RC-13-632 D
Muni Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Faux:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20
BUILDING Permit No. KCB 1%_
PERMIT APPLICATION Master Permit No.
Permit Type: BUII. ROOFING .
JOB ADDRESS: 4 1J �� t SV .a"'..-
VIS City: Miami shores County: Mang Dade Zip:
e
Folio/Parcelk
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): �, ` Phone#:
C ddress: (8 �� ��1 ity: t t � �� State• C.- Zip: ? t�enant2essee Name•mail:
CONTRACTOR:Company Name:.... !I C (��v Q4-Y CL DJ UCPhonet -PY& —fV 9 3 2K
Address: Ci 2 C,® 2 A�
City: 'ZAP { ��- - LA S State: �� Zip: I S�14-
Qualifier Name: __ N ZNa� C KC-i(�j�`�¢� Phone#: -�D `fS91 CAA&
State Certification or Registration#: CCQ C- l i ICI D Certificate of C cY#:
Contact Phone#:_ c�7 �� Email Address: AA L-e� w
DESIGNER:Architect/Engineer: Phone#:
Vahie of Work for this Permit:$ SgnardUnear Footage of Work:
Type of Work: DAddition DAlteration Mew DRepair/Replace DDemolition
Dess�pdon of Work: Cololr&M�':
Submittal Fee$ Permit Fee$ c� CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ TndU WVAh cation Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
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
gonstruction 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 days after the building permit is issued. In the absence of such posted notice, the
inspe ' n wi be approved a ref ect' n fee wVe Signature charged.
i
Owner or Agent Contractor rr��
The foregoing instrument was ac wledged before me 's l The foregoing instrument was acknowledged before me this?O
day of 20] ,by c� day of 20U,by 'fl �a g
who is personally known to me or who has produ c who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NO NOTARY PUBLI
rr
Sign: Sign: 6 �r
Prin Print: : '''I•m . w- -
.: IVY COMMISSION#DD 910499 :
My Commis sitoi EXPIRES,July 2 My Commission Ex m«. .r„
IY c 2013 `• ss.® c9 '®:``
a'nded Thtu Notary Public Undenvdters "`�'° °�' `'
��js!f7U11V 11111����\
APPROVED BY �—' Plans Examiner fining
Structural Review Clerk
(Revised 9/1212012)(Revised 07/10/0Wtevised 0611012009)(Revised 9/15/09)
Miami Shores Village
Building Department
ac-il' i :a �u;
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 0�
Tel:(305)795.2204 Fax:(305)756.8972 PRX; �o o ---------
INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING Permit No.
-- ------------
PERMIT APPLICATION -meter Per it__o.RC-3-13-M
FBC 20 --
Permit Type:BUILDING ROOFING
OWNER:Name(Fee Simple Titleholder):NL CONSULTING,CORP. Phone#:
Address:2305 N STATE ROAD 7
City: HOLLYWOOD State: FL Zip: 33021
Tenant/Lessee Name: NIA Phone#:WA
Email: NIA
JOB ADDRESS: 163 NW 101ST STREET
City: Miami Shores County: Miami Dade Zip: 33150
Folio/Parcel#: 113101-023-0150
Is the Building Historically Designated:Yes NO X Flood Zone:
CONTRACTOR:Company Name: AKER CONSTRUCTION LLC phone#: (954)3947126
Address: 2450 MADISON STREET
City: HOLLYWOOD State: FL Zip: 33020
Qualifier Name: CLAUDIA PUEBLA Phone#: (954)3947126
State Certification or Registration#: CBC 1255559 Certificate of Competency#: NIA
Contact Phone#: (954)3947126 Email Address: PERMrrS@AKERSC.COM
DESIGNER:Architect/Engineer: NIA Phone#: NIA
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: DAddition _Alteration ONew EIRepair/Replace ODemolition
Description of Work: Revl proposed kitchen layout
--- - -- WARMOv v A10%
Ell-n a I'lleoll 33 ix
ago
Ptl �f t@ Ibsi66H OMT RE «m`sm•%e `f;`"
a
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
Bonding Company's Name(if applicable) NIA 9 '
Bonding Company's Address NIA
City NIA State NIA Zip NIA
Mortgage Lender's Name(if applicable) WA
Mortgage Lender's Address NIA
City NIA State N/A Zip NIA
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
coTmenced 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
P romise in good faith that a copy o f the notice of 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 approve and a reinspec ' fee will be charged.
Signature Si
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this r� The foregoing instrument was acknowledged before me this t�
day of 2013,by 0114LAS G�MP��I �0 day of +✓ ,20� ,by LbWP[A PIAZA
o is personally known to,me r who has produced who IEE�ias own me or who has produced
�As identification and who did take an oath. identification and who did take an oath.
