BP-03-1627Arlenis Silvera
From: D Dunham <sirte75 @yahoo.com>
Sent: Tuesday, March 19, 2013 2:17 PM
To: Arlenis Silvera
Subject: Open permit - 269 NE 103rd St.
Arlene,
Please forgive me for not sending you this email a few days ago, as I intended. As we discussed last week, I
would like to cancel and close the interior painting permit for 269 NE 103rd St. The permit has been open since
2003, and we no longer have use for it.
Please feel free to contact me at 305.804.2767 if you have any questions or require additional information.
Thank you, and have a wonderful day,
Deirdre Dunham
Owner - 269 NE 103rd St.
1
IRE
OCT 0 9 2003
Miami Shores Village
Building Department
BUILDING
PERMIT APPLICATION
FBC 2001
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No.N9c 3— COD-4
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical •ry
Owner's Name (Fee Simple Titleholder) l e. d r e..�- c.ft r; s� � •, �' hone #/
Owner's Address Z Vi 4J6 / 0 3 s free f
City tvv1 a_v, --°` sly re s State
Tenant/Lessee Name
Dos
Job Address (where the work is being done) 2_
City Miami Shores Village Coun?
Is Building Historically Designated YES `- =
Contractor's Company Name , ^5 l ,
Contractor's Address gf o 0 ( s t exr
City if•A,•e• vv` • State
1
Qualifier `1
Zip 33638
Phone #
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
Phone # C 8'40 7 4
- Phone #
$ Value of Work For this Permit i c, gc.
Number of: Bays Stories_
Type of Work: ❑Addition ❑Alteration
Describe Work: 1 ri w ' o r ,o—.• ke
"
Square Footage Of Work:
Families Bedrooms
❑New
Baths
0 Repair/Replace ❑ Demolition
County Escrow Fee $ r •! Permit Fee $ (0 0 . CO Notary $
tY Scanning $ Radon $
Education/Training Fee $ Tech $
Bond $ Struct. $
Code Enforcement $ Bon , � , %� � (Continued on opposite side)
Minus Plans Check Fee $ Total Fee Now Due $ ( S _ c
Bonding Company's Name (if applicable)
Bonding Company's Address
City
LS
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Zip
State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all or laws gulatin
construction in this jurisdiction. I understand that a separate permit must be secured for FJ.F,CTRICAL 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
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 approve, a reinspection fee will be charged
(Signature
The fore
day of r ; 20 co, by0 plYci r 4-t-r
who is personally known to me or who has produced
ent
gent
acknowledged before me this 0'k
NOT
Sign:
.Print:
As identification and who
abe
issio
a lath.
4
ndin Co., Inc.
My Commission Expires:
Signature 5—
Contractor
e foregoing instrument was acknowledged before me this
yof 04-4-e 64--r , 20 faS by 50-a
who is personally known to me or who has produced
as identification and who did take an oath.
carik
My Commission Expires: x'
NOTARY PUBL
Sign:
Print:
fission #DD231984
res.
Bonded hni
* * * * ** *s**** * * * * * * * ** * * * * :,t * * ** * *****, t******, r, t******* *****, t*****+ t**** * * * * *e * * **+r** *iii ***a * *�*Bo� n*Co**nc
(Certificate of Competency Holder)
Certificate of Competency No.
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *° ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
State Certificate or Registration No.
.'hc 10/02/03
Plans Examiner
Engineer
Zoning