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Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Parcel Number
Applicant
101 NE 105 Street
Miami Shores, FL 33138-
1121360050090
Block: Lot:
FERNANDO MONEDERO OREJA
Owner Information
Address
Phone
Cell
FERNANDO MONEDERO OREJANA
101 NE 105 Street
MIAMI SHORES FL 33138 -2032
(786)329 -0222
Contractor(s)
TBA
Phone Cell Phone
Valuation:
Total Sq Feet:
$ 2,000.00
200
i
Approved: No
Comments: SURVEY IS NOT ACCURATE.
Date Approved: : No
Date Denied: 3/5/2008
Type of Work: AWNING
Classification: Residential
Code Comments: : SURVEY IS NOT ACCURATE.
Code Denied:
Additional Info: NEW AWNING LOCATED ON BACK
Color Approved: In Review: No
Code Approved: : No
Scanning: 1
Fees Due
Total:
Amount
r Pay Date Pay Type
Invoice #
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Final
1
Applicant Copy
For Inspections, CaII (305) 762 -4949 or Log on at https : / /bldg.miamishoresvillage.com /cap /.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
the public records of this county. DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
March 27, 2013 2
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AUDIA V. CUBILLOS
Notary Public - State of Florida
• My Comm Expires Sep 23, 2015
Commission # EE 128810
"?.\" Bonded Through National Notary Assn.
•
(-P-tqL-k
LOCATED
7117 - r
11'1
B
Miami Shores Village
Building Department
/0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING
JAN 112d2 lili
Permit No.
Master Permit No. bet1t I Li 1
Phone#: .p(, 30Z! -0Z1a
OWNER: Name (Fee Simple Titleholder): rerret,An mo d er°
Address: I O\ NE 1 n� F -�
city: M i a.rn i S I-, o y'P 3 state: L zip: 33 1 A gj
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: 1 O 1 N F \ o 54
City: Miami Shores County:
Folio/Parcel #: (1- g.1.31,- 00 S- 0090
Miami Dade
zip: 33 13 t
Is the Building Historically Designated: Yes
NO Flood zone:
e: y �- o�
CONTRACTOR: Company Name: � i�C Phone#:%- U9 'R-LO
�b;4 - e 4-l�
Address: C., 1 /1l VII L \ 5
City: �4s (600vlfn5
State:
Zip: 33o I
Qualifier Name: -3-0,(9 P_ gnov -i 9 v f 7 Phone#:
State Certification or Registration #: C R G 13303011.1 Certificate of Competency #:
Contact Phone#: Email l Address: SR (9 SO O YCe. Remo de t i r19 • co tv 1
DESIGNER: Architect /Engineer. OA Co ns a IT i l j En g/ A re r C Phone#:
Value of Work for this Permit: $ )� S 0 t7
Square/ Linear Footage of Work: So SI F4
Type of Work: °Addition SAlteration UNew ❑Repair/Replace rr Demolition
Description of Work: A I -F'f Y O\ l C) n �r1 1r i C7 Dr'- p t"M Q 1 �� 1-1 a,,e 1
** * ** * * * *** * *** * ***** * * * * ** axe *** Fees************* **** ** ***********e******** ***was
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Coiany'slame (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. 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 reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknetvledged befi
day ofel INIAL24120 JL by
who is personally known to mior
As identification and who did take an oath.
yo
Contractor
trument was acknowledged before me this
20 lay. by
who is personally known to m�e or who has produced
as identification and who did take an oath.
f 'it(
NOTARY, PUBLIC:
Sign:
'v"Yki VIOLET P BOWL
fa, MY C9t4MISSION # EE091622
cr -. it OIRES May 14 7 15 1
•sa
an PA
My Commission
ires:
)4 ) 2- K
NOTARY PUBLIC:
41'
Print
tliv
(
IOLET P BOVIL
�., ISSION # EE0911
ay14,2015
COM
My Commission Expires: ^ e t P Lb 2 ,c
******** R******** ** *+ P +PB********************** **** *****: R************N *s8*sP********** *** ****KesRB*****8 ***** ***Y
APPROVED BY
Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10/07)(Revised 06!10 /2009)(Revised 3/15/09)