RC-15-821 (7) Miami Shores Village c :
Building Department MA 29 o16
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 ��`
Tel:(305)795-2204 Fax:(305)756-8972
` INSPECTION UNE PHONE NUMBER:(305)752-4949 C'-!,
Y FBC 201�I �.Ze
BUILDING Master Permit Nom 15—_9P
PERMIT APPLICATION Sub Permit No,
BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑CANCELLATION ❑SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 10�5 T'"r� �0 A
City: Miami Shores County: Miami Dade Zip: 3 31 31Z CSS
Folio/Parcel#:&2&1 -OL-5_-1m Is the Building Historically Designated:Yes NO _
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): -34P. /2-5S J- Phone#:6&- 1•rte- c69. 5�o.)
Address&lam I e
City: ��'�_ _ State: Zip:,�U,�5®9
Tenant/Lessee Name: Phone#: qko (01 S 617 7 Z
Email: kr,(-t)GJ-
CONTRACTOR:Company Name: < Phone#:
Address: 09M
City: /`21791 Stat • .L-- Zip:
Qualifier Name: l� Phone#:� �� 1e-{
4
State Certification or Registration#: L&I C 1510 1 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:
r G`C. CE CJZ) o e—
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ '-15 . r1��``��
u CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ -CO
(ReAsed02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State 'p
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: 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.
OWARNiNG 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.n
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$25t1D,the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property Is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7)days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature Signature
WNER or AGENT CO CT'OR
The foregoing instrume was acknowledged before me this The foregoing instrume s acknowledged before me this
day o20 ,by ,$Td by
o is personally known is nally known t
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:
' �-at44reZ4
�rSign: Sign:
Print: Print
Seal: �ot�;;.,. KELYARODRK�M Seal: � c
* WOMIS910 0F040087 * * MYCOlM1SSI0N#FF0411087
-4 fEXPIRES: Nato ysr" 14,4, 0'e WTffUEXPBQ*N25,2017
BoadedTlau BudgetNQWy bV1Ce1
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(HevisWO2/24/2014)
MiamiShores Village
Building Department
g P
�ZOR 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305)756.8972
C_HpANGE OF CONTRACTOR/ARCHITECT
Permit N. l� 0
Owner's Name (Fee Simple Title Holder): ah Phone#: 46
Owner's Address:
City: State: - L. Zip Code•
job Address (Of where work is being done): l0Jr Ali–, A/e2 °,.-�
City: Miami Shores State:—Florida Zip Code:
Contractor's Com y Name: M4 6 !� -��„�. Phone :
Address: /f
City: % State: Zip Code-
Qualifier's Name: 1 Lic. Number.
Architect!Engineer of Record Name: Phone#:
Address:
City. State: Zip Code:
Describe Woric
I hereby certify that the work has been abandoned and/or the contractor/architect
is unable or unwilling to complete the contract. 1 hold the Building Official and the
Miami Shores harmless of all legal ir ement.
S�&Signature Signature
or nuactW Arddted
The fo'Preepoing instru nt was
a/k_nowle ged before a The foregoing instrument wleddred before me
th day of Y(�Y this s ay of 27 Gil
Who is nal kno me or who has produced who i rsoltal own or who has produced
as indentification. as indendfication.
Notary Pubil Notary Public:
Sign: Sign:
Seal: Seal:
XELYRODROJUt►�tT 0
MY COMMISSION t FF 040th'! .•'•` IEI.YA ROMM
* * WCOMM M#FF04 W
EXPIRES:,kdy 2s,2017
��''ean�°�*�edlbru�ogetNa�rSe�rk,� w,� et EXPIRES:,kdy�,2097
lep7d` B=W7hm&algalN&y►8w ea
STELLAR HOMES GROUP
2700 W CYPRESS CREEK RD
FORT LAUDERDALE , FL . 33309
PH : 954 - 671 - 1400
March 21st, 2016
Job address: 10540 NE tad PI Miami Shores FL 33138
Owner: SRP TRS SUB, LLC.
