Loading...
EL-17-2366Miami Shores Village RECI.;',, � Building Department OCT 04 ZW 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 1 FBC 201q BUILDING Master Permit No. 1z C- 3 t-4 - b 18 PERMIT APPLICATION UNKNUEEvISION Sub Permit Noe �I f � - �67(p F-IBUILDING ELECTRIC EXTENSION EJRENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 36'/ City: Miami Shores ^County: Miami Dade Zip: Folio/Parcel#: /I ZZ 3 % 01 • 2� 2 R V Is the Building Historically Designated: Yes NO Occupancy Type: Load OWNER: Name (Fee Simple Titleholder) Address:_ r-/ Construction Type:: / Flood Zone: BFE: FFE: arry aid _7�.fZ+N �21 Phnnatt- City: �, l4 [.vl cS LLc)►'�J State: / �-+ Zip: % .� 4a Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: se:i-,-t e 2 Q Phone#: Address: Ld 5� f � City: 0-c>kz.( Ge-S State: fL Zip: .Z.31 C Qualifier Name: oafiyG 1� ���� Phone#: 30C- 21 O 51dz;-? State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Ad ne#: City: State: Value of Work for this Permit: $ / oo , o1b Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Description of Work: A -J:', ,. j.1 000.w Lr Zip: ❑ Demolition c,- + 1.4�-/ 7CLiQ•-s Specify color of color thru tile:s Submittal Fee $ Permit Fee $_ / 5-© /b O CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ DBPR $ Notary $ Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City t 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"tin 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 The f rego,ing instrument was a nowledged before me this day of by Vay of by E;3t%L, ;ho7is�pers�onaSllnownto 8 who is person nown to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBI IC: NOTARY PUBLIC: Seal: Jorge O+tigoss Seal: Jorge Ortigosa Notary Public State of Florida Notary Public Stnto of Florida FF 952774 - Exp 02.07.2020 FF 95V74 - Exp 02.07.2020 APPROVED BY,19� Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) 5f� BUILDING PERMIT APPLICATION Miami Shores Village 1"c . Building Department 11 �',�o, 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 $Y:__ _ 6 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 S`fi FBC 20 L� C Rf C, E L L Eomas,er Permit No.� Sub Permit No. QBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION EJRENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 351 NE 105th City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11 -2231-013-0290 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Jerome & Sarah Engel Phone#: 3055368220 „AA.,, 351 NE 105th City: Miami Shores Tenant/Lessee Name: ----- Email: sengel@harkeclasby.com State: Florida CONTRACTOR: Company Name: Eddie Contractor Corp. Address: 2040 Grant St. City: Hollywood State: Florida Qualifier Name: Edelso Lavado State Certification or Registration #: CGC1515049 DESIGNER: Architect/Engineer: Dario Giacomelli Address:224 Datura St. hone#: hone#: 8886407030 zip: 33020 one#: 5613196883 Certificate of Competency #: Phone#: 5617146997 City: WPB State: FL zip: 33401 Value of Work for this Permit: $ 58,500.00 Square/Linear Footage of Work: 600sgf Type of Work: ❑ Addition ❑ Alteration ❑ New Description of work: - New Kitchen Cabinets - same layout New recessed light fixtures, remodel guest bathroom Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ ❑ Repair/Replace ❑ Demolition Permit Fee $ SL ` C"� CCF $ CO/CC $ Esc�6 0 Radon Fee $ DBPR $ Notary $ Q� Training/Education Fee $ Double Fee $ Bond $ ��_)0- 03 TOTAL FEE NOW DUE $ % . (Revised02/24/2014) I 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 a ce 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 The foregoing instrument was acknowledged before me this day of __-i-r-br U,-A (! 20 I, by © tF day of �e vua� 20 by S0rot h Clasbu t- n4nQ ^� who is personally( know to L e-- who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: :i-)- — r-- Sign:Cig Print: D, 0ne- 17 -Vt(1 G1 Seal: Seal: ysr Notary Public StaleotFbrida �SFda +�c MJyCommi�ssions FF 952774 Expires 02/07J21 M ** *********************** * * * * * ************* v () APPROVED BY Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk