FW-16-582 Miami Shores Village
Building Department l .r�
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 MAR ole
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 $Y;
FBC ji toy v
BUILDING Master Permit No. �U — So
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [-]RENEWAL
❑PLUMBING [] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 103 Z(o e`
City: Miami Shores `Coun ;: iami Dade Zip:
Folio/Parcel#: Is the uilding Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
�JaC� 103z"- (a..-'Q rt r'j s'T
OWNER:Name(Fee Simple Titleholder): 1Dco�x 1l ��v.,�: �ILc�srt :phone#: 8�- `F36 O�Z/o
Address: S-o 0 0 10 3 157,
City: 'N1 :PrK• 6LA�dZ State: Zip: i—S7 '
Tenant/Lessee Name: e— VRRIPCLLCU Phone#:
Email: ;60-,,(M- 440 0+4-A--; � C.&*-(
CONTRACTOR:Company Name: is- l�C LLC Phone#:
Address: (®'& 6l -33139
City: :Air-`, State: Zip:
Qualifier Name: d lei S /L Phone#:
State Certification or Registration M LC--C 1 44 G-E f Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: State.: Zip:
Valgirof `"" ' Sqyare/Uneai Footage of�Work:
Typeof Work: :'❑ Addition El Alteration [:1 New '[�Rtpair/Replace ❑ Demolition
Desk Iptton-of YYerit: _ .._ Uua.1;-a. ("i w lL
��"t.�;,. .•/kms C�` P C't0.�u
Specify color of color#hru tile:
Submittal Fee$ E�U _Permit Fee$ CCF$ CO/CC$
1v..J
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
e
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 hat all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE D A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMP VEMENTS 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$2500, the applicant must
promise in good faith that a copy of the notice o commen M n a construction lien law brochure will be delivered to the person
whose property is subject to attachment. Als orded notice of commencement must be posted at the job site
for the first inspection which occurs seven permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signat re Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was packnowledged before me this The foregoing instrument was acknowledged before me this
day of Am 20 16 ,by day of o(4t Ck, ,20 t� _ ,by
I)W jU , i kk%IAG4,who is personally known to 5*%3t.- 1�a ir�9Ui�1a;F- ,who is personally known to
me or who has produced as me or who has produced as
identification and an 001TOR RATNER identification rU id take an oath.
NOTARY PUBU ;'$ MY COMMISSION#FF1o3950 NOTARY PUB C: J!"� �"°
j VICTOR RATNER
a
EXPIRES May 17.2018 t' MY COMMISSION#FF103950
'?;••. ;d
tont 3M.0153 Flotidariot EXPIRES May 17,2018
" 4m
Sign: ",=`. Sign: ( )398-OIW F
Print: Print: > �
Seal: Seal:
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village ��� �
Building Department JUN 2016
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Bit`:
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION UNE PHONE NUMBER:(305)762-4949
FBC 20N s
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
F-1 BUILDING ❑ ELECTRIC Adjpuapamr. REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING MECHANICAL PUBLICIED CHANGE OF NCELLATION SHOP
,( II,^ CONTRACTOR DRAWINGS
JOB ADDRESS: (C33 Zoo 1. D (A4r,
City: Miami Shores County: Miami Dade Zia:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: pp Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Vcs� ZL�;&:�Ov" cL (Rg-s_t.-i: Phone#:
Address: 0 C 10 3 fS1
City: �%Ai-c` _sLew—AState: 2 Zip: '"33 30
Tenant/Lessee Name: 1 P Phone#:
Email: //
CONTRACTOR:Company Name: PL�C Phone#: a(. _ .6 i"$l
Address:
q� J b O v f03 w�
City A,, -< < �-e� za State: Zip: 77� 13
Qualifier Name: 01V i C�1_-- Phone#: �d'(� 2 $C, ' $i$f
State Certification or Registration#: CC, C IS_0 4 f Z( Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Unear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
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)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. ify that no work or installation has
commenced prior to the issuance of a permit and that all workwill be Pedo e standards of all laws regulating
construction in this jurisdiction. I understand that a separate permia CTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC.....
r%
OWNER'S AFFIDAVIT: 1 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 Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 by &'PA— day of_SUT`� ,,.� .20 by
who is personally known to L-- l3 I�kN a Ao is personally known to
me or who has produced as me or who has produced `��— �e�y�L as
identification and who did take an oath. identification and who did take an oath. 000iO111111folI �
�g\�vERA r�i��
NOTARY PUBLIC: NOTARY PUBLIC: A-��� �pN•EXP/9•.•ai��i
:' 6,2020 Fs 6
•dam
Sign: Sign:
Print: Print: •. a ;��
Seal: Seal: ����%'R 111 `e
############################################################################################################
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
.� Ou LJ WC
6/20/16
I JUN 2 2 16
Miami Shores Building Dept BY:
Miami Shores
Ref: Fence Permit FWp312=t5--3t52
f7w - Ib -i- TZ
Dear Sirs:
I,hereby, inform you that I no longer want to change the fence of my property located at 10326 NW 1
tb - a'-8�
Ave,so please cancel the Permit number FW-12-15=3t82
Att
::�A
Ivan Rabinovich
Trustee of The JG 10326 Land Trust
Cell 786-436-0326
6 )L