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MC-13-2557 (2) �. Miami Shores Village 0\ 41 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 FEB 1'2 20% Tel: (305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 Y: .0 FBC 2 BUILDING y Permit No. _W( c—114— 13 2��-- PERMIT APPLICaster Permit No. z3sS— Permit Type: MECHANICAL JOB ADDRESS: I •�. �� rte_ (C) City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: i I3 Coc, ^�' Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholdt,U I c 1 C-; C - ,TW Phone#: Address: City: 6l'IqqIcLt,-t•LlSly�ry-ca State: 7-::::::CZip: Tenant/Lessee Name: N/D+- It C&I e Phone#: Email: f'u M � X6) L Inn.AA . CO LLL CONTRACTOR: Company Name: C_AiV i 1�' ftk 1D I r q,y C &A ! 61t Phone#:_30E-- X14-� Address: 1-0 j�� -T�; Tr__ City: I114 1 (I'tt.l State: Qualifier N ti +'' Phone#: 7 5 '- State Certifi tion,.gr.FRegistration#� Certificate of Competency#: Contact Pho #:' ail Address: , , . DESIGNER Architedt/En;uteer;_. Phone#: Value of Werk fer.W&,ermit•$_, Square/Linear Foota ge ofWoi•k:' Type of Work: ❑Address ❑Alteration ❑New tUtepair/Replace ❑Demo}ition Description.,of Work: C- 1 L i o L Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ I Bonding Company's Name(if applicable) Bonding Compapy's Address City State Zip Mortgage Lender's Nameffppplicable) 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 pirior 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 ELECTRICAL WORK,PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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. Signature SignatureG%' Owner or Agent Contractor The forego' g�i�g�'dI'il nt was acJ M8*AMg i before se thisy The forego g t ie� a this /Z— Npt�argy Public-State of Florida YP"'�•, SARA day of •' '. y minExpWic� day ofComnussi who is pers fill° 8n1ui`N'#h �oyCe p -N, 't@My cm1:l�Ex ieb�� ationa ar ssn. who is e As i e a a n o f take an oath. e an oath. NOTARY PUBLIC: NOTARY PUBLIC: �.. SARA GARCIA RA GARCIA Sign: �o ��z dub = ate of Florida ��"'- YP �; My Comm.Expires Feb Sign: ` >I'atar Potrficestale of Pmt: 872359 Print :N v? My Comm.Expires Feb -Florida7,2017 of pded through National Notary Assn. My Co ssi E My ,��'�%°F ,��•oulh National Notary Assn. APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012XRevised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Miami Shores e Villa g Building Department �= 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 OC t ' bid rr ,TSI: (305)795-2204 Fax:(305)756-8972 IPTION LINE PHONE NUMBER:(305)762-4949 I, L~ BUILDING Master Permit No. .40, 2%,\' PERMIT APPL ATION Sub Permit No. ❑BUILDING ELECTRIC ❑ ROOFING REVISION EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP r� CONTRACTOR DRAWINGS JOB ADDRESS: 13—to 10 20- (0 3 4 City: Miami Shores County: Miami Dade Zip: 33 13 G Folio/Parcel#: 0 30 -24)00 0 S ei Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:/�— OWNER:Name(Fee Simple Titleholder): C AW I Lk C— C r— kAah\1 Phone#: ® (�I� Ll Address: x,91� 1P KD � ®� �p City: VW( 1 State: Zip: Tenant/Lessee Name: 1 Phone#: Email: G6:yn I'( CONTRACTOR:Company Name: �� I✓/L /V� I7�{�e� Phone#: Address:�'�'� _2&j Z1� City: )41'47zni State: �J�/iG�G, Zip: Qualifier Name: o�rP /�'//�/L/�Z CIM-6 JZ Phone#: State Certification or Registration#: �(' S 7 S /%. Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: �60 l0 Specify color of color thru tile: Submittal Fee$ Permit Fee$ �f �� 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) 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded noti of co mencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit ' issued. In t sence such posted notice, the inspection will not be approved and a reinspection fee will be charged. r Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this Th`e foreing instrument was acknowledged before me this o day of Ac�d � 20 � _ ,by l� day of ©tel ,20 by who i rsonally known to ��s2 � ��-2 who is personally known to me or who has produced as me or who has produced C �� as identification and who did take an oath. identification and who did take an oath. `\\\sa\\\IlOi1/41 �ldo NOTARY PUBLIC: NOTARY PUBLIC: �a``� �� Sign = 00:N rint: Print: = 91of7 Seal ®,rRv PU Notary Public State of Floria RSA,saJ Joanna M Feliciano Seal: J 082753 oMY Commission FF Expires 0111212018 �ypp4p APPROVED BY �� , :.ins txa,niner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department N 0 V 4t P, 2'"L�, LAO10050 N.E.2nd Avenue,Miami Shores,Florida 33138 0Tel: (305)795.2204 Fax: (305)756.8972 �\ INSPECTION'S PHONE NUMBER: (305)762.4949 FBC 2010 BUILDING Permit No. PERMIT APPLICATION Master Permit No. e Permit Type: BUILDING ROOFING JOB ADDRESS: ) 17 0 Q 7� S� City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO j./ Flood Zone: OWNER:Name(Fee Simple Titleholder): G4kN iLL r-tfbaa r '+cal A'/ Phone#: "IDS�- 61)6 Address: 13x-0 Q -E-- r®1 j-r-Q.a-t7 City: W 1'Ir KMI SWID t?—S State: Zip: 3:k Tenant/Lessee Name: 1- 7 A P Q L I cA A tx Phone#: 3 os- Email: c.a- rm , 1 Loo0 CONTRACTOR:Company Name:Vsr,Aoenve Lhoy Phone#: 6293) r79?—2D$S Address:S S'w• In. City: Al 114 vt 1 State: Zip: �3i16 Qualifier Name: _ .-IGSQ A4z 6 y&L IgCll. Phone#:_fta 3C7-L rr o State Certification or Registration#: C C'G 0S r'( Certificate of Competency#: Contact Phone#: (7 60 %7--Z S7R$ Email Address: DESIGNER: Architect/Engineer: Phone#: -7:75 X13 Value of Work for this Permit:$ Square/Linear Footage of Work: 0 w Type of Work: ❑Addition eeAlteration ❑New ❑Repair/Replace ❑ o i De tion Description of Work: LI -c�q®T'Tr - Z -�P � it CCa�y 1_CAT 10a Ci� Color thru tile: ��x��xx��xxxxx�xxx:xxx��:x�xxx��:��x�Feesxx��xxx��:��x�:�=xxxx�:xx��:xxxxxxx:x:x:xxxxx��x�:x�x Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ i 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 ELECTRICAL WORK,PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien lawbrochur i l be ae 'vered to the person whose property is subject to attachment. Also, a certified copy of the recorded no e of ommenc ent must be p sted at the job site for the first inspection which occurs seven (7) days after the building permit i issued In he bsence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this K4 The foregoing instrument was acknowledged before me this?A day of 20 (27,by CQ.,&;/!{ rA-de-Aw A t , day of NOV .20 13,by r who is personally known to me or who has produced who isEaias own to me tr who has produced C-ow-1/O- (W-7SY-t As identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign Sign: Print: z S �'O �! z Print: 'e, Pyelo ELZIRIS GOMIEZ My Commission Expires: My Commission Expires:p,"':?&,�, * MY COMMISSION t EE 838183 ELZIRIS GOMIEZ P EXPIRES:January 25,2017 * * MY COMMISSION#EE 838183 nTF�p OPEC Bonded Thio Budge Noauy Swvim mr Q EXPIRES:January 25,2017 'IFpF�,oP�° Bided TMu Budge)Nolaty senrkes kkkkkkk�k�k%k�kkkSe;e;e�kk�k�k%k��kkk :kk�� %kik kkkkk�kkkkkkka�kk�k�kkkk�k��kkkk$=�kkXekk�kkk�=FFkkkkk=k��k��k%k�kkkk� APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) 3 SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE CONTRACTOR'S SUBSTANTIAL DAMAGE OR SUBSTANTIAL IMPROVEMENT AFFIDAVIT Property Address: ��_�� (03"� S-F-►%�-- yl� ia,N � ��r� -f L 33138 Contractor's Name. ' Contractor's Company Name: Contractor's Address: Contractor's Phone Number. C,7*6) Contractor's State Registration or Certification Number: G (25!? 