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ELC-14-1023Miami Shores Village Building Departme s MAY 19 2014 10050 N.E.2nd Avenue, Miami Shores, Florida 3 BY: Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 (0 BUILDING Master Permit No.(r, r I �;2 `` � 3'� PERMIT APPLICATION Sub Permit No. ` -Lici, 19 — t 0FZ-'l JOB ADDRESS: 0 -f ! O bLV b City: Miami Shores County: Miami Dade Zip: 5-3/3 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: q OWNER: Name (Fee Simple Titleholder): H (b TY�nl,�g,- AVIIAJ Phone#: 30S �S8 6� / l Address: FU © / ?) I'< cg-e'l/UC, //J/;'i City: _State:: `7`G4�lDf#- Zip: -3�-3l1/3� Tenant/LeesTssee/Name: d)Up1 A5z> / 11%V'Wi -CPhone#: 7��' 6 y C-17 XS6 0 Email: 1)010 iLOS1i (Uy Vlr-ffh.0 - GSD/,/ CONTRACTOR: Company Name: r�942il 6toy1119 J�V �K'vy lk4-one#: ✓tJs 3? G 1 oS Address: l0 _S C (2 teP_�v' ,U j City: f/�G,�i✓2L� State: rz Zip: Qualifier Name: l�L� jv� L �" f e5o I s-9 (� 0 e Phone#:=f-006 State Certification or Registration #: DESIGNER: Architect/Engineer: Certificate of Competency #: _ Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition El Alteration F-1New F-1 Repair/Replace ❑ Demolition Description of Work: fk`j� T c� 60-' Cu-C() �j . 11 J i!iYSi :1 F1TUjq ix� )II r� 3'1i12 • ;t;jjjq,(73If}yi :r J f�?S � S 55d.� s•3'tis*x l rt}rt r,. t x t,,..+4 Specify CO OY'O f COIOI' thru the u�ac1�rr�° �ya a�mrn a ) YTM., SubmittalFee Permit Fee $ 6 CCF $ f CO/CC $ Scanning , i, ... Radon Fee $ DBPR $ Bond $ Notary $ Double Fee $ Training/Education Fee $ ructural Review $ Technology Fee $ TOTAL FEE NOW DUE $ ❑BUILDING KELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS ❑ CHANGE CONTRACTOR ❑ CANCELLATION ❑ SHOP DRAWINGS JOB ADDRESS: 0 -f ! O bLV b City: Miami Shores County: Miami Dade Zip: 5-3/3 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: q OWNER: Name (Fee Simple Titleholder): H (b TY�nl,�g,- AVIIAJ Phone#: 30S �S8 6� / l Address: FU © / ?) I'< cg-e'l/UC, //J/;'i City: _State:: `7`G4�lDf#- Zip: -3�-3l1/3� Tenant/LeesTssee/Name: d)Up1 A5z> / 11%V'Wi -CPhone#: 7��' 6 y C-17 XS6 0 Email: 1)010 iLOS1i (Uy Vlr-ffh.0 - GSD/,/ CONTRACTOR: Company Name: r�942il 6toy1119 J�V �K'vy lk4-one#: ✓tJs 3? G 1 oS Address: l0 _S C (2 teP_�v' ,U j City: f/�G,�i✓2L� State: rz Zip: Qualifier Name: l�L� jv� L �" f e5o I s-9 (� 0 e Phone#:=f-006 State Certification or Registration #: DESIGNER: Architect/Engineer: Certificate of Competency #: _ Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition El Alteration F-1New F-1 Repair/Replace ❑ Demolition Description of Work: fk`j� T c� 60-' Cu-C() �j . 11 J i!iYSi :1 F1TUjq ix� )II r� 3'1i12 • ;t;jjjq,(73If}yi :r J f�?S � S 55d.� s•3'tis*x l rt}rt r,. t x t,,..+4 Specify CO OY'O f COIOI' thru the u�ac1�rr�° �ya a�mrn a ) YTM., SubmittalFee Permit Fee $ 6 CCF $ f CO/CC $ Scanning , i, ... Radon Fee $ DBPR $ Bond $ Notary $ Double Fee $ Training/Education Fee $ ructural Review $ Technology Fee $ TOTAL FEE NOW DUE $ 4 4�%4i� u I s E. } , �tlX}€X/IIS' L 12 -Trtt C)OT KY f�-A (!�)rTX\ /L r, t F -T X ► br=TX150�)\4.6I --2 j , 2 ' 1 / Up t...- t fT 79 GCS E. 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Lo 14 I \ --- ,�-- '' f FT/-,4-f=T I /Z ---- -------- CA, TTI v, 2 X'-00 451x' AIV AN . . ....... emo �-x 4-1 �vl IQ 4�4 60 U, rA..A A) le 4 x ��IZ �'-APF WI(2-) x [Oil /e) X. q, A Wzy 74 'y e2k �, �. L) c Ale4O /6 "A si Y) A. -------- --- 44� M4, ------- - --- - .6a V. 6-. r- _-._._—.