WS-17-751 Permit NO. WS-3-17-751
5Ko'"s P, Miami Shores Village Permit Type:Windows/Shutters 10050 N.E.2nd Avenue NW
�• rlli ork Classification:Window/Door Replacem
Miami Shores,FL 33138-0000 Permit Status:APPROVED
yam` Phone: (305)795-2204
FLORtDp'
Issue Date:3/28/2017 r Expiration: 09/24/2017
Project Address Parcel Number Applicant
102 NW 93 Street 1131010330900
Miami Shores, FL 33150- Block: Lot: JONI HARRIS
Owner Information Address Phone Cell
JONI HARRIS 102 NW 93 ST
MIAMI FL 33150-2235
Contractor(s) Phone Cell Phone
Valuation: $ 7,000.00
MINUS CONSTRUCTION INC
(305)623-0677 (305)951-8503
�— �- ®�_.m.,•. Total Sq Feet: 0
Type of Work:REPLACE OLD WINDOWS WITH NEW IMPACT Available Inspections:
No of Openings: 10 Inspection Type:
Additional Info:REPLACE OLD WINDOWS WITH NEW IMPACT Window Door Attachment
Classification:Residential Final
Scanning: 1 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $4.20
DBPR Fee Invoice# WS-3-17-63377
$3.00 03/21/2017 Cash $50.00 $175.20
DCA Fee $3.00
Education Surcharge $1.40 03/28/2017 Credit Card $ 175.20 $0.00
Notary Fee $5.00
Permit Fee $200.00
Scanning Fee $3.00
Technology Fee $5.60
Total: $225.20
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 janoning.
AL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AI certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction Futher ore�Ia�uth the above-named contractor to do the work stated.
March 28, 2017
Au rized Si ature: Znt
Contractor / Agent Date
Buil g Depart Copy
March 28, 2017 1
Miami Shores Village IT- 7,
Building Department MAR 21 017
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 k
BUILDING Master Permit No. lig- •- I�
PERMIT APPLICATION Sub Permit No.
0 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 0 Z A/•U-2 Y�2 1 � ST/LFL—'
a
City: Miami Shores County: Miami Dade Zip: 33I
Folio/Parcel#: Z/—31 o l—D 33--9ECQ Is the Quilding Historically Designated:Yes—N O
�
Occupancy Type: �� Load: Construction Type: .v) Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): ADiO O A-); Phone#: 3 Ak'T?qc(�
Address: /l) &j 'F3
r-�1—Of'2 S State: _ [" Zip: 3—:36-6
Tenant/Lessee Name: Phone#:
Email:
—
CONTRACTOR:Company Name: 6—DxA-5, atzi Phone#:�Urc6Z�
4
Address:
City: ( State: L— Zip: 39&-a
Qualifier Name: O Phone#:
State Certification or Registration#: "�",S Certificate of Competency#:
r /
DESIGNER:Architect/Engineer:_�!�( /l�i�cll� �� Phone#:
Address: /` City: State: AK Zip:-�21�D
Value of Work for this Permit:$_ quare/Linear Footage of Work:
Type of Work: ❑ Addition Alteration ❑ New ❑ Repaaiirr//Replace J ❑ Demo'tion
Description of Work: Dl�
Specify color of color thru tile:
Submittal Fee$ �o' Permit Fee$ _ 2200 CCF$ ZV CO/CC$
Scanning Fee$ �G, ` Radon Fee$ 3 DB^^P,�R�\\$ Notary$ 5
Technology Fee$ 5 •6 Training/Education Fee$_ _1 . 'ALJ Double Fee
Structural Reviews$ Bond$ -7 fir,
TOTAL FEE NOW DUE$ 1 CEJ
(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.
r �
S11
ignatur ' �i d Signature
WNER dr ENT CONTRACTO
The foregoing instrument was acknowledged before me this The forego) g instrument was
a_ck'now dged before me this
day of KLV%g�wJ, 20 I� by day of V'er TY6J`tr 20 C6 by
HR.e21s' who is personally known to (7
p
Z�SS C�lf� �"It WQ- ,who is personally known to
me as me or who has produced Y P C�`� `-1 as
identification and who did take an oath. identification and who did take a
NOTARY PUBLIC: NOTARY
Sign`✓ 1V� Sign: o
Print: Print: Q d
�t � PRISCILIA A.THOMPSON
Seal: Seal: 01repl% ANADYPRIETO
* * MY COMMISSION#FF 167000 '?4' MY COMMISSION#FF 214031
EXPIRES:January 24,2019 _.: .'
3 EXPIRES:March 25,2019
BOnded TIIN Budget NOhry of d Bonded Thru Notary Public Unde—iters
***************************** ** **** *** ********************** *********
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(RevisedO2/24/2014)