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RC-15-2983 A#J f + MIEWIA : r � Miami Shores Village RECEIVED ���` �U Building Department MAY 10 1017 �/ 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 /^ Tel:(305)795-2204 Fax:(305)756-8972 "J INSPECTION LINE PHONE NUMBER:(305)762-4949 '5_F�Bl 20C•Q BUILDING Master Permit No.RC-11-15-2983 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF Q CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9250 NE 12th Ave City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:1132050070171 Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Fabiola BuenoP one#:786-395-2361 Address:9250 NE 12th Ave City.. Miami Shores state: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: fabiolabueno@me.com CONTRACTOR:Company Name: self Phone#: Address: City: State: Zip: Qualifier Name: Phone#: 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: Inclusion of storage room in the 2-car garage - requesting cancellation Specify color of color thru tile: 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 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 Signature ER or AGENT CONTRACTOR The foregoing instru np ntwas acknowledged before me this The foregoing instrument was acknowledged before me this day of Y 20 14,by day of 20 by PI G a, is personally known two who is personally known to me or who has produced Z �' ���y� a3 ©or who has produced as 1.1 identification and who did take an oath. olr( q identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: pis:?yc MAHARAI K.GONZALEZ Sign. ' ¢' MY COMMISSION#GG 044602 Sign: :o= EXPIRES:November 2,2020 Print: ^F Bonded Thru Natani Public Und rs Print: Seal: Seal: APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) To: Miami Shores Building and Coding Department Att.: Ismael Naranjo From: Fabiola Bueno,owner(786) 395-2361//fabiolabueno@me .com Folio: 1132050070171 Permit#: RC-11-15-2983 Date:04/30/2017 Please be advised that I, Fabiola Bueno,owner of property with the folio at reference have decided NOT TO CONTUNUE with the alternation on my garage as described on the Permit at reference. The main reason is that we, as a family, concluded that we need the garage space "as is" at this moment. Therefore,we hereby respectfully request the cancelation and closing of the permit at reference. Thank you for attention to this matter. Should you have any question please contact me at 786-395-2361 Fabiola Bueno Miami Shores Village TMCPIT1V � MAR 4 9 016 Building Department ICY: C Q� 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 C Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 S4k FBC 200% BUILDING Master Permit No. �c— II—IS- o q3 PERMIT APPLICATION Sub Permit No. //BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL F-IPLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP (� CONTRACTOR DRAWINGS JOB ADDRESS: 10 NC J�i y`C� IR City: glt�Miami Shores County: 141toW Miami Dade zip: 3.3 4 3 d -., Folio/Parcel#: 3 ZO 0\)3(D( } Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFFE: OWNER:Name(Fee Simple Titleholder): +A _ Phone#: Address: Qj w A/V 4L - City: I yWGMM, 60—� State: Zip: Tenant/Les se Name: Phone#: Email: a o 6V Q r"D A CA4'i ,, '11AAA'V`` r r CONTRACTOR:Company Name: Ow &,� Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: I L.0 Phone#: Address: City: State: IZip: Value of Work for this Permit:$ ('sz!s Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ V Permit Fee$ 12L_J � CCF$ c ` � CO/CC$ Scanning Fee$ L Radon Fee$ a ' W DBPIlR$$- �� Notary$ CS Technology Fee$ 3) -2Z Training/Education Fee$�� •CEJ Double Fee$ Structural Reviews$ Bond$ KJ 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) t , 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�peNr it 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 Signature OW R or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this rn �day of rn A�C+ 20 'by day of 20 , by FA3 IOM J ,who is personally known to who is personally known to me or who has produced �» {�e—��1r�� as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUV#l..... 11111 "'`•�f NOTARY PUBLIC: '� •�1wsSI0, . Sign: — �� *— Sign: rn �.� cn.� _ •¢_ Print: zz• _ :o. Print: O Seal: ��9�•• ,y aM► �•.•'(Zi�\� ,„i�;:�•� ��� Seal: 111111 IIINO�`�`\`` Z **************************** **** ********************************************************** ************* APPROVED BY ' l� Plans Examiner bo Zoning Structural Review Clerk (Revised02/24/2014)