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Miami Shores Village a1 , moi \
10050 N.E.2nd Avenue T
Miami Shores,FL 33138-0000
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Phone: (305)795-2204
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Expiration: 03/19/2016
Project Address Parcel Number Applicant
9055 BISCAYNE Boulevard 1132060110051-55
Miami Shores, FL 33138- Block: Lot: SHORE SQUARE PROPERTIES I
Owner Information Address Phone Cell
LSHORE SQUARE PROPERTIES LLC 9055 BISCAYNE BLVD.
Contractor(s) Phone Cell Phone
Valuation: $ 14,800.00
CAM CONSTRUCTION SERVICE, INC. (813)626-8643
Total Sq Feet: 12477
Type of Demo:Building Available Inspections:
Additional Info: INTERIOR DEMO FOR TENANT IMPROVEMEN Inspection Type:
Classification:Commercial
Final
Scanning:3
Review Building
Review Plumbing
Review Plumbing
Review Electrical
Review Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $9.00
Invoice# DEMO-9-15-57029
DBPR Fee $6.66 09/10/2015 Check#:2132 $50.00 $520.32
DCA Fee $6.66
Education Surcharge $3.00 09/21/2015 Credit Card $520.32 $0.00
Permit Fee $444.00
Plan Review Fee(Engineer) $80.00
Scanning Fee $9.00
Technology Fee $12.00
Total: $570.32
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume respogasibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUM G,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNER AFFIDA IT: ify tha II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constru tion an in therm e, I authorize the above-named contractor to do the work stated.
September 21, 2015
Aut orized Si ature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
September 21,2015 1
NOTE: ALL SHEETS MUgfMBE49ViWED
MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES
Herbert S. Saffir Permitting ani! IT13ectipn Cgnter
11805 SW 26th Street (Coral Way) • Miami,Reridg 331-&-N-Ve J7$6t345.2000
APPLICATION FOR MUNICIP)& F1ER11 kAPP;JjCAaTS
THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE
AND/OR ENVIRONMENLTAa ,;$ iWUMS•••
PROVIDE MUNICIPAL PROCESS NUMBER H E• • ••
LL g Job Address ft55 &1SCA u ij%5 li .,Jh cc z Contractor No. .,
z uj Folio 11 - 3,;ZO&' D l - 005 t v o Last four(4)digits of Qualifier No.
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a a Lot Block
Qualifier Name
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Metes and bounds City State_Zip
[ ] New Construction on [ ] Demolish
Vacant Land [ ] Shell Only Current use of property �£T 1 L.
U.w Alteration Interior-DENO [ ] Addition Attached
ww l Alteration Exterior [ ] Addition Detached Description of Work �NT�t�\CW, bE--K,0
n o [ ] Relocation of Structure [ ] Re-Roof
�a [ ] Enclosure [ ] Foundation Only
2 [ J Repair [ ] Tent Sq. Ft. Units Floors
[ ] Repair Due to Fire Value of Work
MBLD' y [ ] Chg. Contractor W Owner t&WRSpp
Category [ ] Re-Issue a Address 'If'O NE IaS ST.
[ ] MELE a
[ ] MPLU [ ] Re-Stamp z z City 4 (AH l State F -Zip
w [ ] MLPG w [ ] Revision W Phone
a [ ] MMEC [ ] Not Applicable for 3 Last four(4)digits of
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[ ] FIRE Fire Owner's Social Security No.
N Name L) (f Owner
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J z^ 1 am requesting a Special Request Plan Review(SRI)to be scheduled as soon as possible at the rate of$209 for the first hour
a g¢ and$71.50 per each additional hour in addition to the review fees. Minimum charge one-hour.
darn
Nw1-Request: Date:
LLow 2nd Request: Date:
cc 31d Request: Date:
z
g I am requesting Optional Plan Review(OPR)to be scheduled as soon as possible at the rate of$75 for each discipline.
aAdditional review fees may apply.
0
oW 1s'Request: Date:
p 2nd Request: Date:
a ac
W 31d Request: Date:
a
12301-192 4/15