RC-14-4234
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
BUILDING
PERMIT APPLICATION
. Permit Type:
JOB ADDRESS: 8705 NE 4th Avenue Road #8705
FBC2OIC
Permit No. U
Master Permit No. Ai C l %93
ROOFING
City: Miami Shores County: Miami Dade zip: 33138
Folio/Parcel #: 11- 3206 -046 -0680
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): Rafael Feliz Phone#:
Address: 6100 N Bay Road
City: Miami Beach state: FL
Tenant/Lessee Name: Patricia A. Hemandez
Zip: 33140
Phone 305 - 7944927
Email:
CONTRACTOR: Company Name: Quintero General Contractor Corp Phone#: 786 -487 -5738
Address: 8801 NW 112th Terrace
City: Hialeah Gardens state: FL
Qualifier Name: Bemardo Quintero ��//,,��
State Certification or Registration #: +'"DWa Certificate of Competency #:
Contact Phone#: 786 -487 -5738 Email Address:
CGC /57541a
Zip: 33018
Phone#: 786487 -5738
DESIGNER: Architect/Engineer:
ggcontractor @yahoo.com
Phone #:
Value of Work for this Permit: $ 5//700
Square/Linear Footage of Work:
Type of Work: DAddition ❑Alte*ation
Description of Work: ie 11-e elv /A-1
ote
f&, A..49 '•e L- ,eLA., s'
❑lyew ,Repair/Replace
C3
eat/ 51`Atic
Color thru tile:
9g $F
❑Demolition
%•J
* * * * * ****+ +x+x******* * *** ** * ** * * * * ****** pees** **********, ******* * * * ** * * * * **+x******+x** ***
Submittal Fee $ (CO Permit Fee $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ -iLiD
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
4
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 FTF,CI'RICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S At'r'IDAVIT: 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 wh• occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be app ov d and a re' J ection fge>will be charged.
Signature
Owner or Agent
The foregoin instrument was acknowledged before me this 0Y
day of
, 20 / fby Z440-'2fl ,
Contractor s
The foregoing instrument was acknowledged before me this r
day of Hared , 20 !Y, by gee .0ar ..a tw; -ere)
who is personally known to me or who has produced ✓ .: e or who has produced •
identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
NOTAR
Sign:
Print:
My Commission Exp.
who
ersonally known
ti
t.
Commission #EE91078
My Commission Expires May 06,2015
Sign:
4
t:
My Co
Notary Public State of Florida
.x fRna M Feliciano
• l My Commission FF 082753
140,p,IF Expires 01 /12/2018
************************** *********************************************
As/ T0 Plans Examiner
APPROVED BY
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Zoning
Structural Review Clerk
(Revised 3 /12/2012)(Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09)
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CITY
COPY
ADD SMOKE/CARBON MONOXIDE DETECTORS
ANY AND ALL CLOTH AND RUBBER
INSULATED CONDUCTORS TO BE REPLACED,
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stbord2,s 331313
PERMIT #: e ,,:-.); -- ,.....
Miami Shores Villa
e
APPROVED
BY '''.1
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BLDG DEPT
SUBJECT 10 CCMPUANCE WfTH ALL FEDERAL STATE ANL) CCUNIY RULES AND REGUIATIONS
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Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 215418 Permit Number: RC- 3- 14-423
Scheduled Inspection Date: July 08, 2014
Inspector: Rodriguez, Jorge
Owner: FELIZ, RAFAEL
Job Address: 8705 NE 4 Avenue Road
Miami Shores, FL
Project: <NONE>
Contractor: QUINTERO GENERAL CONSTRUCTION
Permit Type: Residential Construction
Inspection Type: Final Building
Work Classification: Alteration
Phone Number
Parcel Number 1132060460680
Phone: (786)487 -5738
Building Department Comments
REMOVE AND INSTALL NEW TOP GRANITE IN KITCHEN
REMOVE AND INSTALL NEW SINK THE SAME LOCATION
AND REMOVE AND REINSTALL EXISTING OUTLETS
Infractio Passed Comments
INSPECTOR COMMENTS
False
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
July 07, 2014
For Inspections please call: (305)762 -4949
Page 41 of 43
PERMIT # PC ! A s e/93
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CONTRACTOR: (.vi/) eVp (f)e104I (20nI!ac ry
SUBMITTAL DATE: 3 7 " l
ADDRESS: S7Q 5 A)6--
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