CC-07-17-1929 CanceledMiami Shores Village C _ t
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Building Department 27 2017, '
��� 100SO N.E.2nd Avenue, Miami Shores, Florida 33138 LBY:ZTel: (30S) 795-2204 Fax: (305) 756-8972
\ INSPECTION LINE PHONE NUMBER: (305) 762-4949
AL
FBC 20(gS
BUILDING CANCELLED Master Permit No.,��
PERMIT APPLICATION Sub Permit No.
FN_jBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 8880 Biscayne Blvd
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11 -3206-020-0780 Is the Building Historically Designated: Yes NO X
Occupancy Type: B Load: 41 Construction Type: Ilb Flood Zone: no BFE: unknown FFE: 11.04+1-
OWNER: Name (Fee Simple Titleholder): Tropical Chevrolet Inc. Phone#: 305-537-6932
Address. 8880 Biscayne Blvd
City: Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email: lanw@miamichevy.com
CONTRACTOR: Company Name: To Be Determined Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Nudell Architects Phone#: 248-324-8800
Address:1807 Edgewater Drive City. Orlando State: FL Zip: 32804
Value of Work for this Permit: $ TBD Square/Linear Footage of Work: 4,032 SF
Type of Work: El Addition F Alteration ❑ New ❑ Repair/Replace ❑Demolition
Description of work: Renovation of existing storage building into new Administration Offices for automobile dealership.
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Permit Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
CCF $ CO/CC $
DBPR $
Notary
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 /-V�jnr, Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of 20 —A �4 , by
who is personally known to
me or who has produced y`&J Y\ as
identification and who did take an oath.
NOTARY
law1 ii• /
Seal:
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of
me or who has produced
20 , by
, who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
JL LIAN COIRVEA
11 , MY COMMISSION 0 FF979085
(407)1398-0153 FbridallotarySenice.cW
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)