ELC-12-1324Miami Shores Village
' Building Department
10050 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
Permit Type: Electrical
JOB ADDRESS: 47go & /- Z
FBC 20
JUL 1 7 `W2
Permit No.
Master Permit No. z"
City: Miami Shores County: Miami Dade . Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple
,-/10 44 Y��
City: r, + 1jZ-,4e "
Tenant/Lessee Name: P 1474e r ir^ aj
Email:
NO Flood Zone:
State: /I-- �- Zip:
e?ig
i z
`,rte—
CONTRACTOR: Company Name: 6%a tt / �.r �d� Phone #: I
Address• S f �> AJ 9 Z fU
City: Ali 'rl e A ti State: - Zip: ®� Z
Qualifier Name: t ?.A -t-f®N 129A-WI-7 Phone #:
State Certification or Registration #: 0 q GL ®®®40 3 Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: cre►cjd rn � a A n iii Phone #:
Value of Work for this Permit: Square/Linear Footage'of Work:
Type of Work: OAddtess / OAlteration EKew URepair/Repjace 1 c` ODemolition
Description of Work:
LP
Submittal Fee
Scanning Fee $
Permit Fee $ 16' ® Z' "'�' CCF $ CO /CC $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
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 r 'ns -ecth fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrumen was acknowledged be e e this
day of , 20 , bJ
who is onal known to me or who has prod ced
As identification and who did take an oath.
NOTARY P LI .
Sign:
Print:
My Commission Expires: _
APPROVED BY
The foregoing instrll4�ient was acknowledged before me this b5—
day of , 20 —,by
who is personally known to me or who has produced
ORIT MIMOUN
Commission # DD 948825
Decembot 14, 2013
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
as identification and who did take an oath.
NOTARY
Sign:
My Commission Expires:
Luis
2015
ft cif 42015—
Zoning
Clerk
(L LcI1--raQc7 Prn:
I
�5I1w Iii— t.,l'IIW-JrJ i
BUILDING
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
PERMIT APPLICATION
Permit Type: BUILDING
JUN 2 8 e012
FBC 200
Permit No.
Master Permit NoCC1 ;Z
ROOFING
JOB ADDRESS: Ivo fo 'up Z r►® V
City: Miami Shores County: Miami Dade Zip: 7-2 f -7 i'
Folio/Parcelk
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): /Z / c,:T i �lj Phone#-.
Address: 2-1
City: Al f 4---Af / /3 ca rc 1i7 State
Tenant/Lessee Name: 1 A;-«,& c dun A eAf-r '1 a Phone#:_ DU <--
CONTRACTOR: Company Name:
Address: 3 3 Z g IUw Ze S•l
City: fir,
Qualifier Name:
I
State Certification or Registration #: C C ''S -19732- Certificate of Competency #:
Type
tNER: ^Ai`chitCCYl�ngineer:. -
of Work for this Permit., $
if Work: - OAddition OAlteration
Description of Work:
Submittal Fee
Email Address:
ONew
Footage of Work:
*epair/Rtplace
yoc— 19c->,4 -2 1 r f-
3 71 it L
.? ? -r— 17 1?61,T1 ?
. ODemolition
Color thru tile:
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 $ 01 ?. oD
sex'
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
zip
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 COMMEN -C MENT: '
Notice to Applicant. As a condition to the iss #�� permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a c Ified copy of the recorded notice of commencement mus be posted at the job site
for the first inspection which or seven (7) days after the building permit is issued. a ab ence o uch posted notice, the
inspection will not be approves n fee will be charged.
Signature Signature
Owner or Agent �Q�
The foregoing instrument was acknowledged before me this""'
day of , 20 Q- by at K,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC
Sign:
Print:
My C
The foregoing..instrument was acknowledged before me this-217—
day of -1AY►Q . 20 j2,, by Q I MMb ZeiQNC( ,
who is personal4 kk own to me or who has produced R-t>L-
NOTA Notary Public - State of Florida
's "� MY ¢Qmm. Expires Dec 8. 2014
o.
' %;,,;p�� C ission # EE 47826
My Commission Expires:
fi` gs��gad= akBas �C�kakak�IaBaak�k�da�kak�' k8adadasiag+$ wk8sdadaskSwIsabsRsRd+ �k�ak�kaknAdasIasls�sIad= sH�wasds8a8a8ags8ada $asksRsF+kBs$s�sIada�k�k�k� �nk�k'Y�kaknksksR$ssk�sskdaa +4�8asRsksIaiksk�kak +k��k
APPROVED BY iJ Plans Examiner / Zoning
Structural Review
(Revised 3 /1212012)(Revised 07 /10 /07)(Revised 06110/2009)(Revised 3/15/09)
Clerk
R
Commission 4
omissionExp'
m
3e .= My Commission Expires
s?a'�r�` ®eeember 14, 2013
The foregoing..instrument was acknowledged before me this-217—
day of -1AY►Q . 20 j2,, by Q I MMb ZeiQNC( ,
who is personal4 kk own to me or who has produced R-t>L-
NOTA Notary Public - State of Florida
's "� MY ¢Qmm. Expires Dec 8. 2014
o.
' %;,,;p�� C ission # EE 47826
My Commission Expires:
fi` gs��gad= akBas �C�kakak�IaBaak�k�da�kak�' k8adadasiag+$ wk8sdadaskSwIsabsRsRd+ �k�ak�kaknAdasIasls�sIad= sH�wasds8a8a8ags8ada $asksRsF+kBs$s�sIada�k�k�k� �nk�k'Y�kaknksksR$ssk�sskdaa +4�8asRsksIaiksk�kak +k��k
APPROVED BY iJ Plans Examiner / Zoning
Structural Review
(Revised 3 /1212012)(Revised 07 /10 /07)(Revised 06110/2009)(Revised 3/15/09)
Clerk
t
r%4 T C
miami theater center
July 24, 2013
Mr. Norman Bruhn
Miami Shores Village Building Department
10050 NE 2nd Avenue
Miami Shores, FL 33138
Dear Norman Bruhn,
JUL ;iii
r
l
Due to our programming in the next few months we have decided to put
on hold the project that we had for the mezzanine at the theater.
(permit # 12- 1191). We are scheduling the work to begin approximately
next summer in June 30, 2014.
Thank you in advance for your attention to this matter.
Sincerely,
Elaf)�a Irizarry
Executive Director
Miami Theater Cen
9806 NE 2nd Avenue, Miami Shores, FL 33138 0 Phone: 305 - 751 -9550 ■ Fax: 305 - 751 -9556 ■ info @mtcmiami.org ■ www.mtcmiami.org