PL-14-23 �P°'� 0�,11Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 JAN 07 2014
PM Tel: (305)795.2204 Fax: (305)756.8972
t INSPECTION'S PHONE NUMBER:(305)762.4949 BY:
�S FBC 20
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. 1 �� --22.
Permit Type: BUILDING ROOFING
JOB ADDRESS: �D N� D t� ��y'Q I�t a►°x Sl�,�e�s �t 38
City: Miami Shores County: Miami Dade Zip: 33 138
Folio/Parcel#: I I dL 136 o f•� — Pq!D
Is the Building Historically Designated:Yes NO '� Flood Zone: iJc)
n �, 9&o- 3a6- 813 f
OWNER:Name(Fee Simple Titleholder): rl - L�»N'L Phone#:
Address: ,® 9r.
City: 1 A ov4i '$1°10 ne S State: R Zip: 3-3130,
Tenant/Lessee Name: Phone#:
Email: L r-YA bei S 2+
IF
CONTRACTOR:Company Name: . Phone#:
r Y d �
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ Z j ZD D Square/Linear Footage of Work: 4 ��
Type of Work: ❑Addition ❑Alterati__onONew �epair/Replace ODem ition
Description of Work: 3gaCC K e lI�:j%o Cab;1aPer&
Color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ `�
R
Bonding Company's Name(if applicable)
Bonding Company's Address
6 '
City State Zip
Mortgage Lender's Name(if applicable) 4 M cA' san C1 e-Z kAi I Iq 1.1-L
Mortgage Lender's Address 'Bel D 9•W
M
• 6 S JU--
City 1"�1 rL t State r i zip--3 3 3
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 ELECTRICAL WORK,PLUMBING, SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 YO]TR 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) j-'er the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspect Z d.
Signature&,, ignature
Owner or Agent Contractor
The foregoing instrument was ackno\wledged before me this II The foregoing instrument was acknowledged before me this
day of c _,20 jam,by ��\T, \-14 r5 i.,c day of ,20_,by ,
who is personally known to me or who has produced who is personally known to me or who has produced
- Y I e As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: X F\ Print:
My Commission Expires: �o,►�.Pu�4+ JUAN J.(ll1ESADA My Commission Expires:
* * MY COMMISSION#EE 194M
EXPIRES:May 11,2016
t0's P`Oe ltuu Eq�et�!1 S�nces
APPROVED BY Z Plans Examiner Zoning
Structural Review Clerk
(Revised 5/2/2012)(Revised 3/12/2012)XRevised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)
Miami Shores Village
�Qo Building Department JAN 07 Zona
\ X 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Faz:T305)756.8972 �r
INSPECTION'S PHONE NUMBER:(305),762.4949
FBC 20
BUILDING Permit No. l =- .23 -
PERMIT
3 -PERMIT APPLICATION Master Permit No.�j('„/
Permit Type: �=l u rnb � ROOFING
JOB ADDRESS: NO 10q —We-e+
City: Miami Shores County: Miami Dade Zip: 31 39
Folio/Parcel#: — 3 to d A b g t C)
Is the Building Historically Designated:Yes NO X Flood Zone: NU
OWNER:Name(Fee Simple Titleholder): !* t-Cf i' p NPhone#: b a 3U(o- get 3
Address: )l o /\)e I b q &F r�
City: H t,q-Y-,°t I S h o re S State: ` Zip: 3 3 1 3
Tenant/Lessee Name: Phone#:
Email:
c''
Phone#:3)CONTRACTOR:Company Name: i I33
Address: 101 .-10
P.2-
4-
City: ImState: Zip:
Qualifier Name: I V IC mud Pt&= ' e Phone#:
State Certification or Registration#: C Fa 1”[ L�-N LoCertificate of Competency#:
Contact Phone#: .3 ,2 lq-6&� Email Address: h'WAA14� i2d um' &.®li D 1 . 60M
(t60i
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit: $ J®� Square/Linear Fogtage of Work:
Type-of Work: ❑Addition , DAlteration ONew epair/Replace ❑Demolition
Description of Work: 8-P ���wres
Color thru tile:
Submittal Fee$ �y' Permit Fee$ ®SOL ® CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ I O ` �I
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
}.innaP, -,GrL.ehez r--&m# [4 L.L. G.
Mortgage Lender's Name(if applicableU2 P.P.
Mortgage Lender's Address 1 00 w �Q 5T # 524
City k ttct State El Zip3 3 01 Z
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 ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONW,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 61ding permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the noticg of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified o of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days of e u armit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will`
Signature Signature
Owner or Agent 4ntractor /
The foregoing instrument was acknowledged before me this 11 rJ The fore oing instrument was acknowledged before me this —
day of ca, , ��iaO 13 by �� �=-v c- f 6 1 e" day of `f K->-K,20 l3,by MIA ki k°'.&,o
who is personally known to me or who has produced who is personally kn me or who has produced
. e ce_6 _As identification and who did take an oath. as identification and who did oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: N. Sign: n6wyw�,
Print: �Z, . 3 e c pcil� Print:
oAPA �,e�, ,R1AM J.CSMA Christina Anna Femandez
My Commission Expires: My Commissio My Commission EE 173031
# * MY COMMISSION#EE 194777 0,V Exphes o2tzenol e
EXPIRES:May
1111w�,�2016
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APPROVED BY /- -/ Plans Examiner Zoning
Structural Review Clerk
(Revised 5/2/2012)(Revised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09XRevised 7/10/2007)