RC-07-22-1715 CanceledMiami 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
FFB/�C 20
` C
BUILDING CANCELLED Master Permit No. Oq ZZ I i IS
PERMIT APPLICATION sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
�/')j�(`j ` ,1 ^ CONTRACTOR DRAWINGS
JOB ADDRESS: ' �`� ' 0 � My G(M ( H-\J L
-`51y1-0zA -0 ( dc) Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): of IU 11 1.) EZ Phone#: �0 3 a % SGl
Address: IC)CD-C) N /-AC9.MI .,V C
City: 1-\kamY 5)rNareS State: �� Zip: ��,�SG
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration M 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 ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $_
Structural Reviews
Training/Education Fee $
CCF
DBPR $
CO/CC $
Notary:
Double Fee $.
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City S1
Mortgage Lender's Name (if applicable)
Mortgage Lenders Address
City
Zip
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 approved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
2- ( day of OC P b e 20 Z Z. by
I iqg" M u i`1 e—Z who is personally known to
me or who has produced j:::7— as
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 20 by
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:
Sign: l 11 w— v� Sign:
Print: V 1 I'e—p`L- `1,q, Print:
Seal: �`""e+A/f, F".- Ylvienne Yao Seal:
��' •�� Comm:HH222410
y.:�'Expires: Jan. 31,2026
Notary Public • State of Florida
APPROVED BY
Plans Examiner
as
Zoning
(Revised02/24/2014)
Structural Review
Clerk
To whom it may concern:
I KIARA NUNEZ owner of the property located at 10070 N MIAMI AVE
MIAMI SHORES FL 33150. We have decided not to complete any work
related to Permit #RC-07-22-1715 which we applied for and obtained on
07/07/2022. Please use this letter as a request to Cancel/Close this
permit.
Sincerely,
�� OL<
Kiara Nunez
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) 76241949
BUILDING
MIT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
ENTERED
JUL 0 7 2022
BY:
FBC 2020 -'�
Master Permit No. RC_ 67-22 —
Sub Permit No.
❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP
._ CONTRACTOR DRAWINGS
JOB ADDRESS:
a
�� [i S01JD
Folio/Parcely O al'. �) 0 0 15 the Building Historically Designated: Yes
NO
Occupancy Type: Load: Construction Type:
1 , VP Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):_ \' as ( a `iif�
y , �^ Phone#: 31c, -G��
Addresls- 1 0Q�-Q 1 �CJ��' \ 4lA.w,i W
-Q__
City: 1— `\ aVV\ ( C y Qye S State: �� r'�.r t
- - — — ZiP: — j i U
Tenant/Lessee Name:
Email: Phone#:
CONTRACTOR: Company Name:
r Phone#:
Address:
City:
Qualifier Name:
State Certification or Registration M
DESIGNER: Architect/Engineer:
Of Competency #:
xate: Zip:
Value of Work for this ermit: $_ . GC
� Square/Linear Footage of Work:
Type of Work: Addition ❑ Altera ion ElNew/ ElRepair/Replace ❑Demolition
Description of Work: �U f ®() (i 40 fr it n C ICE S U ZP
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ CCF $ CO/CC $
Radon Fee $ __— DBPR $
Notary,,
Technology Fee $ Training/Education Fee $
Double Fee $ _
Structural Reviews $
Bond $ _
(RevisedOZ/24/2014) TOTAL FEE NOW DUE $ _
'Bonding Company's Name (if applicable)
Bonding Company's Address
City
Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address . .
City
State
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
promise in good faith that a copy of the notice of commencement and constructronm estimated value exceeding $2500, the applicant must
n low 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 —k
OWNER orAt—DENT
The (foregoing Instrum nt was acknowledged before me this
(/ & day of 420 `LZ by
0�CCA Aid-ho is personally known to
me or who has produced F�, Alar I U4&2 as
Identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
c00vtki Notary Public State of Florida
Seal: ?�. Ivelisse Teresa Gonzalez
a,t My Commission GG 302028
'>CW Expires 02114/2023
APPROVED BY
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of
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
Plans Examiner Zoning
(Revisedo2/24/2014)
Structural Review Clerk