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BP-04-213Miami Shores Village Buildin Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 La FEB 2004 L BUILDING - Permit No. e O® g 1s PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circle): Building) Electrical ( Plumbing Mechanical Owner's Name (Fee Simple Titleholder) I GaTY1l Ziel0 7 f e.SIOy!t°6T' an Phone # 3O S " 15 Owner's Address (p t) 2. ki E of L2'+h ,sf re,e H CbuIrc , cit3til '11 Sk1 i?s 1 state FLD ri d.pL Zip 3 3 l , 1r Tenant/Lessee Name Ari YV (1re( Sefl/ice L L. C. Phone 4 ( ^ S ('c` - 7 Job Address (where the work is being done) (? E Ce 4f e2 City Miami Shores Village County 'ami Dade Zip 33 1,13- Is Building Historically Designated YES NO 4 Co isks' U L Contractor's Company Name M c Cl -t n n Wri C.FP,kne # Contractor's Address 5 P-. Cc U1\'k-r___9 ('0 1 v 6 b r 1 VC' , *2- o 4- City f �Ve IA hi ro state 'tea r i cd.q Zip 3 3 .TO Qualifier T'alol Y1 2c� '�C2, Architect/Engineer's Name (if applicable) HAt`Ec Fr9 «OM S( 1 # O 5— 8Z4) $Value of Work For this Permit co,®©o 00 Total Fee Now Due $ (Continued on opposite side) Roofing 6306 Square Footage Of Work: Type of Work: ] ❑Alteration ❑New El Repair/Replace ❑ Demolition Describe Work: Ar ke nrof -A-060 fik 0 Y1 1-o ex h / vJ) re I,e 5S Cornmurlii- c.it en c.hvrc,k kp Le . To 6-04 t —T f ( - diet °((-1en 3 ,I,44Aw , /•v4, s Submittal Fee $ Permit Fee $ / MP CCF $ 7,6:o coicc 5 Notary $ Training/Education Fee $ LL ijO Technology Fee $ 5c9 Scanning $ R) Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 80 00 Cr. 40S 13 pa ,c,t. CJY Bonding Company's Name (if applicable) 9 Bonding Company's Address City State Zip 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 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 com encement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is •issue, e ence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature " ' - Signature The foregoing instrum day of , 2064 , by is personally known NOT Sign: Print: My Commission Expires: APPLICATION APPROVED BY: Chc 12/15/03 me or who has produced Contractor before me this 1 4 The foregoing instrument was acknowledged before me this 6 day of entification and who did take an oath. , :ter Sobel NOTARY P Commission #DD246889 • Sign: is personally known Print My Commission Expires:, 26 , b G,n /e me or who has produced identifi . tion a rld�v� byo did t o an oath 1 � Sobe eter • ` : ,_ Commission #DD246889 =; . oi■ Expires: Se, 03, 2007 3 Atlantic Bonding Co., Ins, (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ******************************************** ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** AR - 1 2004 , l 'h 11 a fb Plans Examiner Engineer Zoning MIAMI SHORES VILLAGE r BUILDING DEPARTMJINT 305 - 795 -2204 Buil • ing Inspection Request Date Type Insp'n fi h fla L )QI Permit No. 0 (1— �I3 NameLJf Address 6 [ qC � c_Tk- Compan ('J 0 Phone # e t J 2-1 4 3 i Inspection Date 4) I •L_ Approved Correction Re- Insp'n Fee Approves Correction Re- Insp'n Fee MIAMI SHORES„ BUILDING DEP' 305 - 795 -220 Builflir g Inspection Request Date Type Insp'n f r no t n)Pr Permit No. 0 Lt Name t \cmi ry !S Address 602_ 11 ' E,, acl Compan j D d V( . Phone# q Y" 2._‘ ' 4 - 3 Xca Inspection Date 4) f L. Date Type Insp'n Permit No. Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE 4 BUILDING DEPARTMENT `u 305 - 795 -2204 Building Inspection Request N• a IL_ i' I lL. = •1/4 a-LU/c Address h D,. r 1 1) A-- Company m ( C}N/ \ Phone # 3 O- ' �o� °— ssee ti Noy Dat-( rz . : ,1 7 -kzfir: 4 L ei ,v,„ Permit No. 1 ) Name ) 1 ifiZAP4 ve.9_,/ 0,3.4) C1-A-4 Address 6 0 9 )1 - b – Company n Phone # — 33 2_Y Inspection Date I Approved MIAMI SHORES *ILLAGE kl \ BUILDING DEP A , !KENT 305-795-220 Building Inspection Request Re-Insp'n Fee Miami Shores Village 10050 NE 2nd Avenue Printed: 3/1/2004 Applicant: Owner: JOB ADDRESS: 602 NE 96 Parcel # 1132060141410 Signed: (INSPECTOR) Building Permit Phone: 305- 795 -2204 Permit Number: BP2004 -213 ST Page 1 of 1 Contractor MCQ CONSTRUCTION SERVICES INC Contractor's Address: 20185 ESAT COUNTY CLUB DR #204 Local Phone: Legal Description: MIAMI SHORES SEC 2 PB 10 - 37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2004 -2185 Building Fee $180.00 FEE2004 -2186 CCF $3.60 FEE2004 -2187 CO /CC $50.00 FEE2004 -2188 Training and Education Fee $1.20 FEE2004 -2189 Technology Fee $4.50 FEE2004 -2190 Scanning Fee $21.00 FEE2004 -2195 Structural Fee $50.00 Total Fees: $310.30 Total Fees: $314.,3(6 Total Receipts: woo A60. 30 Permit Status: APPLIED Permit Expiration: 8/15/2004 Construction Value: $6,000.00 Work: ANTENNA ADDITION TO EXISTING WIRLESS COMMUNITY 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 0S 13 1. Legal description Of NOTICE OF COMMENCEMENT • A RECORDED COPT MUST BE POSTED ON MEAD SRE /U TIME OF FIRST INSPECTION PERMrr No. 52«"4 - 15 lAX FOLIO Hot 31.06 -o t4- 14 i o S CI E OF FLOITIQA:. COUNTY OF MIAMI-OAPE; THE UNDERSIGNED hereby giVes notice that keprovements MI be made to Certain reel property and In accordance with Chapter T13, Florida Statutes, the following !donation is provided h tie Notice of Commencement... • 9.Owner(s) name and addneste SOU INiW £4. ) Natkrnt 1.aKLS I fit- 33b14 • interest In-property: -- Name and address of fee simple titleholder: 4. Contractor's name and addresc � i�rk4. C �1r. rr►�c i o�. - on° v1/4 l)r. �jvA l41\1 lalol`.�IL3 5. Surety:.(Payment bond required by owner from contractor; Ilany) - Name and address: Amount of borax 6. Lander s name aind a iddress: Swam to and subscribed before me this Notary Public Pry Notary's Name My commission expires: .saai.110 PACES ero2 scc,4io19 YAM HAB By 1111111 1II111 11111111111111111111111111111111 STATE OF FLORIDA, COUNTY OF DADE I HEREQY CERTIFY that this is a co o the da ,nginal m this of e on p a ® i , AC ? SS my hand and Official Seal. C our WIN CL -PA, of Circuit and C= o .r CFN 2004-R0141710 OR Bk 22108E P9 4998; (1u9) RECORDED 03/102/21304 15:39:11 HARVEY RUVIHr RY, OF WORT MIAMI -DADE COUNTY► FLORIDA LAST PAGE 7.1 within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(17., Florida Statutes, • f ! UUWe Name and address: • S. in addition to himself, Owners designates the following persons) to receive a copy of the Uenor's.Notice as . provided In Section 713.13(1)(b); Florida �, Name end address: - _ " _ - = . i • N s _ 9. Expiratlo date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) • `L6Igraaturs of Owner Print Owner's Name Prepared by t At... r � Yo y9c 20 7 0 _,. _, ,. ....,_371 1 llaJ.MOoR8 Nt► -SiateofH .* /rfWI1 Lam fL 3.90ly 41i' v1i�31f Yi`���.