RC-13-2323 (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 No.
FEB A 9 2014
FBC 20
Master Permit No. (Z_Q_ r
ROOFING
JOB ADDRESS: 5 l 14 E qtA
City: Miami Shores County: Miami Dade Zip: �!
Folio/Parcel#: 1t SZOU ®\l, %9-4%0
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): f)tea a��sf ® Phone#:
Address:_ _ ISI WE Qjq - V
City: t ;Gy" ® State: Zip: i ?,K
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: (-D rear T gk R WE, Tm .Phone#:l &C5' 6A112
---------------
Address: 1 ,r4 &&4 ® mw te
City:
Qualifier Name: r .7E
State Certification or Registration #:
,�_- laricic Zip: 331 Cog.
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer:
of Competency #:
Value of Work for this Permit: $ &2y 1_1_� Square/Linear Footage of Work:
Type of Work: ❑Additions DAlteration ONew ❑Repair/Replace ODemolition
Description of Work: I p�1��/ Sf �' ��dil1-7 ���- A-IM&,I tn
Color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF
CO/CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ C9 I
Bonding, Company's ,Name (if applicable)
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 appd a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this L`
W
day of °t' �'�'a , 20 fl , by VIIW' N W (r-4(" 0<-D
who is personally known to me or who has produced V!/` [
As identification and who did take an oath.
NOTARY PUBLIC:
rrr,,��
\eow111111
Sign.
Print:
My Commission Expires:
g
APPROVED BY
The foregoing instrument was acknowledged before me this 19
day of nt , 20 A,, by���,
who 's person known o me or who has produced
as identification and who did take an oath.
Z�-//"-( Plans Examiner
Zl
Structural Review
NOTARY PUBLIC:
Sign.
Print:
My Commission Expires:
(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)
?ASTROA
qe7 , XpIM: F&rWy07,2017
Zoning
Clerk
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No: �C
Structural Critique Sheet
P%-� 'J(c Z�
.u�
1 0
Page 1 of 1
� � 9Up
2i EPP,[
STOPPED REVIEW
Plan review Is not complete, when all items above are corrected, we will do a complete plan review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and Include one
set of voided sheets in the re -submittal drawings.
Mehdi Asraf
Miami Shores Village
Building Department
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (3055) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: BUILDING
Permit No.
APR 2 3 2014
FBC 20 L'J
Master Permit No.7C- t a CS ` 2-32-5
ROOFING
JOB ADDRESS: J I N C 66 S
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11
1 ` ?��o' )17� • 12.!�'o
Is the Building Historically Designated: Yes NOy� Flood Zone:
OWNER: Name (Fee Simple
City:
Tenant/Lessee Name:
Email:
Z
State:
CONTRACTOR: Company Name: ncz-c� Nk �� Phone#:
Address:
City: State:
Qualifier Name: ,
State Certification or Registration #: ! �i-taL '-f ertificate of Competency #: _
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $_5 Okfvke A6 y-k&1'&7Uquare/Linear Footage of Work: ��� 06 ✓"�S �=
Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: 110k, Q u N-) c �- W , w, Q 0 f I �
Color thlru tale:
Submittal Fee $ Permit Fee $
Scanning 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be gppro a r 'nspection fee will be charged
Signature Signature -a�: -
Owner or Agent Contractor
The fore mg instrument was acknowledged before me this
day of , 20 L, bye t n ZTea r6
who is personally known to me or who has produced NL
*-
on T, As identification and who did take an oath.
NOTARY PUBLIC:
Print:
The foregoing instrument was acknowledged before me this 22
day of (�� 20 14/, by h,
who is Wally known me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
C
Print -
My Commission Expires: REBECA M. PASTRANA My Commission Expires: L�g RBBECAM. PASMYCOMsN # Y
agek�st¢�aSa$e�xe�$agsekksR� �eR�4asBge�e$e�$e$cslc�e�a*$e�$agaga� �e¢sRA��kek�k�a�C�kk�ksk�[a�e$esRAe+k�fik#B��Rsksa�kakd��sg.kS�eR�ade�tdad«sgsNak�eR�Seffisngsksy eke�aA�sg �e�k�k�&dsa�� �R� �
APPROVED BY
Plans Examiner
Structural Review
(Revised 3/1212012)(Revised 07/10/07XRevised 06110n.009)(Revised 3/15/09)
Zoning
Clerk