Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
EL-12-16-3446
� \1 l R�' �i�� '�� `Mwt� \ \ `� \ 1 . ��'°��°s���, M�ami�hares Vill�ge �� "� � � � ����� ��'������?� ���"#�������� � � 1Q050 N.E,2nd�v�nu�N� �� � � � y � ` ���������� ���i������������ " �� '""°"�� Miami Shares,FL 33138-ROOQ ` �� � � � -.,_.��e .�.�� . � z �. , � a: � .��������e������� . ��,��� �'` Phon�: {345)795-22QA � , � '�����* � � ` � � � �� � �����z�i���'�� EXptPc�tlt}tl: ���������� 1. ,� � �, ; ,.Y..,.. ,:.. ��� ,�'" .�,..\� ..�...,.,.\, ..,,..�:, �.. Projeci Rddre�s P�rc�t Ptumkzer Applacant ,. N,.... ,..�. .�n.�, r�M���.. �.e.__.� � �._u. , .. ,.�._..�.r.�u�.«,._„���.�,...�a_ ..... .R ._m� ._,. .,.,��. ... .�..� �.,.,w� _..w�. �w....� , ...��.�. � '1�7� N� 97 S�C��:� 113245{�09056Q _��� 7 I��arrti Shc�re�, �L 33138�256Q �i�c�: �.o�: �ami�o�vie�°o�Ea v����Ga� � �.�v"w`a:,Y�'�l$k.`S'�31.. . ... �. .. . .�i.l`�.�„�;.vY1.`�S.C�ia1A�'0.`�&:*`�:tinAS�$�.°zuTS+.'��1'�C.:Yk3�..�"m'R�i�l3l�..\`.<'MiA�'kS'.S"ia�""�tlR.`w.y?.`4`��.h`Yh.i�1.uS�.Yi.Yni;.'..cY;4ih't33»411,an`}.��'.`:lflE'bfi3tiliS.s"..'Ch�'eRti>XU.�.'Ax.OYz�.,V.i:3i\132kR�"�.+`�.iYPk:Y:,.`�:L't3�1\l�kYtkl�"�N`k,� Owner tnformation Address Pho�e Cell a ..�,.... �,w� m�p. ��_� , �.� . ,w�n�,. _�w��m n..,,...�..... � . . ...,mw.,. . ..,.m,,,, .:.,,,,�.. , ...e,....., ..,.w.,.M.. ..,,,,�,,,� ..,,,...,,�...� . ,,.�..,u... ... ...�.�.m..., r CANEIL��VE�TQRI�A VII�LEG�� 1270 N�9T�tr��t � � MIAft�l�HC1R���i�3313�- ":3"2S�.2u�§S1}�.'�x1;CtiSi\".�`*,.\'q�.Y.�{:�mlY@vR.�Nv�i+5Y9.�..�:.��'�".c,�..W§�e,�Ftifi�i?.SMti�`�`35t.4:.."�'�u.. . .. G'3.:*>.,G^R.,�.\%.,Hl��1r\.'Y3Sz�F?�.:€iSR,tii'L'a'�.:4'3�."t,�`oiYfiY:e'J.aIV",k*.`Y!�'�1:W:.xRa�1.0'���'as`..�.KA\.VU`iix+Y£3l\\lF'\`�l�„hSt;�€4?#}*?;.`,1�+i�Sn"t..'`E's`.4Sr'=.�:."1°�(�1',"Pit�:`+`:L`2Ym,�',W"rh'SitS�YSu«`„"1.e`S4L1`:tiR:Z�UIilU1YZ.i;t�Nu2dh.`A:..�:.1§;Si�,`.\i\11VY4h':,'tti�{i!S:lYlci�\'�."31 1270 N�97 Str�et tV�lANII�HC}R�� FL 3313$- �,.. ,..... �.,,W �.._� ,,.�,..� Contr�ctor(s} Rh�n� Gelt Phe�ne � � 4,OQQ QO � r � �}� � ��,� � u t n. CC}NTRACTQRS �E.��TF�ICAL.SERYI( (786}252-1284 � �� �� �,� �� �� � � � ������.t ��;��' T � Feet p � ��� , ____� . °`��. ,.s�uin.�...a.. . s.�:.av�.�,w�iva.�..�::�'�:s.,�.^;r�tev�.�a�ui�.e�Kn�aa�,axcsz�,�.s�;sz.�:a[�w^�:.��<cvx..��.�sx�;.5�."�'o Type�f Work:AC�D 4 RECEPTRC��S,REP�AGE 6�XIST ���`"� Auail�ble In�p�ctian�: Additionai Info:ADD 4 RECEPTAC�ES,REP�AC�6 EXIST , ���;;� . Insp�Ctit?n Typ�: Clas�ificafion: R�sidenEial � A � � �� � Finai � �'."'�� ""� $ �� � Scanning: 1 �� � ' � � Meter Box ��� ��. Alteration F2elocation Fire AEarm Service Changa R�view Electric�l R�view�lectrical W.W. Underground F�es �t�� �+motant Pay ��te Pay T`y�� Amfi Paid �4mt Du� CGF $0.60 Inv�ie�# �t--12-16�62444 ChangeogGontractorFee �11Q.40 ��r��l2��� ���h $5(3.00 $26�.60 DBPF2 Fe8 $4.50 DGF�Fee �4 5o Q210612017 Credit Card �263.60 $4.�0 Education Surcharge $p.2p Permit Fee-Additi�nsr`Aiterations $300.40 lnvQICG'#$ �L-�4�-18-67016 Scar�ning Fee $��� 04103/2d18 Check#:333 � 110.00 $4AQ Technoiogy Fee $6.8Q �Otc"�I: a����.