TO YOUR PR(3PERTY. tF YC�U INTEND T� Q�TAI�1 FINANCIIVG, CQNSUGT WITN YQUR I�ENDER QR AN A �RNEY �EFQRE RECORDING YC?UR NQTICE QF COMMENCEMENT." fVotice to Applicant: As a condition to the issuanee of a 6uilding permrt with an estimated va(ue exceeding S2St?U, the appticant must pramise in good faith that o copy of the notice af eornmencement and consPruction tien taw brochure v✓itt be detivered to the person whose prapert�r is subject tQ attachment. Atsaa, a eertified copy of the recorded notiee of eommencerrtent must be posted crt the job site fvr the first inspeetion whfeh �ccurs seven (7� dctys after the building permit is issued. fn the absence of such posted no2ice, ti�e rnspection wilt not be f roved and a reinspection f�e wild be charged. ,/ �, `" ;,� ,� � �°" �..,.r..��.� � �� ' ,f' �r,� � r � Signature� ���� �— Signature �� ��C%�� ..�~'" � � ����CT�'�INER ar AGENT GONTRACTCIR;1 � The foregoing instrument was acknawledg�d befare me tl�is The foregaing instrument was�cknow�8ged befiore me this � � day�f �'"�a�� t � ,20 � , by �" day of � ��J 2Q �`� b � � , Y �� P� ��� �e � w�ho is personak(y known to ��e;�� �, ����� who is personaily known to me or wha has produeed as me or wha has produced as id�ntification and who did tal�a�"°n�ath. �` identification and who did t��Ce' n aath.�r°�'� � NOTARY RUBUC: � �� � NOTARY PUBtEC: � ' �'�� f �;, �' �.F � � .�° Sign: Sign: Print: �E��.� � �S Print: ���.t l�`��.� ��� �� �, ���������p �"� � �����d'��f� Y 6 Seal: �^ Seal; > � �� ��� is�i�n # T71 ' 3T?� b� �s�� � �� �� . r� 15,2�19 =°� �� E�p�r�: �5,20�9 "` " t�ru A�t�n a�y � � � � � � ��'xa��'° daa��� � �I� � � `O�r�(�°FL,ge�''�� � r*�*��*�x����**��°��NM9�°**����***��*�*a�:�*�mx��*�z�*�m�sz���m�xmm�:�*���*����*��**4t���*�*��**���s��*��ra��a�**�w�*��:*�m����� � � F APRRQVED BY `�''�� �� � P(ans Examir�er Zaning Structural Review Clerk tR�V�5�aa21zatzaic� � � � � � � � �. � �� .�. � . �� ����� j'- ...-F�. � �P ` � f � � � .. � � fl �i e; �'" � �/r' �� f , ai '' ,s�,� j�.'�IC5�1�"s&3�ff5� , _ d".�.,�.,��'.-�'� . ��� . , �''°"-' '�1 Y�-'�*z 2�"��Y4��Y#r��'r� (ct�+:,m'ta�,�..��d€�a i¢ "����4 � .. �F'o-.z..�n r.�ht P�.�.zi:r,:,r?} � "�.', '�' �y-'�+'P,�a� �i�����c`s_;s��,cf � � �.��..�.� '�. � . � y,,,,'i f S�i',�iJf�:k�tk'$tTIC{'�Jd S�'".:XfV�'3� � 'd"�C�9'T T.��? 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C,�¢Y�(i���t��sE,,�ia�v���r,si�;ziic.;"..`c,s �;e k«fi(��r r� r,rines: €a��[rro.€`�in�.�f yr�,ct�n E,,ess u�^>trm�rk,r,�n th"t� Pe��;�r�r��¢i�s u�nt€r r�ri c�s;€;�d�a a ra,�„�r�" Ge�fific#i�ai�r�ca"s�ir tS�E?r-z iE��;r�rcr��.�x€tx:�¢rs c�i�ia:.v�p#.s�z�.�ar.;the r¢c�t�ieaf�s.�s�.�4 f�!rei. �y��,is�3��E a r=,x€Y tc=.h�r��s�+lec�,r f�l� �su;;�.a r��,�r>�ai haru,c��;+r��¢r�<r�z;cs�,t or�,�e ��Rra��a r a�sv��,=�,n.A€;€;�,rv.;s.s��r;��i:ts€ry�e. at�c�`c;��c v<=�'.r;�;,n.�xr a P:ae�ic,r�,f eet�r:s�ce�;€[< er�rrsr+Ic2�°��,�a=�rs;#t f i,G�r�rrestr��#�Purri l����f{� �fr r'ic I'�i=�i�rr€3�;i?Yc�y€u�r�rz�r,�€s��, 4 a t�,�:��u�3Ya�,F z��r� r , ;�T' �rxrY�:;����.�,jsu;u au(fi,�vrxrscr.>r� Y 7"r`-:�J�:`fi.n,Gr.�47 .� . . ���R�� � �, � ��,,,� iami hores illage ..� ��� ����..� �u i Id i n C}e a.rt�m�nt � _ � � P ����R'�`� I QQ5Q N.E.2nd Avenue M�ami Shor�s, Fl�rida 3313� Tel: (305} 795.22�4 F : (305} 756.8972 � F � T / L� T Perr�it N. � C�wner's Name (Fee Simple T°icle Holder): ���� ���.