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RC-11-18-3487 CanceledMiami Shores Village Building Department v i zo,s 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 CANCELLED PERMIT APPLICATION FBC f20I _�' t� Master Permit No. (— _ I G — _3 7 (cY Sub Permit No. FS�JBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I D5 K� W 96R 5i City: 11Miami Shores County: Miami Dade Zip: r-3C5 cJ i Folio/Parcel#: I I -,31u I ^ 033 - (05 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: _ OWNER: Name (Fee Simple Titleholder): gy&f) o K I G20 Phone#: J' d,5 F l� % Address 0 J ('j ko � Z IWJ - City: State: EL Zip:-3�7/J � Tenant/Lessee Name: Phone#: Email: Gy &K&tv AlkA- Q CONTRACTOR: any Na �O N%'r Phone#: 656 "IO-1 e"lf,' Address: O �LZL City: / -n�n- , w State: �� Zip: Qualifier Name: /f��Y6lN(//iD71 A161/lcLl.�Q Phonekfbb "277g y7Z�% State Certification or Registration #: < n� 56 0 7 Certificate of Competency #: rJ� rl=l 7 U / DESIGNER: Architect/Engineer: �uS 6 w lA �tj- :V� �"✓1 (� _Phone#: 0 D'-Z� �_ 9 /A Address: City: State:Zip: Value of Work for this Permit: $ ��. lYb'0 . U'e Square/Linear Footage of Work: i5 C) Typeof Work: ❑ Addition ❑ Alteration ❑ New . . ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee $ - (_7�' Permit Fee $ Scanning Fee $ 2 CC) Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $00 610. oz- _ CCF $,_ DBPR $ - CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 1 0 --) c)i , (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 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 $1500, 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 reinspectio ee 'll be charged. OWNERor The foregoing instrument was acknow(ledged before m this day of E/i:( 20 � by !: AeG go who is personally known to me aF-�ducetl .a& +dentrtieation and who did take an oath. NOTARY PUBLIC: SAP Seal: 444kkkk444444444444444444444444 APPROVED BY (Revised02/24/2014) YFF 947791 The foregoing instrument wasacknowledgedbefore me his % day of T/ J 20 1, by personally known to me as. ideatifieetiemandwho did take an oath. NOTARY PUBLIC: Plans Examiner Structural Review Clerk 4 Miami Shores Village 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 FQB(C 2010 BUILDING CANCELLED Master Permit No. ` —15' 7U,4APPLICATION Sub Permit No.ILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION 2<ENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ,( •, 1 CONTRACTOR DRAWINGS J JOB ADDRESS: It7'JW QZ S�— Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: OWNER: Name (Fee Simple City: /Wp'Wr( Tenant/Lessee Name: Email: pa Address: City: v�-4- L.o lc Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: Value of Work for this Permit: Type of Work: ❑ Description of Work: Specify color of color thru 7 Construction Type: �J Flood Zone: �Oc1/9'1G(0 v� l G�r-o oS /UA) cfz Av ---r r- 3 T- 2 State: Alteration ❑ aisle fit- BFE: FIFE: -d?l6 F/ �d5 F�a �a�1t Zip: 7 7 Phone#: 1 7 a7W of Competency #: ��" //rO J` State: Square/Linear Foota a of Work: Repair/Replaceq Zip: ❑ Demolition 1, tea& � :14, V-C-� � — 1 22 `- Submittal Fee $ Permit Fee $_� CCF $— Scanning Fee $ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ t/ (Revised02/24/2014) .Y Bonding Company's Name (if applicable) Bonding Company's Address City SI 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 absence of such posted notice, the inspection will not be approved and a reinspesiiell72r will be charged. Signature OWNER or AGED CONTRACTOR The foregoing instrument was acknowledged before me this `23 day of Feb 20 IS- by Lqt lei C.78 , who ersonall own to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: I Print: Ku �vt (V14s Seal: o; s�*y ******* Me*V�aMM APPROVED BY KYLE PURCHAS MY COMMISSION #FF080038 EXPIRES Decamber,29.2017 The foregoing instrument was acknowledged before me this 2It> day of FAn 20 IS by who isFe—rsona&known to me or who has produced - I as identification and who did take an oath. NOTARY PUBLIC: Print: Seal: A A� KYLE PURCHAS MY COMMISSION#FF080038 BXPIRl1S Da"mber 29. 