RC-15-1443 Miami Shores Village jRE7CFTV1FDj
Building Department JUN, 122015
100SO N.E.2nd Avenue,Miami Shores,Florida 33138 BY:
Tel:(305)795.2204 Fax;(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762.4949
FBC/ 2016
BUILDING Master Permit No r/�'
PERMIT APPLICATIONr�'Jee�*ermlt No.
+-PILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL
❑PLUMBING ❑MECHANICAL []PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: t US 0 W R a `-A S k
City: Miami Shores County: Miami Dade Zia:
Folio/Parcel#: [1- 3101 -0 lj3 - 10r)o Is the Building Historically Designated:Yes NO L/' _
Occupancy Type:4ACNTLoad: Construction Type: Flood Zone: BFE: FIFE:
OWNER:Name(FeeSimple Titleholder): WCLLS I<Aktrn� 1401AN 0CT A6 Phone#: Stot -R88-9 as
Address:_4)_I 01 t,J iSC yY1A0 3Ly p
City: SA%) A 1T ot.11 p State: 'TK zip: '1106
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name:-&PRA k 0 M EG A CONT 2 A CA 0 2S f WCPhoneM 56, 1 -9 8 ar-94.7.,?
Address: /1.20 140t 4AP0 DP STC !o
City: BOCA Re lro�l _State: P C. Ztp: 33#?7
Qualifier Name: -DA W t C L, (A A 4.T O E Z Phone#: 5L t
State Certification or Registration#: 0(0-9't 1 I Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$
_ OF). DO SquarejUnear�Fo(ot�e of Work:
Type of Work: 13 Addition ❑ Alteration ❑ New LEJ Repair/Replace ❑ Demolition
Description of Work: CCCAe 0 MAJ d*DC CA*e0eCa14erJ7- Ced;--- /0.0
/NTE2tafd &0tWbVCL- A�j AVLc.1,B+r#, 4Af1VDRy
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$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(ReWsed02/24/2014)
r
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 permit with an estimated value exceeding$25W, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochur ll.be.4felhrered to the person
whose property is subject to attachment Also,a certified copy of the recorded notice of co rtcement pa's ed at the b site
for the fast inspection which occurs seven (7) days after the building permit is iss in the ence of such ed ice, the
Inspection will not be approved and a reinsFlfq y
idea Loan DmomMon
a!
Signature Signature �--
OWNER AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing Instrument was acknowledged before me this
day of 20 b�knownt'
�day of 4SJ�r .20 X0 .by
wh 1s pe ' GAw'6 s personally known to
me or who as produced as me or who has produced `
Identification and who did take an oath. Identification and who did take an oath.
NOTARY PUBLIC: NOTAR UBUQ
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Print: , d Comic 82034 7Print:
Seal: �yt%°mmiss ,2017 Seal: ,°a `e�;•., CHEROKEE
January ,
°= Notary Public-State at Flouu..
My Comm.Expires May 12.2018
F=q;:� Commission i FF 122412
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
0tev1sed02/24/2014}
Miami Shores Village
Building Department
10050 N.E. 2nd Avenue
Miami Shores, FI 33138
Tel: 305-795-2204
Fax: 305-756-8972
5/24/2016
165 NW 92 Street
Miami Shores FL 33150
RE: Process No.RC-6-15-1443, PL 14-1540 and EL 15-1539
Address: 165 NW 92 Street
Dear Owner,
Our records indicate that the above referenced permitS 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 has been issued."
Please be advised that open permits will hinder your ability to 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,
(:Lvl
Ismael Naranjo, CBO
Building Department Official
305-795-2204