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BPP-17-445Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION UNE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION EI BUILDING ❑ ELECTRIC ❑ ROOFING El PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS FBC 20 Master Permit No. Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ CHANGE OF CANCELLATION CONTRACTOR JOB ADDRESS: uc 1( City: Miami Shores County: Miami Dade Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type: ❑ RENEWAL ❑ SHOP DRAWINGS Zip: Load: OWNER: Name (Fee Simple Titleholder): Address: City: Tenant/Lessee Name: Phone#: Email: Construction Type: Flood Zone: BFE: hone#: NO FFE: CONTRACTOR: Company Name: 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: ❑ Ad tion ❑ Alteration ❑�Vew — Repair/Replace Description of Work: ❑ Demolition Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Permit Fee $ Radon Fee $ CCF $ CO/CC $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) 11/14/17 To whom it may concern: I, Toni Loris want to request to close out the following permits for property address 42 NE 96 St. Miami Shores, FL 33138: BPP -2-17-445 (New Pool) PL -2-17-447 (Plumbing for new pool) EL -2-17-446 (Electric for new pool) The contractor we hired is nowhere to be found. Nothing at all has been done to the property in regarding these permits. If you have any question or concerns please feel free to contact me at any time. x 02, x LoR1S `on/I Owner Signature Owner Print Name Owner Phone Number STATE OF FLORIDA COUNTY OF MIAMI-DADE Sworn to and subscribed before me this 14 c,.., day of Nov i,.f2 A(I YAL) pers ally known $ 5w4t..l j i,"O�v4./ ✓ or Produced Identifica ion ,20 1} ,by (2.t S. CWnt► Signature of Notary Public Print Name /ALI 31,cNtLLA:' ticsn,./A-� An—i--aa aa- 1 ll AU MICHELLE KAWAS A Notary P g y ublic • State of Florida Commission I EF 188250,,,.•.. My Comm. Expires Apr 29. 2019 r Bonded through National Notary Assn. t - 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 4` OWNER or AGENT The foregoing instrument was acknowledged before me this 141-.1"'day of P1&- Lo(L1s. ATOrJt ,who' me or who has produced identification and who did take an oath. NOTARY PUBLIC: ,20 , by Sign: Print: Seal: as Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of , 20 by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: **************************************************************** APPROVED BY Plans Examiner (Revised02/24/2014) Zoning Structural Review Clerk 11/30/2017 Detail by Entity Name 1 MIAMI BEACH, FL 33139 Annual Reports Report Year Filed Date 2016 04/27/2016 2017 04/20/2017 Document Images 04/20/2017 -- ANNUAL REPORT View image in PDF format 04/27/2016 -- ANNUAL EPORT View image in PDF format 05/21/2015 — Florida Limited Liability View image in PDF format Flnrvda Der_atment of SCa'.e. Dj.scc_ http://search.sunbiz.org/Inquiry/CorporationSearch/SearebResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=LUNIUSA%20L150000... 2/2 11/30/2017 Detail by Entity Name DIVISION OF CORPOks?IONS ',`!1;.!11.0 fJ/ Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Limited Liability Company LUNI USA LLC Filing Information Document Number L15000090453 FEI/EIN Number APPLIED FOR Date Filed 05/21/2015 Effective Date 05/21/2015 State FL Status ACTIVE Principal Address 235 LINCOLN RD STE 310 MIAMI BEACH, FL 33139 Mailing Address 235 LINCOLN RD STE 310 MIAMI BEACH, FL 33139 Registered Agent Name & Address CECCHINI, FRANCESCO 235 LINCOLN RD STE 310 MIAMI BEACH, FL 33139 Authorized Personisl Detail Name & Address Title MGR SERAFINI, LIVID 235 LINCOLN RD STE 310 MIAMI BEACH, FL 33139 Title P TONI, LORIS 235 LINCOLN RD STE 310 MIAMI BEACH, FL 33139 Title S SEMPRINI, GIOVANNI 7351 INCOI N Rf) STF 310 http://search.sanbizorg/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionTypInitial&searchNameOrd ei=LUN1USA%20L150000.. 