DEMO-14-1724 t
Miami Shores Village
Building Department I AUG 01 XN
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 �Y:INSPECTION LINE LINE PHONE NUMBER:(305)762-4949
FB_C 20 l�
BUILDING Master Permit No.`/��-��)(.D m '-'OZi
PERMIT APPLICATION Sub Permit No.
QBUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9400 nw 2 ave
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO X
Occupancy Type: R-1 Load: Construction Type: CBS Flood Zone: BFE: FIFE:
OWNER:Name(Fee Simple Titleholder): ELITE HOME PARTNERS Phone#:305-905-6913
Address:2300 WEST 84 ST#602
City: HIALEAH State: FLORIDA Zip: 33016
Tenant/Lessee Name: Phone#:
Email: JDELAFE@TEAMDELAFE.COM
/ /i C
CONTRACTOR:Company Name: Vge *'t Phone#-;O -. QZ y
Address:=�`�� Al
City: tate: Zip:
Qualifier Name: - Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 1,700.00 Square/Linear Footage of Work: 100
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑■ Demolition
Description of Work: DEMOLISH INTERIOR WALLS ,KITCHEN CABINETS,BATHROOM
Specify color of color thru tile:
Submittal Fee 0- Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
•r
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. the b nce of such osted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature ff% Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this or goi g instrument was acknowledged before me this
day f 20 N , by day of 20 by
ersonally known t O V who is personally nown to
me or w as me or who s duced p as
identific i did takLl iMERO identificatio o di
hd take
_ = Notary Public•State of Florida
NOTAR : My Comm.Expires Oct 24.2017 NOTARY PUBLIC:,,01111,,,�G�e�`� p� 2p11
'-;;x�;,,.• ommission M FF 066091
Sign: LOW Sign:
Print: Print:
Seal: Seal:
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)