WS-18-514 Inspection Worksheet
` Mimi Shares Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone,(305)795-2204Fax:(305)756.8972
Inspectiorl,Number: INSP-298298 Permit Number; WS-2-18-514
Scheduled Inspection Date:April 02,2098 Permit Type:Windows/Shutters
Inspector:Naranjo,Ismael Inspection Type: Final
Owner: RODRIGUEZ, RAFAEL L JR WorkClassification: Window/Door Replacement
Job Address:645 NE 92 Street 16-D
Miami Shares,FL Phone Number
Project: <NONE>
Parcel Number 1132060430150
.
1
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Contractor DVG BUILDERS INC Phone: (305)506-7308
Building Department_ent Comments
REMOVAL AND INSTALLATION DFS IMPACT WINDOWS �° PassedComments i
CLEAR ANODIZED ALUMINUM PE-AND CLEAR �`�i���SS CO E� False 1
LAMINATED GLASS
Inspeotnr tam�nts:
Plassed Er
Failed '
Correction
Needed
Re4nspaction
'Fee
%,20.118 For Inspections.please call: (365)762-4949 Page s at 18
r
Permit No. WS-2-18-514
15Ho s i,� Miami Shores Village Permit Type:Windows/Shutters
10050 N.E.2nd Avenue NE ' rk Classification:Window/Door Replacem
Miami Shores,FL 33138-0000 Perllimtvo
Permit Status:APPROVED
Phone: (305)795-2204
Ft
Ent IDQ'
Issue Date:3/8/2018 FTx
09/04/201 8
Project Address Parcel Number Applicant
645 NE 92 Street Number: 16-D 1132060430150
Miami Shores, FL Block: Lot: RAFAEL L JR RODRIGUEZ
Owner Information Address Phone Cell
RAF EL L JR RODRIGUEZ 645 NE 92 Street (305)992-5475
MIAMI SHORES FL 33138-
645 NE 92 Street
MIAMI SHORES FL 33138-
Contractors) Phone Cell Phone Valuation: $ 6,949.00
DVG BUILDERS INC (305)506-7308
Total Sq Feet: 0
Type of Work:REMOVAL AND INSTALLATION OF 8 IMPAC Available Inspections:
No'of Openings:8 Inspection Type.-
Additional
ype:Additional Info:REMOVAL AND INSTALLATION OF 8 IMPAC Window Door Attachment
Classification:Commercial J Final
Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $4.20
DBPR FeeInvoice# WS-2-18-66607
$2.70 02/28/2018 Check#:7126 $50.00 $ 154.90
DCA Fee $2.00
Education Surcharge $1.40 03/08/2018 Check#:7130 $ 154.90 $0.00
Permit Fee $180.00
Scanning Fee $9.00
Technology Fee $5.60
Total: $204.90
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.
OW RS AF IDAVIT: ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating "
constructio onin . u hermo;q, I authorize the above-named contractor to do the work stated.
March 08, 2018 `
Auth ed Signature:O er / Applicant / Contractor / Agent Date
Building Department Copy
March 08, 2018 1
Miami Shores Village
Building Department FEB 28 018
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 BY:
�- _ -__�.
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 JJ4
BUILDING Master Permit No.WS-6-17-1539
PERMIT
PERMIT APPLICATION Sub Permit No.
QBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION UFrRENEWAL
❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS '
JOB ADDRESS: 645 Ne 92 Street Unit 16D
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-3206-043-0150 Is the Building Historically Designated:Yes NO X
I
Occupancy Type: SF Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Rafael Rodriguez Phone#:305-992-5475
Address:645 NE 92 Street Unit 16D
r city: Miami Shores State: Florida Zip: 33138
Tenant/Lessee Name: N/A Phone#:
Email: N/A
CONTRACTOR:Company Name: D.V.G BUILDERS INC Phone#: 305-506-7308
Address: 2930 SW 115 AVE
City: MIAMI State: FLORIDA Zip: 33165
Qualifier Name: DANIEL GARCIA Phone#: 305-264-0992 XT 2006
i
State Certification or Registration#: CGC1519237 Certificate of Competency#:
DESIGNER:Architect/Engineer: JBDESIGNS & PERMITTING. Phone#: 754-701-7126
Address:6499 POWERLINE RD City: FORTLAUDERDALE,State: FL Zip:'33309
Value of Work for this Permit:$6,949.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑■ Alteration ❑ New ❑■ Repair/Replace ❑ Demolition
Description of Work: Removal and installation of 8 impact windows with clear anodized Aluminum Frame
and Clear Laminated Glass.
Specify color of color thru tile:
i
Submittal Fee$ Permit Fee$ OLD CCF$ CO/CC$
Scanning Fee$ Radon Fee$ CQ ` OC� DBPR Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ ! Iy
(Revised02/24/2014)
t
'I
Bonding Company's Name(if applicable) N/A
Bonding Company's Address N/A
City N/A State N/A Zip N/A
Mortgage Lender's Name(if applicable) N/A
Mortgage Lender's Address N/A
City N/A State N/A Zip N/A
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 commencementand co uction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recor d tice of commencemepeliT-57sbf posted at the job site
for the first inspection which occurs seven (7) days after the building per is i ed. In the sence of s ch posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signaturr_17i;��\ _ Signat re
OWNER or AGENT CO CTOR
The foregoing instrument was acknowledged before me
a this The f egoi instrument was acknowledge efore me this
I� day of $1?�+�-+ 1 20 �ZS by day of
of /UG 20 B by
1 11
who is personally known to ✓u� C arch who is pers nally wn to
me or who has produced Q C�(Z►fe��S �G.�►ti h�—as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: 0 �t Sign:
C
All
Print: V-A �Ci�l Print: NA blic•State of Florida
::° °�s
;;.SsY��••.,, - Commission+� 19,2019
Seal: _. �kE JENNY NADER Seal: -s. •'=
MY Comm.Expires Dec Assn.
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MY COMMISSION*FF093715 y � y
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'.?atiEXPIRES February 18,2018
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APPROVED BY (' Plans Examiner Zoning
i
Structural Review Clerk
l
(Revised02/24/2014)