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WS-17-2375 r Inspection Worksheet Miami Shores Village 10050'N.E.2nd Avenue Miami Shares,FL Phone: (305)796-2204 Fax: (305)756-6972 Inspection Number INSP-300966 Permit Number WS-10-17-2375 Scheduled Inspection Date-April 06,2918 Permit Type:Windows/Shutters Inspector.Naranjo,Ismael Inspection Type: Final Owner SOTO,DAISY Work Classification:,Door Replacement Job Address:557 NE 92 Street Miami Shores,FL 33138 Phone Number Parcel Number 1132060141150 Project: < ON > 'Contractor: AMERICAN STORM PROTECTION Phone:(305)264-0446 Building Department Comments nfra8; Passe Comments, REPLACE IMPACT IRON DOUR INSPECTOR COMMENTS False i Inspector Comments PassedCRF-ATED AS REINSPECTIOM FOR 11,4S -29 #3nnola MISSING LASEL ON 000fR' Failed Correction Nee For Inspections please call:(305)762-4949 Page 23 of 27i I Permit NO. S-1 d-17-2375 Miami Shores Village Permit Type:Windows/Shutters �mt 10050 N.E.2nd Avenue NE Pen ' work Giassificatinn:Dour Replacement • Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 Issue Date:10/5/2017 Fxpiration: 04/03/2018 Project Address Parcel Number Applicant 557 NE 92 Street 1132060141160 Miami Shores, FL 33138- Block: Lot: DAISY SOTO Owner Information Address Phone Cell DAISY SOTO 557 NE 92 Street MIAMI SHORES FL 33138-3156 Contractor(s) Phone Cell Phone Valuation: $ 7,000.00 AMERICAN STORM PROTECTION (305)264-0446 (305)513-0514 Total Sq Feet: 20 Type of Work:REPLACE 1 IMPACT IRON DOOR Available Inspections: No of openings: 1 Inspection Type: Additional Info:REPLACE 1 IMPACT IRON DOOR Window Door Attachment Classification:Residential Final Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $4.20 DBPR Fee Invoice# WS-10-17-65242 $2.00 10/05/2017 Credit Card $50.00 $84.20 DCA Fee $2.00 Education Surcharge $1.40 10/05/2017 Credit Card $84.20 $0.00 Permit Fee $110.00 Scanning Fee $9.00 Technology Fee $5.60 Total: $134.20 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I author the above-na ontractor to do the work stated. October 05, 2017 Authorized Signature:Owner / App" t / Contractor / Agent Date Building Department Copy October 05, 2017 1 i Miami Shores.Village Building Department De oTos2o17. � 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY. _.. Tel: (305)795-2204 Fax:(305)756-8972 - INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 �� BUILDING Master Permit N S_ ^ PERMIT APPLICATION Sub Permit No. ❑BU.ILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: S S N Cl Z Sk y2EI' City: Miami Shores County: Miami Dade Zip: 33 1 38 r Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:& OWNER: Name(Fee Simple Titleholder): D��S� TO Phone#: Address: S 57 0:e) City: M i O A� State: L Zip: '33,36) Tenant/Lessee Name: Phone#: Email: cc CONTRACTOR:Company Name: Am-e llo� SOCJA 'y)ro�2CkUuJ Phone#: 30S -513-04157 Address: 0$O I NL') City: State: (�-V Zip: 33 I�Z Qualifier Name: )OnAA-hAdrj Vo byko eL Phone#: State Certification or Registration#: CCG 3� Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: r Address: City: State: Zip: Vf.alue of Work for this Permit:$ . `a.Cid Q� • CO Square/Linear Footage of Work:z n Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work:' Re yieA_�) Ay-PM 10 GN, 1 hS,eca-iU i,) F Specify color of color thru tile:- Submittal Fee$ ED,oz� Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ 1 DBPR$ Notary$ r Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) e 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." P 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 wi n t be approved and a reinspection fee will be charged. 1 Signature Signature OWNER or AGENT CONTRA OR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of .0c1-010ev' 20 �7 by day of�Cr�bPr✓ 20 �� by ,Dctt5� -�"© who is personally known to n 0t1- who is personally known to me or who has produced as me or who has produced as 1 identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: °"" ° °"" MICHAEL MARRERO ,;..��.�• MICHAEL MARRERO NOTARY PUBLIC: ��.. �,s Commission#GG 58714 3+ Commission M GG 58774 My Commission Expires ;., a.� My Commission Expires %.,;Zovr�o;Pr December 28, 2020 �''�°FFA°"�'� December 28, 2020 Sign: Sign: Print: " i V (✓a � Print: i MA,(V eVID j Seal: Seal: J d� APPROVED BY Plans Examiner Zoning Structural Review Clerk 7 t (Revised02/24/2014)