RF-15-393 Miami. Shores Village
Y g2 �5
FEBFES 2
Building Department
LBYo
10050 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 1 -�
BUILDING Master Permit No.124,- 1
45-3�3-
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
y l C� CONTRACTOR DRAWINGS
JOB ADDRESS: ` ` � .1 1�/ � /��L�� S�
City: Miami Shores County: Miami Dade Zip: 3:3131$_
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): S\� Phone#: 30s- S 19—y1cts
Address:
City: Ak ajYYV11/L C� ��- State:=;°Y Zip: 33 'n7a
Tenant/Lessee Name: , Phone#:
1
Email: Avif,LA MT
C
CONTRACTOR:Company Name: Phone#:
Address:
City: State Zip:
Qualifier Name: Phone#:
State Certification or Registration M Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$� 0— Square/Linear Footage of Work:
Type of Work: ❑ A dition ❑ Altertion ❑ New A ElRepair/Repce 1:1Demol)ti
Description of Work: .� WQ Pb
Specify color of color thru tile: ly Yi
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable)
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 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 permits with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencers " construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified colfy orded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after g permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee wil ed.
NgP
P
Signature nw, � a s,# Sjg"ture
wQ
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
O day of ,20 7' ,by day of ,20 ,by
Q-Tryi, k&791-60,who is personally known to ,who is personally known to
me or who has produced F:2t' t 1� as me or who has produced as
identification and who did take an oath o►►►iiirr�uidentification and who did take an oath.
NOTARY PUBLIC: ��` ..6� y�'� NOTARY PUBLIC:
Sign - ' 9 :C0 = Sign
Print: °�:°���9%e �•
Print:
'}.moi'•=.?z•3 ��
Seal: ''ir s/�a�jd ��O` Seal:
,��rrrrhrr n nH►►��`,
************************************************************************************************************
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
I
RIE WED
March 3,2015 MAR 0 9 2015
BY
Village of Miami Shores
Building Department
10050 Northeast 2nd Avenue
Miami Shores, Florida 33138
Re: Permit#DGT 14-2646(186 NW 106 Street,Miami Shores, FL 33150)
To Whom It May Concern:
This letter is to inform the Village of Miami Shores Building Department that we are modifying this
permit to exclude a deck that was originally in the plans.We have decided to not move forward with the
deck due to financial constraints.
We are in the process of modifying the original plans submitted to exclude the deck for your review.
Should you have any questions,please contact either Lauren at 508-523-0864 or Alberto at 786-624-
0715.
Thank you for your attention to this matter.
Kind regards,
Alberto T.Cortinas Lauren M.Cortinas
`o C
V� ►V
X0 Q
�0 v� ��