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EL-12-1871 Miami Shores Village U Building Department MAR 2 6 Nil 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 BUILDING Permit No. d PERMIT APPLICATION Master Permit NoAPP- igs( Permit Type: Electrical JOB ADDRESS: q q / IVL 13 P V e City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder) a I& > C� r/3 e Phone#: 305- 5n_5—q-7n7 Address: Qaal City: (aald J�&,,e,5 State: I, Zip: Tenant/Lessee Name: 6'1)°� Phone#: Email: CONTRACTOR:Company Name: oq j- U Y9 C 4 i-v e Phone#: S-3 6 a-M� Address: ;) 1 A U Al f 64 19 Lle City: State: i _ Zip: 2�21,!41.9 Qualifier Name: ,o Phone#:30.E® 2 6 a- 6 FS D State Certification or Registration#: FC 0000 /D Certificate of Competency#: Contact Phone#: So 04 f— Email Address: DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ C 5 00• Square/Linear Footage of Work: Type of Work: DAddress DAlteration ONew ORepair/Replace ODemolition Description of Work: w as -e rnca_ 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) 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 sue ' osted notice, the inspection will not be approved and a reinspection fee will be charged. 1 Signature Signature Owner or Ag nt / Contractor The foregoi instrument was acknowledged before me this t/� The foregoin Miment wa/s acknowledged before me this day of� 20��,by f day of 20,C--,,by who is personally known to me or who has produced 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. NOTARY P IC: NOTARY BLIC: Sign: Si AIR "< Print: Print: •r 1 s IXPiRES'Ap►11 209 tff„+' Bonded T1iro Notary PubUc Undetwrfters My Commission E � �.�Natary ,1�nd�wnteta My Cornmissi APPROVED BY —',10'`�lans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) 5�►oRFs Miami Shores Village g a .. . 1 Building De rtment � p 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 t0RIDp' Fax: (305) 756.8972 March 28, 2013 Permit No: BPP12-1856 Planning Critique 1. POOL EQUIPMENT IS NOT PERMITTED IN THE 10 FT SIDE YARD SETBACK. 2. MUST PROVIDE EVIDENCE FROM ARCHITECT OR ENGINEER OF ON SITE STORM DRAINAGE THAT DETAINS THE FIRST ONE INCH IN NATURAL OR FILTERED STRUCTURAL FACILITIES David Daquisto 305-762-4864 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re-submittal drawings. Miami Shores Village Buildin g p De artment 1 � �6�� 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 MAID I Tel: (305)795.2204 Fax: (305)756.8972 �a INSPECTION'S PHONE NUMBER: 30 762.4949 .. _-I FBC 20 LZ�5 BUILDING Permit No. PERMIT APPLICATION Master Permit No&M -- Permit Type: BUILDING ROOFING JOB ADDRESS: q TO ! `' [ S p V ee City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): et tfM �^®/��i! f� Phone#:3®S— ®//q® Address: neol AJ F—: f 3 n yie� City: 61^A f n l `l ®f e_5 State: I Zip: Tenant/Lessee Name: Phone#:—'�QS°—505 9" Email: CONTRACTOR:Company Name: oc-�o f P,240 Phone#: 15 Address: I 1 s(d Q q City:M M1,4 M i State: Qualifier Name: C�ct 09to 00 LC Pb Phone#: State Certification or Registration#: Certificate of Competency#: Contact Phone#:'305-8[5®0 1 I Email Address: DESIGNER:Architect/Engineer: ` Phone#: Value of Work for this Permit:$ �l Square/Linear Footage of Work: Type of Work: ❑Addition OAlteration ONew ORepair/Replace ODemolition Description of Work: � g ait <el r Colo"thru d1e: Submittal Fee$ Permit Fee$ /,] CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ uctural Review$ e 11, TOTAL FEE NOW DUE$ V70, 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 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 oc s seven (7) days after the building permit is issued. In the ab nce of such posted notice, the inspection will not ap rove a a reinspection fee will be charged. Signature Signature caner or Agent Contractor The foregoing p instrument was acknowledged before me this I� The foregoing instrument was acknowledged before me this 18 day of !"vi�,20 f� ,by 4i�+C&6& 4r©PPP�' day of !�ON'2-,20 O'by (2t o[a I'D Wm d e it who is personally known to me or who has produced 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. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: r'> Print '` , my OoWsSION 048187 MY �,-•; Print: VpIREs:Dwombar 17,2014 GQ My Commission Exp eg?:RP,;t� saaearn"N�ro�wl�u �s My Commission � " APPROVED BY �/ _ Plans Examiner J �� zoning Structural Review Clerk (Revised 5/2/2012)(Revised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)