FW-12-489 IT-Fl 77 C71
Miami Shores Village
Building Department
artment
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 8 Y:
Tel:(305)795.2204 Fax:(305)756.8972
e I ,L� ,-1_, r INSPECTION'S PHONE NUMBER:(305)762.4949
B DING Permit No-
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type:BUILDING ROOFING
OWNER:Name(Fee Simple Titleholder): Phone#:
Address:
City: State Zip:
Tena11 nt/Lessee Name: Phone#:
Email:
JOB ADDRESS-
City: Miami Shores nC,ounty: Miami Dade
Folio/ParceW V D
Is the Building Historically Designated:Yes NO Flood Zone:
CONTRACTOR:Company Name:
Address:
City: zonState: Zip:c, r
Qualifier Name: C� Phone#:
State Certification or Registration#: Certificate of Competency
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ r `(4�uare/Llnear Footage of Work:
Type of Work: OAddition�� on ONew ORe ' /Replace LIDemolition
pilon of :1
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Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary,$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
Bonding Company's Name(if applicable)
Bonding Company's Address ~
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Leadelr's Address
City a y 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 permi , stimrated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement a tion lien law brochure will be delivered to the person
whose property is subject to attachment., Also,a certified'copy o r d notice of commencement must be posted at the job site
for the first inspection which occur,,seven.(9 j days after permit is issued In the absence of such posted notice, the
inspection will not be p oved and k reigspecdm n fee will b
Signature - Signature
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'Owner or Agent �. Contractor
The foreg ent as ackno ledg before a this 2d The'to go ins nt ackno 1 ged fo m s
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me or who has produc is erso known o me or who has produced
and who did take an oath. e cation and who did take an oath.
NOT P LIC: _ OTAWUBLIC: '
Sign: Sign:
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Print: .A" "ei'•. is-State of Florida Print AUDIA V.CUBILLOS rida
?$* • •=My Comm.Expires Sep 23, .;Q"Y°�8�• Notary Public
MY Co ssion Ex cis Comm•Expires Sep 23,2015
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APPROVED BY Plans Examiner Zoning'
Structural Review Clerk
(Revised 07/10/(M(Revised 06/10/2009)(Revised 3/15/09)
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December 10, 2015 ��I�
Ismael Naranjo, CBO DEt 182015
Miami Shores Village Y.
Building Department
Re: Process No. FW-3-12489
Addres: 63 NW 103 Street
Dear Mr. Naranjo,
Nada mas recibir la carta con fecha 11/16/2015 referente al proceso FW-3-12489,
pase por el ayuntamiento para informarme de este asunto. La persona que me atendio,
me inform de que era sobre un permiso de una valla y que debia hacer una carta
explicando to que paso.
No recuerdo bien la fecha, pero consulte a una compania para cambiar la valla de
madera de la casa por metal. EI estimado que nos hizo la compania nos parecio
razonable asi que decidimos cambiarla. La persona responsable de la compania se
encargo de empezar con el tramite del permiso. Yo recuerdo que el me trajo los
papeles para sacar el permiso como propietario. Firme los papeles y el se ocupo de
todo.
Como a las tres semanas de esto, la compania me Ilamo para decirme que el Building
Department no aprobo el material o forma de la valla (no recuerdo bien). Asi que nunca
se hizo el trabajo.
Yo no notifique nada porque crei que la compania les habia informado de que no harian
el trabajo.
Siento macho, si en algun momento esto les causo algun problema.
Sinceramente,
C)
.. •.• . . • •• �`a.
Mari . Mann-Castano : '•: : :
63 NW 103 Street •• ••• •
Miami Shores, FL 33150