57 c� Contractors We Registration Number(if applicable): I hereby attest that 1,or a member of my staff,personally inspected the subject property and produced the attached itemized list of repairs,reconstruction and/or remodeling which are hereby submfited for a Substantial Damage or Substantial Improvement Review.The fist of work contains ALL OF THE WORK TO BE CONDUCTED on the subject property.If the property sustained Substantial Damage,this list of Work,will return the structure to at least its condition prior to damage and bring the structure into compliance with all applicable odes.l further attest that all additions, improvements or repairs proposed for the subject building are included in this estimate and that neither I nor any subcontractor or agent representing me will make any repairs or perform any work on the subject structure other than what has been included in the attached fist. I UNDERSTAND THAT I AM SUBJECT TO ENFORCEMENT ACTION,WHICH MAY INCLUDE FINES, IF ANY INSPECTION OF THE PROPERTY REVEALS THAT 1, OR MY CONTRACTOR,HAVE MADE REPAIRS OR IMPROVEMENTS NOT INCLUDED ON THE ATTACHED LIST OF REPAIRS OR THE APPROVED BUILDING PLANS. See attached itemized list. STATE GDS 0);% COU //'� 13ef re me is day pens ared w/ U'oAC'� who, being du sworn deposes nd says t he/she has read,understands,a agrees to comply with all the a men ons. a Co ignature to and subscrifore me this�F---da ob Nd ,20 Notary Pt lic State of — -$%Ry � n Te My commission expires: 11yCoMMISSCHAEM183 EXPIRES:January 25,2017 'BWWedTtffU8W9dN0kq SCAM SUBSTANTIALIMPROVEMENT OR SUBSTANTIAL DAMAGE APPLICATION FOR SUBSTANTIAL DAMAGE Property Address: OR SUBSTANTIAL IMPROVEMENT REVIEW l 3�o ,�� ►03� '�- 4f r 5�aye 33/ 38 Property Owner's Name. Property Owner's Address: 13 £. ��3� S`f—rte- � _J�ka, ��- 331%% Property Owner's Phone Number. Contractor's Name: Contractor's �- Address: 5'3"3s�S.� • 1 I � ��,.-�— Vl�, ,� 33r Contractor's Phone Number. Flood Zone 3os"— a-� — 2088 BFE Lowest cf..,._rt____�• (Excluding garage or carport) Floor ovation Check one of the following: [I I am attaching a State Certified Appraiser's report, valuing the structure at: Vam not attaching a -State Certified Appraiser's report and I adept the use of the valuation of my property that has been recorded by-the County Property Appraiser's Office. SIGNATURES: Property Owne . Contractor: Date: rr �D f Date: - 4/a5z� �3— SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE PROPERTY OWNER'S SUBSTANTIAL DAMAGE OR SUBSTANTIAL IMPROVEMENT AFFIDAVIT Property Address: Contractor's Name: �i ,1 -Q-jo 64•e -c Property Owner's Name: Property Owner's Address: Property Owner's Phone Number. 0 I hereby attest that the list of work and cost estimate submitted with my Substantial Damage or Substantial Improvement Application reflects ALL.OF THE WORK TO BE CONDUCTED on the subject structure including all additions, improvements and repairs and, if the work is the result of Substantial Damage,this work will return the structure at least to the"before damage'condition and bring the structure into compliance with all applicable odes. Neither I nor any subcontractor or agent will make any repairs or perform any work on the subject structure other than what has been included in the attached list I UNDERSTAND THAT I AM SUBJECT TO ENFORCEMENT ACTION, WHICH MAY INCLUDE FINES, IF ANY INSPECTION OF THE PROPERTY REVEALS THAT I, OR MY CONTRACTOR, HAVE MADE REPAIRS OR IMPROVEMENTS NOT INCLUDED ON THE ATTACHED LIST OF REPAIRS OR THE APPROVED BUILDING PLANS. See attached itemized list. STATE OF t Q >A COUNTY OF �. �_ Before me this d personally appeared who, being duly swom,deposes and says th e/she has read, understands, and agrees to comply with all the aforementioned conditions. Property Owner's Signature Sworn to and subscribed before me this day of COO , 20 I3. Notary Public ate of �° .