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L\\\LV ,�4 1-1 Miami Shores Village
Budding Department
BUILDING
PERMIT APPLICATION
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
JAN p1 7 ZU1(
BYStN
FBC 20114
Master Permit No. PC, -123
Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
JOB ADDRESS: /150 I c Qb %/NI
City: Miami Shores
CONTRACTOR DRAWINGS
County: Miami Dade
zip: 33135
Folio/Parcel#: //—$.10(0—
0 ,— bN — 3900 Is the Building Historically Designated: Yes q. NO /`
Occupancy Type: R— 3 Load: Construction Type: ) 'd 3 Flood Zone: A-E. BFE: 4 -Ci- ° FFE:
OWNER: Name (Fee Simple Tiptl/eholder)/�' mb`r le t 014.rtd 1. refo Phone#: (� " /o-, —5353
Address: ��11�/, 50 /VCE- 4, Sired" Q
City: m1' 1» l a4ores
Tenant/Lessee Name:
Email:
State:
. r ,i_ Su, %I
Phone#:
Zip:
33/ 3g
CONTRACTOR: Company Name: &(E k 1
Address: 1(OZ �a's///u'✓9 t n `j{ € 4
City: /401/V(VJOOd
Qualifier Name: fat i ,1al,/) nal
wne( �►�.,
Phone#: 951/-9,2, -5.353
State:
State Certification or Registration ,#: CGG. 3 y 158 0
DESIGNER: Architect/Engineer: Y Ic�-OC �• �YV ilk
Zip: '3301
Phone#: 739% X53
Certificate of Competency #:
Phone#: ,305`310— 5030
City: %%IQt�II A4rr.S State: F(.,., Zip: 3313$1
Address: 370 {N E: 101 S*nee+
-� r000 .•- SqJ
uare/Linear Footage of Work:
Value of Work for this Permit: $
Type of Work: 15KI Addition ❑ Alteration ❑ New __ uu ltepair/Repl�acce ❑ Demolition
Desc iption of Work: f e e�. 1 O(1 ' if "4 bed100Th w/ f 14-ACov(1 / Two- Ceti y �2 ---
£a.unalr o�oorn 1 Gofer O n - GU( �r(4c' kli I -Ge 4r1 Ovi oor .1 -t -vile
r+reco cL9*oYt 45-fingt low /th' it con V€ IS ion - - e- ,. At, room
Specify color of .color thru tile:
Submittal Fee $ Permit Fee $ -A-191)
CCF $ - 50
CO/CC $ • C
Scanning Fee $ G \ - m Radon Fee $ 12 • � DBPR $ (I 2 , Notary $
Technology Fee $ 2—CO • a Training/Education Fee $ 5° Double Fee $ (23
kZCJ•cy 120.C) (!C): ()
Structural Reviews $ ‘6 Q 'c,Q
Bond $
72_ Co.. t (-1 TOTAL FEE NOW DUE $ 85? 2_ • a3
(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
commenced prior to the issuance of a permit and that all work
construction in this jurisdiction. I understand that a separate p
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information
applicable laws regulating construction and zoning.
installations as indicated. I certify that no work or installation has
will be performed to meet the standards of all laws regulating
ermit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
is accurate and that all work will be done in compliance with all
"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 LEI�IDEIq pR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT." ' �VV
Atolo
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
ER or AGENT
The foregoing instrument was acknowledged before me this
day of 4n/V (fey , 20 I sT. , by
b.eCl
tS�l7 , who is personally knoyvnto
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
ANIELA ORZA
MY COMMISSION # GG 007871
EXPIRES: August 27, 2020
•%f,g ,(.1tf Bonded Thru Notary Public Underwriters
APPROVED BY
(Revised02/24/2014)
Signature
CONT
The foregoing instrument was ackowledged before me this
13 day�o_f/ /PrN'JPt$ y
4y)-tr �l4re\ , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
, 20 If , by
Sign:
Print:
Seal:
************
Plans Examiner
Structural Review
knie11A. ° (fir
+P ANIELA ORZA
MY COMMISSION # GG 007871
EXPIRES: August 27, 2020
**tiffar**, Q ,a sk +ice
Zoning
Clerk
bUIL1
'10 ✓WJE=F?
Date: September 25, 2017
To: Miami Shores Village Building Department
10050 NE 2nd Ave.
Miami Shores, FL 33138
Re: Crespo Residence
1250 NE 96 Street
Miami Shores, FL 33138
Process #: RC17-125
LETTER
&-t4110k1
Good afternoon
This letter is to request the cancellation of all permit applications for Process # RC1 7-125, Job
address: 1250 N.E. 96 Street, Miami Shores, FL 33138. No work has been performed by us or any
of our subcontractors on this project.
The property owners have been completely non-responsive to our many attempts to contract
them regarding this project. They have also not released any funds for the processing of the
permits for this project. We are therefore forced to cancel this application as we do not want
to have an open application for Built By Owner, Inc. or any of our subcontractors (Victory
Electric, Inc. / Southern Flow Plumbing, Inc. / Chanin Mechanical, LC) for a project we cannot
perform the work on.
Thank y_u: ~your help and let me know if you need anything else from us.
Edgar
Qualifi
Built By Owner, Inc.
State Certified General Contractor
CGC041580
Office: (954) 929-5353
Facsimile: (954) 929-5858
Ed@BuiltByOwnerinc.com
www.BuiltByOwnerinc.com
ohnst
r
STATE OF Florida
Y''''• ANIELAORZA
MY COMMISSION # GG 007871
EXPIRES: August 27, 2020
„,g f ?:' Bonded Thru Notary Public Underwriters
COUNTY OF Broward
Sworn any -subscribed before me this,Z.rday of J5Q 9-kAnl , 2017 by Edgar Johnston
who is personally known to me or who has provided the following form of identification:
. My commission expires 2/ a0ac0
Notar
IC
T: 954.929.5353 Info@BuiltByOwnerinc.com F: 954.929.5858
www.BuiltByOwnerinc.com
State Certified General Contractor: CGC041580
Af\i‘� - a- Li -- 3-`i
i
t^e' Ar 61- 632- (, G S 9