DS-15-1130 -� Miami Shores Villa e
ale g
'- '
0\ Building Building Department [:MAY 13201'510050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 10
BUILDING Master Permit No ,
PERMIT APPLICATION Sub Permit No.
ILDING ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:_ C q 4rjq—
City: Miami Shores County: Miami Dade Zip: 3 z 3f
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type::,, Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): .9I-� �� bw Phone#:
Address: /17—M 46- qV
City:_ MAM4 5//.fit State: Zip:
Tenant/Lessee Name: ' Phone#:
Email:
CONTRACTOR:Company Name: Phone#: '361' 3
Address: ® /03
City: y� State Zip: -752
Qualifier Name: 51thu Phone#: 7d''O'LeM
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: ��yy City: State: Zip:
Value of Work for this Permit:$ 0 Square/Unear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
r
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014) S:: G co
Bonding Company's Name(if applicable)
s.
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 ins ation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws reg ting
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,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 such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instr ent was acknowledged b Psit�MEN -)
as,acknowledged before me this
day of 20 15 ,by 20 ,by
I who is personally known to Cwho i ersonally know
— °-'� �c�' 10 me or who has produced as
has produced 6 � ;LUN p
me or who p � I� ® �
Identification and who did take an oath. identification and who did-take an oath.
NOTARY PU NOTARY PUBLIC•
a L� Sri n:
Sig g
Print `Prim:
Seal: ALYN RAVELQ Seal: ,� ;;! AILYN RAM
• t * W COiA4UM#FF 211549
#� * MY 10N#FF214S49 EXPIRES:Mardi 29,2019
EXPIRES:MwA 29,wisBMW
dT
APPROVED BY Plans Examiner /f Zoning
Structural Review Clerk
(Revised02/24/2014)
J
c
Miami Shores Village
Building Department
10050 N.E. 2nd Avenue
Miami Shores, FI 33138
Tel: 305-795-2204
Fax: 305-756-8972
11/24/2015
1122 NE 98 Street
Miami Shores FL 33138
RE: Process No.DS-5-15-1130
Address: 1122 NE 98 Street
Dear Owner,
Our records indicate that the above referenced permit has expired without obtaining the
proper permit approval. In order to serve you better,we need to keep our files up to date.
As per section 105.3.2 of the Florida Building Code, "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 as been issued."
Please be advised that open permits will hinder your abilliyto refinance or sell this property.
Please contact the Building Department,within 15 days of receipt of this letter in order to
take care of this matter.
Sincerely,
r 1t4-1-1--
Ismael Naranjo, CBO
Building Department Official
305-795-2204