WS-506-1224 rfN (P C)� Miami S h
. ores Village
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Building Department
10050 NY-2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fag:(305)756.8972
W S 506 tzzt
BUILDING MAY 1 6 ._ Permit No. — 3
PERAHT AP LICATIO ZOA6 Master Permit No.
FBC 2001 BY:
Permit Type(circl Building Electrical Plumbing Mechanical Roofing
Owner's Name(Fee Simple i r ° k'z�, Phone#
Owner's Address 1 CU
City ► f State -� Zip
Tenant/Lessee Name Phone#
Job Address(where the Work is being done) 5 W
City Miami Sh res Villaee County Miami-Dade Zip
Is Building Historically 1 esignated YES NO e--
Contractor's Company Name
3 .Phone#
Contractor's Address j
City State Zip 001-
Qualifier KCV tt
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name(if applicable) Phone#
$Value of Work For this'Permit j S • 9 0 Square Footage Of Work•
Type of Work: [:]Addition Alteration � (�R a ir/R lac ep ep (]Demolition
Describe Work: ,
Submittal Fee$ Permit Fee$ CCF$ CO/CC:
Notary$ raining/Education Fee$ Technology Fee$
Scanning$ Radon$ Zoning Bond$
Code Enforcement$ Structural Plan Review.$
Total FeeNow Due$
(Continued on opposite s�de)
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 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 Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of—______,20 by day of .20___,by ,
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires: My Commission Expires:
APPLICATION APPROVED BY: Plans Examiner
Engineer
Chc 05/13/03 Zoning
� 1
Miami Shores Village
Building Department
10050 N.E.2"d Avenue
Miami Shores,F133138
Tel:305-795-2201
Fax:305-756-8972
8/24/2007
Owner:
135 NW 109th Street
Miami Shores Village, FL 33138
RE: Process No.WS-5-06-1224
Address: 135 NW 109th 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 11th, 2006.
The file has been inactive for over I 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,
lU V
Mabel Vargas
Building Department Supervisor
305-795-2204