BP-05-289 Miami Shores Village - jljc� I C
Building
Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
T 5)756.8972
BUILDINGr i 2n Permit No. -
PERMIT APPLICATION ____ ,_ � Master Permit No.
FBC 2001
Permit Type (circ . Der)
Electrical Plumbing Mechanical Roofing
Owner's Name(Fee Sim le 1 wt..V" b Phone# y r /` /5
Owner's Address 170 bF
city Zip 3rc
Tenant/Lessee Name Phone#
Job Addresswhere the work is being done O C '�
( g )
City Miami Shores Village County Miami-Dade Zip -�313Z�
Is Building Historically Designated YES NO
Contractor's Company Name Phone#
Contractor's Address
City...... State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name(if applicable) Phone#
$Value of Work For this Permit LL il, Square Footage Of Work:
Type of"Work: ❑ ddition ❑Alteration ❑New Repair/Replace ❑Demolition
Describe Work: c !' ;1J N Ly; Aje tj
F
/ ees
Submittal Fee •00 Permit Fee CCF$ 4 eD CO/CC
Notary S Training/Education Fee Technology Fee$ • ��
Scanning S 3,co Radon$ Zoning Bond$
Code Enforcement$ Structural Plan Review. $
Total Fee Now Due$ 40
(Continued on opposite side)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable) 4 C-Co U)
Mortgage L der's Address
City- �s—U.SC; - ... State t-- ( 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 NOTICEOF
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 n t be approv nd a r pec n fee will be charged.
r
Signa Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 24 by S' j�- ``-'�- day of 20—,by
�ho 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.
NOT C: NOTARY PUBLIC:
r '
Sign: Sign:
Print: I E-c�C— L z"' Print:
My Commission Expires: My Commission Expires:
APPLICATION APPROVED BY: � dJ Plans Examiner
Engineer
tb� Michael J Alterio
Ch.o 'i ':Commission#DD24091- Zoning
* Expires:Aug 13,2007
Bonded Thru
R�00�
Atlantic Bonding Co.,Inc.
IINu`
�ywoars
�rRr � arrrM
' o Miami Shores Village
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Building Department
10050 NE 2 Ave, Miami Shores, FI 33138
Tel: (305)795-2204 - Fax; (305)756-8972
8/23/2006
To: Current Owner
490 NE 101 Street
Miami Shores Village, FL 33138-
Permit: BP2005-289
Address:490 NE 101 Street Miami Shores Village FL33138-
Date Expired: 8/2912005
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,
F4 D
Mabel Vargas
Administrative Assistant
0Rr y�
Miami Shores Village Building Permit 4r-
. r,; . .
Avenue
10050 NE 2nd ...�..
Permit Number: BP2005-289
Phone: 305-795-2204 P
Printed:6/24/2005 Page 1 of 1
Applicant: MARK BLOOM
Owner: BLOOM MARK
JOB ADDRESS: 490 NE 101 ST
Contractor Contractor's Address:
Local Phone:
Parcel # 1132060170430 Legal Description: 6 53 42 PB 15-14 AMD PL OF MIAMI SHORES SEC 4 LOT 1 BLK 90
Fees: Description Amount
FEE2005-8716 Building Fee $240.00 Total Fees:$255.40
FEE2005-8717 CCF $4.80
FEE2005-8718 Training and Education Fee $1.60 Total Receipts: $0.00
FEE2005-8719 Technology Fee $6.00
FEE2005-8720 Scanning Fee $3.00
Total Fees: $255.40
I
Permit Status: APPROVED Permit Expiration: 8/29/2005 Construction Value: $8,000.00
Work: KIT CABINETS
JUN 3 o PAID
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself,my agent,servants or employes.
Signed: (Contractor or Builder) BY:
1
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