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PL-11-21-2854
���� � �` ' � � � ��m�� �������� � � ��t�� � � � 5� � a E`g 1 � � ��� A� � � ��'��\�� ��� ��<'` � ��,�� Mi�rni Sh�r�s tfilla�� : " ���� ����� ��� � � �� � , �• � �,,� �� SOQ50NE2AVe � �� �\��,`�� `��t ���� ��i���� � ���� - �� � �a t � Mfarni Shanes Fl 33138 ; � � �����`�'� 1��������ti 305-795-22Q4 ` n„o � ,�,.� ` ���?�� �t� -�� �� ,� � � � ����,ti^�'� ... .���t���`,t�l���`. CSRt� � ����������������, �X�11'�'�1C?CI; ��fQ���Q�� �.:� ,. E�acation Address Rarcel Ncamber �..m� �,����. aee. �.�.� ss ..r.a�, .n. ..___ n��, ���,� ._a,.�_. � _.�.�. �� .R� . ,_.������_� r�.... ���� _ f 4�6 NE 1�3R�S1',Mt�mi Sh�r�s,Fl 3313� 21320&02?0760 � � �anYacts �.. ������_�������...��.,��,_�_�. . ,.m.m,w.. ... ,..�. ����.._n__n_wmm,_ „..,.,._� � m_ n .�mm,_, _,�_n_ ___m.__.�,_ . . __��..___._.._.�. �.�r�_,_a.�.w..�.u._..�.. 1 ; 1AME5 KEITM MCADAMS t�wner AROUND THE CCOCK G�S S�R�110E �oniraetc�r € 4Q6 NE 2C33 ST,M[AMI SNORES,FL 3313$ AMAURY f,ONZA,��Z ` �ther:3054098533 13117 NW SQ7 AVE 17,N[a�.E�N,FL 33a2$ � �usiness:3052313632 t. ;� ��� ������a�:������. ���e����*:� ��,����w��� ��e� ��__�_���_.uw�_,a_�.��__�._.��nm� ��_e�� e�__. �..mm _... _..�...� �,, �.�, � �escr�ption:NATURA�G�S�PNE Ai�D CQNNECTfONS TD A V�laatt�n: $ 2,95Q.�0 ` ins e�ttor��e �a�sts �(�����-� r TRNKLESS Wr�TER N�AT�R AND RANG� . .� Tataf Sq Fe�t; O.C}0 i '� ~���a �.. .��o � Fees Am�unt Payments C�ate Paid Amt Paid Appfication Fee-Other $54.00 Tata!Fees $122,23 CCF $5.80 Credit Card 11/03f2021 �71.23 DBPR Fee 5z•oQ Credit Card 11J02/2021 �c�p,�Q DCA Fee $2.00 Education Surchar�e $Q.60 �maunt C}ue: $Q,OQ Permit Fee $53,25 Seannin�Fee $9.OQ Tachnology Fee $2.58 Tc�fia 1 a $121.23 E11� Ifl a � '� In corrsideratian af th� issuar�ce to me af this peemit, I agree ko perfarm the work covered hereunder in campiiance with all ordinances and regulations pertaining thereto and in strict conformity with the plan�, drawings, statements or specifications submitted tea the proper authorities of Miami Shores Village. In accepting this permit f a�sume responsibifity for all work dorae by�ither mys�lf, my age��t, �ervants, �r empiayes. I understand that separ�4e permits�r�required for ELECTREGAl, PLUM�iNG, fVIEG61ANiCF1L,WINDC3WS, DOORS, ROQFIN�and SWkMMiR1G POt?L w�rk. OWN�RS AFFIC?AVIT: I certifiy that a!i th� faregoing informatian is aceurate sad that all work wili be dane in campfiance with alI applicable i�ws regulating eonstruction and zor�ing. Futhermore, I authori� e b e na d tractar ta do the work stated. ftuthorized Signature: �wnee 1 Applicant/ Contr�ctor Rgent D�4e Noverr�ber 03,2022 Page 2�f 2 � �. (.._�� ,:,� � `� ;�' I�; '�,1 � I 6 1 � i�j j �� i:�' 'r i� '�� i_� ' �; fi � l � � � � � I �` ; i �, � � � � ( 1: a� _� °` E d � � "��e �� � �.i?