The URL can be used to link to this page

1260 NE 99 St CanceledMiami Shores Village ENTERED Building Department NOV 09 2021 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BYC Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 CANCELLED ((11FBC 20�j �-�;7I Lj BUILDING rCPl�d by BFP-03-Zy-�0Master Permit No. �IIC —1 IPrRMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS AOBADDRESS: 1260 NE 99th Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3205-009-0160 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 1260 NE 99TH HOLDINGS LLC Phone#:7188477400 Address:9381 E Bay Harbour Drive # 504s City: Bay Harbour Islands State: FL Zip: 33154 Tenant/Lessee Name: Phone#: Email:�o/✓i CONTRACTOR: Company Name: /Dh(nJEa�mo/a04 1fPhone#: 9/a: A k , Address: \\ City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 7p © Square/Linear Footage of Work: r7 Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Technology Fee Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ 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 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 appfoved gxd a reinspection fee will be charged. Signature 9 Signature OWNER or AGENT The foregoing instrument _ was acknowledged before me this _?day ofVo✓fw,7C, .202l ,by 45' 1r,� n V�L� c i,-, jjwho is personally known to me or who has produced identification and who did take an oath. ANAT PERETS i '�[3CT.7��:�LS..J. SrLri�YiYM� 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: Seal: as «<+aer**+�+».:•rasa.<er++e��++++.��a*�s<.r«»»r.»+»»+.sr.«++sass«eer.ar»�»+»<..�*+s»+:<s<st�*<*ta«�«.��r+.+ APPROVED BY Plans Examiner (Revised02/24/2014) Structural Review Clerk