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CHANGE OF CONTRACTOR
��.������� �.� i i r ill �;��,� � �,� ���� a �; _ �I i r ����ut�r�����������.����. 10Q50 N,E.2nd Avenue, Miami Shores, FEorida 33238 �-"� �t��: (�os) ��s-22o4 F��:{3os)���-���z ��s��c�°ic�ry�����we��t�r�c�r��€�:(�os}�sz-�g�� ��� F�� 2C11 � ast�r P�r�it �Isa. � �� �`�� � � ' �� PE�IIBIIT° }�PPl.l�1�►`TI�IV sub�ermit ��. � UIEDING � EI�ECTR{C (� RC1C}FING � REVISION � EXTENSIt�R! ❑RENEWRI ❑PLUMBINC� � MECN�NIGAL �PUE�LIC W�RKS CHA�VGE Q� ❑ CANCELLATIQN � SNC}P GQ NTRA�T�R E?RAW I NfaS ������,V� } �,.4 �'' ,� 1Q�ADC?RESS: .� 'h� �.__ _r�� c.� ��'� � Citv: Miami Shares County: Miami Dade �ip: � � ��� F�li�f P�reel#: Is th�Buildin�Nist�rieally Desi�nated:Yes NO %'� Clceupaney Type: Evad: Canstruction Type: F[ood Zone: BFE: F�E: � � = . t OWlVER: Name(FeeSimpleTitleholder}: �fik�`�`rS� �� ����' c�4�� �c':�`�1�.� 4, �����-�� Phone#: ���� " ����� ��`�! � � �� �_�� �' .� �t ��,�_, Address: �' .�� � �'` �-_ s` �.. � µy;,, ��w, m� - City: � ���� ��c� °���� StaEe: �� �._ Zip: �:.'� �'S� TenantJEessee Name: Phone#: Email: r? A /' � CU(dTRACTCI�;Company�lame: �� �°°��t�d�`e,� �;�'��?� d �.� - ,� � � Phone#:�°�����,��"� ��ri�� ��,� Address: t�`�'°f" '?�_ ' �, ; ` . _.»•,°4: �?d`G' r� Gty: F� p �`,e�;�r State: ��- Zip: ��',.��-��.! � '� t , ,. � � � �ualifier Name: -��:"::'� � � �� '' � „� ��- `��- ��!" PhonE#, ;������ ��>� �� .Z, �� State Certifieatian ar Registratian#: ° C.. �"�r� �1�� '' Certificate of Campetency#: � �� `�, �' '"�"� ��� �ESE�a{VE�;,�rchitect/En�ineer �,� ��� �`€.�- ��'�'a°''��``�'� Plione##: .� ��� .�� � ���� Address: ���� � �t�� � ��� ��t ���� e Gty; �.�,�� ���..c.� State:���"` Zip ��� �'�� Valu�af Wcrrk for this Permit:$ �_:�� � � � ��� SquarejGinear F�aeat�g�of Work: `��t���.� Type of�4lorie: ❑ Addition � ,Alteration � New ❑ Repair/Replaee ❑ Demolition �, _ � � Descripticsn of Work: �-� C�d� �� c� �e'��,`�tS i i�.1 t� t"E��,.�� ���a���`a"c���� �-�f� c:�' ����t����r�t �� c,�"���� �� �� � �� ���. -,� �.�;��S ���; � ..'c� �� ���c:c r r�t � �.� �.� ��� � �: ��t?�'� �>i.�.�t�.� �� �-���.` �`�.. ,��'�:_ Spe�%�y colcar of cal�r thru t�l�; Submit�al Fee$ P�rmit F�a$ CCF$ CO/CC$ Sc�nnin�Fe�$ l�adon Fe�$ 8BP�2$ Notary$ �° C�'�,,� Techn�lo�y Fee$ Training/Educatian Fee$ Double Fee$ Strueturat Reviews$ B�and$ � , ��� Tc��r����E n►ow�u�S� � �". ��e�;�eaazlz�lzaza> Bonding Company's Name(ifi�ppiieable) � _ Bonding Com�aar�y's Address _ _ City _State Zip Martgage tender's Name{if applieab�e}_ Mortgage lender's Address ��� � _ _ City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. ! eertify that no work or instalEation has commenced priar to the issuance of a permit and that alf work will be performed ta meet the sfiandards of alf laws regulating construction in this jurisdiction. I understand that a separ�te perrrrit must be secured for ELECTRIC, P�UMBING, SIGNS, PO�LS, FURNACES, �OI�ER5, HEATERS,TRNKS,AIR CtINDETI0NER5, ETC..... �WtdER'S AFFEDAVIT: I eertify that all the faregoing information is accurate and that all work will be done in compfianee with all applieable laws re�uEating construetion and zoning. " IN T NE : Y U FAIE.URE T REC N TICE F C E�VCE E T AY RESULT IN YOUR PAYING T ICE FflR I PROVE ENTS TA YQU� PR�PERTY, IF YOU iN`fENO T O TA1 FI AN�I G, � SULT° ITH Y UR LEN�ER �R A � QRNEY �EF E RECQf�[}!NG Y U TICE F C� ENCE ENT.d, Notice ta Applicant: As a eonditian to the issuance of a building permit with an estimated ua/ue exceeding$25QQ, the applicant must pramise in good faith that a copy of the natice of commencemenz and construction Iren law brachure �uill be detivered to the person whpse praperty is subject ta attachment. Also, a eertified copy af the recardecl notice of carnmencement rnust be posted at the job site for th�first inspection which oceurs seven (7) dcays after the buitding permit is issued. tn Y�he absenee of such posted notree, the inspection wilt not be approved and a rernspeetron fee will be charged. r� . � . .._ ��` ��� �; �� � � � ,� ,�� � � `��E �� ,�� ���� � Signat�are Signature , ��� � � � . _. ..�__...� — �� �F f �- C}WNER4rAG�NT �.��°`� CONTRACTOft The faregoing instrument was ae�nowledgec! before me tM�is The fe�re�aing instrument was acknawledged before me this � � day of ����~,Y r"��� �`",.'� ,20 ��1 �, by €� day of �� _m.a_ :��..,m f.��20 �"�� , by -��,��. �"'�a,� �'�2� t� �,`���'-�""�. ,wha is persanally known ta �,,��. , �"`���+� � �� ��,wha is personally known to .��,� --�- �.s�..��b`�a-�� ��", 1r� �'�:m.. ��1.{=����'�as me or wf�o has praduced� � � ,�>�:����=� � � -as m�or who has praduce�! �`"1.--=�`, identifieation and wha dicl take an aath. identificatian and who did take an oath. N4TA�1'�U�IIC: NOTARY P�BLlC: 1 � ��� ��� srg�: s���,� ����,t:�� ���� �������_�� �r��t; ��� ` �� � � � � � ��.�� ,�R��,, � SIt�[�if�AlY�R�Z � Seal: ,,����R'�.,., �;yD(AALVA�EZ M � Seal: �a�� `,��_ h�YC�P��!S�EGN#€C�t323�273 ;� ,....,� . ``'' - ��4Y CC3E��tISSiGN�t GC�'��5273 "�'• � �'a� EX°{RES;Se�tember 3,2{}22 , �.,. "''� � ' .�= EXP `Es;Se�f�m��r s,�?�22 ��� ��``�'�.Qx`�,°�'' �or�ded Theu C�a±gry PuDiic Un�e;r,v�rters ���:'FOFr;��.� � Pu�;icllncierw4�fte=s � �_ � .