RF-16-467 Miami Shores Village -
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Building Department artment �� � � oIs
M
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 By:
INSPECTION LINE PHONE NUMBER:(30S)762-4949 s4k
FBC 20M
BUILDING (waster Permit No. Al
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF XCANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:'alw Z-/ dw&4
City: Miami Shores County: Miami Dade Zi[)J3/.W
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder),-/� �6M&5'TJ4 4-10"AY Phone#:3.562-�20�•�l�a,
Address.
City: I��rec state:
Tenant/Lessee Name: AVL44 Phone#:
Email:
A
CONTRACTOR:Company Name: A ,?Z/6 LNe. Phone#:
Address:cfw A&o /o't'r*Aar&?,,c-
C)ty: ,/ State: 1L Zip:
Qualifier Name: Phone#:'9✓fy-,P99 -/to 97
State Certification or Registration#: Certificate of Competency M
DESIGNER:Architect/Engineer: 469 Phone#:
reM City: State Zip:
glue otwoik.ial{ $ Square/Linear Footage of Work:
dfWt91 �"' i ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: - C
'•a ' 71 dUv Y'.t
c C F
Sb►�f tt r .pe�umto�
Specify col of color thru t t9� £fx f .�"I%"GDVON
Submittal Fee$ 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)
Bonding Company's Name(if applicable)#/"!'
Bonding Company's Address
City State,` Zip
Mortgage Lender's Name(if applicable) N
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 ekjSignat
OWNER or AGENT CONTRACTOR
The foregoing instrumen was a knowledged before me this The foregoing instrument was acknowledged before me this
3D day of 20.E by c�p ��day,,��ojjf�����20,��,by
who is personally known to Of/�1/J3-/sVIOWZZ ,who is 12prsonallx known to.
me or who has produced /'L DL as B or who has produced W, as
identification and who did take an oath. identification and who did take anAL tour
NOTARY PUBUQ NOTARY PUBLIC: i
1p c4ma1. an 1,X19
Sign Sign:
up
Print: Print: 1
J qty
Seal:
lei,vdo•s100d"Ina. Seal: 3
0FIM
arQpnm Ewmhn 1.1019 My Com k*aub ion 1.2018
Fl -
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Nfiamii Shores Village P,-EcEivFD
s�b SIO FEB 19 2016
�\ Building Department
�'j;
�� 10030 N.E.2ad Avenue.Kjand Shores.Farida 33138
Tel:(305)795,2 N Fmc(303)75&SM �Y
IS PHONE NUMBER:( )7G 4949 Sib
FBC 20)L -
L
WELDING
PERMIT APPLICATION Per"No•
Permit Type: BUILDING I ROOFING
XW ADDRIF:SS: 1260 NE 89 ST MIAMI SHORES,FL 3313844 -
City: WNW QhKn Gamty: Miami Dade Zip:��,�,._•_,,,_..___
Folic : 11-320E-0D9-0160
b the RuNdIng Hboortaft Dom:Yes NO No Rood Zone-
OWNJUb Name(Fee Simple Titlesalder S ES 8�CHRISTA KORRAY per;
1260 NE 60 ST
Ck" MU4MI SHORES State: Fl. 33138-2643
TenanvlAssee Name: :
Eme n:
4()ON'1gtAt.'TOR:Company Name: Pte: 2&1,792,%
Ate: 508 WW 121h Avenue
city: Dam n=Rases S � Zip: 33089
Qualifier Name: : 984-2 -1185
State Caxification or • 0: C=11W3 of Comfy#.
Contact Pbone#:M&MMM(„UI) Emil Adm:jffi@M dQnMW GJWM
DF.SIGNM Artbiteaffinginew. Ply:
Yale of Werk for t b iota$ 4,000.00 _Sq=uWL1warFeoftVefWerW 500 Sf
Type of Work: OA&Mdon ®Alm ONew MtepW/Rcpt a ODemolition
Deww4offou of Work Flat Reroof
Color Am ale:
swmdt al Fee$4 ..,7 _ramPawk Fee$ CCF$ MCC$
Sawn1ogFee$ Radon Fee$ DSPR$ Bond$
Naftry$ Th6ddon Fee$ Tey Fee$
Double Fee$ Shvclwd Revkw$
TOTAL FEE NOW DUE$
Bonding Company's Namb cif applicable) WA
v
Bonding Compary's Address
City Sone zip
Mort~Em's Nam'(if applicable) "1e
Mortgajp1andeesAddress
city stage
Applicata is hereby made to obtain a permit to do the work and installations as ice. I certify that to work Of irntallatioa has
commnenced prior to the issuance of a permit and that all work will be performed to mem the standards of all laws regWatiag
motion in this junsduu m. I ung that a separate permit must be secured for ELECTRICAL WORK,PLUMBING.SIGNS.
WELLS.POOLS,FURNACES.BOILERS,HEATERS.TANKS and AIR CONDITIONERS.LTC.....
OWNIM'S AFFIDAVIT: I certify did all the foregohig infer is accurate and drat all work will be done in comics with all
applicabie laws regulating bion and zom og
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 COMI CEMENT:'
Notice to Applieaw As a candhian to dw ice of a building permh with-an esdnummd vahw cweedaig S25W.de applieaw must
promise in good,fatlh nmt a copy'of the notice of commencenwat and construction ften law brochure will be delivered to de person
whose property is subject to attachmem Also.a cers0ed copy of she secorze natim of com nencement must be pow at the job site
for the faw b&Vecnon which occurs seven (y)days after the building permit is Usuad In de absence of such posted nonce. the
Inspection wilt not be approved and a rebLwecnon fee will be
signaftox A ILLM. WA
Owner or Agent Cotor
The fongoing instrument was acknowledged before me this 7 was acknowledSed before me this 7
�y of Dec _ by Christy Korray day off' .� 15 by JWM L Morton M
who is personally kmown to me or who bas win is nersarally krawn to me or who has meed
FL- DL As idenfification and who did take an oath. Lie as identification ad who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: f4w� � Sign: f L
print: Frank Milohnich Prima i
tvoauy tic stye of Fimide mer pw t�slave of f bride
Ally COlMN85ioD E j � Frank NMO MO ���ofn
� �F � FraNc WohrdM
CMMnde W 00640461 4 Cwmr on 00840461
9tplp ,F.xpkBs11P1312012 q .EXP 1if2 M12
•Ni
APPROVED BY Plans Examiner z1own8
StrocMal Review Cterlc
(ReviodYIJJmIZXtI aarn=7XRrdwdo6ntlrMonx x31150)