�� In consideraEion o� th� issuanc to me e�f this permit; F agre� Eo p�rfc�rm th� wark cover�d her�under in compEiance with alF ordinances and regulatinns pe�taining thereto and in strict c nforrrrity with th�p(ans,drawing�, statements or specifications submitted to the praper autharities of Miami Shores Vill�ge. in accepting this perr�at I,ag�me esponsfbi(xty far aEl wark d€�ne by �ither my��lf, my agent, servanfs, ar employes. i under�t�nd that s�pae�te permits are required fae ELEG �F�1���L,�_�L �lNG,MECHANICAL,WINE�OWS, DOO RO I G and SiNIMMING PQ�I work. l � r� QWNERS AFF(D IT� 1 �r'tify that � he foregoi � info�maEion i ur e and �t all work wi(i be dane in eompliance with aIl applieabl� iaws eegulating construction and n�n� Uth r or , I auth� ze th aba -name n or do stated. �, �<� � � � � �-� ' �April 03, 20'1� AutM�rized `' ��aEur • wner f Appiica � ! Cc�ntraetor � �n Dat� � E�Ulldlnt,� � ' � � ��Clt CApy Aprit 03, 2t�18 1 iarr�i hore� il�a � uil ir� rt nt � �� �� ��� �� �� ���� � 10050 N.E.Znd Avenue, Miami Shores, Florida 3313� � �ret:{�os)�9s-22o�F�X:(�a�}�sc-��7z INSPECI'PC1N E,INE PNONE NUfV��ER:t305}762-4949 � � F 1`��� �� � [ifiaster Permit Nc�. � � � ��` ��� � PE�IVItT 1�PPLI�ATIQN s������,�� �v�._ ��� � � �� �� ��-� � ' ��tJl€,DING ELECTRI� � RaQFING � REViSION 0 EXTENSi(�N �RENEWAL ���.u�naE�� ❑ nn�c����ca� �Rua�Ecwo�Ks c����� a� ❑ c��vcE�.���r��N ❑ s�o� C�NTRA�TOR QRAWINGS �o�,aQOREss: C� = � ��" CitV: Miami Shares County: Miami Dade Zip• ����� Faliof Pareel#1: Is the Building Hist�rically Des�gnated:Yes NCl Occupancy Type: Load: Construction Type; Flood Zone: �FE: FFE: OWNER: Name(Fee Simple Titl�holderj: �� ��� � �� ����a �� �5 Phone#: Address: �� �� ��` �� City: �� � � �� State: Zip: ����� TenantJLessee Name: Phone#: Email: ��°`� �y `� _ , � � ., � a .� `� ;'� COt�TRACTf�Et:Company Name: � ��t � �'� �`Phone#:���" ��� � '�� � � °�..,� Address: t� � � ���� � City: � i � ��� � � ' f tate: � � a�,t����,� C...{��..� Zip: � '���� �� � ���� �� �,��-; "'�� � :? � L< � QuaEifier Name:w� '� � �` �� ' �'`� C� � � Phone#: State Certification or ftegistratican#:a� """ '� � � " Certificate of Competency#: DE51�RlER:Arct�itect(Engineer: Phone#: Address: City: State: Zip: Value af Work for fhis Permit:$ �� � Sq�are/Linear FoQtag�af Vtf�rk: Typ�e�f Work. � Rddition ❑ Alteration ❑ New ❑ Repair/Replaee ❑ Demolition Description�af Work: �� d��" ,�� i � €` �� ��'1, � � ,,,.�-- Specffy cQlor a�f ea�/�r thru tife. Submittal Fee$ Permit Fee$ CCF$ COjCC$ Scanning Fee$ Radon Fee$ D�6PR$ Notary$ Techr��l��y Fee$ Trarnin�f Education Fee$ Daubfe F�e$ Structural Rev�ews$ gen�� TfITAG FEE NQW pUE$ (�eV�seaoa/2a/zosa) Bonding Company"s Name(if appiicable} _ Banding Compar�y's Address _ City State Zip Mart�age Lender's Name(if applicabl�} Mortgage Lender's Address City State Zip Application is hereby made ta obtain a permit ta do the work and installations as indieated. I certi�r that no