Permit #: RC-4-15-821
Attn: City of Miami Shores
Building Department
This letter certifies that STP TRS SUB, LLC (owner) and Amengual Electric, Inc.
(original contractor) agreed that they are going to cancel their contract and will do a
change of contractor on the property referenced above.
Please remove Amengual Electric, Inc. from permit #: RC-4-15-821. We will submit
a change of contractor application.
Thank you,
Larry u Berna d Amen 1
For TP TRS SUB, LLC For Amengual ectric, Inc.
Miami Shores Village
Building Department AUG 2'5 2015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 13Y:
Tel:(305)795-2204 Fax:(305)756-8972
� �,j
INSPECTION LINE PHONE NUMBER:(305)762-4949 � o
FBC 20l
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS 0 CHANGE OF ❑CANCELLATION ❑ SHOP
S�IlC/ CONTRACTOR DRAWINGS
JOB ADDRESS: 1 V 54 0 "� NL-
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 5 -SU- L.LC.. Phone#: 5(11 25-/C,
Address: 7 —)b aS r 4,(;�:e!—i4rA V�) S i !,
City: V��_ /_ o►l-e State: F/ Zip: X3-3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: kwNelawl E 116CA6 C -3-, 'e—, Phone#:
Address:
City: lQiv state: t-L Zip:
����° 33/2(-o
Qualifier Name: �• y,&, .ay Phone#: I sLf—Lu— o(oq
State Certification or Registration#: (,L7(— 06 a),/i, 4 q Certificate of Competency M
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$��
3C0
Value 0 Square/Unear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: C nae 6-C ron- f®c o- C
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ moi ' l CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ J• W
(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 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. I e ce of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
i
WNER or AGENT psackn
The foregoing instrument was acknowledged before me this The foregoing instrumebefore me this
�'1 day of .20� by day of20,f ,by
who is el Wally known ho 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 UBLIC: NOTARY PUBLIC:
Sig . Sign!
Print: let Pr of Fw w
Y P4% Notary Public State of Florida $e �►�A 30 Cn� FF 092753
e Vanessa Romero 0111212018
wMy Commission FF 129458 , E>'rvsef
-4�'Tj Expires 0810412018
# # S # # #########SS#SS#S #S #SS#S#S##SS######S#####SS#SSSSSSSSS##S#S##S##########################
APPROVED BY `� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami shores Village
na
Building Department
�,�pR ► 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fam (305) 756.8972
CHANGE OF CONTRACTOR /ARCHITECT
Permit NggJ r9-2A
Owner's Name (Fee Simple Title Holder): Sk F //�S &A (r,_ Phone#: Sr.I -�l'—8S t G
Owner's Address: a2co P CU 0Lr=ss Cneek gcd oI I g
City: V low01I n ACJA State: rL Zip Code:
Job Address (Of where work is being done): l't t:-Ap tJr a`Z )Q f
City: � Miami Shores State:_Florida Zip Code:
Contractor's Company Name: --rou Phone#:
Address: G`a'3! SW
City: '51- State: Zip Code33Z (Z7
Qualifier's Name: AI i-eeex t K Ocj,r Lq u e -e--- Lic. Number C_G C,)S I
Architect/ Engineer of Record Name. Phone#:
Address:
City: State: Zip Code:
Describe Worlc
I hereby certify that the work has been abandoned and/or the contractor/architect
is unable or unwilling to complete the contract. 1 hold the Building Official and the
Miami Shores harmless of all legal involvement.
Signature Signature oij,_
Contractor or Ar
The foregoing instflument was aknowledged before me The foregoing instrument was aknowledged before me
this V day of 2d5,by LQMf 8U� this 8 day of C, ,20Sby A 1'
Who is personally known to me or who has produced who is personally known to me or who has produced
as indentification. as indentification.
Notary Public No Public
Sign: Sign `
Seal:
" '� T'RF!ELD Seal: -NE AUSTERFIELD
r= c Florida c -State of Florida
7,2017 Expires Nov 7,2017
51 _, i0n#FF 55651