RF-10-1824Miami Shores Village
Building Department
>0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. tt -1 114—
Master Permit No. CC10 -584
BUILDING
PERMIT APPLICATIO
FBC 2004
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder) BARRY
Owner's Address 11300 NE 2 AVE
City MIAMI SHORES
Tenant/Lessee Name
State FL
Job Address (where the work is being done) 11300 NE 2 AVE - ,Weigand
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CC --`-- 10— 513+
Phone #
Zip 33161
City Miami Shores Villa e
FOLIO / PARCEL # 11- 2136- 001 -0160
County
Phone #
Miami -Da e Zip
Is Building Historically Designated YES
NO
Contractor's Company Name INFINITY ROOFING AND SHEET METAL, INC. Phone # 954 -917 -7107
Contractor's Address 1150 SW 10TH AVE STE 201 W
City POMPANO BEACH
Qualifier Name JOHN B MITALA
State Certificate or Registration No. CCC057467
State FL
Zip 33069
Phone # 954-849 -4778
Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ 6 (00 •
Type of Work:
Describe Work:
Square / Linea
DAddition DAlteration ['New
RCMCI'n Re fr'f E ki t
e Of Work: /r
Repair/Replace ❑ Demolition
********** * * * * * * * * * * * * * * * * * * * * * * * * * * *�r,r
Submittal Fee $ Permit Fee $
Notary $ Training/Education Fee $ - -;
Scanning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ l - i
See Reverse side ..
Radon $
DPBR $
CCF $
CO /CC
Technology Fee $
Zoning $
e
Bonding Company's Name (if applicable) NIA
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) N/A
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days afier the building permit is issued. In the absence of such posted notice, the
inspection will not be approv- . 9 nd a reinspection fee will be charged.
Owner or Agent
tti
The foregoing instrument was acknowledged before me this
�Z
day of Oa( 'L 20 , by I btOVA U$-►
who ispersonally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Signature
Contractor
The foregoing instrument was acknowledged before me this /(1
day of ahee, ,2o/0 , by JOHN B MITALA
who i ajoqrsOnally known to me r who has produced
as identification and who did take an oath.
Sign: �l �1 VI \ ►' • Sign:
Print: .�ia!!l'!! �1.� Jeffry J Yeo Print:
ion
My Commission Expires: C 1 tes 11/12/2010 My Com is
***************************** *********** *** ** ** ** ***** * *** ********* ****
APPLICATION APPROVED BY:
(Revised 07/10/07)
on t. T
a
Ar. My Comm. Expires Jun 10, 2093
Ntawir Commission 411 DC 0911148
Engineer
Zoning
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