RC-18-549Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
650 NE 97 Street
Miami Shores, FL 33138-
Owner Information
Address
Permit
Permit NO. RC-3-18549
Permit Type: ResidentialConstruction
Work Classification: Alteration
Permit Status: APPROVED
Issue Date: 4/2/2018
Expiration: 09/29/2018
Parcel Number
1132060171640
Block: Lot:
Phone
Applicant
CHAD BERSHIRE
Cell
CHAD BERSHIRE
650 NE 97 Street
MIAMI SHORES FL 33138-
650 NE 97 Street
MIAMI SHORES FL 33138-
Contractor(s)
HOME OWNER
Phone
Cell Phone
Valuation:
Total Sq Feet:
$ 10,000.00
0
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Construction: 14 WINDOWS, 7 DOORS, AND 1 GA
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted: Yes
Certificate Date:
Bond Return :
Occupancy: Single Family
Exterior:
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info:
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.00
$0.00
$0.00
$0.00
$5.00
$300.00
$3.00
$0.00
$308.00
Pay Date Pay Type
Invoice # RC-3-18-66658
04/02/2018 Credit Card
03/05/2018 Check #: 257
Amt Paid Amt Due
$ 258.00 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Window Door Attachment
Framing
Insulation
Drywall Screw
Final PE Certification
Window and Door Buck
Fill Cells Columns
Review Building
Review Planning
Review Electrical
Review Plumbing
Review Structural
Review Mechanical
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��h� re, I authorize-t+�e above -named contractor to do the work stated.
Authorized Signature: Owner
/ Applicant / Contractor / Agent
April 02, 2018
Date
Building Department Copy
April 02, 2018
1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-311952 Permit Number. RC-3-18-549
Scheduled Inspection Date: September 21, 2018
Inspector. Naranjo, Ismael
Owner. BERSHIRE, CHAD
Job Address: 650 NE 97 Street
Miami Shores, FL 33138-
Project <NONE>
Contractor. HOME OWNER
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132080171640
Building Department Comments
14 WINDOWS, 7 DOORS, AND 1 GARAGE DOOR
REPLACEMENT AND FASCIA REPAIR.
Renewal of expired permit 15-888
TO RENEW PERMIT#RC16-113
MISSING NOTICE TO OWNER 3/23/2018
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid
Inspector Comments
CREATED AS REINSPECTION FOR INSP-311585. 9/4/2018
PARTIAL - PENDING STICKERS ON DOORS AND CORRECT NOA.
WINDOWS & GARAGE OKAY
For inspections please call:13051762-4949
BUILDING
PERMIT APPLICATION
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
air:
FBC 20 l
R 05209,3
5714
Master Permit No. Tie 1 j - L/1
Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION KTRENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 62 CO N E -1 l Stree..�
City: Miami Shores County: Miami Dade Zip: Y 3 1 3 ?
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: S ki Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple
Titleholder): C L I. CaJ-- J \C S Val re, Phone#: -7 r6 `QO r- (9 `i'9
Address: Ca. 5-05-0 CV �cc/tL STie_e_t
s
City: I ►'l (GLI\&\ S koPe-i State: F (— Zip: 33 13
Tenant/Lessee Name: Phone#:
Email: ah er kS L; r e E nci • Coi-
CONTRACTOR: Company Name: C —tt& d e S LI re
Q jO c j •e_
Address: $4' r-\ QS
Nc ke �&e Phone#: 7 0 6 - )a /J
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ /4) O 06
Type of Work: ❑ Addition ❑ Alteration
Description of Work: (4 _J Jo vuS
Square/Linear Footage of Work:
❑ New
!- 7 cila a r s f
` '0 �a a,na d.P, ea e (N\e�'a(
(U`Q-M
UN �'-i-,--0__ (G —
Specify color of color thru tile:
Submittal Fee $ bb' Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $ 5 ,
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ s
TOTAL FEE NOW DUE$ Z 5g
(Revised02/24/2014)
�3 .
U rcepair/Replace ❑ Demolition
aral c c;lL1(.5 r
Bonding Company's Name (if applicable)
7I itF.'ti" ..
Bonding Company's Address
City i State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
1
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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.. t e
"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.
Ct ‹d er ks `� ' ''Clad Re-r'ks k'rem
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this . The foregoing instrument was acknowledged before me this
(5� day of , 20 (0 , by day of , 20 , by
Q',^ -t (I P
A4 .I C�`i I , who is personally known to , who is personally known to
me or who has produced _71,5R/ (AC1J S a me or who has produced as
identification and who did take an oath. identification and who did take an oath.
T C/
Z9
Signatur--Ci(�-,Z
NOTARY i BLIC:
NOTARY PUBLIC:
CONTRACTOR
Sign: '' Sign:
Print: `—', �DI ��c�l�/� ' Print: i
Seal:'‘,+'i'-- w,. b : •.1. a a l w „ Seal:
of Y Nip Notary Public State of Florida •;
1• ; itt : Sindia Alvarez a
k .A c- `` ti'Iy Commission FF 156750 4
***************fie**�> ** >g;R4`'131 4le** ************************************:***************************
,R.,.. ""... L ,rti.x.._ r/A A. /4. ..0.. '
APPROVED BY
3
Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)