RF-11-0129ri
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILD
OWNER: Name (Fee Simple
City: �IVI(01:2q
Tenant/Lessee Name:
Email:
Permit No.
Master Permit No.
' ®-T- ? 540 -,oR6 c/
Zip: 33/ 3 P
JOB ADDRESS: "4101 (4?,- C 0 U r e
City: Miami Shores County: Miami Dade Zip: 331,360
Folio/Parcel #: // JQ. D 41) /3 34 !?Q
Is the Building Historically Designated: Yes
NO is Flood Zone: Iwo
CONTRACTOR: Company Name: !/ i°iY,p' /•r .yo'/ / �+.»f S" Phone#: 30I - 7 S—,? ®e(� f(
Address:
City: State: Zip:
Qualifier Name:
State Certification or Registration #:
Contact Phone #:
DESIGNER: Architect/Engineer:
rtificate of Competency #:
-*Value of Work for this Permit: $ re/Linear Footage of Work: % S�
Type of Work: OAddress ❑Alteration Wew )&epair/Replace ' ODemolition
Description of Work: xea l !c 0 r ®®
COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by.
Submittal Fee $—f22 Permit Fee $ 6�6 CCF $ CO /CC $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TAI AIR CONDITIONERS, ETC ... :.
OWNER'S AFFIDAVIT: I certify hat all the fore oin info�ti n curate and "all work will be done in com Hance with all
fY g g W a n P
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE t 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.
` Signatur Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 2QL , by F� I NjA-M day of '' , 20 by
who is personally known to me or who has produc wliis ,Personally known to me or who has produced
As identification and who did take an o as identification and who did take an oath.
NOTARY PUBLIC: � , OTARY PUBLIC:
Sign: L'
Print:
My Commission Expires:
APPROVED BY
AF.
Si
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10)
Plans Examiner
Sign:
Print:
My Commission Expires:
Zoning
Structural Review Clerk
Village of Miami Shores
BUILDING DEPARTMENT
UNSAFE STRUCTURES
Explanation of Violation
Date: 9/4/09
Owner: Ramiro Del Amo
PO BOX 402524
Miami Beach, FL 33140
Violation Address: 9259 N Bayshore Dr
MIAMI SHORES FL
Certified Return Receipt #:
Legal: BAY LURE PB 44 -63 LOT 5 BLK
4 LOT SIZE 83.000 X 167 OR 16257 -1016
0294 1 COC 25218 -1112 12 2006 1 OR
25218 -1112 1206 00
Folio #: 11- 3205 -027 -0580
Violation:
Case Number: DEMO -9 -09 -1488
llftf,1460
The house has extensive renovations including reconfiguration of space, removal of wall finishes,
electrical components removed /altered and structural components altered (see photos). Permits are
required for all of this work.
Case Number: DEMO -9 -09 -1488
Norman Bruhn, CBO
Building Official
106
egt e
ri
sfa 1� .
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, a and AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregon
applicable laws regulating construction and zoning.
that all work will be done in compliance with all
"WARNING TO OWNER: YO t 16 ' URE' TO
AM
RECORD A NOTICE OF
COMMENCEMENT MAY RE S`- N' '' 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."
1
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 afier 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 � 0'-U �
S. EA0
Owner or Agent Con ctor
The f oing instrument was wledged b fore me thisao a instrument led d before me this
day 20 L, by �� day o , 20, by ,
who i person y_k y� to me or who has produced , ( ciao is versonally known to me or who has produced
191" identification and who did take an oath. as identification and who did take an oath.
NOT6x,Pi BLIC: A _ NOTARY P1
Sign:
Print:
My Commission Expires: �'�' v¢' My
APPROVED BY Plans Examiner
(Revised 07 /10 /07)(Revised 06 /10/2009 )(Revised 3/15/09)
Expires:
Structural Review Clerk
Miami Shores Village JUL L
Buildin g De '
p �
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING Permit No. a i ) o
PERMIT APPLICATION Master Permit No.
FBC 20
Permit T :BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): T Awces - syefue- -T Phone #: 727 — 5q l - q of
Address: —1 89 DeNroo Dr •
City: C LCE ARWu& I - EC-AC B Zip: 33 76
Tenant/Ussee Name: Phone #:
Email:
JOB ADDRESS: 6 �✓ 6 N £ AVE P.4 &-r— i 3C (.o °( S l-4 t kx) B ."K .
City: MiamiaShores County: Miami Dade Zip: 33 ( 36
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: � z�� ,1�, Phone #: .5mlyls YZZ
City: _`C�_l State:L. ` Zip: %
Qualifier Name: �.S° iii �a2 h am' Vi Phone #: *3 r Cn- 6S
State Certification or Registration #: C G-C_ I .�1 (��a Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: C t- P y ® (o - -)OFM P E'o Phone #: -7c136 -382 -( 6 °L
Value of Work for this Permit: $ 1 1006 • co Square/Linear Footage of Work: 1®0 L:F
Type of Work: ❑Addition
Description of Work: _
❑Alteration
l✓ COL
STd? -e T 4 1IV
ONew ORepair/Replace ®Demolition
R, PA PAC t1JS L_onr W A Lt A 7-
ZA Vs . -40444f
Submittal Fee $5o. Permit Fee $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
ttf�)�� Structural Review $
CCF
CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $