WS-2-18-498 CanceledMiami Shores Village
r
Building Department
RECEIVED
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JUL 2 5 2010
Tel: (305) 795-2204 Fax: (305) 756-8972 }/'�
CANCELLER PECTION LINE PHONE NUMBER: (305) 762-4949 CQ +� (_�
FBC 26'-1
BUILDING Master Permit No. ",k)S._Z_l �` y
PERMIT APPLICATION Sub Permit No.
❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF 'g CANCELLATION ❑ SHOP
CONTRACTOR
DRAWINGS
G2
JOB ADDRESS: I✓ 333 N
MIA M 1 {(/-
City: Miami Shores
County:
Miami Dade
Zip: 3 S (� O
Folio/Parcel#:
Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type:
Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
I AT�%C A
?e N i 0A C--1b)
�
Phone#: 70I • 69 3 • CfICJ69
Address: 3 fj M' A" i PN
Citv: i S4A i2ES
State:
-FL-
zip: 3 :? I :S� D
Tenant/Lessee Name: nn Phone#: 3Oi 6 1 I bio�
Email: TP EN', (_H R O (v /A 000. COM
CONTRACTOR: Company Name: V iS Phone#:
Address: 4 4 -,? kv'
City: M I PrM I / State: �(— Zip:
/nj 3 I S S
Qualifier Name: �i� i ctYYl ✓f IV 1 m (� i le Phone#: 3 bS • 2-6 t • SO S$
State Certification or Registration #: L`jG 5/ TQ 7 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace 0 Demolition
Description of Work: -�
Specify color of color thru file:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Permit Fee $
Radon Fee $
Training/Education Fee $
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
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 re' spection fee will be charged
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
�2/� day of j� 20 L ®—, by
PaGi c,- Pen ChZiiO ,l�who is personally known to �J me or who has produced > L— as
irientifiretion and who did take,an oath.
NOTARY PUBLIC:
Signatur
CONTRACTOR
The foregoing instrument was cknowledged before me this
day of 20 , by
OPP7 t Ci W ht mevj i eNrho is personally known to
me or who has produced as
identification and who did take4an oath.
NOTARY PUBLIC:
Sign: — Sign: &hT*
Print: ✓) Y Print:
MY COM SION # GG072040 '•', an'� EX March 15, 2021
Seal: :,', o.r4P EXPIRES March 15, 2021 Seal:
************************************************************************************************************
APPROVED BY
Plans Examiner
Structural Review
Zoning
Clerk
(Revised02/24/2014)
July 21 d, 2018
To whom it may concern,
My name is Patricia Penicheiro. I live on 9333 N Miami Av and this letter is to
confirm that no work has been performed on my property. I hired "Vista
Construction Services" Inc. to install hurricane proof windows, but the permit
(#WS-2-18-498) was denied by the Miami Shores Village office.
At this point I'm out of town and will not be able to follow up with this matter,
so I'm requesting the cancellation of the permit application.
I thank you in advance,
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
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
FBC 20 C`
Master Permit No. Lo �iG — q -1 0
Sub Permit No
❑ REVISION ❑ EXTENSION [:]RENEWAL
[—]PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF [—]CANCELLATION ❑ SHOP
/J IJ CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: 13r3I 1J 0
Folio/Parcel#: 1 32-Q6,-0 F3--0'--3 50 IsIq�Jll(j
huilding Historically Designated: Yes NO
Occupancy Type:7_ _�� Load: Construction Type: � Flood Zone: _ BFE: FFE:
�9
OWNER: Name (Fee Simple Titleholder): C1 CL- 1)1 � 'S e A O Phone#: ('q%1-1M "5 % 7 3
Address:
,3 dt)
f
City: 1 a1n1' 5/2onfcp State:. G-L?Yi^ �r Zip:
Tenant/Lessee Name: Phone#:
Email: -- - E;0S-- •�45 - .?33
CONTRACTOR: Company Name:
Address: i �z Lv
City: V C 1
Qualifier Name: %den )a1)71
State Certification or Registration
DESIGNER: `Architect/En�gin�eer:
Address: l Z �c /-V) :4
On Phone# 65)2,61" 50!5g
Zip. -3j S
Phone#r�
6 V %p- Certificate of Competency #:
t 19
G Phone#:
1 City: FI. t\(0"n l State: /�� Zip: Z
Value of Work for this Permit: $ ��f U 0 Square/Linear Footage of Work:
Type of Work: ❑ Addition% Q Alteration ❑ New ❑ Repair/Replace
Descrip ion of Work: �� �zce1ne1q) 0110 %LeZorU G� v��N l
f-2/Ic2G.
Specify color of color thru tile:
00
Submittal Fee $ r (3 ' Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $.
CCF $.
DBPR $
❑ Demolition
(boas
�tv
CO/CC $ _
Notary $,
Double Fee $ _
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice the
inspection will be approve re' spection fee will be charged.
Signature lgnature
OWNER or AGENT CONTRACTOR
The foregoing instrument
was acknowledged before me this
G day of20 l by
Ct C� few, Ct (�l�t�, who is personally known to
me or who has produced ip- L- as
identification and who did take an oath.
NOTARY PUBLIC:
The foregoing instrument was acknowledged before me this
2-6 day of / ti�l i� pp 20 �, by
6b1 An -e iC i! finis personally known to
me or who has produced as
identification and who did taWan oath.
NOTARY PUBLIC:
Sign: !�
Sign:
Print: ���
e
Print:
URI$ OJEDA
YURIS DA
Seal:
=• ;•
MY COMMISSION # GG072040
Seal:
='' i• MY COMMIS O # GG072040
•`.,,
EXPIRES March 15, 2021
� , �'` EXPIRES March 15.2021
APPROVED BY
Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)