CC-15-892Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
III -BUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: a9 J �� c
FBC 20 IC)
Master Permit No. 15 5 -Ee2,
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
/9/
City: Miami Shores �` �y County: Miami Dade
Folio/Parcel#: F 1 -320.fol/
2()-v I9& 0 Is the Building Historically Designated: Yes
Zip: JJ/J fl
Occupancy Type: Load: Construction Type:
OWNER: Name (Fee Simple Titleholder): 7 ,-----p."'"
Address:,8® e/ f' c °"---,,,-, e' • nA- •
City: / A 't ® _576 ®7""e"....r State: Zip: --f-r/-"6
Tenant/Lessee Name: Phone#:
Email:
NO
Flood Zone: BFE: FFE:
CONTRACTOR: Company Name: Kr. Cae a, c 7'7,7
Address: �f' ' 71'_„,,,,A ,"7 ,
City: F. --/Z, Z of c - State: 4(._d Zip: 3.67,7c="2
Qualifier Name: 6:).---4p,,9,----.1
I ✓ m Phone#:
State Certification or Registration #: d C C/1, 0 tv4 ® Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Phone#: /Y7 ✓6/®l'em) o?�
Address: City: State: Zip:
Value of Work for this Permit: $ ,.��� � 46" •
ec' Square/Linear Footage of Work: (4 53
Type of Work: ❑ Addition 'Alteration ❑ New
Description of Work:, co'°" ; = , t <>°/ _f -'J° 7 ,-I-
, ,• /,‘
/, c/a® 6:,/® Pif C4 --y 6.--",e-,./1/ e. r- 75f- '."f ,ei
ic/
Specify color of color thru tile:
Submittal Fee $ b 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 $
❑ Repair/Replace ❑ Demolition
(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 buildingii issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
OWNER or AGENT
The foregoing instrument as acknowledged before me this
day of(►':" , 20 ( by
✓: "o'er who is personally known to
me or who has produced as
identification and who did 4,1 ali ROSSANA PETRECCIA
H!. 9
Notary Public - State of Florida
r. My Comm. Expires Apr 21, 2017
Commission # FF 10197
NOTARY PUBLIC:
Sign:
Print: Si411 �' %,:•�Ci `e„,
Seal:
hrough National Notary Assn.
AP
Signature
tab
CONTRACTOR
The
f oing instrument was acknowledged before me this
day of ' /' , 20 /-1— , by
2 ,-"a4-; who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
Notary
My Comm. Expires Apr 21, 2017
Commission # FF 10197
6%°... Bonded Through National Nnhr, Assn.
************************************************************************************************************
APPROVED BY
(Revised02/24/2014)
Plans Examiner
Structural Review
Zoning
Clerk
September 25, 2017
Ismael Naranjo
Building Official
Miami Shores Building Department
10050 NE 2 Ave
Miami Shores Village FL 33138
OCT 03
RECEIVED
OCT 03 2017
RE: Tropical Chevrolet Permit # CC -4-15-892
P.O. Box 381497 33238-1497
8880 Biscayne Blvd., Miami, Florida 33138
Dade (305) 754-7551
Broward (800) 525-7511
Fax (305) 757-4361
Mr. Naranjo:
The construction work which was to be done under the above reference permit number, issued on 4/16/2015,
and expired on 10/13/2015, was never performed. Please cancel and close the permit.
Thank you,
Trop* I Chevrolet
Ari Wildstein
Ofk<16 4/1
SERVICE IS THE Se OF OUR BUSINESS