REV-05-22-1205, 304 NE 93rd StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: REV-05-22-1205
Permit Type: Revision
Work Classification: Building
Permit Status: Approved
Issue Date: 06/01/2022 Expiration: 12/01/2022
Location Address Parcel Number
304 NE 93RD ST, Miami Shores, FL 33138 1132060136350
Contacts
BRADLEYJOHNSON Owner YudithVilchez Applicant
304 NE 93 ST, MIAMI SHORES, FL 33108 18601 Northeast 14th Avenue, 306 18601 Northeast 14th Avenue, 306,
meryudvil80@gmail.com
RAM CONSTRUCTION MGMT, INC. Contractor
RAFAEL MORROS
4781 SW 74 TER, DAVIE, FL 33314
Business: 7868775156
a
14 Ins ection Requests:
Description: REVISION S-1 AND S-2 Valuation: $ 2,500.00
305-762-4949
Total Sq Feet: 0.00
Fees
Payments
Date Paid Amt Paid
Revision: Minor Change of Plans
Total Fees
$130.00Structural
Review ($90)
LAmoun]t
Credit Card
06/01/2022 $130.00Total:
Amount Due:
$0.00
Building Department Copy
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS DAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating c uction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
tel
wn
Authorized Signature: Owner / Applicant / Contractor / Agent Date
June 01, 2022 Page 2 of 2
Miami Shores Village
iplzc 4 Y-V10i;l
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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
BY:—
( /
FBC 20�
Master Permit No. (ZC — l' 2-2 —2045
Sub Permit No.
REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Aq Vxl 13 d . p
City: Miami Shores County: Miami Dade Zip: 3 313 d
Folio/Parcel#: ,/ 960 / ?/ 16 15 5 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: , Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): �fY.�C/ �t'S� �O `' l7So�? Phone#:
Address: ?,Oq /1/jlte !?3yd. 5�-.
City: ��u` SLk9��/✓ State: ,L Zip: 3313
Tenant/Lessee Name: Phone#:
Email
CONTRACTOR: Company Name: QG�( 4!�Of6AA Adel 1(6&7 ,QJe Phone#: W6-37>;2- 5,/56
Address:
City: '::1 2ac lam' State: Zip: 393 Lc%
Qualifier Name: �Y&kd& n► 2 Phone#:
State Certification or Registration #: C&C1�.00yf Certificate of Competency #:
DESIGNER: Architect/Engineer:
ne#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New1 ❑ Repair/Replace ❑ Demolition
Description of Work: 9:Rm S i Q n � )— /► 1 an(i V c
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ LAC) • 00 CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ 11`(\ , t.}J _
DBPR $ Notary $
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ G , 3 o . oz)
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.
Signature !�
COWNER or AGENT
The foregoing instru ent was acknowledged beforeme
this
day of DI 20 vv by
`k-" 'D7r I /who is persson�allly known to
me or_W/ho has produced ,/ )`% I/ ��'(�/ Ste' as
identification and who did take an oath.
NOTARY PUBLIC:
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
QS day of ®lGl��-( , 20 0-1' by
"el / y1W who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
as
Print
" Print:
�4.G�1/"
PaY
ITH A VILCHEZ
Seal:
.. Seal:
Seal:
DI;
i4. LAURADEVEo
=� o
Not ry Public -Stara of Florida
Commission 4 GG
Notary Public - State of Florida
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328519
MY Commission Expires
Commission k 951096
A r 2023
************
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APPROVED BY i Plans Examiner
Zoning
Structural Review
Clerk
(Revised02/24/2014)