RC15-408Miami 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
BUILDING
PERMIT APPLICATION
V'BUILDING ❑ ELECTRIC ❑ ROOFING
VEE 5 Z015 T
FBC 20 10
Master Permit No.2 I Lj — Ll o T
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
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CONTRACTOR DRAWINGS
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JOB ADDRESS: (D d N W q3 -` .Q.Q�
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Occupancy Type: Load: Construction Type
the Building Historically Designated: Yes NO
Flood Zone: BFE: FIFE:
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OWNER: Name (Fee Simple Titleholder): L �I 1 Phone#:_
Address: >, �j V) S l
City:G+M �(d,^� S State:
� �Zip:
Tenant/Lessee Name: Phone#:
Q L-
Email: r �G'� I a Hca , 1'rJ1_A
CONTRACTOR: Company Name: l £ d! C 61) S () e: t'v ' 1 Phone#: 7e6• sgJ, ql �C
Address: /ol S/ NC `HT
City: N1 i a M t State: PL Zip: 3317q
Qualifier Name: i�(_,,l� C^J.{� `4 em r 1 Phone#: 7Z# � Y7- q_ 'W
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer:
one#:
Address: City: State
uek4W
o Square/Linear Foota a of Work:
Addition ❑ Alteration ❑ New ❑ Repair/Replace
Specify color of color thru tile:
Submittal Fee$ Permit Fee $ . 1W ' V�� CCF
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Radon Fee $
Training/Education Fee $
DBPR $
Zip:
❑ Demolition
CO/CC $.
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ `�
i
�31Sb
ADD SMOKE/CARBON MONUXIDr_ UtL i-t:i R=
ANY AND ALL (:LOTH -ND RUBBER
INSULATED CONDUi TOPQ I-() qF RFPLAGI i:!
NO POINT ALONG SOUN'TE ,E Vv'ORt- ; HAN
2 FEET FROMICi.F 1 PROTEC T LD I�LCLPTACLE
PUT OMN RLCEPTACLr ! 1NDLR "INK.
.ALL FIXED APPLIANCcS oAj DEpi(.-ED CKTS.
ATE
Note: This drawing is an artistic2j�"�a,
interpretation of the general
appearance of the design. It is
not meant to be an exact rendition.
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Designed: 12/26/2014
printed: 1/12/2015
-SCIENTIFIC 12-26-14
All
Drawing #: 1
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FEB 2 5 2015
MIAMI SHORES VILLAGE
APPROVED
ZONING
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STRUCTURAL
ELECTRICAL
PLUMBING I
MECHANICAL
BY
y�
DATE
2•L5"ti5 {
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1
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1
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
i STATE AND COUNTY RULES AND REGULATION'
36
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--54'; 36"
45"_ _81"
33" A 24" --�Z-3
19"
-28"
18"
Q3t� �k
All dimensions _size designations
givenare subject to verification on
job site and adjustment to fit job
conditions.
210 2014t3
TEi,HNOLOr,,E`i
This is an original design and must
not be released or copied unless
applicable fee has been paid or job
order placed.
Designed: 12/26/2014-
2/26/2014given
Printed: 1/12/2015
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Drawing 4: 1 ;I
rim
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_i ICO
-100
M LO
M
--
19"
-28"
18"
Q3t� �k
All dimensions _size designations
givenare subject to verification on
job site and adjustment to fit job
conditions.
210 2014t3
TEi,HNOLOr,,E`i
This is an original design and must
not be released or copied unless
applicable fee has been paid or job
order placed.
Designed: 12/26/2014-
2/26/2014given
Printed: 1/12/2015
SCIENTIFIC 12-26-14
1 All
Drawing 4: 1 ;I