EL-04-365Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMI.T APPLICATION
FBC 20
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder):
Address: &Iq sr106' 11 ki /e 9--om.
JUL 0 2 epi
a
Permit No. I �(oS
Master Permit NoVM-- 6 -1 2 -
M
City: M t 5 L ®i'z State: J' . Zip: 3 ��
Tenant/Lessee Name: Phonek
Email:
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: _ t ]b I �G�� fe �ay vi & e, 60 Imo° Phone#: �1®- 3 -11T3
Address: 3957WI (j� j q�— � r
City:
Qualifier Name:
V
State Certification or Registration #: Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: UAddress OAlteration ❑New ORepair/Replace
rine A-44— ni xv—v-
Zip: 3 3 0
` a -3;?-5-- 33-93
ODemolition
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Submittal Fee $ Permit Fee $_ `''�° ®� &ff CCF $ CO/CC $
Scanning Fee $ .?� or Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage. Lender's Address
P a .
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 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 inspects n which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not Ile a roved and a f einspection fee will be charged.
Owner or
Signature
-- OJ
Con or
The foregoing instrument was acknowledged be ore me this 96 The foregoing instrument was acknowledged 1befoWe this �0
day of 2A , 20 1 �, by �w �A G �Av�r• day of ��� , 20 a, by w.a« d e. • 6%d e;4
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. s
NOTARY PUB TPIRE
NY MARTINEZ NOTARY P
' 4p ISSION # EE080681
Sign: ":�y' o S April 04, 2015 (4
g Sign:
a
Print: r r I ) ;,.Gz Print: ✓tea
My Commission Expir s. My Commission
MY COMMISSION # EE080681
EXPIRES April 04, 2015
F1
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APPROVED B -v7�X ty Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Permit N.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHANGE OF CONTRACTOR / ARCHITECT
Owner's Name (Fee Simple Title Holder): , 9M�14. A 6L L Phone #:
Owner's Address: 915 0 h G
City: &-%a, (-6v,4 .. State : 3'L Zip Code: "3 31`3
Job Address (Of where work is being done): -at.a C
City: Miami Shores State:_Florida Zip Code: 331
Contractor's Comb
Address: '31 S5
City: A J`k
Qualifier's Name:
ne: q 6 Ltec Ivr e e �yYVoce Cftfhone #: 79 =33423
I q S 5-r
Architect/ Engineer of Record Name:
Address:
City:
Describe Work:
to
State:
Zip Code: 1
Lic. Number: _ 12 C OC2 b H ®1
Phone #:
Zip Code:
I hereby certify that the work has been abandoned and/or the contractor/architect is
unable or willing to complete the contract. I hold the Building Official and the
Mia i Shores harmless for all legal involvement.
Signature Signature 6j. Q��
owner or Agent Contr ctor or Arch
The ;go
in instrument was aknowledged before me The foregoing instrument was akno dged before me
this d of 051, 20 I-Aby this X-C- day of � 20 ttby
Who is personally known to me or who has produced
as indentification.
Notary
J;$r��R
; YHOSVANY MARTINEZMY COMMISSION # EE080681Sign:ES April 04, 2015 FlorideNolaryServka.com
.Seal: (407 398 0163
who is personally known to me or who has produced
MY COMMISSION # EE080681
Notary PAN EXPIRES April 04, 2015
Seal:
May 25, 2013
Certified Mail / Return Receipt Request
Mr. Francisco Jimenez
Lighting Electric of Miami
12401 W Okeechobee rd
Hialeah Gardens, fl 33018
RE: 9950 ne 41h ave Road, Miami Shores, Fl.
Dear Mr. Jimenez:
I am writing to you as the owner of the residence reference -above to confirm that on
May 25, 2013,1 have sent a certified letter to Norman Bruhn of the Miami Shores
Building Department giving him notice that I hereby terminating your services
relating to my property for failure to timely obtain final approval and closure of the
operational permit
Very truly yours,
Ama da Govern
TA.NIAMI STni SON
MIAMI, F'I ,, ida
331449998
1158540133 -6098
05/29/2013 (800)275-8777 02:01:05 PM
Sales Receipt
Product Sale Unit Final
Description Qty Price Price
HIALEAH FL 33018 Zona -1 $0.46
First -Clays Letter
0.40 oz.
Expected Delivery: Thu 05/30/13
Return Rcpt (Green Card)
@@ Certified $3.10
Label #: 701306000U0225498016
Issue PVI: $6.11
Total: $6.11
Paid by:
Debit Card $6.11
Account #: xXxxxxkxxxxx0888
Approval #:
Transaction #: 862
23 903520583
Receipt#: 000922
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Clerk: 09
All sales final on stamps and postage
Refunds for guaranteed services only
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Customer Copy
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Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, FI 33138
Tel: (305)795-2204 - Fax; (305)756-8972
8/15/2006
To: Current Owner
9950 NE 4 AVE Road
Miami Shores Village, FL 33138 -
Permit: BP2004-1672
Address:9950 NE 4 AVE Road Miami Shores Village FL33138-
Date Expired: 9/13/2005
Dear Sir or Madam
In order for us to serve you better, we need to keep our files up to date. Our records
indicate that the above reference Permit has expired.
The Building Department has determined that the work applied for has been completed
with out the required inspections and it has been more than 180 days since your last
approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida
Building Code. You are required to renew your permit and schedule all required
inspections.
In the event you do not comply with the requirements herein, the Building Department
will file a complaint with Miami -Dade County Building Code Compliance Office for
possible disciplinary action against your licensed contractor And/or if permit was
obtained by the home owner the requirements of the Unsafe Structure Code of Miami
Dade County Sec. 8-5. (3) will apply. "The building shall be presumed and deemed
unsafe and a permit shall be obtained to demolish the structure or bring the building in to
compliance with applicable codes as provided herein. "
Please contact the Building Department, immediately upon receipt of this letter.
Sincerely,
Mabel Vargas
Administrative Assistant