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RC-4-15-990 CancellationMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 709 NE 93 ST, Miami Shores, FL Permit NO.: RC-3-13-568 Permit Type: Building (Residential) Work Classification: Addition/Alteration Permit status: Cancelled Issue Date:04/12/2013 Expiration: Parcel Number 1132060141790 Contacts VILMACHIUZ Owner VILMA CHIUZ Applicant 709 NE 93 ST, MIAMI SHORES, FL 331382906 709 NE 93 ST, MIAMI SHORES, FL 331382906 vilmachiuz@gmail.com vilmachiuz@gmail.com Description: LAUNDRY ROOM ADDITION Valuation: $ 18,600.00 replaced with RC13-568 Total Sq Feet: 123.00 Fees Amount CCF $11.40 CO/CC Fee $150.00 DBPR Fee $8.37 DCA Fee $8.37 Education Surcharge $3.80 Permit Fee $558.00 Plan Review Fee (Engineer( $80.00 Plan Review Fee (Engineer) $70.00 Plan Review Fee (Engineer) $80.00 Scanning Fee $36.00 Technology Fee $15.20 Work without Permit Fee 5558.00 Total: $1,579.14 Ins ection Requests: V isit our webslte www.msvFl.gov and lick on Permits Payments Date Paid Amt Paid Total Fees $1,579.14 Credit Card 04/16/2013 $1,459.14 Cash 03/21/2013 $120.00 Amount Due: $0.00 Applicant Copy For Inspections, Call (305) 762-4949 or Log on at https:/Ibidg.miamishoresvillage.com/cap/. Requests must be received by 3pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that maybe found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES. December 11, 2024 Page 1 of 2 C I�INTE" L,111141Pklcl PERMIT APPLICATION BUILDING PLUMBING I3 ELECTRIC I3 MECHANICAL Miami Shores Village DEC 112024 Building Department By: (11 _ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 Master Permit No. Q— U - 15— 4q0 Sub Permit No ® ROOFING ® REVISION © EXTENSION ®RENEWAL CHANGE OF ® CANCELLATION I3 SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 70 A) 1 5 3 City: Miami Shores 1, County: Miami Dade Zip: Folio/Parcel#: I ITJ ?� �e®I `f I -7 10 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple\ITitleholder): b,NCWta_ I U Z, Phone#: Address: 7c Y w42 9 3 5 City: H k A-✓`N�• 'S �1c�e-S State: FL— Zip: 33 (3 g Tenant/Lessee Name: 1/ Email: I LYI,&L( CONTRACTOR: Company Name: I\'21i1�'" 1tc'K lo�"4'rwcA-y \ Phone#: 305 l(W-51 co Addre! Email: Qualifi State Certification or Registration #: L�lZ, h 4 -72-1 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone Value of Work for this Permit: $ l 23 Type of Work: 0 Addition ® Alteration Description of Work: nil-: (0-L)n(jH Specify color of color thru tile: _Zip: Square/Linear Footage of Work: 1 Z'�!> ® New ® Repair/Replace ® Demolition (Cc -3-13 -5fos Submittal Fee $ Permit Fee $ CCF $ CO/Cc $ Scanning Fee $ DCA Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ DBPR $ Notary Double Fee $ P&Z Review $ Bond $ TOTAL FEE NOW DUE $ (Revised04/05/2022) 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 fob 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 li.�V �? ua�- Signature - ezt:=—Z &==::?J OWNER or AGENT CONTRACTOR The oing instru was acknowledged before me this The fo egoing instrument was acknowledged before me this 2 b day AL010 2aq b day of y y �y ��Mo,_ �VJ who is personally known to who is personally known to me or who has produced % {�i as me or who has produced as identification and who did take an oath. identification and who did take an oath. N BLIC: NO RY P IC: i S1 Print: Print: MARCELA Seal: p Ho" Public, State of Ftodda Seal: Commission# HH 278804 13, Pu btic, State Florida �� P� mmission# HH 278804 8 ********************** ******************* ************** * ** Ott"" APPROVED BY Plans Examiner Zoning Structural Review (Revised04/05/2022) Clerk A9440-9 & ICO�Af Depx4med 1 1 2024 J,.: i i s 17�� atxll 13b<-) � �D 30 -)0 C-xe, ,.-s PL- 3- l3-ioZ3 Me -3- i3-6?2 s EL - 3 - 1 3 - 6,2-(.( 12 aN