Loading...
362 NE 95 St (8)1i Shores ling Dep BUILDING PERMIT APPLIC FBC 2001 Permit Type (circl trical Owner's Name (Fee Simple Titleholder Owner's Address City / - 7 a , p,Fs State liq Tenant/Lessee Name_ City 2L - Total Fee Now Due $ v (Continued on opposite side) id Avenue Miami Slid px: (30 Job Address (where the work is being done2. City Miami Shores Villa e Is Building Historically Designated grated «Contractor's Company Name 16.4 -cz poi„L'A.) HO • Contractor's Address (tlfts' e � ji�Ei ?rte' Type of Work: ['Addition Describe Work: 3. ,6 d "ounty YES NO _Z= Qualifier j t-- evet �: — /AyG- Architect/Engineer's Name Of applicable) $ Value of Work For this Permit (lc g`� i- nu 5-7 'V Square Footage Of Work: ❑Alteration ONew j /, ,r i ri /� s ( PAL //Q 29 Jt1rvi?e y- * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** Submittal Fee $ ` , Notary .S ._ - �, q Technology Fee $ Code Enforcement $ Zoning ---* • Permit Fee $ 349 CCFS Structural Plan Review.•$ u• Ml -- MIAMI -DADE COUNTY BUILDING DEPARTMENT • NORA PALOU TRAINING SPECIALIST 2 COMMUNICATIONS AND PUBLIC INFORMATION SECTION Phone: (786)315 -2 Room 208 one Permitting and Inspection Center Fax: (786) 315-2914 2 5 11805 S.W. 26 Street (Coral Way), E -Mail: PALOU (786) ov Miami, FL 33175 -247 Zip 3� /3 Miami -Dade Zip Phone # (34,5) z3 <24 3 3 Repair/Replace tR 0 CO /CC ❑ Demolition Mechanical Roofing 3 � Plumbing 3 z I IC, Phone # C< -v-43uc c (3c � 2 / �v Phone # Zip 254 Phone # �- S ze_ c tJ 523 Z.! 3 3 Bond $ -- „Airlication is hereby made to obtain a permit to do the work and installtted. I certify that no work or installatiu lams cehmenced prior to the issuance of a permit and that all work will o meet the standards of all laws regu g catstruction in this jurisdiction. I understand that a se cm., WORK, PLUMBING, SIGNS, SELLS, POOLS, FURNACES, BOILERS paste permit must (ELECIRl HEATERS, TANKS an A IR ERS, ETC..... 1' AFFIDAVIT I certify that all the foregoing ormation is aaat all work will be done in compliance with all in amicable laws regulating construction and zoning. ”. DARNING TO OWNER: YOUR FAILURE TO RECORD A NOTIMMENCEIVIENT MAY RESULT IN YOUR P`YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY ; RECORDING YOUR NOTICE OF ©MMENCEMENT." L1ice to Applicant: As a condition to the issuance of a building permit wit�iated value exceeding $2500, the applicant must /�mise in good faith that a copy of the notice of commencement and constien lam' brochure will be delivered to the person ii se property is subject to attachment. Also, a certified copy of the recorde of commencement must 6e posted at the job site Alt the first inspection which occurs seven (7J days after the building pernsued. In the absence of such pasted notice, the .ik..pection will not be approved and a reinspection fee will be charged. m ature he 12/15/03 B- -tiding Company's Name (if applicable) Biding Company's Address C-, IV rtgage Lender's Name (if applicable) N rtgage Lender's Address en' I Owner orb e foregoing instrument was acknowledged before me this i �1 y of `ftl� , 20 a, by rtl� ho is person known to me or who has produced �zY'xr« t(� As identification and who did take an oath. IJTARY PUBLIC: gn: — int: -y Commission Expires: 3 - '3 - o • ) C_ \_ t '.z r, State _ ;O N CAROL L PANTO MY COMMISSION Y DD 075381 t EX IRES; Mah /-) /7-1 Zip State)//4 Signa Contractor T7hf forq moment was acknowledged before me this 20_,by whoipersonally known to me or who has produced as identification and who did take an oath. day if c********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ..PPLICATION APPROVED BY: Zip NOTAW PUBLIC: Sign: Print: My Commission Expires: (Certificate of Competency Holder) Certificate of Competency No. * ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * JUL - 7 2004 Plans Examiner Engineer Zoning