�,� ��� !i L,� .�, t..r° �i � � 1005t}t�.E.2nd Avenue, IViiami Shares, Florida 3313� 1� `� �" �r��:(�os}��,-220�F�x;{�os����-�s�z ��' �` a�vs���r�catv c�€�e������u��E�.�3os}7s2-���� �� � ��' � � � �st�r P�rr��� ��. '�,,. � � ����'�._.� � � S�b P�rr�it N�. ��ui�c�i�� � ��Ec��ec � Rc�Q���� � ��v►sf�� � �x�r��sE�� ������r�� ��u�ai�c � ��c�i���c�� �P���ic wc���s ❑ c����� �� ❑c���E��,�ac�� � s��� �{�NTR�tC�`fJR t�RAlrV1�l�S 1��A��tiE�5, �� � � � ^� 4 � °� �'itv: (�iarni Shores Caunt : M6ami Dade Zi : �� � , F�IicajPar�el#t: ��"'�� � � " � �'�" "— � � Is th��uildir��F9ist�ric�lly C���i�n�e�do Yes_____._��� C}c�upancy Typ�: Caad: Constr-uGtiern Type: FI€aod Zone: BFE: FFE: • . ��1Uh1E�:Name(F�e�imple Titl�k�sold�r�: ��� �s ��� � �`�Phan�#: . �tddress: �� � !"� �, �� �� � `�" City: �"°0 � � � � State: �t"` � Zip: � � � ��. ��nantJl.essee R{ame: Phone#: E��ai1: ���� � ���dL} �"��� �" �C)� �� � a��` � �� ��R#`TR��T9��:Company�lam�: � �t� � � r� ��� �� � �`— � .�`� Ph�ne#; ^°�(,����'��.��� �„ t�ddress: � � � �'� �'�° � _. � �� � � �a Ciiy: ��'� �`� �`_.:� e�..3 StaCG:� � � Zip. �� C •� Qualifier fJarne: t�__.�� �°� C„� ��,"�� � � Phone#: �'�� ��� � State Certification or Re�istratic�r�#: �������� C�rtifieate of�c�mpet�r�cy#: � �E56�(�ER:ArchitectJE�gine�r:� _�,�,..._ Phors�#: t�ddress: _ __,.i;ity: Staee: Zlp: �lal�t��f ltU�rk fc��thi�P�r�it:� � � �; i�� T�c��aar�/L����r Fc€c�t����f��rk; 1'ype�f 1�f�rka � Addifiion � Alteratian f�l�wa � RepairjRe lace � D�rrrolition ���c�bption caf�ezr�e �� C�.�-S� � f � � � �� �`� C.����e� � �"` ��-,�����S � �-�� � �� � � � � ��. .S���i,�►e�cr�€�r��f�c�lc�r�t�r�c� ti��e Scsbrt�i�ta6 F�e$ ���`' _F�rr�i�F��� ��f�_ C�/��$ S�assnin�F�e$ Rad�s�F�e$____ ��P�$� t�s�tary$ . T"�ehr��}��,y Fee$ Tr�ir�en�/Edsa��t�c�r��e�$ ��bl�F��$ �tra��tc�ra�6 Reui��us� �cand$ 1��T�L FEE Pdt3l�lf C}UE$n; p���� {Re�ss���z124/zo��� s ` ��nding Corv�pany's Name(if applicable)_______ E3onding Cornpany's Ae�dress _. �i�y S�a�a � �ip l�art�a�e�ender's Rlame(if appiicable) _ .�m__.� fVlort���e L�nder's�dc�ress Ci�y ���te Zip Applica�iQn is hereby rnade to abtain a permit to �o the work and ins�allatic�r�s as indic��ed. E ce�tify 2ha� na work or installaeion has carrarn�nced prior �c� the iss�s�nce c�f a pern�i� and that �II Kre�rk wiil be p�rfc�rmed �o r��e�e the sfia�clards o€ �Il (aws r��uEatin� c�anstrk�ctian in this jurisdicti€an. i und�rstand that a separate p�rmit must be secured for EGECI"RPC, FEtJM�INf�, S(GRS, RC?t��.S, FURNACFS, �t�ILERS, NEd�TEi�S,Tt�NKS,A!R COf�[7!T€QRIERS, ETC..... f��N7E�'S AFFtC�A�tt1': ! certify tha� �Il the fareg�ing 'snforrv�atior� is accurate anr� tha� all w�rk v�rill b� done ict eornpliane� vuiti� �i! appl"sc�ble laws re�ulatirig cans�ruction�nc�zanir.