BP-05-1348 Miami Shores Village RE
Building Department SEP , 2905
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972 -------------=zj
BUILDING Permit No. ios- 10
PERMIT APPLICATION Master Permit No.
FBC 2001
Permit Type(circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name(Fee Simple Titleholder) O 1,� -b Phone#_(300)
Owner's Address rrO ,�t/"w® �l�(,C/ 'f"�f}(AQ -�
City ( r' r(lodes State��� Zip ✓��
Tenant/Lessee Name Phone#
Job Address(where the work is being done) ZZO� O lVlj/ 2 � A6tf, /C
City Miami Shores Village County Miami-Dade Zip -.3 3/
Is Building Historically Designated YES NO
Contractor's Company Name 5A Phone#
Contractor's Address
City State Zip
Qualifier o
State Certificate or Registration No. Certificate of Competency
Architect/Engineer's Name(if applicable) Phone#
$Value of Work For this Permit X qO s 000 Square Footage Of Work:
Type of Work: ddition Alteration
YP � ❑ ❑New ❑ Repair/Replace El Demolition
Describe Work: `,16 4AuZ z4LShe& 194f A
Submittal Fee$ 2C�KD Permit Fee$ CCF$ COICC.
Notary$ Training/Education Fee$ Technology Fee$
Scanning$ Radon$ Zoning Bond$ -
Code Enforcement$ Structural Plan Review.$
Total Fee Now Due$ 4zso1 0C) C�G '
(Continued on opposite side) PEG CGI 0915015 095-0 MURK �a3Qf73 UffiGE $250.00
Bonding Company's Name(if applicable) 14
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 fin 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 a!iiimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and constructils Jk#law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorde,4" 6 of commencement must be posted at the job site
for the first inspection whic occurs seven (7) days after the building;.�ilr *issued In the absence of such posted notice, the
inspection will not b ap ro ed nd a reinspection fee will be charged
V ..
Signator afore
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 15 The foregoing instrument was acknowledged before me this
day of 20 bye dP� 5cio day of ,20___,by
who is personally to me or who has produced�Q. who is personally known to me or who has produced
Al identification and who did take an oath. as identification and who did take an oath.
NOTARY UBLIC: ` aCa�; NOTARY PUBLIC:
Sign: q_ :�®` n 11)23 ' Sign:
Print: Print:
My Commission Exp es: .,; ,,. �d�,t,� yanding�9 9 nc,
My Commission Expires:
APPLICATION APPROVED BY: PIans Examiner
Engineer
Chc 05/13/03
Zoning
� n
DEG t �' 2015
December 16, 2015 ---
Miami Shores Village
Building Department
10050 NE 2nd Ave
Miami Shores, FL 33138
To whom it may concern.
In September 2005, Julio Soto applied for a permit for the addition of the master bedroom and
expansion of the family room, in his property located at 11040 NW 2nd Ave, Miami Shores, FL
33168. Please be informed that these projects were cancelled by Julio Soto and never performed.
Should you need additional information, feel free in contacting me at(305) 751-9590
,19
Regard`
91.
Julio Wo
State of Florida
County of Miami-Dade
Subscribed and sworn before me this 14 day 6 C 2015,by Julio Soto, who has
produced a driver's license as identification
Notary Pub 'c in and for
"�s''��'"'•,, MARK PQ
The State of orida _$ z WcaMMwoN 15M25
EXPIRES•January 3, 18
County of Miami-Dade BondW rnro Pub%c u
My commission expires:
YV �V `✓ to ` 3