work ar installation has cammeneed prior ta the issuance of a permit �nd that all work will be perfarmed ta meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate p�rmit must be secured for ELECT'RiC, PIUNiBlNG, SIGNS, PO�LS, FURNACES, BOlLERS, HERTERS.TANKS,A!R CQNL�ET�iC?NERS, �TC..... OWNER'S AFFEQAVIT: I certify that all the foregoing informatian is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNIN� TU t3WNER: YOUR FAILURE TO RECORD A Nt?TICE OF COMMEN�EMEIVT MAY RESUI.T IN Y�UR PAYING TWI�E FQR tMPROVEMENTS TQ YQI�R PRQPERTY. IF YAU lhITEND TC? OBTAIIV FIIVI�NC(NG, C�NSULT WITH YQUR I.ERIDER aR AN A ORNEY BEFqRE RECCIR[�ING YOUR NQTICE QF CQMMENCEMENT." IVotice to Applicant: As a condition to the issuance of a building permit with an estimated vatue exceeding.�2500, tt�e appticant must promise in gaad faith that a eopy of the notice af eomrraencemenf tand constructican tien !aw 6rachure wift be d�livefed tQ the perse�n whos��araperty rs subjeet to ottaehment. ,41so, ea eertified capy caf the recarded notrce of commencement rraust be posted cat the job sfte for the flrst rnspecti���uhich c�ccurs seven (71 day� crfcer the building permit is issued. 1,ra the absenee of such posied notice, the inspection will not be a�rr�ved,and a reinspectian fee wi/i be eharged. ?� { ���; � �` s r�'� �� � ��� f.-.-- ) � ..� ..��;'���'�.�.`�/" � r� e j�'�'`'� ��/`t.� � ��}w.�°1? �.1 �,:...�.� Si�nature � =�' �r'��� r�,�`� _---""� Si�nature�• �-' �'t e., � � � �r `� ' QWi��`AGENT C�NTRACTQR � , The foregaing instrument was acknowledged hefare me this The faregoing instrument wras acknowled��d before me this �� �� dayof `f ��9�°€ ,2Q �� , by da af ��s�3�rm ° 2p �� , by � ���� 5 ,who is p�rsanalfy knawr�to �� �.���t� � � ��, ���� � who is personaliy known ta me or who has produeed as m�or who has pradueed �� ���������'~�-� �.` as _ , ,�°� � identification and who did tak�n o �th.� identification and who d��'fia�Cc�an oa��i. � NOTARY RUB�IC: ��' �' �� �� NCJTARY PU�CiC: � � �?t ���'� # �' � ff ��� Si�n: , Si�n: c ` a� Print: � �r.:.. �- �� Rrint: 1 tr ��;,���� s�ai: v���°� �'°�� �� �771 seai: q;��''���4����, Y�n����z V�1 bos � � p,� ,eNnaa �s 4�_ �� C��tn�s�n E�.� 3pe77p�� "°� �� � � &DlF1 668g�xV�ed ��' .� °�� 6e�6! e 9tAetM���4�a'*��R+ �A�ddfrr�,�sti'0.'��� � �4fiU �P� �`°'*>���,,0a°` �Q6i �hCU A�tQdE�Q�f� �������*�������:����������������*��*a���**�����**�*������*:�*�����*�+��'��M�*�����***�**���*m*���**:�����*������ APPR�VED BY Plans Examiner 2oning Structural Review Clerk (Revis�dQ2/24f2Q14) ��.�R�� � txc.r�az �+�4"' ,� �,� iami hor�s illage ..�. ��. �.�.�� �III It1 ��1�'� nt k���`�S iN�'�y,�' �'���lU�'" I Q050 N.E.2Ctd AY�tltle Miami Shares, Florida 33138 Te[: (305} 795.2204 Fa�c: (305) 756.�972 C F T `T / A► fT T Permit N. C}vrner's Name {Fee Simple TitEe Hc�lder): t���� ��� ��rt����� � ` hon�#: C?wner's Address: �"�, �,�� �� � City: �1��� � � State : � ��� �ip Cade: ����`� �ob Address (Qf where work is being done): ��'�. �� �� �� City: Miami Shore� State:�Florida �ip �ode: ��� � Ccsntraet�r's Company Name. �,�� � �C�`��. �t�Cm. Phone#: ����� Address: � �, � City: � s State: Zip Code; ��� � Qualifier's Nam� : f.