__ --- ------- ---------- - ------- --- LIU, LM uork 1� , % - --,[ .1-r L Z, 10 /ZJN I LUIULU- I Uhlr- vloo r<, spt 0 ---------- --- T WIT . .......... .... ....... ... E OF' CH GE' .. ....... -,x7 -7.v, A .... ....... -7,! -44:, .17 ?1 . .. .... jT A ---------- ::: &:) N U -T-1111, AI -7 Pro PR N. 41 nvo I MALL C0M7Qq ........... .. ....... ... OCCUPANCIEUP ............ A NAt prjrV5NTION GO 01 Date -MIP A Drawn Job O <= 41 n�. OCT Date -MIP A Drawn Job NOTE: ALL SHEETS MUST BE R VIEWED MIAMI-DADE COUNTY BUILDING DEPARTMENT! Herbert S. Saffir Permitting and Inspection Center 11805 SW 26th Street (Coral Way), • Miami, Florida 33175-2474 - (786) 315-2100 APPLICATION FOR MUNICIPAL PERMIT APPLICANTS THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE AND/OR DEPARTMENT OF ENVIRONMENTAL RESOURCES MANAGEMENT PROVIDE MUNICIPAL PROCESS NUMBER HERE Job Address ��� � Cllr wb Contractor No. f,� C P'SU Starr .r Last four (4) digits of Qualifier No. %r1 LL. z Folio /� O%/ �� ° Z°- �j e2e- � �a0 Contractor Name 7� ;� Lot Block Z m Uj a � W Qualifier Name d I SCS �G iU t� o a jj Subdivision �JSt.>i%Ge � /:m PBP9 z Address Metes andbounds a �C City CGT &IWdState fl- Zip [ ] Demolish [ New Construction on [ ]Shell Only Current use of property F' L- y Z Vacant Land [ ] Addition Attached Aiteration Interior [ ] Addition Detached _ , , Description of Work l G1 U(lii/C{}�f3� �ST/Lc W W [ ] Alteration Exterior [ ] Re -Roof C j 6 a. [ ] Relocation of Structure [ ]Foundation Only [ ] Enclosure /' Sq. Ft. 7 7�� Units Floors [ ] Repair �,' Value of Work [ ] Repair Due to Fire .T A��MBLD * Category_ [ ] Chg. Contractor [ ] Re -Issue Owner � r ' iLf I U Address%I' City it((Ar L I I� �tA State ��- Zip 5013p) a. a z [ ] MELE [ ] MLPG [ ] Re -stamp Z w i Phone U 5 �� Last four (4) digits of LU [ ] MMEC W > [ ] Revision o a [ ] FIRE LU [ ] Not Applicable forjj� Owner's Social Security No. Fire )( CiL6 �L G�7�� L Name l�ti[�I L7%( WName w w Address [ ��� �U��b Ili `�i� Address C)� � c5'l V Za 0 !moi Z 22 City T � (( `�� State Zip i, City /(,)I(f L(( State �� Zip a s , ,t Phone `i BUILDING PERMIT CATEGORIES CATEGORY DESCRIPTION BUILDING 01 GENERAL BUILDING -COMMERCIAL 02 SUB -GENERAL BUILDING -RESIDENTIAL 08 CANVAS AWNING 10 COMMUNICATION TOWER 15 DEMOLITION 29 METAL AWNING & STORM SHUTTER 48 SCREEN ENCLOSURES 55 SWIMMING POOL 56 TENNIS COURTS (SURFACE PAVING) 86 TRAILER TIE DOWN 88 WALK-IN COOLER 91 MARINAS 92 LOW SLOPE APPLICATIONS (GRAVEL, SMOOTH MODIFIED, SINGLE PLY) 95 SHINGLES (ASPHALT, FIBERGLASS) 96 SHINGLES (METAL ROOFS/WOOD SHINGLES & SHAKE) 97 STAGE 2 VAPOR RECOVERY SYSTEM 99 SOIL IMPROVEMENT 0100 BULK STORAGE PROPANE TANK 0101 REMOVABLE STORM PANELS 0107 TILE ROOF 0110 WATER MAIN 0111 SITE PLAN 0112 INDOOR EVENT/EXHIBIT ELECTRICAL 04 FIRE ALARM SPECIALTY 16 SPECIALTY WIRING 38 GENERATORS LPGX 01 LIQUEFIED PETROLEUM GAS 02 MISCELLANEOUS 04 LIQUEFIED PETROL. GAS/STATE MECHANICAL 09 ABOVE/BELOW GROUND TANKS / PUMPS & POLLUTANT STORAGE SYSTEM 38 COMMERCIAL HOODS 43 FIRE CHEMICAL 46 SPRAY BOOTHS 48 SMOKE CONTROL 52 RESIDENTIAL ELEVATOR FIRE 32 FIRE SPRINKLER PERMIT TYPE MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MELE MELE MELE MLPG MLPG MLPG MMEC MMEC MMEC MMEC MMEC MMEC FIRE y:�po��oioz-Muuicip�l Tecmit Applicatioadoc REVISIONS I BY I 1.5`ti U a 00 �- U . �c ,-H v c� mow rc� � C W �a> „ C) 0) c� C.) oo . Ln a � 00 O Lf7 I� 00 Q f I O 4.1 U 00 00 b1J � p 4-4 00 O 4-4 rT U O Date A Scale Drawn Job Sheet Of l Sheets 24 X 3i PRWM ON No. 1000H CLEARRUffre i MUNI �IkAL,h re �iL�c ji±i? CAR IJllllllllllllllllliilllllillillilllllill!IIIIIIIIIIIIIillll 0000054502 �Yxu 6