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RC-13-1494w 13 --1 s-II6 cr- Miami Shores Village r') r4ok-ONJ ,1 kW, 1 T. ucoac _1A0 0 tx` e�r►MX_ Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 pv1 7 _ ( 6.8972 S� 762.4949 ,s BUILDING Permit No. PERMIT APPLICATION JUL 0 1 Z65 FBC 20 Master Permit No. /Z 4f - Permit Type: BUILDING ROOFING JOB ADDRESS: 13 ! ® tj e 1 -o 3 i--< m t AeA ( 6Ya�s City: Miami Shores County: Miami Dade Zip: -3, 3 � Folio/Parcel#: Is the Building Ilistorically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): C KfU f, ?' I A. o� j l.AI) CO Address: N sr City: State: Tenant/Lessee Name: Phone# i L Email: CONTRACTOR: Company Name: _ MgqA, >U < <-_Q 4a&5 Phone#: Address: MD-2, 4 w q 5 L �J City: 1'1 t Qualifier Name: la -rA- - Zip;gs 1 State Certification or Registration #: C ,;F e, � S� 2 � �-3 Certificate of Competency #: Contact Phone#: 2 �<V- V yL - - Email Address: DESIGNER: Architect/Engineer: Phone#: Valve of Work for this Permit: $ /9-00.- Square/Linear Footage of Work: Type of Work: OAddition OAlteration Description of Work: C�YC'L-slg COZOT thru %18: ONew r/Re lace ODemolition Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Edncation Fee $ Technology Fee $ Double Fee $ Structural Review $ 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 zip 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. , a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection h occurs s en (7) days after the building permit is issued. In the absence of such pos notice, the inspection will not be ved aV-1, nspection fee will be charged .- Signature Signature ,fWner or Agent The foregoing instrument was acknowledged before me this °lam day of uOd- , 2013 , by QY9AS j&A, w s personally kno to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY , SE EIRIZ Notary P:•rAc - State of Florida My Comm. Expires Nov 27, 2013 Commission # DD 912225 The foregoing instrument wal acknowledg e ore me thisZ 1 day of --%� , 20 by 1s o wn to me or who has produced as identification and who did take an oath. Plans Examiner Structural Review (Revised 3 /1212012)(Revised 07 /10107)(Revised 06/10=09)(Revised 3/15/09) NOTARY PUBLIC: Sign: Print: JOSE EIRIZ My Co $S !Notary Public - �. . State of Florida �':ICOFFI�PJ�,, INy Comm. Expires Nov 27, ••n „u Commission # DD 2013 912225 Zoning Clerk r � , P MO; a In reg ats a 'Shores Village a Pteve0on OrrdWnce the S��r �costs o u�iprov��s must o#u The costs of any =-.0ats a Intipast 1 moths and thcosts o y p�Oposeci imprro be shown on the The "cosh of i ve�ents ilst include demolition, raw and 6msl- �`terials (include those donates), labor (including volua ai pelf perfil a );`cbnstr c�tio'n si oa a rid')na�agement, and oV�rlieatl``i�fa plroiYt _ list df.itort s thi( eo6 of which are to be included g"ilf° "Rhos Whided is attached for your reference. (A Copy bf'tha?Cd&fract must be attached) PROPERTY.OWNER:/ LAO C-° r:.. ADDRESS: l � _ Vt� 103 s�', tA (AT-f FOLIO NUMBER: •'?j'1.OY r ti3�: ®� °7 FLOOD ZONE: .. .. . BASE FLOOD kikVATION: _ FREEBOARD:_ EAST OF FL.CCCL: , COST OF PAST IMPROVEMENTS (12 MONTH S): hY' COST OF PROPOSED IlVIPIQVEIVIENTS: (ATTACH,COPYggjC- QNTRACT) TOTAL CUMULA t 1 , COST OF IMPROVEMENTS (past and proposed): DV VALUE OF PRINCIPAL STRUCTUlWattach apprfila OWNERS SIGNATURE: 3 v PLANREVIEWER• PLAN REVIEWER SIGNATURE: DATE: SUBSTANTIAL EVIPROVEiVII (NOTE: TRULISTISINTENDED