••••,�� EIZINSWW— My commission expires , « yCOIAIHIMN f EE 838183 E'XPIRES1anUary 25,2017 1"OF RO��O Omded TI9u Nod Nutry$e1Ym T Cost Estimate of Reconstruction J Improvement Application Number DateI — Address 13 g 101 At3P, This cost estimate of reconstructionlimprovement must be prepared by and signed by the contractor or by the owner if the owner acts as the contractor.Owners who act as their own contractors must estimate their labor cost at the current market value for any work they intend to perform. Sub-Contractor Bids Contractor or Owner Material I ' Labor Costs 1�t Estimates *I C o o o•oo Costs Ij f elm CW— I�►w� f7 q Sid Amounts(see note"D") I 1. Masonry 2. Carpentry Material(rough) 3. Carpentry Labor(rough) 4. Roofing 5. Insulation and Weather-strip 6. Exterior Finish(stucco) 7. Doors,Windows& Shutters 8. Lumber Finish 9. Hardware 10. Drywall 11. Cabinets(Built-in) SQ` 12. Floor Covering 13. Plumbing 14. Shower/Tub/Toilet 15. Electrical&Light Fixtures << ' ��• 13 16. Concrete 17. Built-in Appliances 18. HVAC 19. Paint 20. Demolition&Removal 21. Overhead&Profit 03 — w f t CL.w_ 1370 NE 103 Street, Miami Shores, FL 33138 1 Masonry $ 1,575 2 Carpentry Mat(rough) 0 3 Carpentry Labor(rough) 0 4 Roofing 01/ 5 Insulation/weather-strip $ 1,50Q 6 Exterior finish(stucco) $ 2,650 7 Doors,Windows, Shutters $ 15,000 8 Lumber Finish $ 6,200 9 Hardware $ 1,050 10 Drywall $ 10,040 11 Cabinets(Built-in) $ 4,000 12 Floor Covering 0 13 Plumbing $ 10,361 14 Shower/Tub/Toilet $ 4,700 15 Electrical & Light Fixtures $ 15,000 16 Concrete $ - 17 Built-in Appliances $ 6,000 18 HVAC $ 12,500 19 Paint $ 4,600 20 Demolition & Removal $ 6,024 21 Overhead& Profit $ 13,800 TOTAL ^ 15,000 Note: 1/Roofing under separate permit: RF: 6-13-1389 tJ i- i o 3 �'�--- „� 5 313 6 Distinctive Homes 5535 S.W. 112" Court 7L262013 r Miami, Florida 33165 BY. November 5, 2013 Camille Chee-Awai 1370 NE 103 Street Miami Shores, Fl. 33138 Distinctive Homes and its subcontractors propose to carry out the interior renovation of the property located at 1370 NE 103 Street, Miami Shores, FL 33138, in accordance with the plans prepared by Fernando Gomez-Pina, P.E,referred to as "Work Scope". These plans are currently being submitted to Miami Shores Village for the appropriate permits. The breakdown of the costs is as follows,to carry out the Work Scope upon receipt of the permits from the Miami Shores Village: 1 Masonry $ 1,575 2 Insulation/weather-strip $ 1,500 3 Exterior finish (stucco) $ 2,650 4 Doors,Windows, Shutters $ 15,000 5 Lumber Finish $ 6,200 6 Hardware $ 1,050 7 Drywall $ 10,040 8 Cabinets (Built-in) $ 4,000 9 Plumbing $ 10,361 10 Shower/Tub/Toilet $ 4,700 11 Electrical &Light Fixtures $ 15,000 12 Concrete $ - 13 Built-in Appliances $ 6,000 14 HVAC $ 12,500 15 Paint $ 4,600 16 Demolition & Removal $ 6,024 SUBTOTAL $ 101,200 Overhead &Profit $ 13,800 TOTAL $ 115,000 Sinc ely y ur , Agreed and Accepted: Jose a Distinctive Homes) Camille Chee-Awai (Owner) Office: (305)279-2088 Fax: (305)279-2066 5N�REs Miami shores Village ` •xG�32 Building Department memo 111111" 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 ��OR1DA Fax: (305) 756.8972 t®-zz r15 Page 1 of 1 Permit No: ( c --°Z3 �� Structural Critique Sheet �'`�� ►c w Ccs_ �� rl® (��-E'er: � s ISS � f��°� • �_� �l�C�-7-ff��2 �l 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 Building Department BY: 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 