2017 7******Pla*n*s*E*x*a*m*in*e*r** *********** Zoning (Revised02/24/2014) Structural Review Clerk 1-1 (11 kD Miami Shores Village TmuV31 gcmc� Building ISEP De 13 2011 rr Dartment pI►�, 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 7 Tel: (305) 795.2204 Fax: (305) 756.8972 -----------•-•- ^' INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. � PERMIT APPLICATI9��ee CELLEylaster Permit No. FBC 20 Permit Ty BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): /b S A/ 1A) Z 12 A-0 %J q 21 c t— f< j c City: 441.4 M ( zo_& 12 State: Tenant/Lessee Name: Email: 0 &HI So JOB ADDRESS: Iy y /V W 1 Z "^' 5 City: Miami Shores County: Miami Dade Zip: 93 ls'6 Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: ?141 CONTRAC R: Company Name: J IZ r1 d J" 10 A 66aS T , J�Phonel C-e6 5 1 9- 9VI Address:i G t7 City: ed41p� (rC7y1.A'L S te: b✓t Zi Qualifier Name: *14, 4 diibtllCL V,,6 U Cj Phone# State Certification or Regglsstrattiion #: C G C L9'0 S 6 6 2 ' Certificate of Competency #: 01-/1— Contact Phont#: A [ 17— QEmail Address: r DESIGNER:` Architect/Engineer: rC��jsQ►�d� �IGGILN/� �� Phone 6 �-' Z Value of Work for this Permit: $ ✓ V lhni. `-� Square/Linear Footage of Work: �O d Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition off/ Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Notary Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ (yb' %- 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 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 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'f 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. Als ertifred copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs sev. (7) ays after the building permit is issued. In the absence of such po [ice, the inspection will not be ap ov d and a msp ian fee will be charged. ,�� A Signature Owner The mswewC160 edgedbfore�a this Odayon2 wohi ownmor who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Signature The day of 201L , by j Q!Ly-k U 0 A, n' who is pers nally known to me or who has produced as identification and who did take an oath. My Commission Expires: APPROVED BY 41e 14S-Z-6� Plans Examiner Zoning Structural Review (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Miami Shores Village 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 ®A� Foe20 .( /� BUILDING C a� ®CELLS Master Permit No. lJ f t�' PERMIT APPLICATION Sub Permit o. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION XTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS 1C06 ADDRESS: Miami Shores�CouNnty� � t Miami Dade Zip: 3g16v Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: F�7 Flood Zone: BFE: FFE: _ OWNER: Name (Fee Simple Titleholder): �& /J 'G///UC7_0 Phone Wo Tenant/Lessee Name: State Certification or Registration #: DESIGNER: Architect/Engineer: - G Z' Value of Work for this Permit: k / !6 A /}y�LIYI t Zip: 7ZJ Phonerj .ertificate of Competency #: Phone#:S City:X-1-- Zl-f State: A— Zip: Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile:. Submittal Fee $_ Scanning Fee $ Technology Fee $_ Structural Reviews Permit Fee $ CCF $ CO/cc $ Radon Fee $ DBPR $ Notary: _Training/Education Fee $ Double Fee $. Bond $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State M 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 absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. OWNER or AGENT The foregopg instrument was acknowILrdged before me this day o 0 20 ' by Gw w o is personally known to me or who has produced '-C—> L as identification and who did take an oath. NOTARY PUBLIC: KATHLEEN [ANT Seal: �Notary Public - State of Florida •� Commission N FF 906841 My Comm. Expires Aug 16, 2011 Signature COP RACTOR The foregoing instrument was acknowledged before me this 7,T dayof TbNk 20 1 b by t1JIGA N11411 4j A�j (ALZI j who is personally known to me or who has produced 7)- L as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: wti°' Notary Public - State of Florida • • # • Commission • FF 906841 %,, sae My Comm. Expires Aug 16. 