DGT-12-593T J253ivzip.
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Miami Shores Village
Building Department
14 17 I Z.— 3�
BU L ING
PERMIT APPLICATION
FBC 20
10050 N.E:2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit No. Q:-fl L
Master Permit No.
IMOECEVIET
APR 0 5 2012
BY:
Permit Type: BUILDING ROOFING J
OWNER: Name (Fee Simple Titleholder): oe -1 p[e 1 Phone#: .3)C, ?- ,79?" —!
Address: (tLR- Ne `1'. sf
�" � pv� fifes e
City: I"- r`A'V.t( 6 vt�S State:
Tenant/Lessee Name:
Je-)vl;PI/Coat / e oaf- cat,v..
Email:
JOB ADDRESS:
City:
Folio/Parcel#:
Miami Shore
C L -I-At/C1ounty:
ct Ct 4 •
Zip: 35/ 3
Miami Dade Zip: '5 ( 3
Is the Building Historically Designated: Yes NO X
CONTRACTOR: Company Name:
Address:
City:
Qualifier Name:
State Certification or Registration #:
Contact Phone#:
OWNir
Flood Zone:
Phone#:
State: -Zip:
Phone#:
P_a Certificate of Competency #:
E :
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ l co2) av
Square/Linear Footage of Work:
Type of Work: Addition 0Alteration1ew„„�❑Repair/Replace
Description of Work: 09C-j A-.4-Z0-1
-FD G� 4.t��( •t
❑Demolition
.
***************************************Fees********************************************
Submittal Fee $
Scanning Fee $
Notary $
Double Fee $
Permit Fee $ CCF $ CO/CC $
Radon Fee $ DBPR $ Bond $
Training/Education Fee $ Technology Fee $
Structural Review $
TOTAL FEE NOW DUE $
1
a t r
1111 • .i Si� { f 2 s f
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Bonding,Company's-Name (if applicable)
Bonding Company's,Address
P
State ..Zip
City
Mortgage Lender's Name (if applicable)
Mortgage. Lender's Address . i
a 1
City State ' Zip
Application is hereby made to obtain a,permit to do the work and installations as indicated. Icertify 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
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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. + I
Y 1 %i
"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 1 TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN, ATTORNEY BEFORE
• RECORDING YOUR NOTICE OF COMMENCEMENT." rt;,
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 thebuilding permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
The for
day of
10 is
NOT
Sign:
Print:
Own' r or Agent
join nstrument was ac owl :`*ge: �re me i
ivy 20.. b
ersonally known to me or who has produced
s' ` entification and who did take an oath.
RY PUBLIC:
is
20.
1/�,,"Ma
My Commissionx Expires:
lLLOS
Signature .
Contractor
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The foregoing instrument was acknowledged before me this
day of , 20 , by
,,,,, ,°�e' Public -State of Flom
• s• = My Comm.2015
EE 128810
iiii <` Commission Assn.
Bonded Through National Holm
is personally known to me orwho has produced
as identification and who did take an oath.
NOTARY PUBLIC:
APPROVED BY Plans Examiner
Structural Review
Sign:, .
Print:
My Commission Expires:
Zoning
Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, FI 33138
Tel: (305)795-2204 • Fax; (305)756-8972
6/7/2017
To: Current Owner
1167 NE 99 ST`%`
Miami Shores, FL 33138 `�+ l
1/7/2
Permit: DGT12-593
s ,rf �.,
Address: 1167 NE,99 ST Miami Shores'FL33138-0000 32
Dear Sir or Madam,
Our records -indicate that the above, referenced permit has expired without obtaining the
proper fina
l al inspectionlIn'order to serve.you,better,,we,need to keep.our,:fiiles,up'todate.
FINAL NOTICE
, �r ' r1 7 a.Buildiin Code "Everyermitwissued shall tieco "e.invalid
As, per section 105 4 1 of the for da _ g p ,.
(expired) unless theiwork`a:uthorized • cby such permit is commenced within six'months after its
issuance, or if the°work:authorized by such[ rpermittis �s�su22 spended or abandoned'for a period of
siximonths after the work is commenced,_or completed without obtaining the final inspection
of the work ..rt
performed. '
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Please be advised that open permits will hinder your ability to obtain new permits, refinance
or sell this property.
Please contact the Building�Depar`tment, within 15 drays of receip' of this letter in
care of this matter. ,41,7-C
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Sincerely,
Ismael Naranjo (CBO)
Building Director
0 ps.
f
orderzto take
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Miami Shores Village
Building Department
10050 N.E. 2nd Avenue
Miami Shores, FL 33138
Tel: 305-795-2204
Fax: 305-756-8972
11/16/2015
1167 NE 99 Street
Miami Shores FL
RE: Process No.DGT-4-12-593
Address: 1167 NE 99 Street
Dear Owner,
Our records indicate that the above referenced permit has expired without obtaining the
proper permit approval. In order to serve you better, we need to keep our files up to date.
As per section 105.3.2 of the Florida Building Code, "An application fora permit for any
proposed work shall be deemed to have been abandoned 180 days after the date of filling, unless
such application has been pursued in good faith or a permit has been issued."
Please be advised that open permits will hinder your ability to refinance or sell this property.
Please contact the Building Department, within 15 days of receipt of this letter in order to
take care of this matter.
Sincerely,
(I// 1/io
Ismael Naranjo, CBO
Building Department Official
305-795-2204
February 20, 2014
BY:
To Whom It May Concern,
FEB 22014
I would like to cancel out the work permit # DGT12-593 for a redesigned deck in our back yard. We kept
the original deck and no new design was executed.
Best regards,
Joel Perez
1167 NE 99th Street
Miami Shores, FL 33138
Tel. 305-851-1347
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