BUILDING Permit No. PERMIT APPLICATION 9'` 'mit No. G- VIS Permit Type: BUILDING UFING JOB ADDRESS: t 3 ap City: Miami Shores County: Miami Dade Zip: 3 3 13 S Folio/Parcel#: l l '_�- .2-2 0 3 c, p Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): C"IUM Cil- AID Il Phone#: SOS- (&6^3L Address: 13 til (O ✓ City: State: Zip: 3 31 G Tenant/Lessee Name: Phone#: Email: Ga ry► i ��-e, r'r �loocu Geeu`- CONTRACTOR:Company Name: Phone#: Address: �3 S� 6.W• City: l4i~ Stater Zip: Qualifier Name: J050-- Phone#: 746 *67- 2,5" State Certification or Registration#: Certificate of Competency#: Contact Phone#: 7Jp Lam, G 7 .2-5-9 u Email Address: DESIGNER:Architect/Engineer:Ler"&.11417 ��,'l c2�s _ �s Phone#:f w. - )9 Value of Work for this Permit:$ '::Z O O ofo Square/Linear Footage of Work: Type of Work: ❑Addition UAlteration ONew t]Repair/Replace ❑Demolition Description of Work: 't-vawi n ir► co 6,_ o n r-oo a-Q•re,a.�, -� Color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ 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 ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 estimat ue exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and constructia en law b ochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded tice of com ncem dust be osted at the job site for the first inspection which occurs seven (7) days after the building permi is issued. I the sence of suc posted notice, the inspection will not be approved and a reinspection fee will be charged. 4 Signature Signature Owner or Agent Lwitor The foregoing instrument was acknowledged before me this 7 The foregoing instrument was acknowledged before me this day of _>20 L,by U0060 Ch-e AIL-AP day of �tt__ 20N by C Ny? "-1l L� who is personally known to me or who has produced eI--.DnJa4AJ Lac, who is personally known to me or who has produced mono-�I o-61 7�4-IAs identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC. Sign: Sign: cl)- Print: g /�� " � Print: - laar P&k, ELZIRIS My Commission Exp �!'•• ° MY COMMISSION#EE 838183 My Commission Expires: �'. c';��\m * EXPIRES:January 25,2017 D Rw ��x,x��x��x�,��x��,x��a«x��:x�x�x,x��x:xx�:x�a<,xa< �,x�x�:x:x�,xa<�x�x��x:x:x�,x�x��a<*�,x�:x�•x�,x,xx�x•:x�>x�„xa<�xa<�xa<ae��:x�x�x��,x,x�aluta��l��x�,x APPROVED BY � l Plans Examiner Zoning Z Z Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138MAR 19 2014 Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 9. 20 ' BUILDING . =;_ Permit No. PERMIT AP Master Permit No. / — 13 D F �5� j Permit Type: BUILDING ROOFING JOB ADDRESS: 1 0 — City: Miami Shores County: Miami Dade Zip: 331 '3 Folio/Parcel#: I I 3®_5-0,6'D 3CtO S® O Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): -_ZA-uy I L Phone#: S0 ®G 3 a � Address: 1 3 o :F— i 3 'A City: Al r A-vu-1 Sp{Ci �c S State: ��C— Zip: 2, Tenant/Lessee Name: N , Phone#: Email: u Vo i O(--a- /55�) CCL'0-6) 0 0ILk C-,.)UA— CONTRACTOR: Company Name: E'rsTi16 C—1 0 E $�D 4,16 5 Phone#: 3�_- Address: fi-67A3,— SD City: yl t Y1 -fk4 i State: 4f::Tti,.F Zip: �1 6b Qualifier Name: -Uvl( CaL4 c L_ C-4 D'o Phone#: State Certification or Registration#: Cif e:�: b S)L._- Cexti�cate of Competency#: —7 Y, � Contact Phone#: lis -36` - '- ` Email Address: 64a.