WS-17-2232Project Address
123 NE 97 Street
Miami Shores, FL 33138-2332
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
-2232
rs
Parcel Number
1132060132440
Block: Lot:
ndowlDoor Repia ,
milt Status: APPROVED ,
Expiration: 03/14/201
Applicant
JUAN R. DEL RIO
Owner Information
JUAN R. DEL RIO
Address
123 NE 97 Street
MIAMI SHORES FL 33138-2332
Phone
123 NE 97 Street
MIAMI SHORES FL 33138-2332
Contractor(s)
ALZATE CONSTRUCTION INC
Phone Cell Phone
(954)599-8434 (305)949-4526
Cell
Valuation:
Total Sq Feet:
$ 3,200.00
0
Type of Work: REPLACE WINDOWS 3 WINDOWS AND 2 DOO
No of Openings: 6
Additional Info: REPLACE WINDOWS 3 WINDOWS AND 2 DOO
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$2.40
$2.40
$0.80
$5.00
$160.00
$3.00
$3.20
$179.20
,
Pay Date Pay Type Amt Paid Amt Due
Invoice # WS -9-17-65080
09/15/2017 Check #: 825 $ 179.20 $ 0.00
Available Inspections:
Inspection Type:
Window Door Attachment
Final
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.
OWNEFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constru n and zonin Futh ore, I authorize the above-named contractor to do the work stated.
�kSfir »
uthorize Sig atu Owner / Applicant /
Building Department Copy
/ Agent
September 15, 2017
Date
September 15, 2017 1
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
❑PLUMBING ❑ MECHANICAL
JOB ADDRESS:
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
IRECEIVEG
D4 2011
T/
BC
Master Permit No. C . i�-iQ�SS
Sub Permit No.w-2 7 3 ?-
Li
❑ ROOFING ❑ REVISION ❑ EXTENSION El RENEWAL
El PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION
CONTRACTOR
Citv: Miami Shores
County: Miami Dade
Zip:
❑ SHOP
DRAWINGS
Folio/Parcel#: Is the Building Historically Designated: Yes
Occupancy Type: Load:
Construction Type:
OWNER: Name (Fee Simple Titleholder): .11(Z*3 (1. INA ` tO
Address: ‘A. Q‘
Flood Zone:
NO
BFE: FFE:
Phone#: ZIS► • 1/41/4cky 0\ OR
City:SUbtvtj
State: ck
Zip: I4%‘3$
Tenant/Lessee Name: Phone#:
Email: Ztett.1 _ itoedki.0 %/WAX% ttpUb.
CONTRACTOR: Company Name: A ATE. Ca,i2AirilCil'l
Address: q S kli.,U k. Ai) k4-' WLE ID
City: W alk 1 State:
Qualifier Name:-h..iA -/7. Phone#: Scicicdf,4
State Certification or Registration #: C.G C. IS 19-7,1 Certificate of Competency #: ¢v
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ -3/ 00 --- Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Ekepair/Replace n Demolition
Phonem ctS 4 SeV( '90) j,
zip: " ..1
Description of Work: 'V--,c30CQ `. l/LIDG k-k‘S — *3 W1t\l70Q1Jp 2DooeS� �GcreSe(kcr
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 $
2-0
TOTAL FEE NOW DUE $ L�
(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 e)ceeding .2500, the applicant must
promise in good faiththat 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 cdpy of the recorded notice of commencementMust tie pasted 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
,C4tte. 4–e—a
0 or AGENT
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
22. day of �V ()J5 , 20 A by n day of S vr , 20 \---, by
Q We �� -1' , who is personally known to P 01 P\ � G It, , who is personally known to
me or who has produced as me or who has produced t I OP �//as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
�QS
identification and who did take an oath.
NOTARY PUBLIC:
10r4lig ARTUROALFONSO
y �'s d MY COMMISSION # GG 075921
EXPIRES: February 22, 2021
�'�•F «;(i'Ar Bonded Thru Notary Public Underwriters
APPROVED BY
(Revised02/24/2014)
Seal:
**********
Plans Examiner
;r;Ge•. MAHARAI K. GONZALEZ
.I. MY COMMISSIO
`i E :
'"''
,c4 '`- EXPIRES: November 2, 2020
rFOP ,.o?•' Bonded Thru Notary Public Undenxrfters
u.ua
********************************************
Zoning
Structural Review Clerk