WS-17-1221JS 11-122.1
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number
7-1221
dows/Shtters
Eoor Repfacem ..'
t Status: APPROVED
Expiration: 11006/2017
Applicant
897 NE 91 Terrace
Miami Shores, FL 33138 -
Owner Information
Address
1132060050300
Block: Lot:
Phone
TIMOTHY JAMES MARSH JAME:
Cell
TIMOTHY JAMES MARSH JAMES
3250 NE 1 Avenue
MIAMI FL 33137-
3250 NE 1 Avenue
MIAMI FL 33137-
Contractor(s) Phone
DREMCON CONSTRUCTION CORP (305)903-6282
Cell Phone
Valuation:
Total Sq Feet:
Type of Work: WINDOWS INSTALLATION 9 WINDOWS AND
No of Openings: 12
Additional Info: WINDOWS INSTALLATION 9 WINDOWS AND
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$3.30
$3.30
$0.80
$220.00
$3.00
$3.20
$236.00
Pay Date Pay Type
Invoice # WS -5-17-63899
05/04/2017 Credit Card
05/10/2017 Check #: 1395
Amt Paid Amt Due
$ 50.00 $ 186.00
$ 186.00 $ 0.00
$ 4,000.00
0
Available Inspections:
Inspection Type:
Window Door Attachment
Final
Review Building
Review Building
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 certi that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zon. .. Futh ore, I authorize the above-named contractor to do the work stated.
May 10, 2017
Authoriz:.d Sign.ture: Ow :r / Applicant / Contractor / Agent
Building Department Copy
Date
May 10, 2017
1
‘-ac\P-
)0'0 6
BUILDING
PERMIT APPLICATION
wi BUILDING
❑PLUMBING
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
❑ ELECTRIC ❑ ROOFING
Master Permit No.
Sub Permit No.
❑ REVISION
❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
JOB ADDRESS: 8n'7. fie 9/ 'len"
RECEIVED
MAY - 4 7017
FBC 20 1
Rc.1� �1
V S
❑ EXTENSION ❑RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee(Fee Simple Titleholder):
Address: 1/ (Artie
p
City: ili/ iOrint Be of
/ i7!?O 8 /%ur,S
Phone#:
State: 8 Zip: 3 g/
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Ul,Pry9W 77 64.17 rvC 479 (,r
Address: fg33
City: L»rmf
Qualifier Name: Ale_ cv- 1 t/
State Certification or Registration #: Certificate of Competency #:
the 6._re � 450
State: /4(
Duni?
Phone#: —78E —
Zip: ,33 /6.6
Phone#: 305 9036.29'2,
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
1/
❑ Addition ❑ Alteration ❑ Newi
IA on'I In 40 CV .& 1:1\ S ItG1 1' i &In
q e;%Cd" g
Zip:
Value of Work for this Permit: $ roe). — Square/Linear Footage of Work:
Type of Work:
Description of Work:
IN Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ 2--26 CC) CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE$ Q66
(Revised02/24/2014)
1
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
WNER or AGENT
The foregoing in'""�ent was acknowledged before me this
3 day of Ha
�P
T rx> rU'Ly tf at k , who is personally known to
,20 by
me or who has produced 1DL
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Ani VIIlav,can co
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of t
^l �(� ,20 14 ,by
1113 (14(0 IW , who is personally known to
as me or who has produced F 72_ as
Seal: i'"r°'°L'•. ANDREA VILLAVICENCIO
�•
, • 1. MY COMMISSION #FF185771
`••.o. no`'' EXPIRES December 28, 2018
********* OligaliRIAIVA***Astrilitki • .to% ., r , , *e
APPROVED BY
(Revised02/24/2014)
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner
Structural Review
Andree
4";;'°`sa.• ANDREA VILLAVICENCIO
)'1 MY COMMISSION #FF185771
EXPIRES December 28, 2018
tscon Be'e4 .***F *** ►**********
Zoning
Clerk
IVliami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Inspection requirements for:
Windows, Doors, Skylights or Fixed Glass (cladding) Permits
Upon issuance of permits for the scope of work involving the removal, changing and/or
replacement of any type of windows, doors, sidelites, skylights or fixed glass (cladding)
the permit holder or qualifier bearing his signature on the permit application shall abide
by the requirements of this department and comply with the following statement:
Upon obtaining window and/or door permits for the installation of same, it is the
responsibility of the permit holder to request window/door framing in -progress
inspection, prior to concealment of any horizontal or vertical clip mullion, bucks, shims,
etc. Inspector will also verify anchor type, edge distance, embedment and spacing. The
purpose for this inspection, is for the verification of conformance with Product
Approval (NOA).
Acknowledgement:
7:,n %W ri4
fiei(/owner Signature Date Print Name