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RF-15-1955 r Miami Shores Village Building Department P,U; ® 20,T, 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 --- INSPECTION LINE PHONE NUMBER:(305)762-4949 Sth FBC 20 19 BUILDING Master Permit No. /-Y— /915S PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL []PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION [] SHOP 2 CONTRACTOR DRAWINGS JOB ADDRESS: J _ 08 City: Miami Shores County: Miami Dade Zia: Folio/Parcel#: LL — 2-(36-0//- 03/0 is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: G C OWNER:Name(Fee Simple,Titleholder): - C Phone#: ��'' ?4-3"" !�/ 3 Address: �� City: S Zip: 3 3/(/6 Tenant/Lessee Name: Phone#: Email: - r�gr CONTRACTOR:Company Name: -� Phone#: Address- � 2- Z S7 City: - r State: P✓ Zip: Qualifier Name: '! ��t� S _-W - , YZ0 Phone#• '3or State Certification or Registration#: ��t�� Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Unear F of Work: L� 0 Type of Work: F-1 Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition rt Description of Work: 3 Specify color of color thm tile: Submittal Fee$ Permit Fee$ 0 75- OL) CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 36 (ReWsed02/24/2014) 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. Signature LAI, Signature OWNER or AGENT CONTRACTOR The foregoing instrument v4as cknowledged before me this The foregoing instrument s acknowledged before me this _ day of 20 ,by day o c1 20 IS .by AN personally known t 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 �n $i GLADYS LEIZAN Rate o o ary Florida Notary PubliC-Stat d Prin =r; .._ Print C 2 016 Seal �.a ��'' Commission it FF 148 72 Seal ••''° `°` Commission#EE 200617 • F- O •�1/�Il��s� . APPROVED BYg ` (� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) f Detail by Entity Name Page 1 of 2 111111011-31 milli 0 `~ E x : Detail by Entity Name Florida Limited Liability Company READ HOLDINGS LLC Filing Information Document Number L14000021276 FEI/EIN Number 46-5089617 Date Filed 02/06/2014 State FL Status ACTIVE Principal Address 3850 BIRD ROAD, SUITE 600 MIAMI, FL 33146 Mailing Address 3850 BIRD ROAD, SUITE 600 MIAMI, FL 33146 Registered Agent Name&Address FRANCO,XAVIER A 806 S. DOUGLAS ROAD, SUITE 625 CORAL GABLES, FL 33134 Authorized Person(s) Detail Name&Address Title Authorized Member Rafael A Diaz Revocable Trust 3850 BIRD ROAD, SUITE 600 MIAMI, FL 33146 Title Authorized Member Malabet, Jose 3850 BIRD ROAD, SUITE 600 MIAMI, FL 33146 Annual Reports Report Year Filed Date 2015 01/29/2015 http://search.sunbiz.org/Inquiry/CorpomtionSearch/SearchResultDetail?inquirytype=Entity... 7/22/2015 Petail by Entity Name Page 2 of 2 Document Images 01/29/2015--ANNUAL REPORT View image in PDF format 02/06/2014-- Florida Limited Liability View image in PDF format Copyright©and Privacy Policies State of Florida,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 7/22/2015