RC-9-18-2444 CanceledMiami Shores Village
R(OZ I ddS
Building Department sEP �4 2018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 �i t
INSPECTION LINE PHONE NUMBER: (305) 762-4949
CANCELLED. FBC 2V b^
BUILDING rep1 ac-&4 by Master Permit No.C-244 4
PERMIT APPLICATION 1Z1!-I-2-ZV-295y sub Permit No.
QBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1099 NE 96 ST City: Miami Shores County: Miami Dade Zip:;N39)—�S5i
Folio/Parcel#:11-3206-014-3650 Is the Building Historically Designated: Yes NO X
Occupancy Type: RES Load: Construction Type: CBS Flood Zone: X BFE: FFE:
OWNER: Name (Fee Simple Titleholder): AVEN I R USA LLC Phone#:
Address:8442 CEDAR COVE DR.
City: ORLANDO
State: FL
Tenant/Lessee Name: N/A Phone#:
Email:
CONTRACTOR: Company Name:
Address: 361 N BOYD ST.
32819
TRANSPARACON INC , �. 407-906-0656
City: WINTER GARDEN State: FL
Qualifier Name: DANIEL A FARESE
State Certification or Registration #: CRC1331303
DESIGNER: Architect/Engineer: N/A
34787
321-558-0441
of Competency #: N/A
Address: City: State: Zip:
Value of Work for this Permit: $5000 Square/Linear Footage of Work:1500
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑■ Repair/Replace ❑ Demolition
Description of Work: REMOVE & REPLACE FINISH FLOORING. REMOVE AND REPLACE DAMAGED DRYWALL.
Remove tile from 1500 sq ft and replace. Remove and replace or patch and repair 180 sq ft of drywall.
Specify color of color thru tile:
Submittal Fee $ S 6 Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Technology Fee
Structural Reviews
Radon Fee $
Training/Education Fee $
DBPR $ Notary
Double Fee $
Bond $
TOTAL FEE NOW DUE $ _
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
City State 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 wall be performed to niE t 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 dorn! in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE T(, RE ;ORD A NOTICE )F COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVER TENTS TO YOUR 3ROPERTY. IF YOU INTEND
TO OBTAI J 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 low 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 L (/
06VER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
30 day of M)ts,U.3T ,20 ) 3 • ,by
U-t 7tL I � 11 r i who is personally known to
me or who has produced fArIU 6 t PASS ?1'F—T as
identification and who did take an oath.
The foregoing instrument was acknowledged before me this
t day of — SET ilG_ 20 by
who is personally known to
—D8l Ssc
me or who has produced � LA-C`Ca as
identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLI .
I �
Sign: 1 Sign:
Print: &J A WIA-(3I a t 1R Print: �LiPIA A1.11L��y
Viol
MG�Tabl n a
Seal: aNOTARY PUBLIC Seal:
g'STATE OF FLORIDA .�;,: SINDIA ALVARE2
Comm# GG053213 : F. MY COMMISSION k GG 238273
Expires 12/26/2020 <i EXPIRES: September3,2o22
APPROVED BY Plans Examiner ___ _ _Zoning
Structural Review Clerk
(Revised02/24/2014)