SGN-17-640SC�N1�-(p�ln 'i
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 F BC 20 V-7
BUILDING Master Permit No.S(OKJ (104 0
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION r--j EXTENSION [RENEWAL
[]PLUMBING MMECHANICAL [PUBLICWORKS] CHANGE OF 5-fCANCELLATION Fj SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:..q?,xJ.-- /4-/� ... roil
p:_ 5
City: Miami Shores County: Miami Dade Zi,31�p_
Folio/Parcel#: s the Building Historically Designated: Yes _ NO
Occupancy Type: Load: Construction Type: Flood Zone: — BFE: — FFE:
OWNER:
xName (Fee Simple Titleholder'
ON q )jw 0
City: 4100V I
Tenant/Lessee Name:
Zip:
5 - 9M - 3V3
Email:
—Ty- C Phone#.*T�- �?C)-CMO
CONTRACTOR: Company Name: 4
Address -,
/ 9DI /-,� � —
:
City. P 1 State:/ 11
.Zip:
/0
Qualifier Name: -% I
State Certification or Registration #: Certificate of Competency #:
11
DESIGNER: Architect/Engineer: Phone#: 3
Address: q3 �,-( City: state: Zip:
Value of Work for this Permit: Square/Linear Footage of Work:
Type ofWork: F1 Additio�terat�jon��� E] Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $,
Permit Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews
CCF $—
DBPR $
CO/CC $
— Notary
Double Fee $
Bond $ —
TOTAL FEE NOW DUE $
(Revised02/24/2014)
1 — !
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
M
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 low 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) da `er the building permit is issued. In the absence of such posted notice, the
inspection will not be a proved and o rein ion fee will be charged.
.f
, C—�
or AGENT
The4dorpegoing instrument was acknowledged before me this
*who
of ( 20 � by
who is personally known to
produ ed as
identification and who did take an oath.
NOTARY PUBLIC: ""
;�:..,.MAGGIE ILSAGARCIA
MY COMMISSION # GG 11620
CtCr!iis •: " er2O,2021
+:
ei Q •.P ;�'' 80nded ru Notary f'uLiic tlnde wvite.a
Print: tr y
..w_�,..�.+
Seal:
�';�;+a;t•-
:.underxvhM
APPROVED BY
(Revised02/24/2014)
Signature
61 CONTRACTOR
The foregoing instrument was acknowledged before me this
ia
3_ day of _ t! t ! �, , 20 / '` by
'/*/, who is personally known to
me or who has produced
identification and who did take an oath.
NOTAR/Y� nPyU+)j�tBUC:
Print:
�—MAGGIE1LSAGARCIA
Seal:
MY COMMISSION #F GO 116701
<=
EXPIRES: October20,2021
Unrterortiters
Bonded Thru Notary Public
Plans Examiner
Structural Review
as
•sssss�a* tlttlr«*•#�tf�M**+«*#sM��lnles*sts�es
Zoning
Clerk
855-830-9710
WWYY'.lE' {it75IrUCI.GOM
jorgeWeconStf UCt.cOM
CBC1259940,CGC1513604,CCC1329793
March 13, 2019
Permit: GSN-3-17-640, 9325 Park Drive
To Whom It May Concern:
Please cancel the above permit because we will no longer be doing the work.
If you have any questions, please contact me.
Thank you.
Jorge Guinovart
President
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
9325 PARK DR G
Miami Shores, FL 331382893
Permit: SGN-3-17-640
Address: 9325 PARK DR G Miami Shores, FL 331382893
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,
C�-Z-�i
Ismael Naranjo (CBO)
Building Director
BUILDING
PERMIT APPLICATION
Miami Shores Village.�.�
Building Department MAR 9 2017 i
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 i
Tel: (305) 795-2204 Fax: (305) 756-8972 BY: AA
INSPECTION LINE PHONE NUMBER: (305) 762-4949 1 Is-t—\
FBC 20W (,,c
Master Permit No. S &A N '-)Ir
QBUILDING ❑ ELECTRIC ❑ ROOFING
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9325 Park Drive
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Shores Condo LLC Phone#:
Address:5834 NW 113 Place
City: Doral State: FL
Tenant/Lessee Name: Hallock Design Group
Email: kayla@hallockdesigngroup.com
CONTRACTOR: Company Name: :771 E CD&) STD
Address: e v 5� 8 ST-. y- z-<D'00
City: "I A �Lk1 State:
Qualifier Name: G - .r a �u
State Certification or Registration #:
DESIGNER: Arch itect/E ngi nee r:Wade Elallock
Address:9325 Park Drive
Value of Work for this Permit: $ 275
Type of Work: ❑ Addition ❑ AI rati n N
Description of Work: Black Acrylic let ri g repres
Specify color of color thru tile:
Submittal Fee $ Permit Fe $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
C rtific to of C n
ci y: Mi i
quare/ nearF tage
i Repai
na of busines
zip: 33178
Phone#: 305-756-3773
Phone#:
_Zip: 33 )3 0
e#:1 %low+` � • 43 7-1
ipetency #: q C) y'0
one#:
305-758-3773
State: FL zip: 33138
of Worki 9 sq. ft
❑ Demolition
V /
CCF $ CO/CC $ _
DBPR $ Notary $
Double Fee $ _
Bond $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Zi
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.....
O`NNER'S .A-.FFIDAV!T: I certify that 4!1 the foregoing information is accurate and that al! 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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day off }?y 20 �"'T by
' who is personally known to
me or who has produced If' �— �- as
identification and who d4A take an oath.
Signature —, 6-�
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of O4 MAA QJ . . 20 If 7 , by
6°v-&Q-QUt t r Ova r-, who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC
NOTARY PUBLIC:
_
Sign: " f
Sign:
r
Print: f%I
I� '�
Print:
Seal
Seal:SII
VIA DIAZsGG
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•��4MAR%0<01AINIERNEU,
NEVARE
34000
ECOMMISSIONOFF091
�Myn
ExpiresXPIRES:Merch05,20
Se
7. 2020
APPROVED BY
Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)