FW-12-2183 lv.uatin 1311umb v tuagc
Building Department
NOV 16 2012
10050 NXIW Avenue,Miami Shores,Florida.33138 -
Teh(305)7952204 Fax:(305)756 8972 - - -
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20 L�
DING Permit No.
PERMIT APPLICATION Master Permit No j
Permit Tyx: (!UD]NG ROOFING
JOB ADDRESS: !?9®1 A If, d 3, �t✓as � �®S
City: Miami shores County. Miami Dade Zip: -7313 K
Folio/ParceW.—/II aC�<% 0 td Jr®
Is the Building Historically Deshpu tad:yes NO ✓ Flood Zone. Af-
OWNER:Name(Fee Simple Titleholder): A-N*s., �• )?hone#:
Address: 999 1
City. xr#W7f State: — Zip: 3 Tl_�
Tenant(Lessee Name: phone#;
Email:
CONTRACTOR:Company Name: Do—.n.aa Phmc#: � •6G® '�7t�
Address: 11A T460alt Rep J<Itl
City: �A State: Zip: 3, �
Qualifier Name: / !a�•�ae 4r4,m Phone#:3QS Y9® •®mfr-2-
State Certification or Registration# Certificate of Competency#:
Contact Phone# Email Address:g !»®�e,,V +e � Q W&-6.Gbh
DESIGNER:ArchitecNEngineer:. Phone*
Value of Work for this Permit:$ Footage of Work:
Type of Work: OAddition 'on ONew ORepair/Replace ODemolition
won of Work:
Color thrt[ik:
Submittal Fee$ Permit Fee$ l CCF$ COWC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Ednclon Fee$ Technology Fee$
Double Fee$ Structural Review$
T(1TAi.Fri i.NOW n1W..4 141 . 6u
(umpany's Name(if applicable) *V114_
Hondiing Company's Address
City state zip
Mortgage Lender's Name(if applicabL-,
Mortgage Lender's Adds
City State zrp
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 p v and a reinspection fee will be charged
Signature Signature
! Owner or Agent Contactor
The foregoing instrument was ackn wledged ore me instrument was acknowled before me thief=!- .
day of �U V .20 a.by 20/7by s!Z elf e
who is personally y known pro
to me or who has produced who is personally known to me or who produced
-
As identification and who did take an oath as identification and who did take an oath.
NOTARY P KART A CROPPER - NOTARY PUBLIC:
•; �' MY COMMISSION#EE032278 -� KART A CROPPER
Sign %, EXPIRES October 05,2014 Sign -•• ••i MY COMMISSION#EE032278 tie
4 153 FWftNOW .aom •�
Print
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APPROVED BY < Plaffi Examiner Zoning
Structural Review Clerk
(Revised 3/1=12)atmsed 07n0/07XftW=d 06110MWXRwmW 3/15/09)
CCC058322
FCENVED
RE
NOV; 2013
lL
-
SYSTEMS, INC.
November 15,2013
To Whom It May Concern:
We would like to cancel the process for the re-roof for 1470 NE 101 St Miami
Shores,FL 33138.Prods#RF-10-13 2380.
Sincerely,
Javier R Martinez t
President
657 NW 101 ST.Miami,FL 33150
Phone:(305)754-5554*Fax(305)754-5332
www.miamiroofingsyst=s.cwn*miawiroofingsystems@yahoo.com