The URL can be used to link to this page

WS-17-1381 NMI WS'64: 74 3,81 Nhbff NO.' Miami Shores Village r Peiff T)� Windca��l�ultttrs 10050 N.E.2nd Avenue NE far0a� Gt aplao, Ment, Miami Shores,FL 33138-0000 0Z Z Phone: (305)795-2204 P 3 .`', _ Expiration: 11/19/2017 Project Address Parcel Number Applicant 157 NE 101 Street 1132060131951 RACHEL&COLIN RILEY Miami Shores, FL Block: Lot: k Owner Information Address Phone Cell RACHEL&COLIN RILEY 157 NE 101 Street (716)807-1312 MIAMI SHORES FL 33138- 157 NE 101 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,400.00_ m A TEAM GENERAL CONTRACTORS G (786)486-5353 .._ ..._ _...,_,,...._... __ . ... .,._... Total Sq Feet: 0 Type of Work:REPLACE OF ENTRANCE&BACK DOOR FOR Available Inspections: No of Openings:2 Inspection Type: Additional Info:REPLACE OF ENTRANCE&BACK DOOR FOR Window Door Attachment Classification:Residential Final Scanning:1 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# WS-5-17-64080 DBPR Fee $2.00 05/23/2017 Credit Card $50.00 $80.20 DCA Fee $2.00 Education Surcharge $0.40 05/23/2017 Credit Card $80.20 $0.00 Permit Fee $120.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $130.20 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 eith myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS, S,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing informatio ate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-na ractor to do the work stated. May 23, 2017 Authorized Signature:Owner / Applicant Contractor / Agent Date Building Department Copy May 23,2017 1 Miami Shores Village3 Building Department M 23 2017 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 y _l Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 �j}h FBC 20l 4 BUILDING Master Permit NJ)C'11 - 9j"'R PERMIT APPLICATION Sub Permit No.Ws I-I - 11561 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: /15'/ V/ - /Dl S'e - City: Miami Shores County: Miami Dade Zip: J1 3 U Folio/Parcel#: �� 2��- 3-1�S l Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: Q FFE: I OWNER:Name(Fee Simple Titleholder): ; &<G42 ✓J `Y�l��/ � 'C Phone#: 114 J®� -/31/ Address: / / City: / L / /�� State: /.��i b� Zip: ( C� Tenant/Lessee Name: Phone#: Email: ,d— CONTRACTOR:Company Name: �l Phonev.® ��/ �� Address: CK PC City: / 33 State Zip: �e�/l�� Qualifier Name: Phone#: 4 �/JS Llsa6 State Certificatio or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: ��// City: State: Zip: Value of Work for this Permit:$ /7Square/Linear Footage of Work: t�rev 7-7 Type of Work: ❑ Addition ❑ Alteration ❑ New ©�Reepair/Re lace ❑ Demolition Description of Work: 4//--- �� OT P.�vll t��e Akt9 G �7ew- Specify color of color thru tile: Submittal Fee$ 5Q Permit Fee$ 2-0 •OZ) CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ BG 7-0 (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 i / / Signature OWNER or AGET CONTRALTO The foregoing instrument acknowlbefore me this The foregoing instrument s acknowledged before me this dal of A 20J by daYeo f 20 �by (g IMA Jho is personally known to is personally known to 9 me or who has produced 'as me or who has roduced as identification and hq, #e an ----t- B� °B� �BARA M DE LA PAZ identification and who dl�taki an—o NOTARY PUBLIC: '_ �`�c Notary Public-State of Floridal� d BARBARA M DE LA PAS NOTARY PUBLI '°• Commission # GG 008346 •,.r, Vm Notary Public -Sraie of F�uridj 1 My Comm.Expires Jul 4,2020a, Commission # GG 008346 ol, '°�:,; °pa, MY Comm. Expires Jul 4,2020 Sign: — Sign Print: Print* ' Seal: Seal: APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)