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DEMO-13-799Miami Shores Village Building Department 40050 N.E.2nd Avenue, Miami Shores, Florida 331.38 APR 17 9013 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: Electrical FBC 20 Permit No. Master Permit No. D010 % 3 "-79 JOB ADDRESS: 1061� AJk) City: Miami Shores County: Miami Dade 7-ip:Jj/1r0 Foho/Parcel#: & %30"061% Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple city: r::7 & Tenant/Lessee Name: Email: CONTRACTOR: Company Name: at �i- 4?3a(?11 Address: Z.1, r 3 ea (- a( C C.% 2 , LZ City:y 1 State:L ------Zip: "333 -2S -- Qualifier ,Qualifier Name: l✓ INIDI Phone#: State Certification or Registration #. C..64aa �36 cl Certificate of Competency #: Contact PhoneA S - 2 c S SEmail Address: DESIGNER: Architect/Engineen Phone#: Value of Work for this Permit: $ L Square/Linear Footage of Work: Type of Work: C]Address %-.. OAlteration -- ONew ORepair/Replace gbemoiition Description of Work: E Lt G! ?t c, R'2 OE r R Q 0\_ Submittal Fee $ ,,-Permit Fee $ -/700'.0p CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Educaiion Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $„� Bonding Company's Name (if applicable) i Bonding Company's Address _ State Zip City Mortgage Lender's Name (if applicable) Mortgage Lender's Address State City 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, S, 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 FOR COMMENCEMENT MAY RESULT IN YOUR PAYING TWICEOBTAIN IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO TE FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY RECORDING YOUR NOTICE OF COMMENCEMENT. Notice to Applicant: As a condition to the issuance of a building permit with A 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 b site whose property is subject to attachment: Also, a certified copy of recorded notice of commencement must s Ped atd tno�e, the for the first inspection which occurs seven (7) days after the building permit is issue f p° inspection will not be approved and a reinspection fee will be ohargeA Signature Signature rnntractor Owner or Agent The foregoing instrument was acknowled this_[._7 day of *�,� 20/3, by who is personally known to me produced As identifii ion and who did take an oath. NOT Sign. Print: My Commission mpures: The foregoing ' en day of e 2 who is personally kn NOTARY before me �tbi_��6 or who has produced__ ation and who di an oath. �EI,iW AS��W� abs M�C� M s5l 10 4 a Sign: . �� Print: _� z My Commission Expires: APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3112/2012)(Revised 07110/07)(itevised 06/10/20W)( raised 3115109) 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: BUILDING FBC 20 �QLj Permit No. Master Permit ROOFING JOB ADDRESS: 10616 NW 2nd Avenue City: Miami Shores County: Miami Dade Zio: 33150 Folio/Parcel#: 1121360020060 Is the Building Historically Designated: Yes NO. X Flood Zone: OWNER: Name (Fee Simple Titleholder): Christina Cruz Grost Phone#: Address: 619 East Crosby Avenue City: EI Paso State: Texas 79902 TenantlLessee Name: Email: CONTRACTOR: Company Name: Apolo YoWers, Inc. Address: 3041 NE 14 Avenue city: Oakland Park WO MAQ Qualifier Name: Burt E Apolinario State Certification or Registration #: CGC 1512484 Certificate of Competency #: Contact Phone#:.. ' Email Address: apolobuildersQgmalLCOriI DESIGNER: Architect/Engineer: N/A Phone#: 9544455046 33334 9544455046 Value of Work for this Permit: $ 5000 • Square/Linear Footage of Work: Type of Work: ❑Addition ❑Alteration LINew ORepair/Replace 41Demolition Description of Work: Remove all interior wall and ceiling lath and plaster to inspect termite damage in preparation for future renovation Plumbing fixtures including: tub and shower valves to remain. Color thru tile: Submittal Fee $�� Permit Fee $ ® CCF $ CO/CC $ Scanning Fee $ Notary Radon Fee $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ _ Technology Fee $ TOTAL FEE NOW DUE $ to Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State t 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. /Z L t Signature—W, , Signature r Owner or Agent Contractor /rryr , The fotegoing ins ment was acknowledged before me this_ iday of t , 2t�3-9 by W �� e who is personally known to me or who has p�QducSqp The foregoin mstru ent was a day of t , 20 ./�by who is personally known to me As NOTARY PUBLIC: Sign: _ Print: /a 'If My Commission Expires: APPROVED BY 1112-� Plans Examiner Structural Review q a p (Revised 3 21201#)(Revisc4 (7/10/07)(Revised 06/10/2009)(Revised 3/15/09) as identification NOTARY pl1�v ,Lpl4 Z Zoning Clerk it. rtfA fI- y Roo, M L c,��- OPT# "t), E� Q GIOSi�/ LI v�uG OW F-loor Pu v - A) Ts /00Alto* 9" Alt M 1/9&); SHU7s, �C PERMIT :a( -MC 13 Miami Shores Village APPROVED BY DATE ZONING DEPT BLDG DEPT SUBJECT 10 CC NIPIWICE WI 1-11 ALL FEDERAL STATE ANL) C ISN, f rqL L -S AND REGULATIONS K► Tcttcl) APR 17 013 , Q > 6,4446 �lD 1 (-::5 [JORA JNOC-s? THIS PRmJ IS Fon OC -440 Of 14&-TPTC-f;o e GALL c&4L)D / tlG neer . A<< T A R��9r Ted shb,-tW VAL- v� s TO 31 EL.(c V )(—A C1i4n)! 1 S T,- 0C T'v12�� ® O%t' 02 Li1,SCD�nG ILF!� ,�►�c-fit I�1C-��.sA�� NOTES d- W AZ. SC --c T i O PJS ®. l 06 16 1 U (� �, /� tJ� �/t ► �} �► s Hoeg s �=� C'�r�r,vG QAFT��f ax'Ll �Rfim la4 'Och' 1,,4Tl d- P[AfT 4 TO Q� Romovc-,o BSc,- 90,49) -T�P,L''k lI , cs j q4(, ro