✓k` Ill ,�" oI - a DESIGNER: Architect/Engineer: :i:i----1-N A16 J —P o so Yl Phone#: '101- Value 10 tiValue of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Addition Alteration' ONew ORepair/Replace ODemolition Description of Work: 6V, I ate+' Pc, (� Pr lel — (dl �i�rv— '_10 e4 Cj 10 j 1l_ Color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ 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 ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notic commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit ' issu d. In absent of such posted notice, the inspection will not be approved and a reinspection fee will be charged. e Signature J�2yi Signa Owner or Agent Contractor The foregoing instrument was acknowledged before me this 171k The fore oing instrument was ackno edged before me thill— day of - ,2011,by Gwiffi a cc Aw*• day of HaftL ,20!f,by IC Al- who is personally known to me or who has produced *":PZ- who is pers malls laawwe iev or who has produced C ODO-alb-41.7ftl identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: BzRr*w'c/}� o4PpY•PU��c MEZ e MY C0MId15S10N A E2569111 Sign: Sign• * EXPIRES. a s Print: 2l Q tS 6bWel Print:�,Zl�tr S`.'ASI�ie'"L My Commission Expires: PpY PueEIZIRIS GOMEZ My Commission Ex MY COMMISSION t EE 0110 .�,. �. � MI8910N�EE83816� * EXPIRES:January 25,2017 25 axis �� o` gp�7ixu Budged Sdv� � �� gq 6NA�k11 ****sY****9ceFnY*oY9r*9e9c4roY**nF�2 ** tk$r*oY9e7YnY•Y9e9e**4r9e9e*9e9:9e**:1 h4e9e�k*4c****aTr3r*YY**YY****�* **Y***4r*fir*4r*******k***aY* L� I APPROVED BY � Plans Examiner Zoning Structural Review Clerk (Revised 5/2/2012XRevised 3/12/2012)XRevised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) Miami Shores Village __ Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 14 1 9 2014 Tel: (305)795.2204 Fax: (305)756.8972 BY: INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 BUILDING - ,. Permit No. mo- PERMIT APP Master Permit No. c — 1 0 Permit T e: PLUMBIN JOB ADDRESS: 1 ,3�-® (0 l 03'�`I City: Miami Shores County: Miami Dade Zip: 3 I Folio/Parcel#: I\ 3 9,®`_�c'S 3 ow so Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): 4f A-W l L U& � qtt Phone#: r�o ��l� ®�' Address: 1 3 ® ,L,4 <+ City: / (flu I S State: Zip: �3 ! a gs Tenant/Lessee Name: 1`) / Phone#: Email: C-ca0Ait1-Q 1�0 Gcw Io®KX Ccy,,—, CONTRACTOR: Company Name: !�I A) Ili c�Yt-Sr�-(� 40LU M A I of �� Phone#: 3o'_ OG I--313 Address: /-V! City: 1 4,jj State: { t.,. Zip: P t 3 Qualifier Name: �� r Phone#: 4 q 2� �ft— J .. State Certification or Registration#: Y� Certificate of Competency#: Contact Phone#: � �v " � � Email Address: , DESIGNER:Architec ngineen '.00��z�u�c2 y9ao er�S ,or, _1)67e-is o)!q:e Phone#: a Value of Work for this Permit:$ �0Square/Liriear Footage of Work: Type of Work: ❑Address R<teration ❑New ❑Repair/Replace ❑Demolition Description of Work: IN 57%LA_ I c�4✓c_4�Fd&!&' OAi crit1ttc:�-�ey�z_ . Submittal Fee$ Permit Fee$. w CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ <69 -L 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 ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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. i Signature Signature J Owner or Agent Contractor The foregoing instrument was acknowledged before me this 174 The foregoing instrument was acknowledged before me this day of A&W&L- ,20 )` ,by cy-o&, t CMwm , day of ,20 L4,by -Ml a'h tA 1 6 P4 x,14 who is personally known to me_or who has produced `uho is berio� kriown to me or who has produced Celt-1/0 Q 7SY-1 As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: ZeA&r 6 Cmm, us ELM GOMM Print: * * EXPIRES:August 5,2017 Banded My Commission Expires: ,r * EX COMMISSION t EE 838183 My Commission Expires:m u o EXPIRES:January 25,2017 �l9�FOV��`De 8011 TAN BudQE1 $EIM�GS o1r�9e ko'edr4r8:k�4c4t*4t7ktaY�YoY9e4:4t Y:Y�sk7k k'h�Y�9toW7Yd:�ko4sYoY kvk4e�k�4:4:8:�9t�oY4:9t3e4c kx:YoYn'e4e9e4nF9:�k9rot�iele Ra�9es89e9e7Y&'k4edr4toF7k9e�4e�o'eiY9e9nY9e&tY�4e&4e9e�F�tik9F8: APPROVED BY �`j"/ Plans Examiner Zoning Structural Review Clerk (Revised3/12/2012)(Revised 07/10/07XRevised 06/10/2009)(Revised 3/15/09)