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EL-08-1889Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) Owner's Address i S\ 0 -'- City & A., , j 1— S State Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) ( ;J:\ t.) 101 City Miami Shores Village County Miami -Dade FOLIO / PARCEL # b 1®53 0 Is Building Historically Designated YES Contractor's Company Name (\k "et, e.. Contractor's Address 16 City 5t ki\ F`iSt State Qualifier Name rl State Certificate or Registration No. E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Per Miami Shores Village C 1 '5czn. 17,15 Type of Work: [Addition ❑Alteration New Describe Work: Ct S 4-e) Permit No. l C5^1 `66q Master Permit No. tPP 06' J 1 Phone # zip ) Phone # Certificate of Competen Structural Review. $ Total Fee Now Due $ Zip J r" ' I? ; a Olin w . 'a BY: Y\J Phone # Square / Linear Footage Of Work: one #__q64-/-5.-- ❑ Repair /Replace ❑ Demolition *****************.*** rzxx.** w***** ** **F * * a ka: k********* ********* *** Submittal Fee $ Permit Fee $ ��.5 ' d� CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ See Reverse side --� Bonding Company's Name (if applicable) 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. t 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 AFFI.D.AVIT: 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 RECO G YOUR NOTICE OF COMMENCEMENT." died before me thi val exceeding - ;'.500, t v rochur - w' b ' deli ered to t ment ,rte . m t be 'osted at In ° ' rc of . ch poste b ore me this jZ Notice to Applicant: As a condition to the issuance of a building permit with an estimat promise in good 'th that a copy of the notice of commencement and construction lie whose property subject to attachment. Also, a certified copy of the recorded notic for the first i >ction hich o seven (7) days after the building permit is i inspection will t be a proved a reinspect fee will be charged. ��� Signature „! /A' 1 /. 1 t . I r Owner o The foregoing instrument was ac day of ; a. , 20 by _a h s personally know o me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: My Commission Expires: (Revised 02 /08 /06) 4 C g4t VtcKI CECIL * MY COMMISSION # DD 589326 EXPIRES: October 3, 2010 * e ,4 A 06Ai t******xx & xxcxwww w xrxx APPLICATION APPROVED BY: C Signatur y) �a Contractor 2 (I�e�regotng instrument was ackno ledg .of I . ,20 rel by who is me or who has produ as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: e applicant must person e job site notice, e 4°` C €-c, o ily P �xpt�Bs: VICKI CECIL * MY COMMISSION # nn 5p9 ' i %9C 'X' K X'# %iCx 9f X' '% '. '0F Bonded Piro Budget Notary Services ✓��®S Plans Examiner My Commission Em �Cfds41 16t Engineer Zoning BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical Owner's Name (Fei Simple Titleholder) Ow er's Address lap,. I� City, State Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) iq. of 1 ( City Miami Shores Village County Miami -Dade Zip 1‘ � e7:).6 Aoki 063 FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address City Qualifier Name I ,. State Certificate or Registration No �: C (3 certificate of Competency No E -MAIL: Architect/Engineer's Name (if applicable) 1 l 1l �p,t r Phone # of Work For this Permi Type of Work: 'r'� dditio ['Alteration ['New Describe Work: // a,'1 Submittal Fee $ Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 -©0 s `I' eG - Phone # 041 7LJ - ( c 4 ** * * *** * * * * * * * *xxxxx ** * * * * *r. * * * * * * * ** Fees************* * * * * * * * * * * * ** * * * * * * * * * * * * * * * * ** Permit Fee $ ��✓ #' Phone # Square / Linear Footage Of Work: El Repair /Replace MIAMI S 91, HORES VILLAGE See Reverse side -+ OCT ImamEvmm La 2 7 2C08 BY: Permit No. O� i Master Permit No 1 -0 U O i AO Zip Phone # Zip -6 Phone CCF$ Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPB $ Zoning $ Bond $ Code Enforcement $ ' 'eh p, r■ T o'ta F' i ow bpe CO /CC ❑ Demolition Bonding Company's Name (if applicable) Bonding Company's Address City 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. l 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 estimate promise in good faith that a copy of the notice of commencement and construction lien whose property is subject to attachment. Also, a certified copy of the recorded notice for the first inspection wh'ch occurs seven (7) days after the building permit is iss inspection will not be ap ve nd a reinspection fee will be charged Signature / '' ' Signature Owner or Agent The foregoing instrument was aclfiowledged before me this 1 The foregoing i day of who is p day o who is p State by o me or who has produced As identification and wh NOTARY PUB ,IC: Sign: Print: APPLICATION APPROVED BY (Revised 02 /08/06) Zip NOTARY PIUBLIC: Sign: Print: MY COMMISSION # ®©51i9S25 e exceeding $25 brochure will b mmencem t m In the a entification and My Commission Expires: ' EXPIRES: October 3, 2110 My Commission Expires: me or who has produced et Plans Examiner Engineer Zoning plicant must d to the person ted at t e job site posted otice, the VICKI CECIL, EXPIRES: October 3, 2110 B.nded Thru Budget Notary Servlses