1/2 12/7/17 City of Miami Shores To whom it may concern The undersigned, Loris Toni CERTIFY THAT MY LEGAL SIGNATURE IS AS WRITTEN AND TYPED BELOW: LORIS TONI STATE OF FLORIDA COUNTY OF MIAMI DADE Subscribed and sworn to before me this 30th day of November 2017 , by LORIS TONI, personally known to me or proved to me on the basis of satisfactory evidence to be the person who appeared before me. AiA, Notary P Iic 411 •,n:.,y AU MICHELLE KAWAS �`., Notary Pune - State of Florida ` ' • Commleslon • FF 188250 o,,,. - My Comm. Expires Apr 29.2019 Berm alio Hakes way Am 11/14/17 To whom it may concern: I, Toni Loris want to request to close out the following permits for property address 42 NE 96 St. Miami Shores, FL 33138: BPP -2-17-445 (New Pool) PL -2-17-447 (Plumbing for new pool) EL -2-17-446 (Electric for new pool) The contractor we hired is nowhere to be found. Nothing at all has been done to the property in regarding these permits. If you have any question or concerns please feel free to contact me at any time. x LoR►S 'ri I X ( 35d-4153 Owner Signature Owner Print Name Owner Phone Number STATE OF FLORIDA COUNTY OF MIAMI-DADE Sworn to and subscribed before me this 14 4"+ day of Nosh+ j , 20 13 , by ((IS. '/i Signature of Notary Public Ae.....e.1 Print Name C11-1 truce,tLt.( $ttn'4S 1)4( AL) pers. ally known •?•Mt,3gtv4tiv'r M..OUro/ V or Produced Identifica ion // LC ,o -',,c' - Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION UNE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS JOB ADDRESS: 7ED ?017 STl FBC 20/ i Master Permit No. JP P 19 - 4h3 Sub Permit No. 0 REVISION 0 EXTENSION ❑RENEWAL ❑ CHANGE OF CONTRACTOR 4/z A'2 9 ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores County: Folio/Parcel#: // 3Z -C " Oi _3 - 46 go Miami Dade Zip: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): /1Or<,l1 7.%, �s c Address: 2-3 S /-40 lC) /sil 72C 3/c2 Phone#: City: ,Ir'F/, g*1'7 &Well State: Zip: 3 3 I =3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name:(;//1)(o /,n g X47 /1Y Address: •` - Ce c ho 6 Phone#:, // City: / ; �rZ'� 2 State: Qualifier Name: C,/ %!/'/A-T7M:4 1' <f i, Zip: 3 f - P7 Phone#: C /J V 7 t -P I State Certification or Registration #: C Cr (7, / _IT -/4.:7 !. 2- L{ Certificate of Competency #: DESIGNER: Architect/Engineer: '�-�' ' C u Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 2 5 dC')) Square/Linear Footage of Work: 9 - Type of Work: jEr Addition 0 Alteration ❑ New Description of Work: ./q ---C) ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ ) P t \ \� Permit Fee $ �O Scanning Fee $ , Radon Fee $ 1 . Z 3Notary $ Technology Fee $ LC., Training/Education Fee $ Double Fee $ Structural Reviews $ V Bond $ t° L " .5E2) l �o Q \ ;CAO 11 • 5C) V CCF $ CO/CC $ 5-(7) DBPR $ 1 - ZS 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 �/ )/ Signatur OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 17 , by da of , 20 t by LL;t�, -.1✓� , who is personally known to — ,who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. NOTARY PUB : Print: Seal: Commission Expires January 23, 2018 '1, 01 tl/ Bonded Thru Troy Fain Insurance 800385-7019 identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: 'S M� Lvbuvoi()N #FF119045 sill ,\lay 4, 2018 (407) 398.0153 FlondallotarySenice.com *****tiiiissssssssss+isssrsssss>ssfssssssss+tsssssrsssss*****sssssssssssssssssssssssrlssssstfsssss*ssssssssssss APPROVED BY Plans Examiner Ctnartiiril Raviow 2/)// 7 Zoning Clark