DS-12-499March 26, 2012
Village of Miami Shores
10050 NE 2nd Avenue
Miami Shores, FL 33138
Regarding: Permit #DS- 3- 12-499
To whom it may concern,
We are requesting that the above permit application be stopped. We no longer find it cost effective to replace our walkway. No work has
been started on the purposed new walkway.
Regards,
m i k E LctAl s
(PE . L &LA) �
to\k) 4M54
Itiami Shores Villag0
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
3 (aki.INSPECTION'S PHONE NUMBER: (305) 762.4949
B IL ING Permit No.` 1 2- _ 4'9'q
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: BUILDING ROOFING
CE OWNER: Name (Fee Simple Titleholder): 1 E l e R /A . t DAR A .T LC (. I.5 Phone#: 30S r 7 5 ^ 7963
Address: (L. C3 /V [ / D L ST/061-:.1
City: Al I M't ( SThI C S State: FL Zip: 33/3,32
Tenant/Lessee Name: Phone#:
Email: (✓A 1-- I Co /y1 (/CC 10 A O L , Conn
JOB ADDRESS: i24,14-1
` /L4 me 1 94 `4 6-/-.
City: Miami Shores County: Miami Dade Zip: 313W
Folio/Parcel #: '1* (J ' 2252 - 032-- Osa
Is the Building Historically Designated: Yes NO t, Flood Zone:
CONTRACTOR: Company Name: t ck'J a d "(-$It , ( , I fl C ° Phone#:
Address: L-1-20 0 f 1 i --'
City: 'm ( State: L - zip:
E3T3ll 4)
Qualifier Name: -0 [ IT) * p�, Phon# '' L cc63
'4 051
State Certification or Registration #: (1_,K( 3 � Certificate of Competency #:
Contact Phone#: q V.-C ZC/ C-( Li Email Address: h ,,s-jC but/4M
C� /'} a I. cow
DESIGNER: Architect/Engineer: Phone#: small
Value of Work for this Permit: $ ::' 0 CC) . 0 0 Square/Linear Footage of Work: a LID so f- T.
Type of Work: Addition ❑Alteration ONew ❑Repair/Replace ODemolition
Description of Work:
wd:r
k) 1:144 A Li001/4-tV_Wau
ConCr e,
* * * * * * * * * * * * * * * * * * * * * * * ** * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ 'a. $ CCF $ CO /CC $
Scanning Fee $ n Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 w
promise in good faith that a copy of the notice of commencement and construc
whose property is subject to attachment. Also, a certified copy of the recorded notic
for the first inspection which occurs seven (7) days after the building permit is issue
inspection will not e approved and a reinspection fee will be charged.
d value exceeding $2500, the applicant must
brochure will be delivered to the person
ement must be posted at the job site
sence of such posted notice, the
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this (
day of aC 2011, by _.e1 -Q-r r& ("QC J ua ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
4' ct IAA w-o w ,S
My Commission Expires:
OtpkT us.,
EILEEN SAMMONS
MY COMMISSION # DD 847629
EXPIRES: February 16, 2013
Bonded Thu Budget Notary Services
Contractor
The foregoing instrument was acknowledged before me this ,e)
day of ft.,. <0.,/, , 20 a, by ([
? .S
who is personally known to me or who has produced L�
�b as identification and who did take an oath.
NOTARY PUBLIC:
APPROVED BY Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)
Sign:
Print: 8ru ill th ,G
�ot..':PU�,o BARBARA L BRUMMETT
My Commission Expires: MY COMMISSION # EE 114996
EXPIRES: August 8,2015
"NOFFI,C a Bonged Thru 9u4Qet Notary 5Qry es
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Zoning
Clerk