RC-18-1866Miami 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
Master Permit No.
-Sub Permit No.
V*'.-WED
SEP 0 5 Al
C�1
FBC 20
1815(0CD
❑ REVISION ❑ EXTENSION El RENEWAL
PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
JOB ADDRESS:
City: -
c9y'z 5
Miami Shores County:
Folio/Parcel#: /l JZv(,'-oi3 K.30
Occupancy Type: Load:
OWNER: Name (Fee Simple Titleholder):
Address: `3� 7 /Y 72 S -
City: 44 %, c571
Construction Type:
CANCELLATION ❑ SHOP
DRAWINGS
Miami Dade Zip: ..3 ��)
Is the Building Historically Designated: Yes NO
Flood Zone: BFE: FFE:
auL t 41
State:
f�L
Phone#: 2-did )3 / D
Tenant/Lessee Name: Phone#:
Email:
Zip: 83 /3 Q
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/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace n Demolition
Description of Work: 7vv j j . w
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
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 (ifapplicable)
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.
Signature
Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
S day of S� CF �' , 20 by day of , 20 , by
1Qi l l Q I�Y, who is personally known to , who is personally known to
me or who has produced PA l 1
identification and who did take an oath.
NOTARY PUBLIC:
Sig (I ilkl) _a f
Print:
Seal:
APPROVED BY
MYCOMMISSI•`••.
S: November 2, 2020
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
"Print:
Seal:
Plans Examiner
t
Zoning
Structural Review Clerk
(Revised02/24/2014)
PAUL P. LAMB
374 NE 92"d Street
Miami Shores, Florida 33138
Email: paulplamb@gmail.com
September 4, 2018
Building Department
Village of Miami Shores
Miami Shores, Florida
Re: Permit RC-7-18-1866
Greetings:
I am writing to you about a permit that was opened on my behalf by a contractor, Sunshield Awnin s of
Hialeah, which may be operating through subcontractor �^
/��'a D 1Lc,�/ t/YC� criG�
d no�the
Because of issues with the contractor, I am requesting thatyoupermit tgo for54ard
on the property (Tax Folio No. 11-3206-013-6430). The property is located at 374 NE 92"d St. in Miami
Shores. In the meantime I am informing Sunshield Awnings, the contractor, that the contract between
us is terminated and I am demanding a refund of the deposit I gave to Sunshield.
With this letter I am also submitting an application to the Village of Miami Shores to cancel the permit
and close it out.
Please contact me with any questions.
Regards,
Paul P. Lamb
OWNER Name (Fee Smple Titleholder):
Address:
Oty:
Tenant/ Lessee Name:
Grail:
CONTRACTOR Company Name:
Address: 6 y /O s)
Miami Shores Vi l l age
Building Department
10050 N.E2nd Avenue, Miami Siores, Rorida 33138
Tel: (305) 795-2204 Fax (305) 756-8972
INSPB;.IION UNEPHONENUM13ER (305) 762-4949
BUILDING
PERIVI IT APPLJCAIION
❑ BUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS
Oty: Miami Siiores,, a i, County:
%l
Folio/ Parcel#: / ! — 00-00 "V / 3` J
Master Permit No.
Slab Permit No.
FBC 20 P
2,Q - Ig66
❑ RBAsc(\ ❑ ECTBVSCNv ❑ RENBNAL
❑ CHANGE OF ❑ CANCHIATICNV ❑ SHOP
DRAWINGS
CONTRACTOR
Miami Dade
Za:3.31 5C7
Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Rood Zone:
JC:i7rn
Sate:n
/f m iAta -TIE cON.s7-n
7Z ST
L� E.
BFE
FFE
Phone#:786'F/O— 310
Phone#.
Zp:
Rione# 76Yo —c 7 L/-284q
City: -tva Sate:` FL Zp: .33l413
Qualifier Name: ail . Pete EZ— Phone#. 98b /'I -R3/ Y.)
Sate Certification or Fbgistrat ion #: C Re 33 f 90 t Certificate of Competency #.
DEE1GNER Architect/Engineer: Phone#.
Address: City: Sate: Zp:
Value of Work for this Piermit: $ (�!� 70—D R OV Square/ Linear Footage of Work: 3 00
Type of Work: ❑ Addition El I Alter ion ■ New ❑ pair/1%piece ❑ Demolition
Description of Work: V 41S i )1j•,0 Y1 , (
(.rial'-FFI'od'nailog'nd4 C e Submittal Fee $ S10.1 i ei Permit Fee $ 1 lG
2 . ck CCF $ CO/ CC$
Scanning Fee $ Radon Fee $off • DBPR$ ' 8e. Notary $
Technology Fee $ Training' Education Fee $ Double Fee $
Structural Reviews$ ;J • Cl) Bond $
-Z-, 3.. a
TOTALFEENOW DUES 2_ 6 • (1 8
(Fevised02/ 24/ 2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
aty Sate Zp
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City Sate 7p
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 jurisdidion. I understand that a separate permit must be secured for ELECTRIC PLUMBING SGNS PCIOLS
FURNACES BOLEM HEATERS TANKS AIRCONDII1ON6 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 IMPROVBVIBITS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN R NANa NG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: Asa condition to the issuance of a buil
promise in good faith that a copy of the notice of oommencem
whose property is subject to attachment. Also, a certified copy of the
for the first inspection which occurs coven (7) days after the building pe
inspection will not be approved and a reinspection fee will be charged.
Sgnature
OWNER or AGENT
ith an estimated value exceeding $2500, the applicant must
ion lien law brochure will be delivered to the person
f commencement must be posted at the job site
In the absence of such posted notice, the'
Sgnature
CTCIR
The foregoing instrument wasadcnowledged before me this The foregoing itment wasadcnowledged before me this
day of , 20 / , by _ day of _ , 20 by
G}""a" /�J ,ho is personally known
\`�(.l�(�C p so y to who is personally known to
me or who has produced as me or who has produced as
identi icetion and whc, did take an oath.
NOTARY PUBIC
Sgn
Print:
dal:
7.7 I. -,w,:`,%eiriirdireirirwur Fro
Notary Public - State of Florida
°'▪ iiL •= Commission # FF210917
9�o� A My Comm. Expires Mar 17, 2019
Bonded thro. gh National Notary Assn.
***************************** * * *
AFFR VED BY
(Fevised02/ 24/ 2014)
/4
7
identiflction and who did ; ake an oath.
NOTARYPUBJC
Sgn:
Print:
Seal:
********************
Plans Examiner
Sructural Ftview
`sS ,RY PbBO � ' " . DNA
:'2°•�«� _ Notary Public - State bf Florida
Commission # FF 210917
qT l��.�:
���iFOF FI°P� My Comm. Expires Mar 17, 2019
;gf,ti-$ Bonded through National Not. Assn.
* *
60 "y! 3
Zoning
Clerk