RC-14-289June 16, 2014
Building Official
Miami Shores Village Building Department
10050 NE 2 Ave
Miami Shores Village FL 33138
Re:
Mr. & Mrs. Ulrick Remonvil
142 NW 94th Street
Miami Shores, FL 33138
I, Ulrick Remonvil, respectfully am asking to cancel permit application :I'1 .., due the
fact that I have a new contractor which is going to apply for a new permit that will include scope of work
of old one and some additional items.
Sincerely,
Ulrick Remonvil
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BUILDING
PERMIT APPLICATION
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 Type: BUILDING
JOB ADDRESS: 142 NW 94 Street
City: Miami Shores County:
Folio/Parcel #: 11- 3101- 033 -0770
Is the Building Historically Designated: Yes NO et
Permit No.
Master Permit No.
FBC 20
ROOFING
Miami Dade
Zip: 33150
OWNER: Name (Fee Simple Titleholder): Remonvil, Ulrick and Ph
Address:142 NW 94 Street
City: MIAMI SHORES
Tenant/Lessee Name:
Email:
State: FL
Flood Zone:
Phone#: 305 - 754 -2582
zip: 33150
Phone#:
CONTRACTOR: Company Name: ZIA CONSTRUCTION
Address: 6815 Biscayne Blvd, Ste 103 -163
City: MIAMI
Qualifier Name: John Longchamps
State Certification or Registration #: CGC062263
State: FL
Phone#: 305.520.9427
Zip: 33138
Phone #: 305 -520 -9427
Certificate of Competency #:
Contact Phone#: 305 - 520 -9427 Email Address: ziaconstruction @gmail.com
DESIGNER: Architect/Engineer: ARA ENGINEERING LLC /Eduardo Roman, P.E. Phone #: 954-732 -6427
Value of Work for this Permit: $1,500.00 Square/Linear Footage of Work: N/A
Type of Work: ❑Addition ❑Alteration New ❑Repair/Replace ❑Demolition
Description of Work: Repair /Replace: Repair Wood Column at entry porch; add Hand Rail at entry porch
Color thru tile:
+ xm *****w *** **** ** **** **** ********* *+x*** Fees************* ************* x::xu:***************
Submittal Fee $ . - if..90 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) N/A
• Bonding Company's Address
jr City
State Zip
Mortgage Lender's Name (if applicable) N/A
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, BOIT.RRS, 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 a plicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure
whose property is subject to attachment. Also, a certified copy of the recorded notice of commen
for the first inspection which occurs seven (7) days after the building permit is issued. I
inspection w be approved an einspection fee will rged.
Signature X
Owner or Agent
Ilfrqgnature
441"
The foregoing instrument was acknowledged before me this I. (
day of DeeemS&r- , 2012 , by U L R t C k 'Q e.tnr, O r011: 1 - , d
who is personally known to me or who has produced b r k ✓e r who is
be deliver' tot.' , erson
must be p : ed job site
ence of s, /p.. • r notice, the
t was an •`r ledged before me this ,
rsonally known to me or who has produced t C)
t cy As identification and who did take an oath. as identification and who did take an oath.
NOTARY LIC:
Sign:
Print: _
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * **
Sign:
Print:
My Commission Expires:
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10 /2009)(Revised 3/15/09)