�. `° � 1� E � � F I� E 1" C TI C C � � 1` � ESC�t��° � � �fl 1" �� F 1 P iCE �°S `� � P d �F 1� t �° 1`� ��T'A�IV FI�1�N�IN�� �t)PVSlJ�.T���`Ei Yt}l�R l.EI��E� �F� A�1 �`i�FC?FdNEY �EFC�RE RE���[3�l�E� � T'1� F C � E Ta`► fVcatie� tc�Appfi�:ant: €�s a eanditrc�e�� rcr tl�e issuanc�c�f a hu�tcfirt�permit Enrrth c�n estimated valtte exc��ding$�SQ�T t�e erp�licant rr�usf �rc�r�nrse in go�d faith thcet a ec�,�y e?f the r�atice o�camm�ncemen�ar�d eonsYruc�ior� lien lc�w broct�cr�e v�iff be c#e(iuered ta the persc�ra � whcas�pr�aperty rs su6�ect te�atttrchment. AlsoA cr eertr`fietf capy c�f the reec�rdect e�otie�c�f ec�mmencemer��r»u�t 6��os�ed�zt the;ob slt� ,�or the first inspection kvhrch caccurs seven (7) dc�ys after the 6uiPdirag per�mrt is �ssu�d. !rr tlae absence of suc osted rroci�e, £i�e insp�ction witf not be ap�ar�ved and e�rernspecfiorr f��wit�be c}��rc��d. t�� ` � � � � � � . �_ � � � • Sa�;n�ture_+�--- _______ ' �__.� __.a._ Si�r��ture� __ `��� �01�ff�Ef�c�r AGE(�T CC7ft6�R�CTt3R The fc�re�ain�irastrumer�t Suas acknowEec�g�d k�efc�re me�his Th�fc�r��ain�instrumee�c w�s ack�c�tv{edged befcare me ehis � "� �` � d�y e�f '�� �,'�-� , . 2t3 ��� � �� �....� day a� ��~' ��..d' , 2Q ��� t�Y �' . �� � �� �.�- '�'`�� ,wrho is perscrnally kr�c+wn tc� �"��'�` ��� .� �«`� _' ���� �...-_vvho is persQnally knouvn�o � � � � me c�r u�hc�has pr�dueed ����� �.�:� ��.��� as me er whc��ha�ced ��v� "'��:��.� ���� � ��,� �--�a�_ id�ntificaeic�n and who did��ke�n o�th. identi�icatic�n and�hQ did��ke an r�ath. ��-r����u�c��: �—�� �' `��� _t�� ���"�_�� ���������Li�o ��� ��, e .� ���..�rcaa � ��. s���: �.� s���r ~ _ ������ �T .� �����' .�.tP-" � �-� ��.,,:�.�� Y i+�' �;_.w . Print: !�r'tnt; �F t��rt�rga P�t�3� Se�l: ;� � �Ptabtl�e Seal: �Sta���f Ft�r�d� ;�� Sc�t��f�P ' � � �°.r,��,� ;�,�� ��� F� ? �:� '���tr►rt��h6F�f?7 Eac�6r�s I,PZ�/2C� `� F � E�p{r�s 1/22�2�2s *��������«�������������������������������������������������������������*�������������«*�������������*�������� � � APPRQVFD�Y � �� � � � Plan�,�:xaminer Zani�g S�r�acturai Reuiew Clerk (��U�sadozl��/2ozal � � � . l�c�r�t���� ��rta '�5 F���. . . ... . � . ... ^�^ gg �gpt�qF��gg{ g� .. .. . . . .. .. . 6�@�� L.4��.�, a74JeJ�:ElsJYB �L7*�. • + • • e•• • • • o �� �s� r�� ! � � [ Ei�� � ([ • • •r• • • • • •O• ��,f � k�� ���„„� � i � � 6. �"v��e�f���: hl�t�r�� ���. ; E� � �i i= ��`�,``� �� � f i°C.