RC-15-362 (3) Miami Shores Villa a �s'�°RV%�
Building Departmen Ityones ,,,,,M
10050 N.E.2nd Avenue
Miami Shores,Florida 33138
Tel: (305) 795.2204w 15
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Fax: (305) 756.8972
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Page 1 of 1
Permit No: ke-15 3 6 Y
Structural Critique Sheet
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CO-
-216 ��.,, -e,�—.
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
g FEB 19 Lo
Building Department
10050 N.E.2nd Avenue, Miami Shores,Florida 33138 0
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2010
BUILDING Master Permit No,2 I C� — _2�0
PERMIT APPLICATION Sub Permit No.
QBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 166 NW 100 TERR
City: Miami Shores County: Miami Dade Zip
Folio/Parcel#:11-3101-023-0280 Is the Building Historically Designated:Yes NO X
Occupancy Type: R2 Load: Construction Type: BRICK Flood Zone: BFE: FFE:
NZALEZ
OWNER:Name(Fee Simple Titlehol ed i�.� Phone#:
Address:166 NW 100 TERR
City: MIAMI SHORES State: FL Zip: 33150
Tenant/Lessee Name: Phone#:
Email:
;vS 1S75
CONTRACTOR:Company Name: K COSNTRUCTION AND DEVELOPMENT Phone#: 954-457-9212
Address: 906 W HALLANDALE BEACH BLVD
City: HALLANDALE State: FL Zip: 33009
Qualifier Name: JACOBO KLIGMAN
Phone#:
State Certification or Registration#: CGC1510175 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$18,000.00 Square/Linear Footage of Work: 150.00
Type of Work: ElAddition NAlteration ❑ New ElRepair/Replace ❑ Demolition
Description of Work: NEW KITCHEN, REMODEL BATHROOM. OPEN WALL FOR NEW FRENCH DOOR(PERMIT
AND NOA'S BY OTHERS), CLOSE EXISTING DOOR TO EXTERIOR, OPEN WALL AND INSTALL POCKET DOOR
TO EX. MIAMI DADE APPROVED ALTERATION.
Specify color of color thru tile: nn r\�
Submittal Fee$ JV Permit Fee$ v CCF$ CO/CC$ U-)
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ �O
TOTAL FEE NOW DUE
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
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.
r ,>
Signatur Signature
OWNEe g AG CONTRA R
Z :7
The foregoing instrument was acknowled d before me this The foregoing instrument was acknowledged before me this
day of r?bYuat!j 20 15 •by day of r C but�/l/ 20 1 S by
)'eon e ('--460 76?IP Oho is personally known to l� ,10 K '11,(Yon who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Q�/,
1/.!1/ Sign: .
Print: Y('(G Print:
Seal: ;o` "" Lo''; ANA PARRILLA Seal:
r* :" Notary Public-State of Florida
•J, My Comm.Expires Apr 21,2017 ;s. UO' ANA PARRILLA
�''•;o Commission#EE 867787 �� Notary Public-State of Florida
**********s ******************** *************s ' ' �Al �� 1#1tp41�d�S*d�{71!�A�� *************
_ 14 Commission#EE 867787
APPROVED BY , `J Plans Examiner w Zoning
Structural Review Clerk
(Revised02/24/2014)
Pouf �C �15- 2
Miami Shores Village Perll�ti 7y�, t�t�8tlal Gonstrucdon
10050 N.E.2nd Avenue NW IISf tk',08S Cd#6&Alddlt o[! I tli n
Miami Shores, FL 33138-0000 �;� ��'
Pelffus
Phone: (305)795-2204
Issue Daw-SM,2015 Expiration: 11/29/2015
Project Address Parcel NumberApplicant
166 NW 100 Terrace � 1131010230280 � �.. �.._..e��..
Miami Shores, FL 33150- Block: Lot: ILEANA GODOY GONZALEZ
Owner Information Address Phone Cell
ILEANA GODOY GONZALEZ 166 NW 100 Terrace (786)390-9503
MIAMI SHORES FL 33150-
166 NW 100 Terrace
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone _.••..�....�.•_.__. _._._..� ,..�..�__._��
Valuati
K CONSTRUCTION AND DEVELOPME (954)457-9212 on: $ 18,000 00
Total Scl Feet: 00
b
Approved: In Review Available Inspections:
Comments: Inspection Type:
Date Approved: : In Review
Final PE Certification
Date Denied: Drywall
Type of Construction:NEW KITCHEN NEW BATHROOM C Occupancy:Single Family Miscellaneous
Stories: 1 Exterior: Window Door Attachment
Front Setback: Rear Setback: Tie Beam
Left Setback: Right Setback: Final
Bedrooms:2 Bathrooms: 1 Framing
Plans Submitted:Yes Certificate Status: Insulation
Certificate Date: Additional Info: Truss Insp
Columns
Bond Return: Classification: Residential Foundation
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Window and Door Buck
CCF $10.80 Fill Cells Columns
CO/CC Fee $50.00 Invoice# RC-2-15-54533 Wire Lathe
DBPR Fee $8.10 02/19/2015 Cash $50.00 $837.00 Review Electrical
DCA Fee $8.10 06/02/2015 Credit Card $837.00 $0.00 Review Electrical
Education Surcharge $3.60 Review Electrical
Permit Fee $540.00 Review Electrical
Plan Review Fee(Engineer) $80.00 Review Building
Plan Review Fee(Engineer) $80.00 Review Building
Plan Review Fee(Engineer) $80.00 Review Building
Scanning Fee $12.00 Review Plumbing
Technology Fee $14.40 Review Plumbing
Total: $887.00 Review Plumbing
F.Termite Letter
F. Elevation Certificate
Review Structural
Review Structural
Review Structural
Declaration of Use
Review Mechanical
constructionn zoning. Futh r , I au orize the above-named contractor to do the work stated.
June 02, 2015
uthorized Signature: caner / Applicant / Contractor / Agent Date
Bipm
ul dng Deartent Copy
June 02,2015 2