WS-17-529 Permit NO. WS-3-17-529
`SNOB S Miami Shores Village M Permit Type:Windows/Shutters
s� �r 10050 N.E.2nd Avenue NE
ork Classification:Window/Door Replacer
Miami Shores,FL 33138-0000 Per I
Phone: (305)795-2204 Permit Status:APPROVED
F�ORIDQ'
Issue Date:3/812017 Expiration: 09/04/2017
Project Address Parcel Number Applicant
117 NE 98 Street 1132060132300
Miami Shores, FL Block: Lot: CONRAD BROWN
Owner Information Address Phone Cell
CONRAD BROWN 117 N. E.98 ST.
Contractor(s) Phone Cell Phone Valuation: $ 1,005.00
HOME OWNER
Total Sq Feet: 0
Type of Work:windows Available Inspections:
No of Openings:2 Inspection Type:
Additional Info:
Window Door Attachment
Classification:Residential Final
Scanning:2
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
DBPR Fee Invoice# WS-3-17-63110
$2.00 03/08/2017 Cash $ 133.20 $0.00
DCA Fee $2.00
Education Surcharge $0.40
Permit Fee $120.00
Scanning Fee $6.00
Technology Fee $1.60
Total: $133.20
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the fo going information is accurate and that all work will be done in compliance with all applicable laws regulating
construction d zoning. Futherm , I au rite the above-named contractor to do the work stated.
March 08, 2017
Author zed igna re. w er / Applicant / Contractor / Agent Date
Building Department Copy
March 08, 2017 1
-*A' -::k Miami Shores Village Iii, ,
Building Department MAS I 7D17
10050 N.E.2nd Avenue,Miami Shores, Florida 33138 :
Tel:(305)795-2204 Fax:(305)756-8972 - -- _
INSPECTION LINE PHONE NUMBER:(305)762-4949
FB 201(4
BUILDING Master Permit No.V-1S I
PERMIT APPLICATION Sub Permit No.
'BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION NEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
`Q CONTRACTOR DRAWINGS
JOB ADDRESS:-11 -7 0/ J
City: Miami Shores County: Miami Dade Zip: T-7/ly
Folio/Parcel#: Is the Building Historically Designated:Yes NO�_'
Occupancy Type: Load: Construction Type: /� ,/Flood Zone: ) BFE: FFE:
OWNER: Name(Fee Simple Titleholder): O JV�./�(J� � L... U 4 fy&,h( l
Addres/sy:� // � //VC 9' 17 y
City: i�!�O-in �/7��04 State: �� Zip: -7.7/17�J
Tenant/Lessee Name: Phone#:
Email: l c= �UAf fB��lf�. l"(�
CONTRACTOR:Company Name: 126194 Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 1000 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ DDemolition
Description of Work: AIM1
tim
Q QLQ— c35 7 ' LA l�5
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 Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was a knowledged before me this The foregoing instrument was acknowledged before me this
day of AA tdZ 201-1 by day of 20 ,by
&
/TT /]J ,w is personally known to who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sig � Sign:
Print: Yy/���,LW11 A��i.1- Print:
Seal: Seal:
WILLIAM LEWIS AKMAK]IAN
MY COMMISSION#FF947721
ExpIM:February 20,2020
APPROVED BY ( Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)