2011 ,;°°• Bonded through National Notary Assn APPROVED BY (k 1''-'10-] ' Plans Examiner ###k#t#######t###t##t##t###tt######## Zoning Structural Review (Revised02/24/2014) Clerk Miami Shores Village RECEIVED k ;�l Building Department AUG 0.1 �y�1 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 N BUILDING CANCELLEF Master Permit No. gE 1 — i 1 q (o4 PERMIT APPLICATION sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION NEWAL ❑PLUMBING ❑ MECHANICAL JOB ADDRESS: Gb S Ah►I City: Miami Shores Folio/Parcel#: Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder Address: l4 City: 1,4�11s Tenant/Lessee Name: Email: Address: ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS XW 'A Is thla I in 'storically Designated: Yes NO Construction lood e: BEE: FEE: Zd hone#: G g 0— /r -1 QA L.. ANJ-- -Nf C. Phone#: �J�S � 10-4 a T 1(0 Qualifier Name: /W� fe,J OgAy /GlJ /S��(p U�tL (_ S� Phone State Certification or Registration #: C� l9 C- 641-.A5: O lJ Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: zip. Value of Work for this Permit: $ . o-1n) < Square/Linear Footage of Work: ! /` V o' Type of Work: ❑ Addit'jop Alteration ❑1 ❑ Repair/Replace ❑ Demolition Description of Work: �!�/aML9%�L � o 6 % I Specify color of color thru We: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ 3 c �oS.a• QUA re,�gA' moo y/�to CCF $ d dex �,��GaTetrpe•� va 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 Lenders Address 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 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNERor AGENT C TRACTOR The forgoing ihstrument was acknowledged before me this The foregoing instrume was acknowledged before me this pI 'day �\20 by S+�_ day of 20 _�7_ by �CVVV who is personally known to - �N'✓ �f '�a!/ personally known to me or who has produced L^ as mew whe-hasprodaced ac identification and who did take an oath. idaQU&atian and who did take an oath. NOTARY PUBLIC: APPROVED BY NOTARY Sign: ✓ Print: G Seal: a 19 Plans Examiner Structural Review .?� : OFF 94MI se*s<**s>*** Zoning Clerk (Revised02/24/2014) Miami Shores Village Building Department DEC23P015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138Y: Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING CANCEL V �S _ �f� ) Master Permit No PERMIT APPLICATION Sub Permit NO./ <C //--yA ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING [Z MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type: Pvoad: Construction Type: C&.5 Flood Zone: BFE: _ OWNER: Name (Fee Simple Titleholder): �ourA4• t at LL,) Phone#: /3 Tenani/Lessee Name: Email: NO FFE: /4 CONTRACTOR: Company Name: W ...1_oo Phone#: �-1Sy y •'I l{JZ'�$�3 Address: City: Qualifier Name: h 1P_f VCQ State Certification or Registration #: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ Type of Work: ❑ Addition ❑ 4Oj Description of Work: Specify color of color thru tile:. Submittal Fee Scanning Fee $ Technology Fee $ Structural Reviews $ �I Zip: a3o33 Phone#:,R54- CT&2- 9&14 Certificate of Competency #: Square/Linear Footage of Work:, w ❑ Repair/f(eplace te: Zip: _ ❑ Demolition fl�(YJ LE-t/L- Permit Fee $ 1 C) ts�CCF $ CO/CC $ Radon Fee $ DBPR $ Notary Training/Education Fee $ Double Fee $ /j Bond $ (]� TOTAL FEE NOW DUE $ ? 1 L�_ (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 City State E. 