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EL-07-1328Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING C(PkG6Z PERMIT APPLICATION /84 - FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) J41,, e s Owner's Address // 0 4/L /� o -Pf4 ?e City fh® vpi, i,/Vc,ees° State /"4.0e.°dPeit Tenant/Lessee Name E -MAIL: /l© i/0/0 c..4 d 4- 1UN 25207 BY: Permit No. =101 -°15 Master Permit No. �-C� k/ /e74. Phone # 742e - ,3 (nj ":(yf Zip fi /fe Phone # /<?- Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # / /fe A r4rti' County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name C. c 21, a i',4 -,01 ,re,e4,4 ker Phone # ue J^— 05P- Veli ..7}1A- Contractor's Address J2.2r'/ SUJ 44,d1" City Mi;40,2 ," State F714 Zip 3,41 Qualifier Name % M v7 eeetze_ro Phone # State Certificate or Registration No. Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) i)J4 Value of Work For this Permit $ 9/ 4? Type of Work: EAddition ['Alteration Describe Work: et, fire Phone # 4/fF Square / Linear Footage Of Work: ❑New ❑ Repair /Replace ❑ Demolition ***************dr*xdexrxx . ***w***tr*4 *** *scx**xrxxx de xx xxxxxxx xxxx xxx** ****** *** Fees aY�t** Submittal Fee $ Permit Fee $ CCF $ 2., - u CO /CC Notary $ Training /Education Fee $ b() Technology Fee $ 31 S Scanning $ ?„ - (J Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Structural Review. $ Double Fee $ Total Fee Now Due $ See Reverse side -� Bonding Company's Name (if applicable) NIA- Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) MIA - 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 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 inspection will not be approved and a re; on fee will be charged Signature or Agent The foregoing instrument was acknowledged before me this 21 day of 171,011 , 2067 , by U ld au W I Lav who is personally known to me or who has produced c r V.p ry land, NOT i'7 ;j : LIC: Sign 4 1 AI /I ' Print: 1 As id Signature Ciff Contractor The foregoing instrument was ackno/wled, ed before me this day of cJ1,(,Vt.�, , 20 ca, , by ,4 i le ong : flia2ZO , who i rsonally know me or who has produced Ase fication and who did take an oath. as identifi Pi_ u.24 4 62,-444 - 59 X5 NO®ARY P Sign: Print: My Commissi My Commission Expires: ea iv Notary Public State of Honda = Johanna Gonzalez • **** *a ** * * * * * * * * *** * ** — .1* M Commission DD550464 � o s * *� ,6tUi **kE * ***r * *ra xr***r**** * *r (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ■ ay ,X.S V li/16Plans Examiner on and who did take an oath. n My Commission DD550464 of oP Expires 05/09/2010 APPLICATION APPROVED B Chc 10/14/03 Engineer Zoning .7'z'y cor - e (2 r® / Posl 2 ' ,)Gr'It ep l'4 P ge 57- /or,-/A---of d 0/17 r e' > `-/5 Z /I/1 Y l�� 1 1111111111111111 11111 MINN 1111 1111 NOTICE OF COMMENCEMENT �tCFN 2OO7RO63 96 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 25729 Ps .,32,p Ups) RECORDED 06/25/2007 11:21 :41 I HARVEY RUM, CLERK OF COURT PERMIT NO. TAX FOLIO NO. 11- 3205 -01g-0410 LASTIPAGEE COUNTY, FLORIDA STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Le • al descrip on of property and street / address: 1 1 11 PG 4 L0T '.L 1 i i► i • #. l •• m ,' I witrarmtni 2. Description of i 10 / 3. Owner(s) agme any! add It'1 f (rr U. S FL 33 )3b Interest in property: Res)4 f 0-1141 Name and address of f si p e titi holder. )t�1_I 1 4. Contractor's n - 1220 12 5. Surety: (Payment bond required by owner from %tii)mat th,s rs a tore Name and Address: Amount of bond $ 6. Lender's name and address: i m 1, FL 3)33 M t m) FL 33)' py of the dea �a , AD 20 WITNESS my hand and Official Seat. PWdWt. Y tttiwnq -bW Nt, 09 cz, ena ( „nry c:a,au, O.C. 7. Persons within the state of Florida designated by wner upon wiom notices o-'—' r of er documents ma provided by Section 713.13(1)(a)7., Florida Statutes. Name and • dress: c served as 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes., Name and Address: 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Print Owner's Name ATVS Danii 1 W ()tfir Sworn to and subscribed before - this 21 j Notary Publi. ilt1 1;LLk 4iliiL,c_.. f Print Notary's 'lame: / My commissi • n expires: Prepared by KC., Jt e YI,al kitty OA day of 17u.n L , 20 � 1 Address: 122,01 SW 12 b' ('. i01 3�51 Notary Public State of rionaa Johanna Gonzalez My Commission DD550464 p Expires 05/09/2010 Miami Shores Village Building Department f0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit No. e)01-1526 Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) UJ a in Per Da n I el 14)) P 1 U Phone # C18lp) W3- 554 5 Owner's Address J I (R O NE lop eC I e f City tvlo '1i If)ioi'W state Florid zip 33)38 Tenant/Lessee Name N D i A pi 1 G hJ4', Phone # IN) Job Address (where the work is being done) I I IP ll NE 100 C1 / City Miami Shores Village County Miami -Dade Zip 33138 Is Building Historically Designated YES NO V Contractor's Company Name I E I L CTy) a � P �� P,� I Contractor's Address 122 s W �2��J C T 4101 city ial 1 State F 1orio/4 Zip 331gto Qualifier 17iiff ion kandaZ2I Phone # (3b5) 31910)1 Architect/Engineer's Name (if applicable) Nv A Phone # NI/4 $ Value of Work For this Permit 3 r zq 1 . on Type of Work: ❑Addition Descrii e Work: 1, li'1 AM ❑Alteration ' 1' / 1_' III / /4 4n -fan on £Y Wor Will New Square Footage Of Work: 2. 3 61 0 ❑ Repair/Replace ❑ Demolition Submittal Fee $ Permit Fee $ CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side)