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RC-09-19-2116 CanceledMiami Shores Village (,NTT rTlt Building Department JUL 022024 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY0=0 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 2013 BUILDING CANCELLED Master Permit No. KC —U9— ICI— Zll(o PERMIT APPLICATION Sub Permit No. BUILDING I3 ELECTRIC I3 ROOFING ® REVISION © EXTENSION ORENEWAL []PLUMBING O MECHANICAL [ CHANGE OF RrCANCELLATION [3SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 3313e Folio/Parcel#: I t--2 a3 Zca Et-e430 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): &k r Sq�9N Phone#: 3o5' I F;9 D 100 City: mrnbn; State: 9-- Zip: 331" Tenant Email: CONTRACTOR: Company Name: RL9) Cvn Sftr.W;.h L a. - Phone#: 3oS 301(odl Address: �`%1 1A -110 MCaw;' Y7 33i3a. Email: n.9t Qualifier Name: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ --I Q dam. GCS Square/Linear Footage of Work: Type of Work: 0 Addition I3 Alteration I3 New [3 Repair/Replace Description of Work: 2)4tMn ek,c> lu t Wa � 1 I p e- Jf(1OWS iJ1 tall k_gAl Gain Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $, Technology Fee DCA Fee $ Training/Education Fee $ Zip: M Demolition CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Structural Reviews $ (Revised04/05/2022) P&Z Review $ 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 reinspection fee will be charged. Signature_A ASignature LL OWNER or AGENT The foregoing instrument was acknowledged before me this day of -1i U l �-11 , 20ZLl , by A who is personally known to me or who has produced iL -bn ✓Le-V-y�- 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. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: - e Sign: Sign: Print: V 1% 1 2 nrw "40--o Print: \�\\\\PY p�/,j/� Vivienne Yao Seal: oc� • a�,�; Comm.:HH 222410 Seal: =� 2026 Expires: Jan. 31, / V* ��, Notary Public . State of Florida APPROVED BY Plans Examiner as Zoning (Revised04/05/2022) Structural Review Clerk We— 0— arc9iPwJ( 6, o iS ut✓� S� cv le Rol l c re-ve P.u*x�U� cQs� �q � a 2att�,k� IR So �j l �lt� c�uoC4c f CCTY��r- w�liC� "kskJ- S�((J� 1 w� ccuty �Ul /1� �h C�yfe2a�S[Ov� (�� OrRJ- q/kltu ur CQC CJ2t'rntL3 V�r „rzn,2J r 01 1�1Sivh C Icsti Scoff 0-S 3L/9 JUL 0 2 2024 IVC- NlCruti,' S�f-eta-cs � �L 33137� end bLA ffmil �J2s/15 MI AXtd (IllaIll Miami Shores Village RECr1ZVED S P 1 2 4"019 BY: FBC/\20A BUILDING CANCELLEDaster Permit No.Zc- Uq` lq- 2o PERMIT APPLICATION Sub Permit No. dBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP 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 CONTRACTOR DRAWINGS '1// / I U102 u �� I /�nnrr ,`, - I ( + JOB ADDRESS: 1� City: Miami Shores County: Miami Dade ZiD: 33133, Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name ((Fee Simple Titleholder):: / I /A,}s/ n" Jc7Ss4�1 kt% Phone#: 30 5 '3 s�'^ 01 0 r3 Address: /C)& I Nll' r City: i knt r S�no+f�Fs"5 State: (��- zip: 33 t 3 SC Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name:RG� ( C� t.3STRI'r— Phone#: �7 Address: 7%5N L' Sl H 331 39 City: (A-rv, State: zip: Qualifier Name: / � Phone#: State Certification or Registration #: 12,C-1 32f(oqq Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State/:/ryZip: Value of Work for this Permit:$ Qd Square/Linear Footage of Work: "fib Tvoe of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Structural Reviews $ Double Fee $ Bond $ (Revised02/24/2014) 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 reinspection fee will be charged. Signature N`--�Vyl— OWNER or AGENT The foregoing instrument was acknowledged before me this rdayof 20 �� by ��1SS�jNtO who is personally known to me or who has producedt L —1>'— f UDE- U`t-CI v S-C as Signature CONTRACTOR The foregoing instrument was acknowledged before me this 4 Z day of SIN' B 1:€ 20 by a C Gw N , who is personally known to me or who has produced identification and who did take an oath. identification and who did take an oath. as NOTA PUBLIC: NOTARY�LIC: Sig . Sign:, Print: 1N>3.- ta2� Print: �(N3D) WA--------------- S Seal: Seal: "M'" _ SINDIA ALVAREZ 'nriyti;•., SINDIA ALVAREZ 'y0 hiY COMMISSION R GG 238273 I� MY GOMMISslom S GG 238273 r EXPIRES: September 3, 2022 EXPIRES: September 3, 2022'.F'odFyq"' Bonded Thm NOLvy PuU�ic Undenvrilrrs :.a J rrrrrrrrrrrrrrrrrrrr �7.'+�fjjk°�r< 7brV:t�4 rtars *r*************** rr **r s \\ 1� APPROVED BY Plans Examiner Zoning 10/6 Structural Review Clerk (Revised02/24/2014)