DEMO-09-584Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No. 9010 01 -54
PERMIT APPLICATI 1� p �p Master Permit No. �C� ttn
FBC
Permit Type (circle): Building J Roofing
Owner's Name (Fee Simple Titleholder) MAAza'to nn0az Phone* S6/ SO 74
Owner's Address /26. AhE 4 13 S
City P 4 t 44044 SHOT i-` S State FL Zip 33/3e
Tenant/Lessee Name Phone It °-
Job Address (where the work is being done) L26 14. °/S S!
City Miami Shores Village County Miami -Dade Zip 3 3/ 3 r
FOLIO / PARCEL # *III ~ 3 - OIL - 31 C
Is Building Historically Designated YES NO X
Contractor's Company Name AWES 4$N L... 4o tsf j IZ._ Phone it id 33 S P8/ Z.
Contractor's Address 16y9'f AIL Rtv $T
Cit extoofr.r Sal State Zip V5ZeO
Qualifier Name /U t r8 fb1/ Phone* S S 333 v-g/
State Certificate or Registration No. LAG / SO 56 Si Certificate of Competency No.
Architect/Engineer's Name (if applicable) -iJ4 Phone #�
Value of Work For this Permit $ 00
Square / Linear Footage Of Work:
Type of Work: ['Addition ['Alteration [Kew ❑ Repair/Replace
Describe Work: l/V?gieTZ DTZ)410I41L OF-PiaLf114 4 , 13a11-11ZezwiS / ttrh .1S
L et `f1 OF..NlbL,rfb,v cans 0
1 J
f2.r4.ov14L /,v plofL j7b/Ziinb•,u D Erwin a
4( B(D1 ******** * * * * * * * * * * * ***** **** **** * *** *** Fees ************* * ********************* **** *** **
Submittal Fee $ � O.lO1lpermit Fee $ VO �- CCF$ ¶ Q O �r Cv /CC
Notary $ ^— -� Training/Education Fee $ 1 '00 Technology Fee $ (f 'CO
Scanning $ 3.0� J Radon $ DPBR $ Zoning $
�
Bond $ Code Enforcement $ Double Fee $ 1nn c/
Structural Review. $ 60, an -F Total Fee Now Due $ 44S ' 40
See Reverse side -
Bonding Company's Name (if applicable)
Bonding Company's Address
City tate
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 $2500, the applicant must
promise in good faith that a copy of the notice mencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also c, opy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven I t) da . the building permit is issued. In he absence of such posted notice, the • inspectio vi 1 pproved and a inspe '_ ee charged.
Signature
Contractor
The foregoi g instrument ackn wledged before me this lit The foregoing instrument was acknowledged before me this 6
day of Ptph 1 , 20 ®y, by A 1 db`>. - ,` — , day of Afr t. t , 206 'I by geber*6 10 7 ,
who is personally known to me o who is erson
pally known to me or who has produced
and who did tak an oath. as identification and who did take an oath.
NOTARY PUBLIC: 1 � 5 B -(o „N NOTARY PUBLIC:
Sign:
Print:
My Commission Expires: O
(Revised 07/10/07)
Ft'
0 Age
APPLICATION APPROVED BY: /a,1O JEW •.
Signature
Sign:
Zip
Print: :' Y$UB C- S ATE OF FLORIDA
lA i i i Paparoni
�R_. Commission Ex = Commission #DD685086
•
Plans Examiner
Engineer
Zoning
**
Failed
Ins
on
Permit Number:
Scheduled Inspection Date: June 04, 2009
Inspector: Bruhn, Norman
Owner: HERNANDEZ, FRANCISCO
Job Address: 126 NE 93 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: PISEES GENERAL CONTRACTOR INC
Building Department Comments
Passed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores,
Phone: (305)795 -2204 Fax: (305)756 -897
Inspector Comments
Ce
Permit Type: Demolition
Inspection Type: Final
Work Classification: Building
Phone Number (786)282 -9014
Parcel Number 1132060133130
Phone: (305)335 -7892