�<,� Lic. Number: Architect! En�ineer af Recard N�me: Phone#: Addr�ss: City. State. Zip Code: �escrEbe ar°I�: 5 � `�,. I hereby ��rt� ��hat tF�� ca�lc has k�e�n a ar�d�ned �n lar tt�e �vr��racturlarehit�ct is unable or c���villing �o cc�mplet� tMe �ontraet. 1 hol� th� �uiEding t��eial and the `' ���� , Miam' ShQr�s h�r i�ss sf�I) (egal involvement. f f'`r' r.`" '8 �, �O d`��� �ignatur� �`/ ` Signatur� er Rgent v...--�-"�`"'� Contractor or Archit�ct Tf�e fore�ain anstrume s aknawledged before me The foregoing instrument was aknowledged before me tt�is�day af ��a � ,20�' ,by ������������G���;�� this day of , 20 by Wf�o is personally known to �o`�i who F�a���roduls,ed wh+a is personally known to me or whea has produeed � �'; as ind'entifieation, as indentifieation. Notary Publif: �,' � Notar}r Publie: � Sign: Sign: S�aL• b E � � Sea1: m'�`��,��"��'� � � ��� � 7'T� �'� �'� E�r�: �r 1�,24�9 '°°'�����q��` �Q���flE � `��OR�� �� Miami �hores VEll�g� �`� Buildin� Dep�►rtm�nt � 1 Q054 N.E. 2�� Av�nue •••• ��,"M Miami �hor�s, Florida 3313� � Tet: (3Q5) 745.2204 - " F : (305} 756.�972 ����r��aea�� �"�QR���` Change of ContractorlArchitect �r Engineer A change of contractor, arehitect or engineer must be done under a permit number. There is a $75.Q0 charge for a change of contractar. The owner will subm�t a Change �f Contractor Form complet�d with notarized signatures. If the signature Qf the previous contractor cannot be obtained the owner must send a certified letterlreturn receipt notifying the previous cantractor, arehitect or er�gineer the re�son for the ehange. The awner must allow !4 business days for th� cantractor, architect ar �ngEneer to respond. A permit application must accampany the chang� oF contraetar fe�rr°rr, with the inf�rmation and signature of ek�e new contractor. The r��w contraetor must b� registered w�th the Vil[age or must submit the required do�uments to re�ist�r with the Vil(age. I. Chang� af Contractor form campleted, si�ned and natarized. 2. P�rmit appiic�tion by new con�raetor. 3. Required fees. 4. Gopy of original letter sent via �ertified mail al�ng with the returned receipt. In additi�n ta the requirements above the architeet or engineer of reeard must authorEzed the new �rehitect ar en�ineer to reprod�ce his daeuments. The authorization must be in writing and must be si�n�d and sealed. � � � � � � � �� � � �- * �� � `� � � � �% KK � �� � �.....,�.�,.. �r'/' � � �r' �c r-��r u✓" .:,r�r " -� � (�;cta'��i�R�€#F � ° g���� e�a� '""`^ �- �'�` � *� €�;�z� mti��E �f�, �e��s� � ��"�, � i�Eitr� . ��rt :,.��:� � � �� _ _..,� '�"�.`� �� `"�., � �E MPhx�EU3c`�{rt EG�'�e.� $____ � � � �`.3��,"j.°t4T�s°3E"� ?�c.e�a�,�a��r��;�a� � i� � �" � �#er� � �e��r� ������:� � _ y�� �`� � ���_. ,�� �;��� r���_� � ���� �, �� � �� � �6� "�re��t�� � ��" y <, � � ` � � �w, � �" � � �5 ��_.