� f�'E � a'��G'1"1���: �1'���c�t9#��t� �� �'e • . . . . • �,t� � � E._/ � �'� ��y�p� ����; s• •. • • • • • • .• �� • • . . • • • • • • • • . • • . �'V�4�1i����(�� � • • • • • • • �"_ _�.�____.__._____._ •o• s•• • •s• ••• ••• ,w t��*rn�Ccsr��e��i�r� E�� 2 .. . . . .. ... .. 6d�t�r 1"(aal�a�rized P6 � � F�c�t, �8orid����Edi�op 2�2€9 C��•����t��l Tab( . • • ` • • • • • • Pt�w 1°`�a#van'szed Pi�e, . ... . . . . .. . Cflt°�t��44B12,4{�D f�f2 PSI)f�`��'V�21' Plp��. • • • • • e• • • S@►9`� e€i t�t1'i@��6d. . • . • . • . . . ��'f�/���}�.�{'����'������}������ii�9ilQ}. s• • • e • s s s e s• f�i��a6 t�L75E-N f��tdcr�r Us��}. 1l2�PSI b�7"1�.C.�a� t�e�P,anqe. �aa,aoo�ru��. ����ra°���ts��. ����la°°sn�����a���. ; � 2, � �e�a t��ter Feir E�au6prrae�at Ne�O�atlet 1"'. 'tE�a Psi to 7"Cz�s S sterr�, � �. � � 2 � � �2° �� � E����i4'°Ca9v�r�ia�d P� � ���a�. � � ���� �:�����' .. . . � . , �tee+v 3fd"G�Iv�ni��d Pep�. f�€�the F�t��a �I��r Tankl�s�t�lat�r�Nea�er. �innai(i�L75E�t� f C�utdo�r Ur�i21. 'S�U,OU6�TU`�. _. � Ne�e 314"-CSST�'ubin9 t25-EF���. Ner�r 3f4a'(�ut��t. ` Strap�s�d t�a beart�thru t4�� N���14'°•Sh�t ��4��, crav�rl s a��. S�d�r�ent tr� . ���������� ��.����� � _ � "�°� ���� �_=.k �'� ������ ; �, , � �,s � x: ,. . p,. . �r�t�r�c� Th� �l��k t��� ��r�i��� �r���(��ta€�r� ����: �r� ����rd�r��� FE3� 2�20, ��� ���..�� L.P���17356 �1�F�� 54� � 5� ��c��E�ti��� �� � ��I ����[ � � 7r�r�€ 93117 . . 107th ��� �Jr��t# �7 1�f1/202� �4a32 �, rtd� r r .�����, ' ��7 ��� ��I��FS �rr��r��, FI�r6 � 330�� � �ca �c�r���l�z 4��c�r��m 3�5 23��36�2 6 ���m 3�5 231�1�� J�t� �eir���a ��6 3�d �a � �#taric�� ��tilt�`sr�a�202���r��-��� Fu�l T"�����. ��t��t�4�2,�(2){1d2��1}{��I���€i��tl ����� .: '�• .`. :. .: ':° �9���°ti�40�.�{15}{�l2 F��������1`1���`sr���: • � : :.: : ` : : �d�r�����r Fesr��c���rn�r�t. �s�ar��i(��75�-� t C)�tcic�c�r�r�it). . . . . . . . . ����a��l��1°°. 1/2-��I�s�7°"�.�.���� ���rs�. « . ... . . . . ... 112 -��1 to�°`Caa�5 ���r�a. .. .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . ... ... . ... ... ... .. . . . .. ... .. . . . . . . . . . . ... . . . . .. . . . . . . .. . . . . . . . . . . . � .. . . . . . ... .. C3 � Pl���"�aluas�i��€#F�ip�, i` �tr����c����h�����, i� ��� ��r��3�. �` �2d�,000�T"t�°�. P�� 3t�°°C3tstB�t. ���nr 3d�"�h�rt�ff���+r�. � , ��� � .� �� fi���r 3d�" -����°T'c���ras�(25-�6-063�. a�ra���c���� E���r�a ttart�fi#ae � �r°� 1 � a��. �����'���������� ���,������ ���"f�€�kl����1V�ter�I��t��. • �inn�6 (�L.75�-t� t C�cs�cicsc�r tJrs��4, '�°�'��`` ��' ��� �.,� '�80.000 �1'U°s. � _ __ _._ �������--�--�� .I« ,��,,�;_,� �� P���t 3/4"Outlet. � � =���a �I��o 3JA"�&�e�t C3tf��I�re. 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