FOR ITEMS TO BE INCLUDED ALL #r,�Lrs, ¢: LNM' ^• 6r' +vK+ Y yF.wp ate. INCLUDING "r Foundations Include; NOTALL INCLUSIVE) Exterior walls Bearing Beams, Tie Beams, Columns and Posts Wood decking, Floor and Roof Sheathing Trusses, Joist Windows/Doors ALL BUILDING ELEMENTS, INCLUDING Interior Partitions, Wails, Columns Drywall, Ceilings, Built in Furniture, Cabinets, Vanifles ' All Fixtures Flooring, Tile, Carpet, Wne, Linoleum, ect. All Finishes Including Drywall, Paint, Stucco Plaster, Paneling, Tile, Marble, and Moldings Roofing Material ALL HARDWARE ALL UTILITY and SERVICE EQUIPMENT ; '°, HVAC Electrical System and Equipment Plumbing System and Equipment Security System and Equipment Central Vacuum System Plumbing Fixtures Lighting Fixtures and Ceiling Fans Water.Systems including Softeners /Filtration Created on June 2009 other S � 9 3d with C n tructign �IlanAgQment / SupenrisIon d ar r ®r ee .id. t r6ft Equivalent cost for Donated Materials Volunteer Labor (including owhbrs and friends) Any Improvements Beyond Pre'daMaged Condition, including; Utility Upgrades Code Upgrades , 17,EMS TO BE FX Plans and Specifications 541NeyaC�o$ts; . : t) r , Elevation Certificate Costs Permit fees Items not 6o`nsid'ered1t6'b6!!EAL Plooerty Rugs, Furniture, Refrigerator, ,Oppv�� c snot u!I - Oui i� tmp�ove-rrli nit; `rnclu�ing; Landscaping SI 9' Iksa Patios Fences Yard. [fights Sheds Gazebos Irrigation Pool Primary Zone: Property intormation: 1300 SGL FAMILY - 2801 -3000 SQ CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths 414 Floors 1 Living Units 1 Adj Sq Footage: 3,513 Lot Size: 10,170 SQ FT Year Built: 1956 Legal Description: REPLAT OF TR B MIAMI SHORE BAY PARK ESTS PB 63 -17 LOT 7 LESS E10FT & E10FT LOT 6 BLK 5 LOT SIZE 90.000 X 113 OR 18115 -1853 0598 4 w___...........� Infia m0nn- T......L.1.. it I— Infnrntatlnn- Year: /yiACOC1111cua . 2011 Year: 2012 2011 Land Value: $299,633 $249,694 Building Value: $353,949 $356,098 Market Value: $653,582 $605,792 Assessed Value: $653,582 $605,792 T......L.1.. it I— Infnrntatlnn- Year: 2012 2011 Applied Exemption/ Applied Exemption/ Taxing Authority: Taxable Value: Taxable Value: Regional: $0/$653,582 $0/$605,792 County: $0/$653,582 $0/$605,792 City: $01$653,582 $0/$605,792 School Board: $0/$653,582 $0/$605,792 Cnta Infnrmntinn* [Close windowl jClick here to Print L f. This report was created on 5/20/2013 9:06:52 AM for reference purposes only Web Site © 2002 Miami -Dade County. Al rights reserved. Remodeling Experts Residential - Commercial Miami Dade - Broward - Palm Beach CGC1612873 PHONE: 754- 214 -2875 15102 SW 145 LN. Miami, Fl. 33185 Proposal To: CHRISTIAN BLANCO Date: June 25, 2013 Address: 1360 NE 103 ST. Phone: 754- 214 -2875 MIAMI SHORES, FL. 33138 Project Name: We propose to furnish all material and perform all labor necessary to complete the following: Enclose garage window Relocate 2 doors as per plans We propose to furnish material and labor, complete in accordance with above specifications, for the sum of: One Thousand Nine Hundred and Ten 00 /00 Dollars $ 1,910.00 Payments to be made as follows: % do 50 °/ pon co letion Contractor's signature: Date: 2 Acceptance of proposal -The above/prihe, specifi �90wns and conditions are satisfactory and are hereby accepted. You are authorizto do the ork as specified. Payment will be made as outlined above. Owner's signature: yA (/� V� Date: l 3