REV-16-2011 (2) Miami Shores VillageV� ;
partment
E i i Shores,Florida 33138 �BY:j
T OS) F :(305)756-8972
O ONE N i MBER: 305 762-4949
FBC 201
BUILDI Master Permit No. W� 1 (0 '' CH
PERMIT
PERMIT APPLICATION Sub Permit Nopey I(a -'�PI �bl
UILDING ❑ ELECTRIC ❑ ROOFING XREVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 25—/0 410 , .4✓,ft .4
City: Miami Shores County: Miami Dade Zip: 3219
Folio/Parcel#: //— .3f 0/ — n — q1 Ca Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 0,Aj A2IC-eXt/C Phone#:—63
Address: S- A LYP_
City: State: Ib Al Zip: ?J/�6
Tenant/Lessee Name: Phone#:
Email: Iy�/Lo P9/�1/7iLJ� �i C-yN9f) c c°a
r/u
CONTRACTOR:Company Name: Phone#:
Address: U 5- 141AA4 i Ll t e-i DIL # i
City: /-leOdQN State: Zip: 73 /q
Qualifier Name: ����� 'J/:i-. Phone#: 77,4 -773-7
State Certification or Registration#: Certificate of Competency#: --
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: ®Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
26 60tv. /a/d eryLV-jt t,L
Specify color of color thru tile:
4,0"
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. 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 a—d�Qpstruction lien law hr_n�h�,rpw►u_h _,_
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 spection fee will be charged.
Signature_ Signature
OWNER or AGENT 64C64TRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
19 day of I✓ILY 120 7(,, by 19 day of -.rL"LY 20 /(- by
4LI�I- I'Fv A f e_ti cc tZ who is �awn to Tc,X_e-Lr 7,A,-Z' who is ersonally n n to
me or who has produced as me or who has produced as
identification and who did take an oath. identification who did take an o
NOTARY P LIC: NOTARY P BLIC:
� 1
Sign: Sign:
Print:r6�"0_7
Print:
—s �wuePUa� fS.08riE�LOV� ':
Seal: tieruge�S3aIdX3 ,�� Seal: MISSION#FF19469q#/dO1SSIWW03 dWEXPIRESFebruary01,2019 3 JINNOHa ` s� raraaaoays �,,
JAPPROVED BY /7 ( {f!!I Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
K mi Dade Shutters
ftwo South Construction,Inc TP
6625 rami LakegOrk
Suite 419
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JUL 9 1C
O�786660-2660
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FdW 11-3101.021.0260
FrlrlDoor Horla�l VAn�aa
Zone 4(+44 0.1/-435)
Single Hung Window NOAa 15-0603.13 — te3Ae 149115 Q5
Zone 4(+S.!/-43.5) ..''
NOA4 t5-006.
I(w x S0'
NIMI CM Wbdow
Zone 5(+40.11-53.7)
NOAi 14.0415.E .. 7Y x 80`
74'x)9' 19'x38' 72'xMr
T4'x 39'
74'x 39'
Egress
NO DISTAL Horwarmal HSdw
Zartem 4(+4M1 S) 37'x 26" Zom 4(+40.1/-435)
NO" 14.6415.05 Mean Roof Height 15 FT NOAA I IJ.a5
• ......
......
•• ......
Egress •
...... ......
74'x39' 37'x38' •••••• ...••.
•••• • •••••
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Egress
74'x39' 74x 3V 39'x82 190'x91 •••••• • ••
• •
VN� 60666
.arY Fabric • • • ••••••
/
Zone S(+40.1/-S3.7) •••• : 896:66
• •
817661 •• •
HoriaoYffmdow
MDttao�l YYa�dow Zane 4(+40.11-43.5) Remove AshoGuard Fabric
WAS 14441545 kend1 Door NO Insw
Zone S(+40.1/-53.7) zone 4(+40.1/-43.5)
NOAH 14.041545 FOU 15.0603.13