FW-16-1521 '7113'_z Y' Y'fY�
-10— IN117
Miami Shores Village '
10050 N.E.2nd Avenue NE �
Miami Shores,FL 33138-0000f ,
Phone: (305)795-2204
Rte' E! Expiration: 1 0412016
Project Address Parcel Number Applicant
1391 NE 102 Street 1132050230180
BAY CONSTRUCTION 8 DEVEL(
Miami Shores, FL 33138-2819 Block: Lot:
Owner Information Address Phone Cell
BAY CONSTRUCTION& 201 S BISCAYNE Boulevard (305)898-7882
-- - ----- - - MIAMI FL 33131-
201 S BISCAYNE Boulevard
MIAMI FL 33131-
Contractor(s) Phone Cell Phone Valuation: $ 1,500.00
NICNAR CONSTRUCTION LLC (954)696-4575
.......: .::.,�.m- __:.w.,..-..........._:..:-...:::....::.._.�_..-.�.�.��.. -.. Total Sq Feet: 20
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:
Final
Date Denied: Foundation
Type of Construction:Other Additional Info:PROPERTY FENCE,ALUMINUM FEP Review Planning
Classification:Residential Scanning:3 Review Building
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# FW-6-16-60011
DFee $2.00
DCACA Fee $2.00
06/07/2016 Credit Card $116.20 $0.00
'i
EducationESurcharge $0.40
Permit Fee-Wire&Wood $100.00
Scanning Fee $9.00
Technology Fee $1.60
TotaF $116.20
In consid'e'ration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting:this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required-for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFID Ice ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and Fut I authorize the above-named contractor to do the work stated.
11 June 07,2016
Auth rued er / Applicant / Contractor / Agent Date
Buildi g Department Copy
June 07,2016 1
Miami Shores Village RIECEIVED
Building Department J N 0'2 A*rAts_
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 ��'
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 !�
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.:Cw IG— I'G 21
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION F-1 RENEWAL
❑PLUMBING ❑MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: v>� �j C,, �-02_
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:-d BFE: �F,F�E:
OWNER:Name(Fee Simple Titleholder): " C�'0 Phone#: ) `��'1�✓
Address: el '
City: ' �A_' State: Zip: af-?)j
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: ®G �— S �C't O o Phone#: C
Address: 155) WE57- adrvp-> i>/Pm e4zC'L.f7J
City f��MB?Z07+C� OP/AJC--5 State: ri 6.DP-f 0-.,) Zip: 3302,6
Qualifier Name: -0 eAC' O_ 4A.1110 Phone#:
State Certification or Registration ell, Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State Zip:
Value of Work for this Permit:$ '00
Z
Square/Linear Footage of Work:
Type of Work: ❑ Addition OEI Alteration New ❑ Repair/Replace ❑ Demolition
Description of Work: �' ww,`2i U,m re,
co
Specify color of color thru tile:
Submittal Fee$ 5u 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. 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 e d ivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commence m t m st b posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the ab ence of s ch posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signaainstrum
r
OWNERorAGENT CONTRACTOR
The foregoi instrument was acknowledged before me this The fknowledged before me this
-Z day of .20 l b 20t4 .by
GXL._� q ,who is ersonally kn towho i ersonally kn o
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: Sign:
mot C;03 Print-
Seal:
Print =•• :« IINARES
Notary PubUc Stets of Florida
Seal Michael Robert Jaar Seal: ,� I`''::h `�, a►y 07,8017
My Commission EE 831947
tv
F.xes 09/03/2018
################################ #### # ###################################################################
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revisedo2/24/2014)
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