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PL-08-1888BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plu mbing Owner's Name (Fee Simple Titleholder) lJ' i �� Phone # Owner's Address 1?, 14.) I®Cktik City k ui1/4 6 r-e,6 State Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip 5 t5.e FOLIO / PARCEL # ' \ a - Cr)(4 65S6 Is Building Historically Designated YES NO Type of Work: Describe Work: Contractor's Company Name I � pro„ Cont ctor's Address my, e .3 t A 9 L City te5 AI` OL.C.O � C/A e�-- Qualifier Nam _ State Certificate or Registration No. E -MAIL: 1111 mai Architect/Engineer's Name (if applicable) Value of Work For this Per $ JUDO . OF) Square / Linear Footage Of Work: Addition ['Alteration A Aft ric5prA._ F Miami Shores Village yT7; Buildin g Department artment p 12 27,99 BY: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ❑New I aci Master Permit No. «D 1 Permit No. Zip 33 1 S ❑ Repair /Replace ❑ Demolition xxxxxxaYxaY********oYaex9e9r* * a 4xxxxxxxxx*F' xxxxx xxxxxx xxxxx**'xx xx xxxx xxxx xx x*** Submittal Fee $ Permit Fee $ j 96' CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 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 Zi Application is hereby made to obtain a permit to do the work and installations as indicated. [ 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 Applica promise in good aith whose property for the first i inspection wil Signatur subj ec ectio of be rA• -nt k e ature ,�-�` s personally known by Owner The foregoing instrument was day of who • : As a condition to the issuance of a building permit with an that a copy of notice of commencement and construe to attachment. Also, a certified copy of the record n hich occurs 'even (7) days after the building p a roved d a einspect on fee will be charged ged before # me or who ` as produ As identification and who di NOTARY PUBLIC: Sign: Print: My Commission Expires: .fit, b� d�c viii usual aeie*** xxxxxxxxxx4xxx4e**** *°` ,tr tOF Ft APPLICATION APPROVED (Revised 02/08/06) * MY COMMISSION # OD 9225 /2 ®10 • a a:i.' 'I f i / /J,� * EXPIRES: October an oath. Contractor The foregoing instrument was acknowledged before me this) day of who estimated value exceeding $2500, the applicant must lien law brochure will be delivered to the person e of commencement must be posted at the job site issued In the absence of such posted notice, the e or who has produced as identification and who did take an oath. NOTARY PU LIC: Sign: Print: My Commiss t ragcxxxxx xx x xxxxxxxxx **wlettgyc 0 reOY COMMISSION # ®D 589328 EXPIRES: Octp � or � � © 1 xxxxxxxxxx Plans Examiner Engineer Zoning BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) Owner's Address City Tenant/Lessee Name Contractor's Company Name Cont . ctor's Address City Qualifier Name State Certificate or Registration No E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Per Type of Work: Describe Work: 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 Training /Education Fee , $ Notary $ Scanning $ Radon $ Bond $ Code Enforcement $ Permit No. 9 1 b • Master Permit No. a 0. 14 Phone # OCT 2 7 2008 BY : emits.. Zip 3 I3' E -MAIL: Job Address (where the work is being done) 1 L) 1," I4-A,5 e-e City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 1 j3G coif 0650 Is Building Historically Designated YES NO ❑Alteration Permit Fee $ eY*aYic******* ****wxxxxxx***w****l¢eY***wxx*F xxxx9:x** w �Y 93Q Zip Phone # ( / 1 5 (f — b -3'325 Square / Linear Footage Of Work: New ❑ Repair /Replace ❑ Demolition xxzxxxxxxxxxxxxxxxxx xr. CCF$ (� a Z No 1 $ Ur U~i � � MIAMI SHORES VILA.r: CO /C C Technology Fee $ Zoning $ 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 Zi 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,i 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 esti promise in good faith that a copy of the notice of commencement and constructio whose property is subject to attachment. Also, a certified copy of the recorded for the first inspection w ich occurs seven (7) days after the building per .fit i `'°- inspection w not be ap ved and a reinspection fee will be charged wner or Agent The foregoing instrument was acknowledged before day of `. , 20 by ' (0 who i p y n to me or w as produced •' ers �` � all k Sign: Print: My Commission Expires: APPLICATION APPROVED (Revised 02/08/06) As identification and ` ho did tak NOTARY PUBLIC: z o t;. "• = °B ig VICKI CECIL MY COMMISSION # BD 589325 3,2010 e ' ) Bonded Thru Bu:' t Notary Services Si Print: value exceeding $2500, the applicant must brochure will be delivered to the person commencement must be posted at the job site ued In the absence of such posted notice, the Contractor The foregoing instrument was acknowledged before me thi day of , 20:c•by;�,� to me or who has produced NOTARY PUBLI : as identification and � My Commission Expires: is do ic'x'x'XAxxxxae x$rxx9eu4exie nkx x*xzxx =xx4e at kxxx xx xxxarxxxxx xx xxxx nYxxxx ***w'xxxxxxxx xxxxxxxxx**Irwxxxxat** :xxxx rxxxxm VICKI CECIL MISSION 8 01) 589326 RES: October 3 291 ivos Plans Examiner Engineer Zoning