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DEMO-19-2296Miami 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: (30S) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING RE EI VED J N 18 ongn 102 / �T C 20 1� Master Permit No. Sub Permit No.DEMO-09-19-2296 ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF 0 CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 304 NE 93 st City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3206-013-6350 Is the Building Historically Designated: Yes NO x Occupancy Type: load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee simplertleholder):Jose Hemandez & Alba Triana Phone* 561 -307-8736 Address:1085 NE 84 st City. Miami State: FL zip: 33138 Tenant/Lessee Name: Phone#: Email: afjmanagers@gmaii.com CONTRACTOR: Company Name: Owner Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration M Certificate of Competency #: DESIGNER: Architect/Engineer: Jose Gomez Phone#: 305-559-1250 Address:8101 Biscayne Blvd City: Miami state: FL zip: 33138 Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition © Alteration ❑ New ❑ Repair/Replace Q Demolition Description of Work: 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) i i . 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 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) 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 The foregoing instrument was acknowledged before me this i 9L+4 day of qU tJ E 20 RQ , by N[*VMQ&2. { � ,lJo personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: &d4z—K2 Print: 1� lq i'}%a.&Xx' opyti OW A.) CONTRACTOR The foregoing instrument was acknowledged before me this day of as me or who has produced 20 by , who is personally known to identification and who did take an oath. NOTARY PUBLIC: Sign:. Print: as Seal: ;qwRLEliEm" Seal: �d EO nMt JwuM eIS- 2WU�rs �..1. Bonded APPROVED BY �b�`u1 V—/� Plans Examiner Zoning Structural Review Clerk (Revisedo2J24/2014) Jose Hernandez 1085 NE 84th st Miami, FL 33138 June 15, 2020 Miami Shores Village Building Department Dear Sir, I am submitting an application for cancellation of permit DEMO-09-19-2296 for the property on 304 NE 93rd st. There is also a building permit application that is expired as it was pending some corrections. Please cancel all permits related to this property as it is being sold. Sincerely yours, Jose Hernandez Owner 561-307-8736 Miami Shores VillageVCA Building Department SEP 3 0 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY - Tel: (305) 795-2204 Fax: (305) 756-8972 _ INSPECTION LINE PHONE NUMBER: (305) 762-4949 l FrB' C 20 BUILDING Master Permit No.iJ PERMIT APPLICATION Sub Permit No. ❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [—]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: �oq f 9 ST City: Miami Shores //q f County: Miami Dade Zip: Folio/Parcel#: 11 — 3 2,06 Is the Building Historically Designated: Yes NO Occupancy Type: Load: _ Construction Type: Flood Zone: BFE: FIiFE: 2 OWNER: Name (Fee Simple Titleholder):1 �—) 1}1)* Phone#: 'J 6 k - Address: (OZI �k- 94 s-r City: f 1 I State: r (— Zip: S'� 19Y Tenant/Lessee Name: n Phone#: Email: r� �i� i' �s (� A�1 �I L c',D A CONTRACTOR: Company Name: Phone#: Address: City: Qualifier Name: Phone#: Zip: State Certification or Registration #: < / Certificate of Competency #: DESIGNER: Architect/Engineer: �f, I G 10 so} opt Phone#: 117- - 0 Address: 0 1. I S A s City: State: f Zip: S g Value of Work for this Permit:Square/Linear Footage of Work: r Type of Work: ❑ Addition ❑ Alteration ❑ New \\ ❑ kepair/Replace Demo!ition Description of Work: I I ixm`= -Oi,-bAo `` 1.l -r, A �J Specify color �oofcolor thru tile: Submittal Fee $ ^� , 0 Permit Fee $ Scanning Fee $ Technology Fee Structural Reviews $ Radon Fee $ Training/Education Fee $ ` CCF $ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ Z �/ (Revised02/24/2014) y 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 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 --"` OWNER or AGENT The foregoing instrument was acknowledged before me this day of S 20, by J O-r 1GtAwo Yuwpdpls�-�—psonally known to me or who has produced DQ 1 SL=(1 F5 S--as Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of me or who has produced identification and who did to i@ 94W�...� NOTARY PU ;=o<t" °!•: SINDIA ALVAREZ �i,�" MY COMMISSION # p®23b2791 ,m:, aa: EXPIRES: September 3, 2022 ''rFOF F�?�' Bonded Thru Notary Publla Und*'W(1111 Print: Print: Seal: Seal: SEP 3 0 2019 20 by , who is personally known to and who did take an oath. PUBLIC: as R D 1 W APPROVED BY �L • Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)