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CC-18-1628Miami 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 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS Master Permit No. Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL dot FBC 20 I Gait*(62,0 ❑ CHANGE OF XFANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ''0) N dk v1E City: Miami Shores County: Miami Dade Zip: J� • / V ' Folio/Parcel#: t ' 3 20v-013• .22 S30 0 • Is the Building Historically Designated: Yes Occupancy Type: €j Load: Construction Type: J- Flood Zone: BFE: IVA NO >4 FFE: lO.35 OWNER: Name (Fee Simple Titleholder): q i 0 1 �} � LL� Phone#: 9 T4 45 ' i e)., Address:^4 c 41 '�`' hie 1A' • :C� ( .. '" - City: tit 1 &Mhl State: Zip: 91,31 ' Tenant/Lessee Name: tJl\.t3 Vr t -1vr ri • D CONTRACTOR: Company Name:"—iC:1 , c-iA1 g Phone#: °%'CiGi� L L r hi Address: 1141 7AJ I2 ?— City: KI.aew,/1 Email: Phone#: State: Pii Zip: 3-3-1 v Qualifier Name: ..tt%OC J State Certification or Registration # ' G 0 5-7 SOD Phone#: �0.5-14-2311'7, Certificate of Competency #: DESIGNER: Architect/Engineer:vil/ `r2�i _Phone#:'0S 4 SS� 1� Address: \ 1"C' *IA 21 TG City: ' 1 ��( 1� {'�'►� State:ft.-Zip: Square/Linear Footage of Work: Value of Work for this Permit: $ Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Description of Work: C1414 7 v1ppo leAl2-j i -'ri fl vo• 3 cW 4o4- F77i1tito 1 6Gd,nt to ci Z. rV - 1 S ti1/410-1 d i M GO wi W t-r14 Itl . Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ Scanning Fee $ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ n Demolition CO/CC $ Notary $ (Revised02/24/2014) Sign Print: Seal:' 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 • 4 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. -SU • ti' Fi ± „� "WARNING 'TO`OWNER: YOUR FAILURE TO RECORD -A NOTICE OF COMMENCEMENT MAY RESULT -.IN YOUR PAYING TWICE FOR IMPROVEMENTS TO'YOUR'PROPERTYIF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY"BEFORE RECORDING YO•UR NOTICE OF COMMENCEMENT." -. Notice to Applicant: As a condition to the issuance ofa buildin value pp g�permit with an estimated value exceeding°$2500;4he applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be-deliveredto the person whose property is subject to attachment. Also, a certified copy of the /ecorded 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. `£ + y _ . ® " Signature� r- OWNER or AGENT The foregoing instrument was acknowledged before me this rS, day of cam^ , 20 , by �► i , who is personally known to Me or, whohas'produced 4 i / V identifica "on and who did take an oath. NOTARY PU : ' J) INA R. HERNANDEZ MY COMMISSION # FF 928131 EXXPIRES: October15! 2019 r • -"--mac,-7r.i. ,a,� as APPROVED BY - I," Signature TRACTOR f The foregoing instrument was acknowledged before me this Y 25 day of, t7, , by yr who is personally known to me or who has produced identification a d who did take an oath. NOTARY PUBLIC Y CAROLINA R. HERNANDEZ Sign: COMMISSION # FF 928131 ; r � ? L EXPIRES: October 15, 2019 '.2u,:�•• Bounded Thor Notary P hr,- ijr•eenY^ti:p' i . Print• : A• Seal: as Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) JC & ASSOCIATES GROUP INC. 7741 SW 122 AVE MIAMI FL 33183/ PHONE 305 742 3199 / jclago@pagroup.cc October 25th, 2018 Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores FL. 33138 Property Owner: 9801 Park LLC Location: 9801-9845 NE 2nd Ave & 211-217 NE 98 St, Miami Shores FL. 33138 Folio: 11 3206 013 4380 DESCRIPTION: Request for Cancellation of Permit for Temporary Partition on sidewalk. This Permit was requested to provide a temporary partition to remove/replace