DGT-13-2514PERMIT APPLICATION
(BUILDING ❑ ELECTRIC
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
7 JRF-
EIVED
MAY 2 "1
FBC 20 �P
Master Permit No. 11
/ Sub Per�it�lo.1 e�
❑ ROOFING PREVISION ❑ EgION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL [::]PUBLICWORKS ❑ CHANGE OF ❑ CA@ATION ❑ SHOP
JOB ADDRESS:
CONTRACTOR DRAWINGS
if,
U�
City: Miami Shores County: Miami Dade Zia: 33150
Folio/Parcel#: Is the Building Historically Designated: Yes NO -
Occupancy Type:_ Load: Construction Type: Flood Zone: BFE: FFE:
Mai
OWNER: Name (Fee Simple
Address: q lo 15 DLJ 0 / —ek
City: Xftl � State: Zip: �3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:/n&11u2x's Phone#:'5z1" V1b-0713-1�'
Addre s J "UJ �-3�► W 11- ft42. r -
City: Tr- 64. State: _E -K= Zip: 33-0Tip
Qualifier Name: �,(s <fa- :U Phone#:37-V 7-4650;1'(3
Certificate of Competency #:
DESIGNER: Architect/Engineer: /i . x'11 �0 "tate:
ay��^�- E^n 1(a j
Address: Z'1" N City: (�*91"tate: ry Zip: --331(Qz
Value of Work for this Permit: $ 1_ 900.. GY! Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition
CCF $
Scanning Fee $ Radon Fee $ DBPR $ Notary $_
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
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
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property -is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
149
0.
Signaturez-e ° Signature
OWNER or AGENT NTRACTOR
The foregoing instrument was acknowledged before me this
daytof 1 v \ �� . 20 1 `7r • by
c�ri Z' K D ✓C4 V L who is personally known to
me or who has produced F C)`'- )--CC ' as
identification and who did take an oa
NOTARY PUBLIC:
The foregoing instrument was
day of
me or who has prod
identification and
NOTARY PUBLIC:
-dged before me this
> , 20 1 L , by
is personally known to
ke an oath.
as
Sign: / Sign:
�— ®TPrint:�° 1 NMarlrpu�tic = 8t�e ottidli
Print: t n �C F'
•`aY p ERICA E. SOTO COtnntl�ldtt # FF Ot4i1><
Seal: 2w1w
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Notary Public - State o]24 Seal: %$,,,�
_•My Comm. Expires Jul:= Commission # EE
Bonded 1 hrou h ati nal ox**�x�xst16
APPROVED BY Plans Examiner Zoning
l Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village
b Building Department
`
1 (`�� / 90050 N.E.Znd Avenue, Miami Shores, Florida 33138
" S el: (305) 795.2204 Fax: (305) 756.8972
ECTION S PHONE NUMBER: (305) 762.4949
B DING ,e\ a
PERMIT AP ICATI�N
Permit Type: BUILDING
JOB ADDRESS: 9105 NW 1 st Ave.
City: Miami Shores
Folio/Parcel#: 11-3101-016-0110
Is the Building Historically Designated: Yes
NOV 0 6 2013
FBC 20
Permit No.
Master Permit No.0 GT
ROOFING
ZiD: 33150
Zone:
OWNER: Name (Fee Simple Titleholder): IDRIZ KOVACEVIC AND SANDA KOVACEVIC phone#: 305-496-8914
Address: 9105 NW 1st Ave.
City: Miami Shores State: Florida Zip: 33150
Tenant/Lessee Name: NSA Phone#:
Email:
CONTRACTOR: Company Name: TJC Builders, LLC Phone#: 321-246-0713
Address: 11528 NW 73rd Manor
City: Parkland State: Florida Zip: 33076
Qualifier Name: Tobias Condill Phone#: 321-246-0713
State Certification or Registration #: CBC1258640 Certificate of Competency #:
Contact Phone#: 321-246-0713 Email Address: buildtjc@gmail.com
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ , �. goo, �0 C) Square/Linear Footage ofWork: _',( O
Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: Extend patio concrete deck with wood decking.
Color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
I
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. 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
Signatur C&66enSignature
�P
s C Owner or Agent Contractor
The foregoing instrument was acknowledged before me this- 17 forego. nt was acknowledged before me this
day of9;=
1cavi Z4- SuM.da kO�U�rCday of �- ! by -MI t/+SND1wwho is or who has produced who is personally kno a who has produced ( D
tification and who did take an oath. as idea ion and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: MUR
Print: • -e b Y6L
My Commission Expires: i
APPROVED BY
Debra A. Deal
:Commission #DD950697
$F Expires: JAN. 10, 2014
THRU An ANnYC BOND=Co, INC.
Sign:
Print:
My Commission Expires:
,
i
9119nd allot
a. we lAn��n
Plans Examiner�)''� ����`Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/1012009)(Revised 3/15/09)
To Whom it May Concern,
9-24-2014
I am writing you today to confirm that we would like to cancel the patio deck permit located at 9105 NW
1n Ave. Permit number 11-13-2514. We only got as far as digging the footers and realized that the
framing system proposed will create potential issues with the slab as well as the framing itself.
1'jkS �d c %4r—K, Voec-s A?,5 Oyz--'e"' ,
Should you have any questions, please feel free to contact me.
Regards,
a
*rlvace�vic
305496-8079
I murd aaaa UWAMON
r
DEBRA& DEAL
W COAlY UION i FF0607
EXPIRES: January 10, 2016
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