DS-12-1344Miami 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
2.)` Q\_ rol c�
BU DING
PERMIT APPLICATION
Permit Type: BUILDING
JOB ADDRESS: /! ? 1' Al -c , (0 3 57
RECEIVED
JUL 19 2,012
FBC20to
Permit No. PS 12 -15 4 i4
Master Permit No.
ROOFING
City: Miami Shores
Folio/Parcel#:
Is the Building Historically Designated: Yes
County: Miami Dade
zip: 3.e/3e'
NO
OWNER: Name (Fee Simple Titleholder): G t �Phone#: -50S- - 71-P - Pt/ �—
Flood Zone: A/C)
Address: /1? ( Al . G. 103 317
City: M 5•
-
State: !'t-.
g / 3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
� G V C.►'1�
at- PCJ
Address: � � /4'3 A-boac
City: State: Zip:
Qualifier Name: Phone#:
Phone#:
State Certification or Registration #: Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Per
KY..)
Type of Work: OAddition l]Alteration
Description of Work: C?T JAS' O IJ
�• f-- f*,tiK G771) W /2 t7, area
ONew .
fege of Work:
epair/Replace 11111111.11111=
: o ition
e -E p ik.►-w
ttioft:tc ,cpxff
Color thru tile:
***************************************Fees********************************************
Submittal Fee $
Scanning Fee $
Notary $
Double Fee $
50.00
Permit Fee $ CCF $ CO/CC $
Radon Fee $ DBPR $ Bond $
Training/Education Fee $ Technology Fee $
Structural Review $
TOTAL FEE NOW DUE $ i . '[SCJ
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDmONERS, 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 ()F
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 oc s seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approve
• • ai rein, • ection fee will be charged.
Signature iir Signature
0 'or Agent Contractor
The foregoing instrument was acknowledged before me this 19 The foregoing instrument was acknowledged before me this
day of '1 , 20 12, by Fecenco C r e.sp o , day of , 20 _, by ,
who is personally known to me or who has produced 1) t, who is personally known to me or who has produced
As identification and who di�itpkordp9t ath. as identification and who did take an oath.
NOTARY PUBLIC: �ti�'�e�a••.. , NOTARY PUBLIC:
: }Q.�e _, �•....
1 =a. %� ,144\\ ��
a4�� �`�^°' : o
My Commission Expires: igtt/ •..T .. 10(\ `•�\\
Sign:
Print:
APPROVED BY ,!)'/ C/ 901 Plans Examiner
Sign:
Print:
My Commission Expires:
7/2 .Z Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
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LOCATION SKETCH
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LEGAL DESCRIPTION:Lot 1,Block 2,BISCAYNE RIVER HEIGHTS,accordinq to the Plat ther
recorded in Plat Book 43,Page 73 of the Public Records of Dade Count,y,Florida.- eOf as
GE
1) OWNERSHIP IS SUBJECT TO OPINION OF NERAL. NQS
ITLE.
21 EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECO
INSTRUMENT% IF ANY, AFFECTING THIS PROPERTY. ROED
3) (2.22) DENOTES THOSE ELEVATIONS REFERRED TO N A
4 LOCATION AND IDENTIFICATION OF UTILITIES ON AND/OR ADJACENT TO THE
SECURED AS SUCH INFORMATION WAS NOTDATUM.
' T� S PRO . ERTY IS REQUESTED.
PROPERTY WERE NOT
k. 1 „ I . •�'• II,•� HIN dE LIMITS OF 100 I j l
CERTIFIED e ertco respo , s •''' E
Washin • ton Mutual Bank F.A. t k•1'�i�T•ti1.
er respo, 1 e p us om .
A�uCAELE ZONING, p•�= orne s
ARCHITECT OR BUILDER BEFORE DESIGN OR CONSTRUCTION SET SACKS
DATE :January ZONING AND •UILOING SET SACKS , 22,199
ON THIS PROPERTY. BY OWNER,
ERTy,
SURVEYING,INC.
�s� AL.B• NO. 3333
COR�BABBLES• FLORIDAZ41
Phone: (305)441-9488
TIES IS A BOUNDARY SURVEY
s33I34
I HEREBY CERTIFY:
That the attached platted under CE dirmy ection, Plan of Survey of the above
othose sh n my survey n that there information a^nos - belief, a� described pfOParty is true
and correct to the Land Surveyors pursuant t minimum technical above -ground itset theecently Florida:Board
Cod of Len Su 472-027 """t' ether tAan
Florida Statutes.-
6,standards_
° fda '°'"'.�'tl,. Fl
trative
NOT
ALID
NLESS SEALE
WITH AN EM80
E
PROF AZARO D. ALONSO
ESSIONAL LANG SURVEYOR
CERTIFICATE
STATE OF FLORIDA
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UR
SPA
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, FI 33138
Tel: (305)795-2204 • Fax; (305)756-8972
2/17/2016
Current Owner
1191 NE 103 Street
Miami Shores, FL 33138
Permit: DS -7-12-1344
Address: 1191 NE 103 Street Miami Shores FL33138
Date Expired: 5/4/2013
Dear Sir or Madam,
Our records indicate that the above referenced permit has expired without obtaining the
proper final inspection. In order to serve you better, we need to keep our files up to date.
As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid
(expired) unless the work authorized by such permit is commenced within six months after its
issuance, or if the work authorized by such permit is suspended or abandoned for a period of
six months after the work is commenced, or completed without obtaining the final inspection
of the work performed."
Please be advised that open permits will hinder your ability to refinance or sell this property
Please contact the Building Department, within 15 days of receipt of this letter in order to take
care of this matter.
Sincerely,
th_1-1( k
Ismael Naranjo (CBO)
Building Director