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RF-19-1807
B'UILIDINC PERMff (APPLICATION Miami Shi o:r s ` U,11ag'e RECEIVED Building ding Department AUG 2 7 2019 I'1!G M INiE2nd /Avenue IIY� wrfl .5hore�, IINIDT..i t SS08 Td.l: ((3051 M 2>204IFax: (f305) 756.9t9T2 BY: —0--L INSPECTION TUNE (PHONE IN'l MBER; (jaOS)763-1919 [FBC 20 Matter fPerrriit No. I� nF-0 %- I( - I a0-+ Sab,Perrrrit(No. ?Q-,f -c8- 1 0BUI URING jr-J UL`E,CTRIC (® ROOFING �REUI�I"©N E] EXTENSION C]REiNEWAL [®1PUUIMUING ®.-MEMAIN1CAIL C]IRULBUICW RKS 0109AINGE O'F q-]FCiANCE-LIATION C]SHOP CO` i RACTOR DR WNGS DOBIADDRESS: I% Q n! -13 1S I p (ow": Miami Shins courft: iyrwr'i (Dade Ziu 3 31 3 D lFdlio/Parcel#: of 3 - 23 `1' d Its the l8dilain lHiftfically [Designated. Vas No v t wcpanryType'; boad:. (ConVtTurbDn'Type::. (FIBS Zane; 8FE:: IFRE::. rOV11NER:!Name((1ee rmplleT&�leh>alderpJ: 0-A-f�Le b ac h lPtron #; r� `�-I �l -1 / ST— (afty:. �A o�,r�i S��lS Starter {'(� Zip: 3313 iferranV/,lam Name- Ah. one#: Em ih (CONTRACTOR: iComrpanz/ ftme: . t _ flvryl�-�— t�ua"fif'rer S't&e Cerxrfic(fiorn aT IReg&ratiz n fit: t✓ C 133 O 9 itt it to mff Comp tenet' t#: DESIGNER- /ArdhftedV/ETjgineer iP:hzn&- Mdrms: City: State: Zir:. Va` ue(of Wofkfor l isPenniit.S 'Squarejlfirnear[Fo�ta sff�41ar)�, lypecaff`Wofk: Lit mmfion rl Xltamtirn 0 New �Re�cr//i�ep'f�ae El Dwnoison (Description (of Work, I'r i -a— G /l.i� r i �-- t2 _ Gloms a r C perify co'lor(of vo'lorthrutile. ct,-l6C,.' la Sdbrriitta`I [Fee :$ [Permit lFee $ cC.CF $ cCQ/CC $ Scanning [Fee:$, [Radon Tee $. IDBPR $, [Notary►$ `Teahnoflogy [Fee $, :Stnuctural lReviews $ co Pie.S : 33.015 ((lteci//pv/=9) Trarrrng%EBuc=aition (Fee $ fDcfuble fFee $ lBond f$ 'TOTAL [FEE NOW IDUE a$ Bonding (Ownpanfs Name (f if a p;McdVie) Ban dog riswTrlpanfs Address fl3tty State lid a*pge llrendves 'hkmv;(ifapo iza't';W) ft uftage tenth(" s Address faits State Z(p zip /q'ppl'r2tion its Iherdby made ,tD rdEndm, <a Iparimit ttD (dD The wvoilk an#1 ims`tdh( ron3 as ,mt ratted. II a tYldk iihat no woYk roT ii:raV 'llauran lhas ommrrremaed Ipriior ito tthe irssuanm (dT a Ipenmh and that all wot!k Will [be Ipenkmmed to mmet Vye standards af aill Ita!vrrs Iregulafing con iruct"ran im ith'is yurisdidion. it run TT Land -xha't a ssepara'te pewn't rnust (be secured ffor fEL•E r < ICE, PUUtVIUINE., SISMIj, POOLS, 1WRNA'C>l=S, BMILERS, IHEfA�fi