DS-17-439Miami Shores Village /�,L'
ti�ti) BuildingDe artment RECEIVED
pFEB21 Dl7
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 FEl
Tel: (305) 795-2204 Fax: (305) 756-8972 l_��
INSPECTION LINE PHONE NUMBER: (305) 762-4949 54
FBC 20N
BUILDING Master PermitN0VS17— "S
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL El PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: 3r3 1 9
Folio/Parcel#: Is the Building Historically Designated: Yes NO -1/
Occupancy Type: Load:
Construction Type: Flood Zone: BFE:
FFE:
OWNER: Name (Fee Simple Titleholder): ed -d14 ' � -� Phone#: a to `, 1 a Cq,
Address: 1 0 Li 0 0
City: L S . State: F� Zip: 3 3 l 3
'+v
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: 1` 0 "t 2 D V i r � C_ Phone#: 3isc - Crk: 433
Address: C -- 1 1 c\ 1 2. lot(
City: TY\ CsblrY \ 1--01C4-5. State: FL— Zip: 371-;(1
Qualifier Name: Ao ci o 1 ,c--. f2.6 d,y� v -t.22 Phone#: 3 oS- 9 1 c- G 331
State Certification or Registration #: . Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $
1 cO D
Square/Linear Footage of Work: 1 LK ST
Type of Work: ❑ Addition ❑ Alteration ❑ New la Repair/Replace
Description of Work: 3 S ?A 12 S
❑ Demolition
Specify color of color thru
1�
r
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•er r .
1..0. 001 ..,. rtr-.woe .ten.....•-ww--. ,ti' urs.. e:.14.
Submittal Fee $S6.cPermit Fee $ CCF $ CO/CC $
c At i2
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 400 • Co 0
(Revised02/24/2014)
Bondirig=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."
it with an estimated value exceeding $2500, the applicant must
Notice to Applicant: As a condition to the issuance of
promise in good faith that a copy of the notice of com cement 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 ' '. of such posted notice, the
inspection will not be approved and a reinspectio fee will be charged.
Signature
Signature
ACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before this
day of / �Y , 20 l . by !day of T , 20 j m , by
Udifitiv
me or who has produced
, who is personally known to
• L.
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
-'Seal:
�a 'j�o is personally known to
as me or who has produced GG N L . as
V=G../
fog 0
,, Z':�1%, JULISSA RODRIGUEZ
°i' ``tea Commission # FF 98800
s;;;, '.-�` My Commission Expires
IN ifs March 05, 2018
identification and who did take an oath.
NOTARY,' UBLIC:
Sign:
Print:
Seal:
******************************tl**** ***v**************************
N II
APPROVED BY
(Revised02/24/2014)
Plans Examiner
Structural Review
JULISSA RODRIGUE
�= Commission # FF 98800
My Commission Expires
March 05, 2018
***************************************
Zoning
Clerk
Miami Shores Village
Building Department
10050 N.E. 2nd Avenue
Miami Shores, FI 33138
Tel: 305-795-2204
Fax: 305-756-8972
12/5/2017
Owner: 10400 NE 4 Avenue
Miami Shores FL 33138-2013
Process No: DS -2-17-439
Address: 10400 NE 4 Avenue
Dear Sir or Madam:
Our records indicate that the above referenced permit application has expired.
According to section 105.3.2 "Time limitation of application. An application for a permit for
any proposed work shall be deemed to have been abandoned 180 days after the date of
filing, unless such application has been pursued in good faith or a permit has been issued."
In order to serve you better, we need to keep our files up to date.
Please be advised that an expired permit application will hinder your ability to obtain
new permits, refinance or sell this property. It may also suspend a contractors permit
privileges in Miami -Dade County.
Please contact the Building Department, within 15 days of receipt of this letter in order to
take care of this matter.
Sincerely,
//4/7
Ismael Naranjo, CBO
Building Director
305-795-2204