� ���***�*�*�*����z� �**m��������:�*����m�m����**�������ce�a����****z:**�������*�� �� �, ��� �PRROVEa�Y � �� ` Plans Examiner Zoning � SCruetural Review Clerk (RevisedQ2/24/201�i� � �: �� �.���. � � � t> � � � �� � �F, ,� � � �� � � a� $ ... ?4�� �,�, �vi� � i ��� �' �1\ � � � �.¢,l`, \�lix . 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M A���2�`1� (.�3:45Ph9 �.�� i0,(�0 � ������� ��€ 4,�Q � ���� ��.�� �:;t���=��;?� �tt,�� 6 r�i� �ri,�� a E����`,,� Lif�r: ��? 1 �a� ����� ���� a��e ci�ie��? k�a��M�� � e����,�k���.ro��,�� 915/2Q19 USPS.comCa-USPS TrackingC7 ResuEts A�'�RT': AIL��RVIC� 6� �[S�l1P�'�� IN S� � PA�TS QF Tk���AE1T�f ��T t�.Se RUE T� FlURRICA,s. • � �AC�� > (htt�as:lf weu���.c� 1��c��fus�pstrackiMg-faq�.ht ) Tr�c nath�r �� a � ra�kin u �r: 7019112OQQQQ9Q225144 ���'°�� � Your item has been deliver�d t� an agent at 9:45 am on Aug�a�t 2�, 2019 in MIAM�, F� 331�1. 1 C August�8, 20�9 a�9:45 am C?�livered, �"o,4g�nt MIAMI, F�.331�1 � e� C�t lJ�c4�te� � o� c� � T��ct m��l � �t�s � �r��kirro ��ta Pr+�t�u�t Ir�f�rrr��tit�n � S�� Les� .� 't °�1 't" 1 � C. Go t� aur FAQs �ectie�n fic� find �r�swers to your tr��king q�aesti�ns. �A � (t�ttps:llw .usp�.�� lf�q�lusp�tr�ckingafa��.htm} hEtps.,r`Itoals.usps,cQmlg�r`TraekConfirrr�AGtion?tLabels=70191120Q00080225144&u4m_soure�=de(iver�d$utm_medium=email&utm_c;onten�=tracking-n.�. 112 � ,�r r��,, �° ��� } � �� ��� ���� ��� �' ���� �� ���� ��` �, � � � � , � � r � � � � � � � . � irs/,� l l!- , �,. /^�,�^r � � � 4 l � �/✓a^�/'n-/e`.,,� � �rta� � :L '�� � � � ".`✓% l�..,c'a:,,l �� � � � �� ..:.4 . . ,. �f�:6�µ � ;.,;, � ,, � . • ��°�s,y.��q i,.i„ . ' . � '.✓ ^ ;;; , J.N ��.e-.. � � l / /� � � � �.. _ �� ..1� //� ,L�'f �ti$h�4,` / % .,r�� r �" .�-�'.r'��'� �,�z� `.�---� Y:�i.. i �i" - .w.� e,..%'a �. / �r' � ' : '� �''rli % ` � � � `T �' ���' .�� �� � ' � �' �`��� ��l � a ,,, �� �", r'�F-; �,� �� ' %� �� 1� �'l ��i:��a � r.� X �f 1�,� . � . i� r ` � �"����'',c� ; !.��`r' :�� � 7'r�'i,; "�'..:�-. ¢:',� � ,,,.z-/� ,✓ /J�� � � % Fa' �,.1 z 4.. �f�� f � '�r� �1 ,��° �: ; �� 4 , � , � rt� f� f �. August 23, 20�9 Mr. �Quis Imburgi� Imburgi� C�n�tru�tion Servic��, Inc. 12555 �i�cayr�� �Ivd #��$ North Miami, F�. 33��1 �his I�tt�r is to inform you th�t as of taday Irr�b€�r�i� �onstructie�n is n� Ic�ng�r the contractar for a�r r��ide�tial g�r�g� ct�nuersiran loc�t�d at 1�533 N� 3 CT Miami Shores, FL 3313$. Permit �RC-�i-17-2050 and Permit#W�-44�19-7&6. It h�s b�en 2 ye�rs sinc� w� �tart�d this proj�ct with y�ur company and w� canr�c�t afford any mc�re d�l�ys, I hope we ��n �it and review th� refund �wed �o u� for all th� �xtra payrr��nts bill�d and paid. Thanks, .-'',�����.. - �� `� Pa�rici� L�der