Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
RC-2-18-274 Canceled
Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 MAR 1 5 2024 � L FBC 20 BUILDING CE LLEOL'_) Master Permit No. PERMIT APPLICATIONI-"I � z` �, , � Sub Permit No. OBUILDING O ELECTRIC O ROOFING O REVISION O EXTENSION ®RENEWAL PLUMBING [:]MECHANICAL O CHANGE OF CANCELLATION O SHOP CONTRACTOR X DRAWINGS JOB ADDRESS:/ I L (1r City Miami Shores County: Miami Dade Zip: Folio/Parcel#:1a Z j �) o Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):&j• N r b111 /VC iI E; _ Phone#: _?ns Sit 31 03 Address: 4%� .N 6,,-) �(_�CJ %—'e- f- �' City: 41)4 a C A�es State: / L Zip: ?_ r.S b Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: DrPhone#: Address: Email: Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer Address: Value of Work for this Permit: $� Phone#: Certificate of Competency #: ne#: City: Square/Linear Footage of Work: Zip: Type of Work: ® Addition ® Alteration ❑� New ❑� Repair/Replace O Demolition Description of Work: 6u0 11/`e oO iW 6-0-11 M e ,4t-o u- ud % lit 1',c1eA md %L.i t1 O f) (k,0 6t8rlk�Z d(,QC n 1� / J 0(h 09 the L Uv LdJjbr 8"-Ca S f 60z (U Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Permit Fee $ DCA Fee $ Training/Education Fee $ CCF $_ DBPR $ CO/CC $ Notary $ Double Fee $ P&Z Review $ Bond $ TOTAL FEE NOW DUE $ (Revised04/OS/2022) Miami Shores Village Building Department RE�E�V 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 !' BUILDING PERMIT APPLICATION •UILDING ❑ ELECTRIC ❑ ROOFING FBC 2016+h Master Permit No. Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: (tA City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Ii',±7 y )e C- ek Cl` cy-)C+ Phone#: Address: City: L' a-"Y i �:;Vy: e(C State: FL— Zip: 33 l S Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name:Y� e.� Address: City Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: Address: Value of Work for this Permit: $ I $ �7 f (' ' Type of Work: 0 Addition ❑ `Alteration Description of Work: 1"n OL U&X(xac. Avor -OA4> -k Specify color of color thru tile: Submittal Fee!) Permit Fee $ ' 4 ... Scanning Fee $ Radon Fee $ Technology Fee $_ Structural Reviews $ ate: one#: Zip: one#: Certificate of Competency #: City: State Square/Linear Footage of Work: ❑ New ❑ Repair/Replace a©L ,c '�7 cu'AA t Training/Education Fee $ CCF $_ DBPR $ Zip: ❑ Demolition CO/CC $ Notary $ Double Fee $ _ Bond $ TOTAL FEE NOW DUE $ 0 (Revised02/24/2014) dm6h � 4 'f- ry c1�YV) v6q�-�bNo -+-,--) ) 74- k�w ICb+�, jlf,, shcxz�3 -�L J 3i C-,;S MAR 15 2024�l