RC-08-1550 (2) Miami Shores VillagePF
7JUN
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Building Department 1 ?o16
(21
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
BUILDING Master Permit No. fqG o(a— Is5®
PERMIT APPLICATION Sub Permit Nb.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION Ej EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF *CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ( - ('e Gni I C.- 't Si (X,\-18, r—,c S ? ) F L
City: Miami Shores County: Miami Dade Zip: X31 s�
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
1 3DB_ - f-1C)
OWNER:Name(Fee Simple Titleholder): U Rl v G,1�a.,i V o Phonje#: �cw - °7 C1 `C -�
Address: l tP Gil L U'L S
City: (�' i PI State: _ F L Zip: 3 0
Tenant/Lessee Name: ,^ \ Phone#'#:
Email: J - CiSti�-U W P— l .• !�f r�\
CONTRACTOR:Company Name: Cf Phone#:
Address:
City: Stat Zip:
Qualifier Name: Phon #:
State Certification or Registration#: Certificate of Competency
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: v Gait/uLs—, ?F 2-m l i 1'<< 1 SS
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$
(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 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 of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature J IR-IJ A ture
�YJ44C7,
OWNER o AGENT �� � CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
' day of SU N-&--- 20 by day of ,20 by
TCA' J" ®ST0_CVNSk*-0Inrho is personally known to .who is personally known to
me or who has produced V''� D4?-JyWZ— as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: 01111101/j/ NOTARY PUBLIC:
Sign: .r'• ` 20� : Sign:
Print: '� �•� �o= Print:
Seal• � rom
* q �'
Seal:
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
TUFFSHER
Storage Buildings,Garages a Carports www.tuffshed.com
1777 S.Harris6n Street,Suite 600• Denver,CO 80210
office:303-753-TUFF•facsimile:303-782-5027
October 6, 2008 0 MCFETWMI
TGT 1A 7 2000
Village of Miami Shores
BY. V-----_Zli---------
Building Department
10050 NE 2nd Avenue .,
Miami Shores, FL 33138 '..
Re: Cancellation of Permit#RC 08-1550, Shed Installation, 126 NW 104'h Street,
Miami Shores, FL 33150
Dear Permitting Agency,
This letter is to inform you of our intention to cancel any and all permits either submitted or activated
for the above referenced address.These permits are being cancelled because we're no longer offering
our product in this area and will be suspending all business operations in Miami Dade, Broward and
Monroe Counties until further notice.We further state that the status of these permits are either
pending in the review process or if issued. Under either status we state that no work has or will be
commenced.
If you need any further information or docu�e tation please feel free to contact o' r office at 305-819-
� <
4446.The person to speak to is either the General Manager or a member of our permitting staff.
Sincerely,
PanZaanlan, E Regional Manager
Tuff Shed Inc.
404-931-3247
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
SWORN TO AND SUBSCRIBED before me this (P+" day of Cro , 20 O g ,
by DAN Sc A N LA N
11AWJSKA6.RODRIQUEZ NotfPublic
fiofn N&-8th of FWWs
(*ftWW7kv*11"Nm
*j Camml w Ex*n Bop 5,2011
CoMmMm 8 DD 712832
,lNapryIbin
two ?4�ca-
M .ami Shores Village
Building Department artment AUG 2,1 2908
.
10050 N.E.2nd Avenue,Miami Shores,.Florida 33138 Y----------------------
Tel:
___---_Tel:(305)795.2204 Fax:(305)756.8972
BUILDING Permit No. 03-1550.
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type(circle): oofing /ry,
Owner's Nam Simple TitleholderN �W� Phone#
Owner'F Address
City Nw� State Tap B3_1 bo
Tenanta essee Name Phone#
Job Address(where the work is being done) /1f ll!V dy
City Miami Shores Village 013 140
CounMiami-Dade ZipFOLIO/PARCEL#. _
Is Building Historically Designated YES NO
—
Contractor's Conmanv Name Phone# .19
44
Con tor'sMd -
City State Zip
Qualifier Name 11 Phone#
State Certificate or Registration No. i Certificate of Competency No.
Architect/Engineer's Name(if applicable) Phone#
Value.of'Work For this Permit$ 46 `6D Square/Linear Footage Of Work: •
Type of Work: ❑Addition' ❑Alteration ❑New ❑ Repair/Replace ❑Demolition
Describe Work• el I I I I 'k tlwi N
JX&M 76hfd I jm%l tra ::Um- s
Submittal Fee$ Permit Fee$ CCF$ C
Notary$ Training/Education Fee$ Technology Fee$
Scanning$ Radon$ - DPBR$ Zoning$
Bond$ Code Enforcement$ Double Fee$
Structural Review.$% Total Fee Now Duce$
See Reverse side-3
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 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 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
- �i vmeac cregvoa-�uceYi aiauc-u-.:v�.y'-v�-..-w reGtcee v� son:i:.erwen.eiee - -- eurwii Lt-v!t ttCie-Z W U�V(:YlU1 G-rv�ei ac-uea vcrcu'ev t/ - i`- -
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at t 'ob site
for the first id�s ec ' n which occurs seven (7) days after the building permit is issued. In t e absence of such posted no ice, the
inspection will�yr t proved and a reinspection fee will be charged.
�l ,II _ U
Signature-, Signature �l .2 a
:3_
er or Agent Contrac m L °
Thefore om instrument was acknowledged before me this °
g � g ,� The foregoing instrument was ac a ged before me ' �-0 m
day of�20&,by _c pQ[pS � dayof ��/,��,20� /��� �
U
who is personally known to me or who has produced y Q who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take ath.
NOTARY PUBLIC: NOTARY PUBLIC:
gg. RUTH E. PASARELL
Sign: �� sion d DDS37484
Print: s* * My Commission ExpiresApril 05 10 �c
hgmnN``
My Commission Expires: My Commission Expires:
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APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
(Revised 07/10/07)
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