NOT AR IC: NOTARY PUBLIC:
Sign: Sign:
Print' arm Print C
My Commission Expires: Nduy pubft•Stale of Flwlda M Commission Ex "� JORDAN KOHN
• my Cow.E*vs Nov 15,2015 y p °6n MY COMMISSION#FFO54282
C #EE 148500 EXPIRES:SEP 16,2017
SON 1 Now Assn. Bonded through lot State Insurance
APPROVED BY U Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Miami Shores Village Ct P IED
,fib � 30i1�,3
uilding Department %
0 N.E.2nd Avenue,Miami Shores,Florida 33138 ..�
Tel:(305)795.2204 Fax:(305)756.8972
ISOVs�, CTION'S PHONE NUMBER:(305)762.4949
BUILDING Permit No. PL-3-13-634
PERMIT APPLICATION Master Permit No.RC-3.13-632
FBC 20
Permit Type: PLUMBING
OWNER:Name(Fee Simple Titleholder):NL CONSULTING,CORP Phone#:
Address:2305 N STATE ROAD 7
City: HOLLYWOOD State: FL Zip: 33021
Tenant/Lessee Name. WA Phone#:N/A
Email: N/A
JOB ADDRESS: 163 NW 101ST STREET
City: Miami Shores County: Miami Dade Zip: 33150
Folio/Parcel#: 11-3101-023-0150
Is the Building Historically Designated:Yes NO X Flood Zone:
CONTRACTOR:Company Name: SMN PLUMBING CONTRACTOR LLC phone#: (305)322.8242
Address: 7444 SW 128TH COURT
City: MIAMI State: FL Zip: 33183
Qualifier Name: SEENAUTH NARAIN phone#: (305)322-8242
State Certification or Registration#: CFC 1428106 Certificate of Competency#:
Contact Phone#: (305)322-8242 Email Address: SMNPLUMBER6D( AOL.COM
DESIGNER:Architect/Engineer: NINA Phone#: WA
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: OAddress Alteration ONew ORepair/Replace ODemolition
Description of Work: REVISION(4a4):Revise kitchen layout and add cold water line to new fridge location
.o
Submittal Fee$ Permit Fee$ "�"� CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$7 t
. w •,,� NIA
g1at3 °salve(if applicable)
Bon4 4 Compan $lAddre NIA NIA NIA
City State Zip
Mortgage Lender's Name(if applicable) WA
Mortgage Lender's Address N/A
City NIA State NIA Zip NIA
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
COWvIENCEMENT 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 Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 3 The foregoiing. instrument was acknowledged before me this
day of ,20 ,by lc�`� -/4/ Lam, day of Ids ,20!1,by � '�. C-A
who is personally known to me or who has produced who CErson known t e or who has produced
F97 L As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC-
X"—
Sign: Sign:
Print: . 0(�QA,, 'l Print:
NOTARY PCIII.IC-SI,A!r.OF FLORIDA NOTARY PUBLIC-STP.TE OF FLORIDA
My Commission Expires: Jorcan Kohn My Commission Expires:
Jorbn, Kohn
Commi,,� ::r "DD919494 Comri�---,#DD919494
E.�pires ,G.24,2013 9,,",-Expires: .,� G.24,2013
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10107)(Revised 06/10/2009)(Revised 3/15/09)
lane Shores Village
I..uildin g Department De 0
p
REV 050 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 No. EL-3-13-633
PERMIT APPLICATION Master Permit No.RC3-13-632
FBC 20
Permit Type: Electrical
OWNER:Name(Fee Simple Titleholder):NL CONSULTING,CORP. Phone#:
Address:2305 N STATE ROAD 7
City: HOLLYWOOD State: FL Zip: 33021
TenandUssee Name: NIA Phone#:N/A
Email: NIA
JOB ADDRESS: 163 NW 101ST STREET
City: Miami Shores County: Miami Dade zip: 33150
Folio/Parcel#: 11-3101-023-0150
Is the Building Historically Designated:Yes NO X Flood Zone:
CONTRACTOR:Company Name: SUNCOAST POWER&ALARM SERVICE INC Phone#: (954)543-0112
Address: 15041 SW 13TH PLACE
City: SUNRISE State: FL Zip: 33326
Qualifier Name: JOHN ANNIS Phone#: (954) -0112
State Certification or Registration#: EC 13002067 Certificate of Competency#:
Contact Phone#: (954)543-0112 Email Address: JOHN@SUNCOASTPOWER.COM
DESIGNER:Architect/Engineer: NIA Phone#: NIA
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑Address Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: REVISION(A-3):Revise proposed layout of kitchen
gv� °
Submittal Fee$ Permit Fee$ G CC F$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$ —
TOTAL FEE NOW DUE$ O
f a d e s
Bonding Company's Name(if applicable) N/A
Bonding Company's Address N/A
c City N/A --.0-State N/A Zip N/A
r
Mortgage Lender's Name(if applicable) NIA
Mortgage Lender's Address N/A
City N/A State N/A Zip NIA
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 ' s d In the absence of such posted notice, the
inspection will not roved and a reinspection fee will be charged.
Signatur Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this Z 3 The foregoing instrune t was acknowledged before me this
day of AO-b- ,20 G ,by N 1 C 0 LAS LAMpI V f 1F1`6 , day of &2(s-&2(s- ,20 ,by •Jf�nn,//�NS ,
who is personally known to me or who has produced who' ersonally kno me or who has produced
L As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: �J' - Sign:
Print: c3d2m Print.
My Commission Expires:NOTARY PUBLIC-STA CE OF FLORIDA My Commission Ex °....`' Jorel an Kohn
Jordan Kohn Pr
-r' ';r IDD919494
Comm';sion#DD919494 '.,, E;' ;L'G,24,2013
Expires: :�UG.24,2013
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06110/2009)(Revised 3/15/09)
' eggs Miami Shores Village
Building Department
LpR ► 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT#: (oSGk DATE:
I,
Contractor (NAME)
•Owner
•Architect
Picked up 2 sets of plans an fib.
Address: 1 �3 �-Aj lot
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to
Miami Shores Village Building Department t continue pe itti process.
Acknowledged by.
(Sig ure)
PERMIT CLERK INITIAL:
RESUBMITTED DATE:
PERMIT CLERK INITIAL: UA-