RC-13-1919 (4)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: )Q1 AIV I ® S• . s
ROOFING
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple
City:
S_
re s
NO ), Flood Zone:
State: Ei= Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: S oy 1rCe Keen ode k t ^01 Phone#:
Address: E I S Wes ± '33 k r1 -e
City:_ t �� e c. State: rL Zip: 3 A_
Qualifier Name: P O 6 Y r o}y e •Z Phone#:..D S 366—Yq
State Certification or RegistPPr��ation #: C Y; C Certificate of Competency #: J
Contact Phone#: ��Z��� v� 31;,j) Email Address: � ® SO V rCe 4eMQ le fl nR _CO/V.
DESIGNER: Architect/Engineer.
Value of Work for this Permit: $ (;1_0 V Square/Linear Footage of Work:
Type of Work: DAddition OAlteration ONew ORepair/Replace ODemolition
Description of Work: _ % �i t 1 � u� v ,:.-►1� dxa/ �; i In t'e i I �t� 6 1� c'! `� i l.�
Color thru tile:
Submittal Fee $ 6 • b Permit Fee $ �,CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $ (�
Bonding Company's.Name (if applicable)
Bonding Company's Address
City " k.
State
A i
Mottgage7.ender's Nan a (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 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 reinspection fee will be charged. �-
Signature Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day oEAV^,Ju-,Q1J, 20 -%�,k by 4rKf1V►d6 4i�1��a ,
whois 1+P*c_ona11; wown to me or who has produced &Mno LJ
nn -In nr-%e.As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: C, -'?-1 S'�t r1 rA
My Com%ssi n Expires:
2 2D I NOTARY PUBLIC
�! S� Cr BTATE:,W Fl.tMiDA
. Coetm# EE21l1343
APPROVED BY
Contractor
The foregoing instrument was acknowledged before me this
day of `�-byu tyl 20 f byG t�� 01 V-6 d f; FVe'Z°
who is personally known tome or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:�,Z, L` r
Print: r C) v
y, wssion V L Li Za
MY COMMISSION # EE 1622
EXPIRES May 14, 2015
Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
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: Electrical
JOB ADDRESS:
FBC 20
FES 182014
Permit No. : ' ZM
Master Permit No. L �6— 13—M.19
�i
f
City: Miami Shores County: Miami Dade Zip: -? 313g
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): �� L Mo r1 4fy (Z) Phone#:
9
City: & � m. M@ State: L . Zip:
Tenant/Ussee Name: Phone#:
Email:
CONTRACTOR: Company Name:
Address:._ ( /
City:
Qualifier Name:
006---5���
%�30&3
State Certification or Registration #: ,f Ce cate of Competency #: ®9��49d 70
Contact Phone#: � r 3 T 1 b � 6— Y' Email Address: %
DESIGNER: Architect(Engineer: Phone#:
Value of Work for this Permit: $4:�u) Square/Linear Footage of Work:
Type of Work: ClAddress PAlteration ONew ORepair/Replace ODemolition
Description of Work: 1 n C [n.)n L):4:: 1 t IS LA-&
Submittal Fee $ Permit Fee $ >:?'—A®® CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ TraininglEducation 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
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 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 reinspection fee will be charged
Signature ���
Owner or Agent
Signature
— (A- �
Contractor
The foregoing instrument was acknowledged before me this L The foregoing instrument was acknowledged before me s 4
day of au. , 201% by (el-Ogkpo,40 MC -9C -(L0 day of P 1)a 20 Id , by
who is personally known to me or who has produced, who is personally known to me or who has produced S®,vi A,,
fNIN� tiJ As identification and who did take an oath. Y All W as identification and who did take an oath.
NOTARY PUBLIC: � NOTARY PUBLIC:
STATE OF FLORIDA
Comm# icE219343
Sign: �� Sign:
Print: C2XEL r� !�r C_QtnAu.Z.p� Print: u04
My Commission Exp' es:
II )
�6
APPROVED BY �p1�1° Plans Examiner
Structural Review
(Revised 3/12I2012)(Revised 07/10f07)(Reviad 06110n2009)(Revised 3/15/09)
My Commission Expires:
Carlos Manuel Garcia
UVWW AARONNOTARycom
Zoning
Clerk
0
Miami Shores Village FB 118 2014
Building Department BY:
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes
OWNER: Name
city: N 11w r Y l i
Tenant/Lessee Name:
Email:
�Si��mple Tit]
IV
NO Flood Zone:
M i IM' S
State: fl— Zip: 33) 3 9.
is -
CONTRACTOR: Company Naami e: d � ( G Phone#: u� m& 3�i IS
Addreps�s^ J Jn S �' V I V �2
City: 'v I 10 yv\ i e IncnState• � Zip: -,B7 19 �D
Qualifier Name: ��i(� VUR� �uGl U Phone#:� � ) S .
State Certification or Registration #: Ell QU45 � Certificate of Competency
#: U 1 44
Contact Phone#:, 2a N is . Email Address :�i� f i. oc o l n C • mnq.
DESIGNER: Architect/Engineer: Phonek
Value of Work for this Permit: $ Is a 0 Square/Linear Footage of Work:
Type of Work: ❑Ad
Description of Work:
Submittal Fee
Scanning Fee $
❑Alteration ❑New ❑Repair/Replace , ❑Demolition
(cm b ri of coat ri Sr Y Ul n )i
Permit Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO/CC $
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
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
reinspection fee will be charged
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of �t ,-NAby f A W CCk)
who is pt��
to me or who has produceCROMMd
s ident' = oath:
NOTARY PUBLIC: STATE OF FLORIDA
Camndl EE219343
Expires 7M=16
Sign: (-NL\JV .moi
Print: C-0 r\d�+��t-
My CommissionExpires:
�-�-1 I
Signature - 0--<�
Contractor
The foregoing instrument was acknowledged before me this
day of 2014-, by(C�11(1`,1� .
who is pers ally kno to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC: f Yesenia Sanchez
_*• •*
COWM8011 # EE003702
�r ExPUMB: JUN 23, 2014
"+aYia WNW AARONNOTARY COM
Sign: r�
Print: G G l Q -
My Commission Expires:
Q- 23- 2UI+
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
FEB E..1T •
Q 4 2014 -- Miami Shores Villa
BY: vA
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BLDG DEPT
SUBJECT t O Crh1P11ANCE WITH p� PEpERpd.
STATE ANO l,'C.Uri �'f rtLiL-�� AND REQUI.A
associa es
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Residente
101 NE 105th Street
Worm Shores, Randa
33135
FL®®P PLAN e NEW PARTITION
SCALE: I/4°=1'-m°
New interior
partition
A-1 of I
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UNIT ON 4' CONC. PAD
IF NECESSARY g ----
GARDEN GL05ET
I � NOTE:
II INFORMATION FOUND IN APPROVED MECHANICAL
II DRAWINGS, AC -1 & AC -2, REMAIN UNCHANGED
EXCEPT FOR LOCATION OF CONDENSER
I I
FLOOR PLAN m RELOCATED CONDENSER
SCALE: 1/4'=I' -O'
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partition
A-1 OF 1