DS-14-464BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
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
Master Permit No
Sub Permit No.
❑ EXTENSION ❑RENEWAL
❑ ROOFING ❑ REVISION
RECEIVED
FEB 15 2018
S�h
FBC 2014
-L-611
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF 124 CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: VE "►ii a -
City: Miami Shores County: Miami Dade Zia: 35152*
Folio/Parcel#: — 05 -011? -03(90 Is the Building Historically Designated: Yes NO X.
Occupancy Type: Load:
OWNER: Name (Fee Simple Ti eholder):
Address: tae- •Fo ki 6
Construction Type: Flood Zone: BFE: FFE:
. • p I ` , t 110.. Phone#:
t 1� -�ri'1�T
.wiveC gnioIval # \klIn
City: ►s r o5 \a State: FL Zip: 331
Tenant/Lessee Name: {V ` Phone#: Pr
Email:
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/Unear Footage of Work:
Type of Work: 0 Addition 0 Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
TO CG nt.O.( pex -
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
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.
Signatur I L./ Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
fbtk-r4Nr ti, 20 11
0 , by
day of
P ``h_1 /)hV1�day of , 20 . by
M`\ 4 C
{`Si\ , 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. identification and who did take an oath.
NOTARY PUBLIC:
Sign: y�
L
Print: e. C.(1`�L.�01:23/
Seal: 4 ; t:RYP�e'o ANUAR'JOSE CANIZALES
e :° .1 s Notary Public - State of Florida I
�' Commission # FF 909567
!` =: � P.- My Comm. Expires Aug 16, 2019
#########7##sitAi644**iliodadithalQll4410®W4 WoalsR#
#############################################################
NOTARY PUBLIC:
Sign:
Print:
Seal:
APPROVED BY
(Revised02/24/2014)
Plans Examiner
Zoning
Structural Review Clerk
1032 NE 98TH HOLDING LLC
1032 NE 98TM STREET MIAMI SHORES, FL 33138
Miami Shores Village Building Department
10050 N.E. 2nd Avenue
Miami Shores, FL 33138
Re: 1032 NE 98th Street
February 14, 2018
To Whom It May Concern:
Enclosed please find a copy of Master Permit No. DS -3-14-464. The work was never
done. Please cancel this permit.
Thank you,
4Z(a7/___
Michael Ashkin
Member
7282 Fisher Island Drive
Miami, FL 33109
(305) 534-3477
Miami 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
BUILDING
PERMIT APPLICATION
Permit Type: BUILDING
JOB ADDRESS: ogaNC
City: Miami Shores County:
Folio/Parcel#:
Is the Building Historically Designated: Yes .. NO
RECEJV
'AR 10 2Q14
3Y:
FBC 20
Permit No. f —
Master Permit N. DS 11/44--•%-i �y
(032' tiE q8*" 1-b
OWNER: Name (Fee. Simple Titleholder): (fl►di/X.1 :t." Phone#:
Address: I O 3d JOE cI3f" Sk-•
City: m► O4Y S, D -CS
Tenant/Lessee Name:
Email:
Zip: 33138
Flood Zone:
State:
Phone#:
Zip: 3313 S'
CONTRACTOR: Company Name: ltS�1r�- Phone#: ( i'0 7 d
Address: $3c'1 Up1Cnd
City: PoA\r►n Beach'
Qualifier Name: PlAii1oAti i A 0
State Certification or Registration
� � e
Contact Phone#:
, :.DE,SIGNER; ,rchitect/Engineer .
•
Value of,Work for.this Permit: $
Type of Work: "❑Addition (� ❑Alteration
Description of�Work: d (�q 61
fro o At Qr. .l
tate`
FL
ail Address:
Zip: 33' 0l
Phone#
Certificate of Competency #: C (C 1 `Z. S ! 0,S-1
pt+�i^�' f s g qqq
Square/Lmear Footage o(Work _
❑New ❑Repair/Replace [` ❑De(molition
?ca- 9 In ..Fr„Y QF rtflovxt ~(]L ,
Color thru tile:
***************************************Fees********************************************
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding -Company's Address
City. ,:. fi
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 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."
r i 1
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.
Signatur
Owner or Agent r
The foregoing instrument was ackn wled(ged before me this l G The foregoing instrument was a . • wledged before me this 10
day of, L✓C , 20 if, by
�1Chmel �SIP�ln , day of �orc . ,20ll,by ��t °^ Gv�1�0
who is personally known to me or who has produced Dr t ler J who is personally known to me or who has produced Dr l v
l C¢n5 t as identifi .t •
Signature
b_seracc A
NOTARY PUBLIC:
Sign:
Print•
.yN Notary.Public State of Florida
�; y :lnk
y Commission EE 212703
Expires 06/28/2016
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ommission Expires:
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NOTARY PUBLIC•
Sign:
P
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d.
•
• • •a r
,loge Pik, Notary Public State of Florida
: Spencer Blank
My Commission EE 212703
n. Expires 06/28/2016
fission Expires: `,2 el)/n ( 6
• APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)