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RC-16-2301RECEIVED JAY 101017 January 7, 2018 Mr. Ismael Naranjo CBO Building Director Miami Shores Village Building Department 10050 N. E. 2ND Ave. Miami Shores, Fl. 33138 Dear Mr. Naranjo, 1)i iy-kiata-p 1-r1 I have received your letter of December 7, 2017 regarding Process # RC -8-16-2301, Address, 1700 N. E. 105 St. Unit 118. Miami Shores, Fl. 33138 As per my conversation with Jani at your Front Desk office, I here by request cancellation of the above reference permit application. No work was done. I requested the application in good faith, however the selected workers could not produce the proper credentials. Upon returning from a Christmas Vacation I found your letter, and immediately contacted your office speaking to Jani at your front office. I explained that I was away visiting family for the Christmas holidays for that reason could not contact your office within the 15 days period mentioned in your letter. I was then advised by your office to write this letter. Thank you, and kindly take this into consideration for any of my future permit requests or for this particular instance as well. Carmen H. Darnell Owner unit 118 Shores Condominium 1-' C„�ti � BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201 Master Permit No ±((- 230 ) Sub Permit No. 0BUILDING 0 ELECTRIC 0 ROOFING 0 REVISION 0 EXTENSION E RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CA ELLATION n SHOP CONTRACTOR • DRAWINGS 7 JOB ADDRESS: %00 2' E• E. /O 6 rf ( /7 0/ City: Miami Shores County: Miami Dade Zip: 3.3 i 3 Folio/Parcel#: Is the Building Histo ic. ly Designated: Yes NO 7S, Occupancy Type: Load: Construction Type: _ F .. .ne: BFE: FFE: OWNER: Name (Fee Simple Titleholder): elle . Ma- M' .D A ' . ' L - L- Phone#: 30 — ' 9 i — i/ c/ Z' Address: i 7 ©0 ,(/• , / 0 S S..-- 011 17- // s' City: ,If 14,01 ,S Aes 4° _C State: Tenant/Lessee Name: Email: CONTRACTOR: Company Name: CS Stoneh Address: 16730 Waters Edge Dr struction Corp Phone#: Zip: 3 3 / 3 Q) �910-90 *( 30 Phone#: 305 989 1987 City: WestonState: Florida Zip: 33326 Qualifier Name: Carlos Suarez Phone#: 305 989 1987 State Certification or Registration #: CGC 15193145 (CSt,C,) Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address:City: State: Zip: Value of Work for this Permit: $ 2500.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration , ❑ New Description of Work: Replace 50 sqf of floor tile by new tile X Repair/Replace ❑ Demolition Specify color of color thru tile: 13 2 f 6 Submittal Fee $ SD - sC)W 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 constructio' n law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded no rce o commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit issu d. In the absence of such posted notice, .the inspection will not be approvedand a reinspection fee will be charged. Signature OWNER or AGENT Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoin• '• -- was acknowledged •efore me this 6" day of . _� • g* , by a.4 day of , 20 1 C4 , by /AA s-1 Com/. -OS #Z , who is personally known to me or who has produced FL as --4-,.2-E-(-loo--.53 —'/0'P-0 identification and who Bake an oath. ,P'. ••.ffe, BEATRIZA. BURGOS NOTARY PUBLIC: * t_J * MY COMMISSION#FF194734 s,�v EXPIRES: April 7, 2019 Thru Budget Notary Senlaee me or who has produced ho is personally known to identification and who did take an oath. NOT Sign: Seal: as • NOTARY PUBUC eTATE OF FLORIDA Optrlltltl! FF118149 res 5/4/2018 APPROVED BY (Revised02/24/2014) Sign: Print: �-c-7/7-E /7- - r c s Seal: Plans Examiner Structural Review Zoning Clerk r