BPP-03-20-452 CanceledMiami Shores Village
Building Department MAR 022 PO
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 By:
" c INSPECTION LINE PHONE NUMBER: (305) 762-4949 -V.
CANCELLED F:BBC M1 c
BUILDING Master Permit No.?l p03-a)' 4NZ
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
uC� C CONTRACTOR DRAWINGS
JOB ADDRESS: 18 / �c 9 5�
City: Miami Shores County: Miami Dade Zip: 33)5$
Folio/Parcel#: _ Sri - (!pG , Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):- (-W rcl.) AA4'� Phone#:
Address: ..nn4� N� q5M!
City: MlAd") S61to State: Zip: 35i=8
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: �� T�� oA T Phone#:
Address: p bl'o
City: 4,v% State: Zip:
Qualifier Name: 1/PN.0 (�O'Ati Phone#:
State Certification or Registration #: CPC (b)`{'( s: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
d
Value of Work for this Permit: $ ULI S Square/Linear Footage of Work:
Type of Work: ❑ Addition ElAlteration ❑ New(Repair/Replace ❑ Demolition
c
Description of Work: ^eSJr i rr� c �kra� (� a 1' n WOv+� )tiS6-
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 $
(Revised02/24/2014i
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
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 insp ion d ,cgf rs sev 7) days -after the building permit is Issued. In the absence of such posted notice, the
inspection will n t be a kd n a r msp ction fee will be charged.
The foTegtffng instru[men ta0`
nowledged before me this
�
� day of iel� 202o by
Ik�Atc,.) Len,AbwhoEs pe sonally known o
------------
me or who has produced as
identification and who did take an oath.
Signature��
CONTRACTOR
The foregoing instrument was acknowledged before me this
dayof M4)C-C4- 20 Do by
Qxry-, who i ersonally known
me or who has produced as
identification and who did take an oath.
NC
Sig
Pri
Sep
APPROVED BY Plans Examiner J ` Zoning
Structural Review Clerk
(Rev1sed02/24/2014)
Miami Shores Village
EN'rERED
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 767-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
Master Permit No
Sub Permit N
MAY 2 8 2024
BY: &I
FBC 20
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF CANCELLATION ❑ SHOP
11,,T (�S-PI CONTRACTOR
DRAWINGS
JOB ADDRESS: N G 1 J T�` EE I
Folio/Parcel#: I I - aJzo(4 - b 14 — 0Kob Is the Building Historically Designated: Yes NO _
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):AVDA" �1A&"O t k%0A � bk)lGWA+PPhone#: (-qeb)
Address: 1 `Y M L)C 9 ^ S`1Y��
City: 1llA>Nll 5 aa5 State:. Ziippt:w?,SIS8 moon2
Tenant/LesseeNamme: Phone#:(� � -+-ago
Email: .hV3XjEW Ji2S-,-NGQ-k0.A.cx
CONTRACTOR: Company Name:
Address:
Email:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Email:
Value of Work for this Permit: $
Type of Work: ❑ Addition ❑ Alteration
Description of Work: a0ce .e dP
MC- 03- ZO - 4<-3
A0P �L-o3 -Z► - Sr3.
Specify color of color thru tile:
Submittal Fee
Scanning Fee $
Technology Fee
Permit Fee $
DCA Fee $
of Competency #:
Square/Linear Footage of Work:
❑ New ❑ Repair/Replace ❑ Demolition
Training/Education Fee $
Zn
03 - Za -
CCF $ CO/cc $
DBPR $
Notary
Double Fee $
Structural Reviews $ P&Z Review $
(Revised04/26/2024)
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 ss once of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the noti a of commencement and construction lien law brochure will be delivered to the person
whose property is subj att e t Als , a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspecti n wh h cc rs s en (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be ppr e a a !section fee will be charged.
The foregoing instrument was acknowledged before me this
r 0 day of ! l, 20 2-q by
Aytoiy-i-» Ln,—, who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 20 , by
as me or who has produced
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Sign:_
Print:
V t VL
-e—yl,KL-
�a-0
Print:
as
Seal: a++ lnlVivienneYao Seal:
=4PQI P0B
Comm.:HH222410
Expires: Jan.311,2ff0FF26 p
�, iM'I �C 1��G✓r
APPROVED BY 3 Plans Examiner Zoning
Structural Review Clerk
(Revised04/26/2024)
Andrew J. Lenahan
489 NE 95th Street Miami Shores, Florida 33138 (786) 367-8807
May 28, 2024
Miami Shores Village
Building Department
10050 NE 2n° Avenue
Miami Shores, FL 33138
To Whom It May Concern:
We respectfully request that the following expired permit applications be cancelled:
• MC-03-20-453
• PL-03-20-454
• BPP-03-20-452
EL-03-21-813
The work was not started by the applicant.
Thank
Andrew J.
EN'rnHED
MAY 2 8 2024
BY: ' 'b