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BUILDING
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PERMIT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
El PLUMBING ❑ MECHANICAL 0 PUBLIC WORKS
JOB ADDRESS: 1296 NE 99TH STREET
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
RECEIVED
Jul 2 1 Zri
FBA Zolu
Master Permit No. J
Sub Permit No. j P 1 �o -- 3 (s
❑ REVISION ❑ EXTENSION 0 RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO NO
Occupancy Type:
Load: Construction Type:
Flood Zone: BFE:
OWNER: Name (Fee Simple Titleholder): FILPO PROPERTIES -- MANIc .
Address: 600 NE 27TH STREET TH-101
FFE:
Phone#: 9147140878
City: MIAMI
State: FLORIDA Zip: 33137
Tenant/Lessee Name:
Email: MONICA@ESSASPORT.COM
Phone#:
CONTRACTOR: Company Name: MIAMI SKYLINE CONSTRUCTION
Address: 12864 BISCAYNE BLVD UNIT 176
Phone#: 3058999696
City: NORTH MIAMI
Qualifier Name: CLAUDIO RODRIGUEZ
State: FLORIDA
Zip: 33181
Phone#: 3052162224
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
Description of Work: C %
❑ New
❑ Repair/Replace
/7.e,
❑ Demolition
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
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 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 pot be approved and a reinspectionee will be charged.
Signature °�AUI/l/�(�(�Jl T— "� `-�'� Signature
OWNER or AGENT CONTRACTOR
The foregoing instru nt was acknowledged befor le this The foregoing instrument was acknowledged before me this
/1On day of
me or who has produce(-):)
d
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
APPROVED BY
-111.6
'•.�,,
_
sus -c,1
MERCEDES ESCANDON
Notary Public - State of Florida
Commission it GG 072303
My Comm. Expires Feb 12, 2021
20
by
day of
, 20 , by
who i jersonally known to who is personally known to
.r try L as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
********************************************************************
Plans Examiner Zoning
(Revised02/24/2014)
Structural Review Clerk
•
Fiipo Properties. LLC•
600 NE 27th St TH-101
Miami, FL 33137
(914).714-0878
SIP
July 18, 2017
Miami ,Shores Village
10050 Northeast 2nd Avenue
Miami Shores, Florida 33138
To Whom It MayConcern:
I -Monica Fitpo, the owner of Filpo Properties LLC would -like to request tocancel Permit
Number SPR:1 1-16-3151. for non-performance.
If you have any further questions or concerns please do not hesitate to call me at
+1.914,714.0878.
Thank you.
Monica C. Rip°.
President/Owner
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $ 4g0
Value of
Address:
JOB ADDRESS:
tky
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 5 11-1
FBC 20 I LI
Master Permit No. 13 IDP I (o -315 ,
Sub Permit No.
BUILDING 0 ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
/1/G' l7 . ��cv,-r
City: Miami Shores �1 County:
Folio/Parcel#: 6/'
Occupancy Type:
Miami Dade
Zip:
Is the Building Historically Designated: Yes
Load: Constr t on Type:
«11
•
OWNER: Name (Fee Simple Titleholder): ,"7 r
Address: /2-99 ,4 �7 `2 c T
City://8n1/ LG'1i�1
Tenant/Lessee Name: 401
Email:
State:
Flood Zone: BFE:
Phone#:
Phone#:
NO
FFE:
Zip: 33136
CONTRACTOR: Company Name: /---iC 9J I'c ' f r , Phone#: 766- Z78 • Zoz z
V2- 8 r�l
'_% , 33 I a-z_
City: State: Zip:
Qualifier Name: bc�LT ,ur -Cic/ Phone#: Z Z78 7C) Z2
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address: -Clee 6 '
Work for this Permit: � �� quare/Linear Footage of Work:
Type of Work: ❑ Addition
Description of Work:
Certificate of Competency #: CGc_ o 1 �Z`-e
/%i* S- L>��l rr�c i�2s".�i —
- Phone#: 4,1/7f- c),7#
City: e Gro /es�u State: /� Zip: 33,100 g
❑ New
❑ Repair/Replace ❑ Demolition
Specify colorlof Color 'thru tile:
Permit Fee $ CCF $
CO/CC $
Radon. Fee $ 20 « 4) DBPR $ . (4--) Notary $
Training/Education Fee $ Double Fee $
Bond $
TOTAL FEE NOW DUE $
50
6 05 .Li(°
(Revised02/24/2014)
Z 00 5.4(°
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 LE ' N ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT." CIS
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- ed-notice-of-commencement must -be -posted -at the job -site —
for the first inspection which occurs seven (7) days after the builJj mit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be cVrid
aq,e9
Signature
OWNER or AGENT
The fore oing instrument as acknowledged before me this The forreg ing instrum�t was acknowledged before me this
day of � ' `y t 4-- , 20 le-- , by / day oI:r t%o-l f.-- , 20
mat < 1 pa , who is s ersonally known to )e.1/ Ci14-CUy✓, who is pe
Signature
me or who has produced as
identification and who did take an oath.
Sig
Print:
Seal:
P :L//// .Af
Commission # FF 065936
a,J Expires January 23, 2018
rR(d�r 504011hNTroyliinlnwinese0aetid019
APPROVED BY
CONTRACTOR
6
me or who has produced as
identification and who did take an oath.
NOTARY PUB
Sign:
Print:
Seal:
Plans Examiner
VAII'Akfd
1 al
i �,•i
Commission # FF 065936
.
Expires January 23, 2018
°;
eBanded Thin Troy Fain Insurance 800 7919
go 47(6
Zoning
Structural Review Clerk
NOTARY
(Revised02/24/2014)