���� ���� Phane #: Qwner's Address; ��., ��, °� �"°[� City: ��c a � ��� State : ����t i�c�y Zip Cade: �"��'�� ,��b Address (Of w�here wark is beirrg done}: ��, �� ��` �� �ity: M�arr�� SM�re� State:�Floric�a Z€p Code: ���`�$ Contractar's �ampany Name. �,� d��- ��- . ��� Ph�ne#: � ��� � � Address: ��a �� �� �� �� ��� �ity: ���i Stat�: Zip �cade: Qu�lifier's Name : � � `� b � " Lie. Number: �""' � {� �--�`�� 7. Architectl Engine�r c�f R�eord Name: Phc�ne#: Atddr�ss: City. State: Zip Ccsde: Rescribe ark: � � ��- �� t� ���r� �.�t � 1 h�r� y certify that t � ��k has ��r� �. an one an la�� the �ontra�tor/�.r°� itect i� Unable or ur�willing to eo pl+�te the cvntr�aet. 1 hol th� uilding 1�ial and �h� Mi�mi Shores har�r�nless c�f all legal ir�vc�lv�nn�nt, �� � ai�nature � ignature Qwner or Agent Cancraetor or Architeet The foregaing instrument was aknowiedged befare me The foregoing instrument was aknowledged b�fore me this day af � 2Q� ,by �� � � this day�f , 20 by Who es personally knc�wn t��e or who has_produced who is personally known to me or who has produc�d ' \ �"`1 �` � �=as indentific�tiQn. as indenEificatian. ; � Notary �'ub[ic: ` ���� ; ��. Notary Public: � € �'` 3' �� aign: Sign: Seal: .*��� �f� Y Seal: :���... �� ���ssl�� � 37�1 �� �� . � ��, �9 , � � �� a>, (� t�� ���`8d4��t6Y5 � . 1,��QRE,g� �� Miami Shor�s Yifla�e '��► uildir�� �p�r°t ent � 1 Q050 .�. 2►�� Avenue g �s ••,• ••,•�� i� i �hc�res, Fl�rida 33138 i 'Tel: (30S} T95.2204 �'��a=�s���°�'� Fax. (3Q5} 756.8972 "��ORLD� �hang,e af ContractorlArch�tect ar En ineer A chan�e of eontractor, architect or eng�neer must be done under a permit r�umber. �T"here is a $7S.OQ charg� far a chang� of contractor. The owner will submit a Chan,�� of Contraetor Form completed with notariz�d signatures. If the sEgnature of th� previous contractor cannat be obtained the awner must send a certified letterlreturn receipt notifyin� th� pr�v�ous contractar, architect or engineer the reason for the change. The owner mus� allow 10 business days for the contractor, archit�ct or engineer tQ respe�rtd. A permit applieatian must aecompany the change �f ca�ntraetor form, with th� infQrmatiQn and si�nature of the new co��ractear. The new c�ntractQr must be registered with the Vi(la�e or rnust stabmit tk�e required doeurnents to register wi�h the Village. (. �hang� of Contractor form compfeted, signed and notariz�d. 2e P�rmit application by new contractor. 3. Required feesm 4, Cc�py �f c�ri�in�l letter s�nt via ��rtified mail along wi�h th� returned reeeipt. In a�ddition to the requirements abov� the architect or engineer c�f record must auth�riz�d the new arc�itect or en�in�er tc� r�produce his docum�nts. Th� auth�rizat��n must be in writing and must b� signed and s��led. � �'��,����� ���(��t �..�� �/liarv�i, E��r�h 9,201� Sirs �ESMAR PC I�C ATT: EDUARD�A�l�E� 6405 NW 36ST# 224 MI�MI Dear S�r 1"his letter is tca inf�rrr} yc�u that I am r�mavin�yo� ar�d yc�ur eampany �s sub�can�r�ctvr fe�r th� ee�nstru�tion c�f rr�y haus� �t ME�rni Shores 1270NE 97 ST. ! ar� r�pl��in�you by�noth�r �ar�pany. Sinc�rely ��� "� { ��� , w. 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