storefront under Permit # WS 4-18-969. The scope was to build a wood partition with 2x4 stud framing, on the public sidewalk at 2' outside the existing storefront line and to be removed when new storefront was completed. However, this was never done the partitions were not constructed on the sidewalk. All storefront has been replaced, we request for this permit to be cancelled accordingly. JC a b Associates Group Inc. Certified General Contractor # CGC057500 Address: Address: 6\0) BUILDING PERMIT APPLICATION ,, JOB ADDRESS: 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 LINE PHONE NUMBER: (305) 762-4949 ❑ ROOFING RECEIVED JUN 13 2018 FBC 20 Master Permit No. CC, to 2� Sub Permit No. ❑ REVISION ❑ EXTENSION PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANP CANCELLATION CONTRAC 20 I 21'n'\ A . City: Miami Shores County: Miami Dade Folio/Parcel#: 1 J J' 2042 • OP -43 P. a Is the Building Historically Designated: Yes NO xJ Occupancy Type: Load: — Construction Type: S Flood Zone: X) BFE: 0/04. FFE: I 0 ❑ RENEWAL ❑ SHOP DRAWINGS Zip: OWNER: Name (Fee Simple Titleholder): `tge)J Pc42.14 L L1c. Phone#: 305 -J'60 4141 N ztvi Av6 ,A City: JA 44.4 State: Ft"' Tenant/Lessee Name: q uixl Email: jCInen• r.+2.)V c-w1 CONTRACTOR: Company Name: G� i'C��c� ' ' , (Ce),c? 1441 -u) 122 PV/ - City: 1kitt111 • State: • _ -� Qualifier Name: — J t)k- l G S Lo State Certification or Registration #: C G 4057.5b0 Certificate of Competency #: Phone#: Phone#: Zip: 13�] 3oC"7¢-2-3I'll Zip: 331 S3 • Phone#: jj 42-3 i DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: 400Se Type of Work: ❑ Addition ❑ Alteratio j . ❑ New ❑ Repair/Replace ❑ Demolition iy I Description of Work: Q,EGr A 'iaiLI� -;./ ,!1' f • !; 71._j-z J ea..' Si PEI,JAr1,14- P L,oJ ' I4E-21 - i' fJF,ci,' 7 sr, 'Pura) Nb 17 Eltivn rid*( -`V•ri- o F S1 ( "-ge'J u — t'El t 1 r W 5 - 4 . t 2,.2:16, • 9 !"t • 1iZtE1Mos/E., A-TtTzosJ 4 fie-3-tb?.5 is:Firer— � W 5-7,9..,Nr_ Specify color of color thru Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ (4 5 ' w tile: ice, r� �c. C-ceeit le--61/L Permit Fee $ I cam- W CCF $ CO/CC $ Radon Fee $ 'D- Q DBPR $(9- - a- Notary $ Double Fee $ Training/Education Fee $ Bond $ TOTAL FEE NOW DUE $ 21 \ 75 (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." 0 Notice to Applicant: As a condition to the issuance of a building permit with an estimated val � $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochUrI a ivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement ..sted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of sch posted notice, the inspection will not be approved and a reinspection fee will be charged. Sign atu re�� �.i�rj2�� OWNER or AGENT The foregoing instru nt was acknowledged before me this The foregoing in ' rument was acknowledged before me this 'Z day of AR— , 20 I$ , by 2_ day of 3 urke , 20 1 , by L'i ar.)rlyvho is personally known to % VistU M e��421Q-AJ.'ho is personally known to as Signature me or who has produced identification and who • id to e an oath. NOTARY P LIC: Si Prin Seal: ***** ,s�,PYoys` CAROLINA R. HERNANDEZ s MY COMMISSION # FF 928131 '1 •o EXPIRES: October 15.2019 Bonded Thru Notary Public Underwriters APPROVED BY *************** CONTRACTOR me or who has produced identification and who did tak an oath. NOTARY PUBL\: ' I Sign: / Print: Seal: CAROLINA R. HERNANDEZ MY COMMISSION # FF 928131 ,,o EXPIRES: October 15, 2019 '';$;•p„Y° ° Bonded Thru Notary Public Underwriters,< as **:****ywf****************************** *************************** "' / Plans Examiner 1/2 ( 1 v lS/ Structural Review Zoning Clerk (Revised02/24/2014)