ACT-506-1214 E6
' Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
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1. 305 795.2204 Fax: OS 756.8972
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BUILDING MAY 10 200 ' Permit No. T of
PERMIT AP LICATIOP4 Master Permit No.
FBC 2004
Permit Type(circle):, Building Electrical Plumbing Mechanical Roofing
Owner's Name(Fee Smip le Titleholder) A(14-6L L®?F 7, Phone# a15 t1 c) /(P O
Owner's Address Q9,
city M1(A W t 514Q?7e5 State r(l zip -5313
Tenant/Lessee Name Phon6#
I
Job Address(where the work.is being done) 0 l ct? S-T
City Miami Sh res Village County . Miami-Dade zip
FOLIO/PARCEL# 1 ° 01-5 "d 3 t n IN
Is Building Historically i esignated YES NO
Contractor's Company Name 0tA) N e Phone#
Contractor's Address
I
City State Zip
Qualifier Name I Phone#
State Certificate or Registration No. Certificate of Competency No.
I
Architect/Engineer's Namle(if applicable) Ph
I ®l
d- qAKC slue of Work For this Permit$ 6t� Sare/Linear Footage Of Work:
Type of Work. ❑Addition ❑Alteration [ New ❑ Repair/Replace ❑Demolition
Describe Work: Ili` LLI All b A(W N l N C-i 015 V 20-07 W 1 J C)0vl/
Submittal Fee$ Permit Fee$ CCF$ CO/CC
Notary$ raining/Education Fee$ Technology Fee$
Scanning$ Radon$ DPBR$ Zoning$
Bond$ Code Enforcement$ Double Fee$
Structural Review.$ b "F Total Fee Now Due$
See Reverse side--�
f
Bonding Company's Name(if applicable)
Bonding Company's Address Z . . i
City State Z 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 UAFROVEMENTS 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 are inspection f e will be charged.
Signature Signature
Owner or A t Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20& by &A /.%7- day of .20 by
who is personally known to me or who has produced rrr 15 C 2 who is personally known to me or who has produced
f-RO-540`F-11U"b As identification and who did take an oath. as identification.and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
" MIOMCA USSIMI DIR
Sign: ': RAV MMI 5 Sign:
Print Da�IC�2 I Z EXPIRES:October 20,2009 Print:
My Commission Expires: My Commission Expires:
APPLICATION APPROVED BY: Plans Examiner
Engineer
Q Zoning
(Revised 02/08/06)
Miami Shores Village
Building Department
10050 N.E.2°d Avenue
Miami Shores,Fl 33138
Tel:305-795-2204
Fax:305-756-8972
8/24/2007
Owner:
117 NE 103rd Street
Miami Shores Village, FL 33138
RE: Process No.ACT-5-06-1214
Address: 117 NE 103rd Street
Miami Shores Village, FL 33138
Dear Owner,
In reviewing our files, we have found that there is an open permit submittal dated back to
May 10', 2006.
The file has been inactive for over 1 year and 3 months(455 days)without any response
from you or your representative.
As per the requirements of the 2004 Florida Building Code, section 105.3.2,
"An application for a permit for any proposed work shall be deemed to have been
abandoned 180 days after the date of filling, unless such application has been pursued
in good faith or a permit has been issued"
Please be advised that if no attempt is made to this Department in writing and justifiable
cause demonstrated within 15 days of receipt of this letter, the plans and related
paperwork submitted for permit will be considered abandoned, and will be destroyed.
Please do not hesitate to call me, if you have any questions related to the above
mentioned matter or any other issues related to our Department.
Sincerely,
MM Vargas
Building Department Supervisor
305-795-2204