- ���� ��� ____� � ��-�.����:��.����� n��a�.�� �� 6 m _ _________ ___e_�__ � � � >���;�������________ _ ��y_a��..,_m�_.��_aa__w�va_,� �__ mW_a �.�_�,� . � :�� � � $ ���t�#�� �����r�ai�����#�������������������������� ��e�,rf;��f�sfs�S�r3.,�,cfi:,'t��riifi�c v�a=3��r�+as�. s;,r���1Ar��ir.;sa re�;,m�v;,,},r'a �=�'�r��i't �St�,E,nr�sa��ts�s"�,�r fr,�y3�s ma;3�zc�, ��r��t�f�T�,;-is�e;r,u.7r�re,i�a�<z�f�;,li�,ztsa ��c�s��' ����;�ararx����ry��nr;;�a� €�csr€�re��z���r�.crr�;acr�€e p���r[�s� �e�-�., " �'S�'�i r,si�rs�s�eCi Cc�k,ire�3�r�s ae,���'�;t�'�e ��i r�a�s�z���*�s�n,���ada�r�3h,���t�i�ur ��''cz!r r�a'a � �$�Sd e�'*63a.0�#".z2?�"?32J itSF^�si3a�}&�'..#'.,��.�`" d�*,STfif"',aC"t���pvr�"��';� £`'PC€'s`d`1�%,`tC�'#p53'C3b`9z§s:�; Sr���C���, a>a3;�;�z�t�,��c a�,r�s�� ���c���trg r��rr�,�a f��iu� �'dr. es w���r��ar��rt �tt�� � � s�3�i�sXtD3ae��� . �v�isi �r sr��-a �,�,�rrrs t�;;tr€;a.� ����;r��y�€%rc�;���"•��S���s`��;�vl�:ta��� �ir�,�.�.�x�t z:i�a�:2���;����3���tru3� �ir�t-�'f2:3 �a���;�ir�i�,ra� r ar3�.���;�r�:,ue�� �x�ffo�3��=r�v 1�;. �;�s;�riTp�?r k�r�i;,�. -��ct'a`zs�e;n�xi�;w.e�.a..,c��e?:�err•�rui,�;;�ahir�r� m�.,*�r.c���1�,��+dl�e�nnt�v�i}��ri:��sr ret��:ir� C�,�sfa,,�in ac�.tet.#f7;�r�rs s�`���* �m�;?;��z1 rt��:?. ���;�sras��>���!v�*;t��c��tlr� �c s�,r,r,s+x�.*� �prF,i;�?�r.�w__v�,rn��;U�a�fav�3Ea�?-i�€.�za._��a.w ay�,;�.�;f�r�r�a�s3r��.�c's���i�atixcturt��e� �es�#�i,�sJ a��,�r,��il s�risre�ra�y°er�.�,rrt�u�:,e {;,�aaa<#�ale rr��e#%�3!}. �f��'i�Y�+���t3 a�>�r��,��n t�r���r�e`�ie �Tra�r�s,��t�f�A���ar t�riYF3;;��R��s=�i�s^,t ss n��€��;y c���,�;�� ac c�s'�3r ����i;v;='n �r�c�v�et'��,Iac�i e»Nrf�f,�ars,sx��,;s��su?�tr;�?� r r��.r��`r� ./t�"�ss�t��s�. c,vr��u"„��'�€.t'ry�zsa ur,�+ai,i��a�rs��r�.a:r ta� �rca�<,rr:;�3�;�a�r`�,�r�+. �c=upr r i,f'ss'��t�3�ati r�r�� r,orx:.s�,=a°�s�r�i ucrsr �r;ds�srrrze t c i��€�ss��l�€�„�,qrsr�r���r�r�„�yut �;e�i€u;�;as�3sars3�2��'����fiva'"°vr t��s f�l�uvrtr:�:>2rv�r;a,: �ras4�a,�„�.3�yr��za�^`#nt.erJ%2 p�;*sia�s�r'�a�t�iu -�?s�^.;�r���,�t s>ruirr,u�:ic;�r�x�i.x�rv-r;crc9 r�,�;r�,'s;���a�.�ar,z,i��,;9���;P�€�3e�arcr�ru�r3�n<'€��� cf w,�}i;���r,r,tur�r,�t�x�,��=.�5,�;.: ,�.y,,.e�ar�,) €��€,:�datir,„afr,x d#�Y*���lt�€+�r�e,aS���� 't,,>�c�??€����;��#� �hzr,�ei�,�s r,i�s.:�r a.� �Y��r,��rs��t���-���a;��e�n,;r#��°r�is�,�c�, �:�„��?�i�,v��,i�in.3=�r:a t�<rtf�c,�,�r��;�s r��:;"s�, r��r;3�„�?�;%�;Fc�rr�,?"3,I7r�r,�ses'r>u Re�u�r� �rec�i,�t a�,;,s r:"a Fu�3�„9*��s r'�M'�'sr;,,; ��Pi2�'T;� i��� �k y a , �`;�.�nm;;� �9i'SrtS�us5 fFs,�✓sr.^r.�j,£};.`-:;��T>:�G-C"r_=",-£S4.`fu-.�f'AZ � a � � � �c�rn�aD��e�� ��2a�nd 3. �: �' r� #�r`sr�t your n � ci��ddr�ss e�n tfi��r � � ��� � �c���tat��: �etua��fh�c d tes ycrc�. � �'' � �:�ch�is c�rd to�t��b�ck t���he rsa�ii���ce, �. ��( ed tVame) �. Ctat�e�t7�tiv�rry e�r�n th��ec�r���spa�e��rrr�if�. 't. 'c!e ds� t�: � �, 6srieiiv efi�f t at 1? C�1' "'��� .; � ; �„�<-�..�; �. If Y�S. t�r de1�v �ddr �w�. �t�� � . '� .-...;:�„„��"� -_� ��;,�� �. 44.. # b._ �� � �C,� � �"° � y�.�'�° � , � � _ �. 