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FW-18-3784 \.\\� �,,i Miami Shores Village Building Department BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC 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 ❑ REVISION Master Permit No. Sub Permit No. ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CONTRACTOR JOB ADDRESS: Q 5 3 ► E. reel City: Miami Shores County:OW:1.0 Miami Dade RECEIVED JAN 11 2019 ED-h FBC 20 P- OM 1 8- ?-)E3 CANCELLATION ❑ SHOP DRAWINGS Zip: 3 a 13g Folio/Parcel#:I 1. 3' OL i' t3—Lt (,gp Is the Building Historically Designated: Yes Address: eC 5 3 N.E. 180 rect. City: ,' ltpyrt r'C'S State: PL... Tenant/Lessee Name: Phone#: Email: dr evj C.pd.QQ.O I . CQ nn Occupancy Type: Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): Andrew Hu n4 ti340n CONTRACTOR: Company Name: Le. f to./ Ver Fe rt e e Address:Q,�. #6Q�C X .L4 — J261 CityPr i tiCe4 e h State: NO� BFE: FFE: Phonet'3QS)'.61 "6,t/ a 13 Zip: 33 t 3 $ Phone#: (3 O S) ase - 17 y 91 Zip: Qualifier Name: Phone#: State Certification or Registration #: CC - 'CI Sl3 S61351. 3 Certificate of Competency #: DESIGNER: Architect/Engineer: N Pt Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 0_, IQ 0 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ll ❑ New Repair/Replace I�I I i Demolition Description of Work:l,� Q4 es tr. Frain+ Yard Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ 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. " ' f "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 NOTICEOF 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 ro ert ' is sub ect to attachment. Also, a certified o the`recorded notice ofcommencement must be a osted atthe` job site P P Y 1copyf P 1 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. .t ,�, o'•,.,. wJ... a=� ern Y FO Signature " — y Signature 11, OWNER or AGENT The foregoing instrument was acknowledged before me this CONTRACTOR The foregoing instrument was acknowledged before me this day of 01 0 by day of , 20 , by i te, ij SS, wh is personally r'own tory who is personally known to l 11 me or who has produced identification and who did take an oath. NOTARY P [ LIC: S Print: Seal: APPROVED BY as me or who has produced as MAHARAI K. GON Mnded Thru Notary Public Underwriters identification and who did take an oath. NOTARY PUBLIC: !. Sign`rf Print: Seal: Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Jc. n weary 8, c2o L t 0 t+r1 s4o-l1 $a4eS to Our ever Og�4 �. nd he n. Vve avHe. �o.s � Wo��, d -� a d o -�-lR e S re,-�ur�r YYN.an? `�. or �nsw�red �o��< �-`�� Y�o� es. � 1 Ovr rna^i mess r 1 :arn 1 ShoresV �lla� d�n 'JJe(�o►r'�w�end' j n conra.c � �cQ w � � 1n l-- • irl(Aa �4 e r Fe-rL ce, vve ar�. ron4 Is `c�`e `1 N uA_ ,n9 Andrew Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax: (305)756-8972 01/02/2019 To: Current Owner 253 NE 100 ST Miami Shores, FL Permit: FW-2-18-378 Address: 253 NE 100 ST Miami Shores, FL Dear Owner, Our records indicate that the above referenced permit application has expired without obtaining the proper permit approval. In order to serve you better, we need to keep our files up to date. As per section 105.3.2 of the Florida Building Code, "An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filling, unless such application has been pursued in good faith or a permit has been issued." Please be advised that open permits will hinder your ability to refinance or sell this property. Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, -'? Ismael Naranjo (CBO) Building Director Miami Shores Village �-- r Building p � De artment BUILDING PERMIT APPLICATION 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 GTh FB,�JC20 Master Permit No-�.