DEMO-14-1774 f� �eA
Miami Shores Village
• Building Department AUG , 3 iM
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY'
V Tel:(305)795-2204 Fax:(305)756-8972
\0INSPECTION UNE PHONE NUMBER:(30S)762-4949
FBC 20 L0
BUILDING Master Permit NoVEd f k4-I��
PERMIT APPLICATION Sub Permit No.
QBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 138 NW 107th Street
City: Miami Shores County: Miami Dade Zip: 33168
Folio/Parcel#: 1121360080200 Is Ing Historically Designated:Yes-NO. ✓
Occupancy Type: SF Load: Construction Type: CB one: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Marvin E.Armstrong Phone#: 305-308-4250
Address: 138 NW 107th Street
City: Miami Shores State: Florida Zip: 33168
Tenant/Lessee Name: Same as Owner Phone#:
Email: marmst13120aol.com
CONTRACTOR:Company Name: IGWT Construction,Inc. Phone#: 786-518-2394
Address: 5931 NW 173rd Drive.Suite#1
City: Hialeah State: Florida Zip: 33168
Qualifier Name: Robert L.Tyler Phone#: 786-725-6229
State Certification or Registration#: CGC062699 Certificate of Competency#:
DESIGNER:Architect/Engineer: Arbab Engineering Phone#: 305-940-3088
Address: 3363 NE 163rd Street.Suite#701 City: North Miami Beach State: FL Zip: 33160
Value of Work for this Permit:$ 12,125.92 Square/Linear Footage of Work: 264
Type of Work: ❑ Addition ❑ Alteration 10 New ❑ Repair/Replace ❑ Demolition
Description of Work: Demolition&Reconstruction of an unauthorized structure
Specify coloo(flco�lporr thru tile:
Submittal Fee$t i 'y`-' 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)
Bontling Company's Name(if applicable) N/A
Bonding Company's Address _
City State Zip
Mortgage Lender's Name(if applicable) N/A
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 IMPROVtMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LEND.WOR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT. <e
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 fast 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 a reinspection fee will be charged.
Signatur Signature
OWNERorAGEN C CTOR
The foregoing instrument was acknowl ge before me this The foregoing instrum�Jennt, �as acknowledged before me this
day of �U� ,20 L� ,by day of �'U`®y '--k ,20 4 ,by
�J►N "71151�ho is personally known to Lam,JAL ,who is personally known to
me or who has produced -- i as me or who has produced ��' 2 as
identification and who c identifi i i t oath.
NOTARYPUBUC: ttnnliNOTAR �� ®
Sign: O
Print: CD
Seal:
IDA
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)