BPP-16-1019BUILDING
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 LINE PHONE NUMBER: (305) 762-4949
❑ ROOFING
FBC 20 V{
Master Permit No. tbV k(2-
Sub Permit No.
❑ REVISION ❑ EXTENSION
ENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: T C 1 `� C e \ 0 \ S- City: Miami Shores County: Miami Dade Zip: (()-SLC35Y
Folio/Parcel#:. 1 \ 320 3:5 3'a Is the Building Historically Designated: Yes NO _
BFE: FFE:
Occupancy Type: S Load:
Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder):
Address:
City:
\VA- Phone#: 3 o s--Z 1 1- so o p
\ o \ s�t"
State: -Ft •
Zip: 3.3 t 3g-
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: _SUV\ V'a S CA"-ISf'�_j Phone#:�!
S L tl
Address:
City: '.1v\,\ Ot,VA• t Staatte:_ �` Zip: 1 t, 7 .s
Qualifier Name: 0 %-e.: P , C T�UL 4b'\7_G pI.C'- Z. Phone#: 3 O,s -- g` Ci `t., ` �, o6S'
State Certification or Registration #: C. k C-- 0 -L c)$ 1 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ D O l a b 6 Square/Linear Footage of Work: 4 SO
Type of Work: ❑ Addition ❑Alteration (� �i New ❑ Rep 'r/Replace ❑ Demolition
1�
Description of Work: .)1Q4) y DO 1 D c cuu8(- j
.. �(S ?t V- U PP ►S- z S
Specify color of color thru tile:
Submittal Fee $ .Permit Fee $ G 06 ' GO CCF $ 1 2 ` CO/CC $ w
Scanning Fee $ 3 . CO Radon Fee $ q'1 •0 q DBPR $ 9 • Q� Notary $ J • Q
Technology Fee $ • 1 e Training/Education Fee $ ' 2-6 Double Fee $ -4:7
Structural Reviews $ 0 Bond $ S �
TOTAL FEE NOW DUE $ 5. ``8,
(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 mad- 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 crflnmencement-must-tie'poisted at the job-gite
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted .tice, the
inspection will not be approved and a reinspection fee will be charged.
Signa
OWNER or AGENT
Signature!.
CONTRACTOR
The foregoing instrument was acknowledged before me this The foreg. in: instrument was acknowledged before me this
1 �,T/n� day of i km._ �� , 20 1 C , by 1 t i 5 day of APO-- (—pN , 20 �( , by
P LLL S 1)S."',-tDfi15�s p�ersjonally known to �OP�� ANT() N (� , who i5 per�sa lly known t.o
me or who has produced 'FL kj� " Oat as me or who has produced —o kke ' k "
identification and who did take an oath.
NOTARY PUBLIC:
identification and who did take an oath.
NOTARY PUBLI
Sign: — A " Sign: \
Print: S■\li ��,T` Print:
Seal: l Po, Notary Public State of Florida y
° `� Sindia Alvarez Seal:
i r Q My Commission FF 156750
Expires 09/03/2018
or F�°�
** ************************ * * * ** * **** * ** * **** **********
APPROVED BY
Plans Examiner
>►9`r e, Notary Public State of Florida
Sindia Alvarez
c 4 My Commission FF 156750
�`toratiop Expires 09/03/2018
Zoning
(Revised02/24/2014)
Structural Review
Clerk
12/4/2017
Owner: 334 Ne 101 Street
Miami Shores FL 33138
Process No: BPP-4-16-1019
Address: 334 Ne 101 Street
Dear. Sir or Madam:
Miami Shores Village
Building Department
10050 N.E. 2nd Avenue
Miami Shores, FI 33138
Tel: 305-795-2204
Fax: 305-756-8972
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,
alS)
Ismael Naranjo, CBO
Building Director
305-795-2204