PLC-18-1320, 9050 NE 8 Ave Units No. 4, 7, and 16BUILDING
PERMIT APPLICATION
•14
Miami Shores Village I 46 ol„zd,s
BuildingDepartment
B__ --
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 201-�
Master Permit NoP-LCj F") - �32_0
Sub Permit No. - V D -2c-),�
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9CSJ N L 9 "e-• U n% S J� 41 —7 , \ (--
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: ( 13 IS) (o 0 I 1 o'3 2—C: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): G" 6 —'-' DS co I, %-�--c Phone#V QS`137y-3. Z9
Address:_I Z3 � N E AV t.
City: t-� -, W '\-� C. V'^ + State: IP- L Zip: 3 3 1 b 4
Tenant/Lessee Name: Phone#:
Email
CONTRACTOR: Company Name:J�A N Phone#: ( $A `# �-S T� " 7 0'1'
Address: S '7 v & Ny-,) S )
City: TcnY"\ State: L Zip: `� 3 S Z i
Qualifier Name: Phone#: C�i�) S-� 7 c `i
State Certification or Registration #: C IFC N Z `j 14 1 G Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
c�
Value of Work for this Permit: $ 1,S 0 � Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work: e."p I o.c-- IQ v C-c� S 't h a
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
go
❑ Demolition
CCF $ CO/CC $ _
DBPR $ Notary $
Double Fee $ _
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
E
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
t
Signature Signature
OWNER or AG CONTRACTOR
The foregoing instrument was acknowledged before me this Tforegggp(instrument was acknowledged before me this
day of 20,by{►,4day of <JV�y 120,by
kQ I / i �� �� ,who is ersonall kno o t1 kO�� y QC�C� who i ersonally known�o
me or who has produced
identification and who di
NOTARY PUBLIC:
a
Sign: ��t
� �
Print: .1214t V d
as me or who has produced
Jorge Nieto
Notary Public - State of Florida
Commission #GG 95563
Expires 4/18/2021
Sondtd thrnwon Cynonotary
as
identification and who di _
1P0.Y '� Jorge Nieto
NOTARY PUBLIC: C Nota; Public -State
c, Y of Florda
Commission #GG 95563
Nyr \a� Expire$ 4/18/2021
Eo Fv°P Sign: 8ondOd through Cynanotary Print: NIA
y�>Vf C 1 vIA
Seal: Seal:
APPROVED BY
Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review
Clerk
y � . §.■'\<.. .?«I
\
� .
\^
� �}
£\
\
:
2 OZ
c
§ p
§ f
\
�\
O l5
\
;\
y
®
Cl)
r,
\ C.0
e
g �
\
/
$
3-
\
/
\ \
/
\
VERONA AP'. # 7
9050 CIE 8 AVE.
MIAMI S O ES FL 33138
• < +►
'VERONA i •
9050 NE 8 AVE
MIAMI
SHORES, s
.
•
...
es..:.
..
..
•
• •
.w..•
• •
..w...
..,.•.
0•
• .
•
•
PERM
i Zola
101
(40
LL
ui
z
jj
r � w
Soso
. .
....
....os
.. .
.. .
.
. . .
.
......
.. .
......
......
....
....
. .
s .
. .
....
....
.....
......
. .
.....
.. ..
.
......
. .
. .
......
s APT.F 16
9050 NE 8 AVE33138