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 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. OWNER or The foregoing instrument was acknowledged before me this f Z day of Nd iflt -V--L . 20 s by ,939(4490 LV-#b . who is personally known to me or who has produced - Signature_ k- CONTRACTOR The foregoing instrument was acknowledged before me this v-A 3 day of _ 0&fJ MAir.* 20 15 by ail-91-VOIS a. I�J 1+0n who is oersonaliy known to as me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: as Sign: 0- �_ " Sign: !� : (. 1 • �1� 1J Print:2-m 1 LATH 1 IT Print: k0�t �� Y1t�1L Notary Public -State of Florida Seal:Commission x FF 906641 Seal:,,,Kofie M. Wynter * My Comm. Expires Aug 16, 2019 � 'f',cr_ Bonded lhaoNational Notary Assn. 'ex x COMMISSION ! FF174238 1901RES: November 5, 2018 ��!aAP64N� APPROVED BY , Z `' IP�xaminer Zoning Structural Review Clerk (Revised 02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING CANCELLEC, Permit No. MO --I1 M PERMIT APPLICATION Master Permit No. _ 22 FBC 20 Permit Type: MECHANICAL C'orLrAJ�--r- f/Uto OWNER: Name (Fee Simple Titleholder):_ E�� Phone#: 3Q - b' ��-y%1 6 f Address: 6 4D /% U-15 v� City: Tenant/Lessee Name: Email: JOB ADDRESS: *—' State: i` (:�- Lm City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes Qualifier Name: A. WAI c�— J State Certification or Registration #: e Contact Phone#: Z «l 0 (� U- DESIGNER: Architect/Engineer: L Rre n/ Zone: nZi A—C=�' / 6 Certificate of Competency #: Address: (& 0m - codes Value of Work for this Permit: $ .� ©� Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace Description of Work: *r// f /'2- © tA-';t- A3,IC, Z.,arS Submittal Fee $ Permit Fee Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ ❑Demolition 4 r\J4 V CO/CC $ DBPR $ Bond _ Technology Fee $ 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 State Zip . 1 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 nmst promise in good faith that a cop), 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) .s a r the building permit is issued. In the absence of such posted notice, the inspection will not be ap ,ed and a reinspe on fee w 1 be charged. c N1La�, Signature Signature —� Owner or Agent n 1 Contractor The foregoing instrument was acknowl4eefo re me this _ The foregoin . [rumen w,a,ssI acknowledged before me this day of —, 20�1 , by day of �, 20 �, byw10hS FW7 , whoispWsVna y nown a or who has produced who is personally known to me or who has produced R,' j As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBL C: Sign: Print: My Commission Expires: APPROVED BY Structural Review (Revised 07/10/07)(Revised 06/10/2009)(Revised 3115/09) Miami Shores Village RF.CETVE Building Department FEg272015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 C' `• ��^ FBC 20 BUILDING AN CELLEit. Master Permit No. - PERMIT APPLI ION Sub Permit No. ❑BUILDING ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: MO W-r— City: Miami Shores County: Miami Dade Zio: 351 �" / Folio/Parcel#: Is#he Building Historically Designated: Yes NO V/ Occupancy Type: OWNER: Name (Fee Simple Load: Construction alder):h?ao City: State: Tenant/Lessee Name: Email CONTRACTOR: Company Name: En Zone: BFE: FFE: a 0 —:aW� Address: /S PA - - I—,P/ City: ���I �199 State:4!l Zip: Qualifier Name:/��f/ /' �/� Phone#: State Certification or Registration #: C / �D 7 G certificate of Competency M DESIGNER: Architect/Engineer:�\pSi�10���2N�4" Phone#:,36 Address: City: State: Zip: Value of Work for this Permit: Type of Work: ❑ Description of Work: ❑ Alteration YUf frC.. Specify color of color thru tile:. Square/Linear New Submittal Fee $ Permit Fee CCF Scanning Fee $ Technology Fee Structural Reviews Radon Fee $ Training/Education Fee $ DBPR$ >�Repair/Repla ❑ Demolition %—xv4-A- ,t6-11 If39 CO/CC $ Notary $ Double Fee $ Bond $ ofn TOTAL FEE NOW DUE $ eC I (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 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 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 on 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 fx.aat((1 be charged. OWNER or AGENT The foregoing instrument was acknowledged before me this T day of �/J � . 