REV-16-2210 Miami Shores Village
aur 2
Building Department 016
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 ( I
Tel:(305)795-2204 Fax:(305)756-8972 - - - -
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBCii20
BUILDING Master Permit No. w, Iu ~ M
PERMIT APPLICATION Sub Permit No.Rtylb - 2210
❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
AI �j� CONTRACTOR DRAWINGS
JOB ADDRESS: 1205 I V Ur r ' Ayc
City: Miami Shores County: Miami Dade Zip: S0
Folio/Parcel#: 11-320 --®15.02.3 0 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple
�Titleholder): /} �/�ri� 1 V I�.e ll/ Phone#:
Address: `7 tog Elmo
rj-h JA Aary� _ Ayc,
City: � + El y!/o State: f'L— Zip: 3-315�
Tenant/Lessee Name: Phone#:
Email: �
CONTRACTOR:Company Name:--0+ (i0 SrbQ 11Y � kR Phone#:
Address: 1 �� M I rd"r PathW
City: p.� y� p �} Sca e: Zip: 5�2�
Qualifier Name: i'�l,Ir�X a� (/ � 0 �UST, 11fr Phone#:
State Certification or Registration#:fp
1 j�51151CG Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ AC Square/Linear Footage of Work: 'V / k
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description 9f Work: 0 :4 0
006 Ow no
Specify color of color thru tile:
Submittal Fee$ Permit Fee$�� ` CCF$ CO/CC$
Scanning Fee$:53" (33 Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Rev1sed02/24/2014)
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. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature4�z L/
0 NER or AGE T CONTRACTOR
The foregoing instrument was ackn wledged before a this The foregoing instrument was acknowledged before me this
--0 day of 20 ,by L. day of ka Uf 20 ,by
'Atwho is personally known to / / — M&11kho 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.
NOTA Y PUBLIC: NOTARY BLIC:
Sig Sign:
Print: Print:
CQ�G
Seal y nab- J0tXAP0UL0S-GONIAL.
.3'� c, JOANA POULOS GONZAI E� Seal: �''' MY COMMISSION#FF 156,/. <
MY COMMISSIQN#FF 158 t s �, '`-
* September E, EXPIRES:September w,
o= EXPIRES:Sep 2018
,,V uBonded Thru Notary Public Un�r:t
Bonded Thru Notary Public Underwriters M
.f7f,�K4`
G'
APPROVED BY Lr Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
•
no longer replacing : • • . • •••
JOB DESCRIPTION: e.6 Panel Sob
WINDOW&DOOR Door LH
REPLACEMENT 32"x 98"
12 OPENINGS / 77Of7OFBC 3341 . • • •
:•• •: .••
Revisl n:
NO LONGER REPLACING OPENING REPLACING 6. I ••• • ••• • ••
•
06 HOMEOWNER OPTED OUT AND THE NO LONGER . . 0 ••• . . • • •
SOLID DOOR WAS REMOVED FROM ••• • •
THE SCOPE OF WORK
FAMILY ROOM 7.Horizontal Rolle 8.Horizontal Roller 9.Casement
Window OX Window XO Window ••
45-12"x 60" 74"x 50.1/2" 37"x 50.1/2" •• • • •• 0•. ••• •
65!85 85!85 84.8/84.8 . • • • • •• •
NOA#15-0512.05 NOA#15-0512.05 NOA#15-0512.1 • �•� j • :0: • �
----- - •�• 0 �.• a ••• ••
� 7. e. 8.
DINING ROOM Winddow Picture
Wiow
BEDROOM 1 BEDROOM 2 10. 37'x 50.12"
egress egress 80/80
d� �NOA#15-0512.j
f
cture
BEDROOM312.
O egress
� 12.Horizontal Rolle
5.Horizontal Rolle Window XO
Window OX 53"x 50.12"
58'x38.12" 5. KITCHEN 12. 65185
85165 NOA#15-0512.05
NOA#15-0512.05
13.Horizontal Rdle
Window XO
BATHROOM 37"x38"
13. 85/85
^ NOA#15-0512-05
4.H0r¢oMal Rolle
Window OX
37"x38-12" 4. DEN tn/lNG ROOM
NOA#15-0512.05 ENTRY
3. 2. 1. °
q X
3.Horizontal RoIIe 2.Horizontal Rolle 1.Single French
Window OX Window OX '
Door RH ,, R /
53"x50.12"
75"x 50-12"
85185 85185 80180 { >�°� '.
Ufa �s
NOA#15-0512.0 NOA#15-0512.05 NOA#14.1015. ;: r'��-�.'.T , v
ME
ANNE � I
IE MURPHY
9205 NORTH MIAMI AVE
MIAMI SHORES,FL 33150
AU5 2016