RERV-03-21-815, 1298 NE 95th Stv
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
FBC 202'�'
BUILDING Master Permit No. RC
PERMIT APPLICATION --_.._ Sub Permit No.Z��/'�J��I
®BUILDING ❑ ELECTRIC ❑ ROOFING REVISIOIVJ� ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1298 NE 95 Street
City: Miami Shores County: Miami Dade Zii33138
Folio/Parcel#: 11-3206-014-4030 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Yuri Morales Phone#: 305-790-3849
Address: 302 NE 92 Street
city: Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: Phone#: 305-790-3849
Email: yurimorales@gmail.com
CONTRACTOR: Company Name: CABAI Construction LLC Phone#: 786-229-2770
Address: 10876 SW 24 Terr
City: Miami State: FL Zip: 33165.
Qualifier Name: Joe LOsa Phone#: 786-229-2770
State Certification or Registration #: CGC058065 Certificate of Competency #:
DESIGNER: Architect/Engineer: _ Phone#:
Address: ty; State: Zip: _
Value of Work for this Permit: $ 22,000 Square/Linear Footage of Work: 241 LF (new perimeter wall)
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of work: 1. New perimeter wall, 2. Revised pool layout 3. New concrete pool pergola 4. Elevator opening
,and structure. 5. Revised roof waterproofing system including lite concrete topping
6. New equipment stab at 12 NGVD 7. New poul equipment slab at grade 8. Revision to thre
window openings to reflect as built Per �ryiQu r approved window hermit and shop drawings.
Wi do locatj n: master bath and roof hatch)
Specify color of �o�'or Ihru V e.
Submittal Fee $ 1 Permit Fee $ ( Z230 O�3 CCF $ 2 4. GO CO/CC $
Scanning Fee $ I Z6 CA Radon Fee $ 2 • 3'C:1 DBPR $ (� Notary $
Technology Fee $ 30 s Training/Education Fee $ �0
Structural Reviews $G� ' a�
Double Fee $_
Bond $ P
TOTAL FEE NOW DUE $ I f 6
(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
Zip
State Zi
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 abse pf such posted notice, the
inspection will not be approved and a reinspection fee will be charged. `j
OWNER or AGENT
The foregoing instrument was acknowledged'before me this
e
E � day of I" fikCP� 20 by
% kit (i,)r!%OA/. i , who is personaNy kDpwn_to
mar who has produced
The foregoing instrume t was acknowledged before me this
day of /P rz&/ 20by
�; ,who is personallyknown to
as rile -or who has produced
identification and who did take an oath identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign;
Print: �j Print: L G' L CI�Us r�
Sea k ;�a" ti� JOSE A. LosA, SR Seal:
'�' • ` MY commissioN 0 GG 095812
'• .y EXPIRESAuguet 19.2021
gnridnd TNu twJMy PuUlc UMeniillMs
APPROVED BY ePlans Examiner
i 11744 11 Structural Review
(RevisLd02/24/2014)
as
�cEusousA
W CGAIAIISSION I GG 2280s1
oYo;? EXPIRES' SeoenriV 19, 2022
8gduv T1ru NotrY_P,r,A; Undatwin
�14 1,--2 / Zoning
Clerk