REV-04-22-889, 304 NE 93rd StMiami 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
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APR 0 6 2022
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FBC 2®
no 011 e w s RC-12-20-2945
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PERMIT APPLICATION Sub Permit No.�kEV—QLi -Z2-209
CBUIL DING ❑ ELECTRIC ❑ ROOFING Gl REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 304 NE 93 St
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 11-3206-013-6350 Is the Building Historically Designated: Yes NO x
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
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Address: 304 NE 93 St
City: Miami Shores State: FL Zip:
Tenant/Lessee Name: Phone#:
Email:
LUN I KAc I UK: LOmpany Name: " " vnoneff:
Address: 4781 SW 74TER, DAVIE, FL 33314
City. Davie State: Fl
011;�ifior Mama: Rafael Morros Dhnncit-
State Certification or Registration #: CGC1530048 Certificate of Competency #: _
11FS1/ZNFR- ArrhitPrt/FnainPPr• PhnnP#-
Address: City: Stat
Value of Work for this Permit: $ $16,000.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration U New ❑ Repair/Replace
Description of Work: Revision of the plans
1-3
U710)6.73-0.130
33138
33314
Zip:
15,875 Sq Ft.
❑ Demolition
Specify color of color thru tile:
submittal Goo t Dormit Gao t ffF C Ce!C ' <
Scanning Fee $ l .W Radon Fee $ DBPR $ Notary $
..._........,a/ ..... r -:.:::..::off _...._........... r _.,.....� ... r
Structural Reviews $ —1 `� ' w Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's "Jame (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. 1 understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
UWNER;S AFM)AI,1IT: i certify that ail the foregoing information is accurate and that ail 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
'�'a'ae'ei�e-iva's s't= �-s-s�-e'a`ieveeatr�etsn—rivor®el € .-
Notice to Apolicant: As a condition to the issuance of a buildina permit with an estimated value exceeding 52500, the aoplicant 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 (71' days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspectinn fee will be charged.
Signature Signature
OWNER or AGENT C TRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
10 day of Nov , 20 21 by 10 day of Nov , 20 21 by
Bradley A Johnson / Linda D Ayles Johnson who i5 personally known to Rafael Morros
p y ,who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
A/
Sign: Sign:
Vl -dith /+ oar UUIlHA ILCHEZ Y�iriith II Y. 7 YUDITH A VILCHEZ
Erinr - _ Y Public -State of Florida 1 r;rtr. ems'
n 28519 '_ Commission # GG 328519
Seal: :foF. o My Commission Expires Seal: a
""" April 29, 2023 %ram„oP My Commission Expires
"` April-29, 2023
****************************** ****************************************************************************
APPROVED BY (� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)