5 .�_� ��.-� ��� �z , 3� � ' � � � ��n s�r��� �� �c���� �! � � �� ��� ������I� ���I ����� �� ������ �� � �������� . . ��� � � �������� ���� ���� ���� �� � ����;� �� � � x� c� c� „= naneu� 2. "c3e�turn (7r sf�r�esm servtc�{ 1� cl 1� on D ' t7�aiu t'�5i �re aat'iem . T� � Ct f�zsured h�aii Cl STgh rm G���7 Cl Erzsc#€�i i�i{g?�r'+ct�cS Cs�ivesy �?e�trtct�c3 C�tiuery over:��t3Qj €���� ��'��,�t�;ty 2��������� -�r�� ��t��� � ��,z � �irsf-Ct��s�ail .���� �'�st�ge�Fees Pa9t� � �l��� �E3YtTlk���.�-'�� �� � ���� ���� ���� ���� ���� �� �i16'��������� �Ssnder:3'lease prirrt your narrie,�ddr�ss,and Z{P�-4�ira�his bc�x� ��������1`�1�� � � ��_l ''�. �1. �, ��� � �.���� ,,� ��.. C.�l � ��'_�C�=�� " . � �..._ '� � �?� � � � ,�_� �,��._ �� � � �� � �� � ;a�4i����Y�x����,���1������s3�����tit=$'i�����:����'����i�����€�� � Miami, 6��reh 9x201� S�rs CPS ELECTRI�, INC �1�"; An��4 Rorr��rc� 1600 �IW 28 St Mi�mi (�e�r Sir This I�t��r is t� 6r�f�rr� y��a th�t ! �m r�m�ving you �r�d y��r c�r�r�a�ny as subco�tract�r�f the cc�nstruc�ion e�f my ho�s� �t Pt�fi�rr�i Shc�r�s 127C} (�E 97 ST. I am r�p9�cir��y�u by �n�ther �c�mpany. Sine�refy w.�� �� � � � � �� ¢ ,.�����'� �� >r ��--�,� . e�. V1�1��RIA VILI.EG�AS � ., I�� � �I � S t�� � � �r~ � � � , � ���. � � ������ � a Ul��ln ��t�1��lt � � _ .. ; 20050 N.E.2nd Av�nue, Miami Shares, Florida 3313� �� ^���� T�E:(�o�)���-2ao�Fa�:(�os)�Ss-s��2 II�SFECTfC�Rf LtNE RHC?NE NUMBERa(305)762-�9�9 F�C 2Q 1� �L � M�ster Permit cvo. �.- — ���� � � P � IT APPLI�ATI s�,� PeC��t No. I � t� ❑��i����� �LEc-r�ic � Roc�F��� ❑ �Ev�s��� � �x���sio� �����w�� �P�UMBING ❑ MECHANICA� ❑PU€iL6�WQRKS � CNANGE (.�F � CANCE��ATfON (� SNC?P Ct�NTRACT�R C�RAWP(VGS �o������ss: �`�,��� � ��� � ��� ���� Citv: Miami ShQres Cauntv: Miami Dade Zip: FotEof Parcel#: is the Building Nistoricalfy Desf�nated:Yes NQ t?ccupancy Type: � Caad: Construction Type;� Fload Zone: �FE: FFE: ,� c � OWNER: Name(Fee Simple Titlehofder}: � Phone#: Address: �a %,,..���� ti`�� . `' -� c. ` eity: �`� s �'����, `3��1``��r�?�. state: ��°�` �ip: Tenantjlessee Name: Fhane#: EmaiE; CONTR�CTOR:Company Name: ��� � � �� Phone �� � l.� F�ddress: C l��� � "� ��� .. City: �,�f ��F`� �_,._.,,_ State: Zip: � � f� ��� Qualifier Name: � ��t:� Phone#; �, �' � � Stat��erCifieatior�or Registra�ion#: �� �� � � �� �� Certifieate of Campetency#: DESIGNER:Architect�Engineer: Phane#: Address: Gity: �.,� S�t� Zip: �*"., � a��t��+a ;���n, � Value e�f Work fc�r this Permit:� t�� � Squa�'�/[:in�ar F��ta���,�V1� rk; � ; , �.. ` a ,� �-� �� � Type�af Work: ❑ AdditiQn Alteratian � t�evr � [�;�e�air�`�ep���� ` �[� Remoli�ion � a a,: ��.� _ ��, .�� � � s�, � t?eseription of Wark. ��, � �_ � ' ��„. '����� �����'� � • � , , , � � _ �. .. � � ti� ..,� Specify color of calc�r thru tile: ., ���.