Loading...
MC-09-713• BUILDING PERMIT APPLICAT ITC 20 • Job Address (where the work is being done) (2- C Al 6 ei sT • City Miami Shores Village County Miami-Dade FOLIO / PARCEL # 11 " 3 RO( -- 013- 3) 3t) Value of Work For.this Permit $ 4 Squt Ty of Work: HAddition LlAlteration L]New Desellibe Work: 7E-I•24014'ri" .aviSri ci A-1-4D /4/L /14 Ka . - 11 .7 ) L,3,. k L13 7 31 • Permit 14tD1IV\f. O . - AD Ot Master F4AIii Permit Type: MECHANICAL Owner's Name (Fee Simple Titleholder) M)05)Y-- kiir-4 Phone # Owner's Address 1 •gto A-rE 3 51 — City P-41 SilOPE State rf--- Zip 37 643' Tenant/Lessee Name Phone # •545 Liza 0S Cc/ • Email Zip • 33 r 3 8 MECbiNilc DEr.40 • Is Building Historically Designated YES NO 1-.._ Flood Zone • Contractor's Company Named / /9/ e- - • Phone # Contractor's Address • 46 .-z-c..9 z City /77 /r'1 I • • State 1 no / e y • Zip Qualifier Name 275E. j?G El •• • Phone # • • i State Certificate or Registration No. .067 / 4 7 5" Certificate of Competency No. Contact Phone7 403 £ . E-mail • • Architect/Engineer's Name (if applicable) .Phone # 79 05)- 7 • ire / Linear Footage Of Work: epair/Replace LVernolition GeMeLegit.,R._ / Are__ 1 4 34********* *************************** * 4 4 eg ,n Stab 1 Fee Permit Fee $ CCF $ 0 'V) CO/CC - 1 Notary $ Training/Education Fee $ • 0`(90 Technology Fee $ -sn • Scanning $ .3.07) Radon $ DPBR $ Zoning $ • Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 5 . 40 See Reverse side 131; n•dia ny Manic (if applicable) • ?ori i ng _ om )a ny s Address Iva C; ° 49 D ; e t •i dray ill ?i.ill( ceU aj; MVlo tgage 'Lepder'k Add't Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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, FOOLS, 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 YOR' 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 abuilding 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 inspectio n,.proved and a re pecti. ` . be charged.... Signature The foregoing instrument was ackno edged before me this Z 9" day of Apr + L ,: 20 by {rArr SCp fit piaa.. .4ex who is personally knownto me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 4 (e ri at a v- ©n /, NOTARY PLTB C -STATE OF mum My Commissio = ' res`. lens Paparonii !Commission # DI?b85086 ...... • ° E JUNE 13, 2 011 BONDED THRC ATLANTIC BONDING CO., D C. it '4 ads Examiner' Zoning Clerk checked Sign: " -- ..__ ..ee-e_, • Print: 4.e,P7G2 VO YOb 4'f: e ;FOOF7,ORIDA , My Commission Expires:: z Com fission , D 8 s war� Bo.*rn • (Revised /1.01071 • 0 * * * * * ** * * * * * * * * * * * * * ** *# APPLICATION APPROVED BY State fe Signature Contractor The foregoing instrument was acknowledged before me this 2 day of 4 j L _ , 204 by ' + „1Q 5 who is personally known to me or who has produced . - as identification and who did take an oath NOTARY PUBLIC: Inspection Date: June 03. 2009 Inspector: Perez, JanPierre Owner: HERNANDEZ, FRANCISCO Job Address: 126 NE 93 Street Miami Shores, FL 33138- Project: <NONE> Contractor: JM ARCE SERVICE Building Department Comments June 02, 2009 Inspection Worksheet Miami Shores Village RC 9 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)7564972 WO Oft 0 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (786)282 -9014 Parcel Number 1132060133130 Phone: 305 -262 -3589 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 1 of 1