� v (9 - 3-c3 Sub Permit No. (BUILDING ❑ ELECTRIC .❑ ROOFING ❑ REVISION ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS D CHANGE OF CONTRACTOR JOB ADDRESS: ❑ EXTENSION : ❑RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: /1— 320&- t % 3�� Is the Building Historically Designated: Yes Occupancy Type: *gc11-" - oad: OWNER: Name (Fee Simple Titleholder): Address: Z S 3 /, City: /L/i a rr» /7or.&$ State: Zip. ` �® Phone#: Construction Type: - • raw A. 74-ler T1/46 40r). NO Flood Zone: BFE:;' FFE: Phone#: Tenant/Lessee Name: Email: 4(k/ CONTRACTOR: Company Name: Address:.. 2 s 63(_S�-`� A5kr ) �t nLL _ Phone#: 7p " 0?738 City: ter)/ teS 7�Pa Qualifier Name: State: rt-c, Clet Zip: 330 3 2_ State Certification or 'Registration #: DESIGNER: Architect/Engineer: Phone#: Address: - - City: State: Value of Work for this Permit: $ /, 000 Square/Linear Footage of Work: Phone#: 7g6;-9te 3fi Type of Work: ❑ Addition ❑ Alteration Description of Work: Certificate of Competency #: ❑ New F--Ce_ ❑ Repair/Replace CI Specify Color of color thru tile: Submittal Fee $ Scanning Fee $ Technology, Fee $ Permit Fee $ (O • 00 Radon Fee $ Training/Education Fee $ Double Fee $ CCF $ CO/CC $ DBPR $ Notary $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ . 2 d Bonding Company's`Name (if applicable) Bonding Company's Address Q .✓ r , City Mortgage Lender's Name (if applicable) Mortgage Lender's Address `-- State - ,' 'i✓ S } .i 13+ Zip rLJC City 'l'R t• Stated}* ,t'; Zip 0' ti.i3 "_c , e u` � Application is -here -fay —made to obtain a permit to do the work and installations as indicated. • I certify that no work -or installation has commenced '~prioh'to the issuarice'of a permit and tha!i 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, HEATERSTANKS, AIR CONDITIONERS, ETC �"! ; , �_' u^'', ,i ii,+ -+ 1 r`'. ;4;-l_ r -� ).`;•f'!it 41 r �! 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 Ai NOTICE -OF- COMMENCEMENT MAY , RESULT -IN -YOUR PAYING°TWICE'FOR' IMPROVEMENTS -TO YOUR PROPERTY. -IF YOU' INTEND, ,-. r =r-+-r.y •re: o _'�, ,,P fit. TO OBTAIN FINANCING;CONSULT WITH YOUR•LENDER°OR•AN�ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." : • . Notice to Applicdnt.As a,condition to the.issuance of d building permit with an estimated value exceeding $2500, e applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be deli ere to the person whose prop icy subject to`attachmeht Also; a certified copy of the recorded notice of commencement must be p ted t the job site for the firstYinspection which occurs-seven.(7).days after_the_building permit -is -issued. --In. . e absence of such osted notice, the inspection will not be approved and a reinspection fee will be charged. Signature -OWNER or AGENT -___ ` - ,t, CONTRACTOR " The foregoing instrument was acknowledged before me this The foregoing instrumte-lt�was acknowledged before me this..,,,, -, + • I Z+--Lday of r"eJorLt �._20 1 F ; Cr, / 21=i� _ day of i�a�r,(Gt� , 20 �� g , by _ _ �--�1 %is 1�''Qit D . pe kid r -' n /Its who is personally known '' 4 rho is perso y nown to . r who has p as me or who has produced ro deed' - __ identification and" rho. lid take an oath. .e:z.identification and who' did take an oath.- , Ici ;o r it) ju'r>;, Signature Seal: ************* • jtY o141 BERTA DAVALOS = Notary Public - State of Florida h Tr •` My Comm. Expires Feb'•26,•2019 # FF 172750 NOTARY PUBLIC:With I, 1 as?. ,�-., _ rit ins nvi. r_ft Seal: t1 J APPROVED BY Plans Examiner); , Notary Publtc - state 'ot Florida My Comm. Expires Feb 26.•2019 Commission* FF 172750 runt.., ************************* Zoning,,ti:nT 1`,•L ,r, :-"3- -•1 ,n r, Structural Review ,-' ' 7 9J J Clerk