���� � ������ �� � Submittaf�ee$ ��� � Permit Fea$ �� � � ���� `� CCF$ �� CE2jCC$ Scannin�Fee$ � Radon Fee$ �t � DBPR$���Notary$ Technolagy Fee$ � Tra�n�ng/Educatian Fe�$ � �% Rouble Fee$ ' Structucal Revi�ws� _ �and$ � � _ �� � TQTAL FEE Nt)W DUE$ C�,����� {ftev�sed�zJ��Izoa a) �anding Company's Name{if applicable} Bondir�g Company's Address _ Ci�y StaCe Zip Mort�age tender's Name(if applicable} Martgage�ender's�ddress City � State Zip Application is hereby made tt� obtain a permit ta do the work and ir�stallations as indicated. 1 certify that no u�tork or installatian has commenced prior to the issuance af a permit and that all work will ka� perfarmed to meet the standards Qf ail laws regulating construction in this jurisdietion. i understand that a separate permit must be secured f�ar E�ECTRIC, PLUM�lN�, SIGNS, ROO�S, FURNACES, �OILERS, NEATERS,TANKS,AIR CUNDITIQNEftS,ETC..... OWIVER'S AFFID,AVtT: I certify that a!! the foregc�ing information is accurate and that all wark will be done in compliance with all applicable laws regulating canstr�aetion ar�d zanin�. °`W�IRNING TC? QWNER: Y�UR FAtGURE TQ �EC�RQ A IV�TI�E �F Ct)IVIMEN��MENT MAY RESULT IN YOUR PAYIIVG T'WICE FaR IMPRaV�MENTS T{� YOUR �ROPERTY. iF YOU II�TEND TO QBTAiN FlNAN�ING, C4NSULT WITH Y�UR LENDER �R A►IV ATTORNEY �EFORE REC�RD�ING YC1UR NQTI�E QF CQMMENCEMENT.,, IVotice to ApplicanE: As a eondition to the issuance of a building permit with an estirrrated vatue exceedrng$25Q0, the applicant must promise rn good faith thaf a copy of the natice of cammencement and construction lien taw brochure will be detivered ta the person whase property is subject ta att�chmenL. Als€�, a certified eopy af tf��recarded nvtice of comm�ncement must be pogted at the jc�b site for the firs� inspection whrch occurs seven (7� days trfte� the buiJc�ing �ermit is issued. fn the ubsenee af su�h pasted notiee, the inspectian will not be approved and a reinspection fee will be charg��. "° � �, ` ; �� .�� � �-,� Signature��� �� � Signature ` � �� � '%�� "� ����� ��'� OWNER ar AGENT � TRACTtJR The foregoin�instrument was aeknowledged before me this The foregoing instrumerat was acknowledged befare m�this day of 20.,.,,_�.,..____,�_, �y �,_ . �.�of ��:',�".,_ ,20 ��t�° � �Y ^ � f t� � 1 �� ���� ��� who is persona(ly known Ca �'����> � �`�� ����;�� ,who is persranally known to rr�e or who has produced as me or who has produced r~-���C�.�, as identificatian and � � ydentification and who did take an aeth. ��*�°� 4ad,a e���tt�8 F9�sida NOTARY PU�LRC; "� ��_ �Dt 22,20Y� �EATARY PUBCIC: iQ ��,F � � ,g ���1526� }_�� �.�s� �y�5sn � �. ._ Sign:.� �- ��r��,a,f Pront: ° °r ��� /������°'. �"'` ���<t ,�� ���e����s�s�r��������� s��1: £ �tl�{�,�,,�, ����������a2,2��� ��r�� ���a � ������*�*�����#�*�������**���*��**�*������*���������**�����*��*��*�**�*��������*��������**�*��**��*��������� �� . ��� �, APPROVED�Y � �� � �� � ��O�Plans Ex�miner Zaning �Pax-�-� Structural Review Clerk (Rev�seaoz/za/zosap , �� �< � ��� .�E. � j=` � . � �; �. .�,�-„�,n ��������� � ��� � � �� ��� ������� �� �� �.����� � ��, ���� ���� °�����"� ������ ������,�� �_..�� ; �.� ��� � �� � �� � ��� , ,�� �� t ��, : 1 ������'`��lt� � ���������;�������aa��ga$���`n�, ���� ,, � ,< ..,.. N,,.... ��t,, �#����� ��"$��r",0��.