20 (cii , by 5FO f 11104CZV, who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal A A' a. 4A"'98M APPROVED BY (Revised02/24/2014) VALTY RAYMORE MY COMMISSION #FF020278 EXPIRES June to � .� Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of / 2-4 � 201_ F by who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: A .,,° VALTYRAYMORE l' MY COMMISSION #FF020273 ° EXPIRES ES June 19 ,2017 Plans Examiner Structural Review as Zoning Clerk Miami Shores Village RECE, Building Department oCT 2 00 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 81': Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. Q J, 15S I �t PERMIT APPLICATION Master Permit No. FBC 20 CANCELLED Permit Type: Elecil ical OWNER: Name (Fee Simple Titleholder): `bS 11�ZZ sf- 4L4—Phon ?5 3l-'<0 Tenant/I.essee Name: Email: JOB ADDRESS: j�a .- A)IA) �j Z 1 C T� City: Miami Shores County: k-Miami Dade Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: �J CONTRACTOR: Company Name: S/�Y Le k--//l r bv t_ Phone#: �S�cSsSYZ KU%b Address: 94 N W /J —6 J-/ City: 4-4" 1/ State: � Zip: /LG3��69 Qualifier Name: l 7 Ow�� L:12� T4 • Phone#: h S T 2 O% 4'6 State Certification or Registration #: of Competency #: Contact Phone�(#kqz- � Email Adrth Cflll DESIGNER 7&chi n8er S fr O Phone#: �?O .`f e2g CC Value of Work for this Permit: $ Y / %fi . - Square/Linear Footage of work: Type of Work: ❑Address ❑Alteration Description of Work: ❑New ❑Repair/Replace rs rtrtrtrtrtrtrtrtsssszstsssxrtssrtrtrtrtrtrtsxsssssssssF�sssxressxsxsssrtsrtrtrtrtrtsrtrtrtrtrtrtrtrtrtrtrtrtrtsssrtsrtrtrtrtrt 3 p Submittal Fee $ Permit Fee $ 2 a» CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) /G 5 /CL) 9a s1- Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address 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 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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) frer the building permit is issued In the absence of such posted notice, the inspection will not be approve4tpnd a reinspec ' n fee ill be charged. Owner or Agent The foregoing instrument was acknowled efore me this 2 day of 10 , 20 l(, by FtDWN(L a - who i rsonall to me or who has produced 1 As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY Sign Contr i� qCj The foregoing instrument was acknowle ged before me thisil day of (iG!' , 20 L, by (- who is personally known to me or who has produced as identification and who did take an oath. Tans Examiner NOTARY Sign: Print:I n &Crg-) MEOR M Co x r to S. ED * at Oil Y e Y 4te FuADe - Sof rip(y MY Comm. Explrn ANr 31.2013 Sony Throe h N * EE $0334 sssssssesss sax asap Zoning Structural Review Clerk (Revised 07/10107)(Revised 06/1012009)(Revised 3/15/09) �pBaNOA�iI .) AWROO .•'i�'"a+ t,,''4 gttitON 10 9lBiZ - �i1G►�q ,�is�taVi c'� ;10S .t6 �sM tgtigx� m:no31� � � AaB�d 33 lk naiagif"W03 - r nSLA I-Imao ! lfinoii�� �gua""` !;abrn8now Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING C/-1NCELLE® Permit No. 1 I —I 2240 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: PLUMBING /b S ujQo1'"O�r. LL C Owner's Name (Fe imple Titleholder) f Ly y _V3 J4 7—O Phone # 6 — Owner's Address 16S (�j�J 9s City jUl State 'C� 1 Zip 3 f S 0 Tenant/Lessee Name Phone # Email Job Address (where the work is being done) V :5 N %A) q (g AAO % City Miami Shores Villaee County Miami -Dade Zip 3I rs� FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone NJ Contractor's Company Name M .6 7 I um 61 &1 6 Phone # Contractor's Address C,►jW (5z6?) %d ST' City. Mj kluk is 1p�1� `Lh% State Ein im lot Zip Qualifier Name A juIES kW1kA- )2-i" Phone# State Certificate or Registration No. C t� S 4T 2 b Certificate of Competency N�J g /q 3 6- Contact Phone E-mail Architect/Engineer's Name (if applicable) g! (0 t t n h Phone Value of Work For this Permit $ / yv, Type of Work: ❑Addition FiAlteration Describe Work: Al " L Square / Linear Footage Of Work: 59- p7O ❑New ❑ ❑ Demolition Submittal Fee v Permit Fee $ CCF $ CO/CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: �� Structural Review. $ Total Fee Now Due $ See Reverse side > 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 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 -coning. "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 absence of such posted notice, the inspection will not be ap roved and a refit cti n fee will be charged. [�—�]/� Signature Signature / i' Owner or Agen Contractor The fore ng insnumen was ackn ledged before me this w The foreg g instrgment was acknowledged before me th� day o 20 t, by day of �" 20t l by`%a/72aP 46 J 1 who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: MyCo )res3CNL.12,zuxl EXPtr msC Cc llic APPROVED BY / t If—( Y� ans Examiner Engineer Zoning Clerk checked (Revised 07/10/07)(Revised 06/10/2009) Miami Shores Village RIF,rT"nm Building Department FEB2 2015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY• INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBCC 20 BUILDING CANCELLEDMasterPermit No. P/-iL:: ,- 30 PERMIT APPLICATION Sub Permit No. L ( �1 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ENEWAL 2LUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: IbS p1q.2 "" 'S Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: fJoj*WA 'Q I, C- I c� Q / OWNER: Name (Fee Simple Titleholder): 115 9 Z .� 9 T- LL t, Phone3 6 S Address: l b w Kj' q Z AAO 5� City: AAL6NIA -�51'5State: FIGYRYDA- Zip: 9F[s0 Tenant/Lessee Name: Phone#: O Email: CONTRACTOR: Company Name: ��-Lv �3..=no�i•'fi�z�iv[� 'Lvc,�o Phone#:.3�J S 12x Address: /24.T , b v✓- 7 s } City: MI State: /—C Zip: 3.7-1LS Qualifier Name: �'`LO'; /t) Phone#: State Certification or Registration #: -I;-C O{ f 2 c7 Certificate of Competency M r�77 /! DESIGNER: Architect/Engineer: �b`n�Z�i'� 1*&jli'Yl-I� Phone#:f665- 2-tk 1 C-F Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Foot a of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: iZ t=N� C�1�Pi r�✓b �� �n� h. ''- 11 - 1 4[. D� Specify color of color thru Submittal Fee $ Permit Fee $ ? 15 i CCF $ c0/cC $ Scanning Fee $ Technology Fee Radon Fee $ Training/Education Fee $ DBPR $ Notary Double Fee $ Structural Reviews $ (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE $ Z 2 V , 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 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 absence of such posted notice, the inspection will not be approved and a reinspectiWee will be charged. s OWNER or The foregoing instrument was acknowledged before me this day of Fib 20 I `.S by E�wcwel R'G'LC) w ersonall own to me or who has produced as identification and who did take an oath. NOTARY /PUBLIC: Sign:''`` Print: )rr,6S r Signature��*r CONTRACTOR The foregoing instrument was acknowledged before me this Z�J day of b 20 1,05 by who is personally known to me or who has produ ed as identification and who did take an oath. NOTARY PUBLIC: Sign: - Print: PLO � ■ Ur( 65- Seal: a" ti KYLE PUFICHAS Seal: 11 A KYLE PURCs:;,S MY COMMISSION#FFOR003B { MY COMMISSION #Fcnr�-ci �Z • EXPIRES Decemher 29. 2017 EXPIRES Decerr ******* ��gY�ieb***sFAGNRMMYdpgt*rYiFi. APPROVED BY ,�/ 7, L"t S Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)