iM, TANKS, /A"IR cCUND'Ili ON,E"RS, IETC...... (OWNER'S AFFMAV1T: II cetfify&zrt 411 (the loreg6ITYg iin'formation h a;DLtUmt'e anti tthat a'fl wvofk mrill ibe (done rim moTr(ohanee with a'll ;gpp'fiedble Ifewrs negedlating corrftrudfion sand zw,rymg. "WAARMNG "TO (OWNER: YOUR FAILURE TO RECORD A NOTICE �O`F (COMMENCEMENT IMAY RESULT IN YOUR IPAYJNG 'TWICE FOR JMPROVEMIENT.S TO 'YOUR (PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN(I , `CO•NSU;LT'W[i iH'YOU'R LEN'iDER DR fAN /ATTORNEY [BEFORE RECORDING YOUR HOTICE (OF (COMMIENCEMENT°' Mrrrce ft /gpp'flcarrt: As ar rcondi6on to the finurme 4 f ar ik ildmg X erm'a with an estfmnted ivdke aTxwEdirrg $2WQ, tt<he a;pp'ffcvrit mTust Iprorrrirse fin rgnrd1bah Mvt rD a.oPy aff [the mat'i¢e ¢if arommenr merft arnd am CrutxfDn #ian flaw fbronhum twill /be a16vered Tto tthe persvn rwhmLofproperYyifs:sui�leritttocttedhrrrerrt. Allsr3,arrcertJf7iedrmpyrrr.,f(then-cordLdmtfaear,fraommencamen'thrustbe(pastedrat[thejob ,srte for the fffrs't m pezftion Wh`ldh (awars .seven i((,7)) (days after (tire fbuildmg 1perm`ft is [issued. Im fehe absenne rcff.sudh posted fnar6m, the firgpeztiDn wcirll mtitt fbe arpprz7.ved mnd ar rre`irr�pe�trtan� uniill �e rdhzrrgeii. _ Sgnature 117T� rDT //�°gEl)1I7' �i ihre ffDragamg imstr' .. Tit was asfknrrvritef ged lbe!. m ime [this v hz its peTsmilty kn! vwn ttro Tt� Sfzrrpgaiirtg "�rn�t;nument wuas adkan�rvJte`i#getl ibdf�re ;me stltr`rs a P (day off. ALdk au r- :. 20._L�1, [by 91W m tj ((nand E2 Who its IpeTs mlly Ikryawn tto rune ^or Who =has pm-d used as wnre roT Who has Iprz)dure'd DLO t, .as iidentifica'tionarrdwdhordid` dkeaan(oath. INOTARY IPrUBLUC: BeakCc ;i .. Q-01 Exphs: FeblrM Id, 2023 BondW am An" Notq APPROVED BY iiden'tift,d ron sand aWho cdid ttik-e an rath. NOTARY PUS C: Pht,ft:D ,�`�•,�� 1if111Etl�dOTCIAdO` � AJOorsnfiaiof�;tA630I0a0 # ElPhl: iebruu 9,1023 r PIwm ExaTriimeT S°ttxr&ural Review iZDnring CleA BUIL APPROV&h F:v*b z w4t-,.� amemaTo zwm CBtciifznxnFen 11�Jf1 C S'l�: d�7'raaT� and fi*wft ij mwmftLtmw sr-ftm G. �-► t,-- FmormaAs'323wCentm%Mv= �'tit4"" WA systm r $7 ti S 1T f ffi (2M7D ¢m iFimm iFw And3tdamseSheet AUmkmmtz cwm .-L-ace u4mo-o 0—.Y-CC n•`tri �u . s sir.. I:J IIIIc. 1' .drM ..f .m 11, ra; 1-11-1 Vftodft&,&% Guftff,. Efte T@lIR1fNtR8d6fII1111,.., ioft. FIW*ft FIW* mg G *ft. [BIB. 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