��B�E�.�r.c"�, ; � s 4 4 �i13��`�� a.`����� �"��k���``����`�����"�. \;,, ���r{,.,��``t`��. �.... ����������' �����w���� ���� ' �<..�, � ��'�� � �� ...� �E� � � � �.� � � a,� ������ " � �� �����������.����� � ���``` i ���������a������ ' �`^,.��ti�i��,V q�S�'��`i\Uii�3,"��. �;� .,.?{}�,`�.tt ��i�4�� � t � � :,a� 1,.� ; � :.... . ,.. " „ , . ����� �����a ����.....,.1, �.�'�'�. � t� � � < ��`k� � ,. � . � � � :��`,`x vt . t�4a .:;t\�.. � t a 1 K �, "� �`, a.�Ft.. .� .., i�.... ,." ��,,^yy , .:A�'a� .. .., � , �>.,. � � �� r� ��:.�:,.�a;�, s.�.�..����,��tia `.t��x,:��' o-:.�,b� ;.4�+ p�'>�,:��, .::�� � { S.� x �..... . ........ �a,t�.�.,. ��, �,.l�,=,. ,�ti� � s. � .iit�, f � � �ax.a�+��a�:a..1� � �:. � �� , � � .� ��� a.��� . . . � . . � g � �`. e � �'������f,,..i�aaea+ Y��`�`ca}"��, L`t� �$ �+ � �a<;�������; > "�t �: :: : �� � !"�S�?m a'��*��.'�:�")tE`,�..`_����0v i�`i;l�' �` � �� ; �it � . �� ���t���'§�'�.,.,�t.�' '��� �� � �� ����. � � � �^' v� ..a �� � ��.�.�.r � v�a *�w�a�.w..+ ui � . ��� �� � ���� ������� ���`��� � � �� ��� � t � 4�t� �����1 ���� �������. � � ����� � � ����� k �«i x. $������, ������������ ���;, ��,��a'� ' N1 1,.. � 4 ��� �1.�t,�: ? 1 ,c , 54 � r � Pawr.�c,��, s a k��a.�.sar a�. ����t ' 3�. . . '.1,,,`t`::��'a�:�k�5 �,�.,,t�r��Y�` �:,�� \�i� 1 '� . . . ���� .� . �;� � �� '� ��,a *�'� ''���� �:�� �«���+'�`�...'� � ��. 1������`��� . � � � �'�1`��`�'"��� �ba:c �li� �`Y��i���°.el��t;�c���t'�'���4 �a�?tt���'���a��'t� ��� � ����� �n�� �,, s,��1- ,� 3,��� � ���,����'������"�� �, t���� � � � ,.. M,y � � s �. .. l,st.. �� � �, r ,� ��:�.;� � �, � � `'� � *'� ',a t?��a � �� � �'������s�� �s��`�����������������`��+i �s�4��k��� � . � �� ����� ' ��� ������a������ ������a���������� ��e'�:�c����� ������ � ���$��'a ,;.�� �������,�c�����������������������a����� �. �����. � �a .'�" ;,������ . .wr��� ���. �t �,��v,�a� ;� �.��a�a ��a�.�a�s��e������������;���:���; �. � ri.............. �, ,.,,, �.s.�..,,�v.. , . ��� ,� �,r N...� �,r, � � z: � �� � 3 >t� �.. �� �, 1� � 7 L` t�:� w 1� '� � t t S `,�F�.��i��4��'��������i�������" i'�+���+�*`�a � �r`�Z 1 �`�,� �a� � i �l� � ��� �� t � � v�,{� � �� i,.�> > ���,�.ti,�ti��������'� �..��2 � � �� � `� 1 � �� � §�ka" xt n$�i,�,AiC �. ������;�Sl�.�.��� 4� '� , �t� , .ti��f�\��Z, � ��, ��� � �: �� sc�������:��r � � �d�� , �� , � ' ��`��`;� ��3� � � �� �����t4�1����2f��'��Ys i 11zy�� ��F�a ��� � n�.���� ,�� � � _�� � t z. ,..�. � � , �. ����., �' � �>�c ���4.��r� y�il.�� >a ki�3'i,�, �,��y�� ,t� ,. � � � � ....:� '�i ,� i��i� \��� ���tt�k���' ' �� 1�. :\\`� � � t 1 \ �, l 1 Sti' � � . i��` `,tit� � .��`�� \ �` � � �$�` �..t,�t..�:, u a.� sz�t44i21���`3a�`1�ti a�ttx>,:ttu�a���li:�i�.,�a��t�c�it�vt t�xv�.ti:�tts�*�*�Al�,��,,`t`���`,`Y.. <r,.k>�.��C�iS;����4t1t��fi�l�<`„lt?�y,att�,2+��„��,�j�'��°���LS`,c.�' tC� *t��.a .�.: ...i „ , , a. }. .;', .. . ���.���t�"`,`�z„t?ti��'tS���`3. ���.i. ... . ... .. .. ,...... ....,. ........ . ....... . .... .. . . .... .. ...,�°;.