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WS-17-2697Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Permit 1IO W-11-17-2697 Permit Type: Windows/Shutters Cork Classification: Window/Door Replacem Perrnit Status: APPROVED I tt�i Date:11/14/2017 Expiration: 05/13/2018 Applicant 555 NE 93 Street Miami Shores, FL -911111111/161 1132060141020 Block: Lot: VERONICA MOLINA FREDERICN Owner Information Address Phone Cell VERONICA MOLINA FREDERICK 555 NE 93 Street MIAMI SHORES FL 33138- (786)260-4901 555 NE 93 Street MIAMI SHORES FL 33138- Contractor(s) HOME OWNER Phone Cell Phone Valuation: Total Sq Feet: $ 4,500.00 0 Type of Work: WINDOWS 12 AND DOORS 2 REPLACEMENT No of Openings: 14 Additional Info: WINDOWS 12 AND DOORS 2 REPLACEMENT Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $3.00 $3.60 $2.40 $1.00 $5.00 $240.00 $3.00 $4.00 $262.00 Pay Date Pay Type Invoice # WS-11-17-65639 11/14/2017 Credit Card 11/14/2017 Credit Card Amt Paid Amt Due $ 50.00 $ 212.00 $ 212.00 $ 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. OWNERS FFIDAVIT: I certi constru do and zpning. Futh uthorized ' na ' =: Owne / Applicant / Contractor foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating orize the above -named contractor to do the work stated. / Agent November 14, 2017 Date Building Department Copy November 14, 2017 1 �`eYdy,1 CCA 1 \\\\2O ' Miami Shores Village Building Department RECEIVED NOV 141011 FBC20I .1 BUILDING Master Permit No.12C--6 -13 - I 4-��- PERMIT APPLICATION Sub Permit No. w_S 1-9 -zGq NI'BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS 0 CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 55 5 i.Ja crar.1 5T City: Miami Shores County: Miami Dade zip: 33i38r Folio/Parcel#: 1 1- 3206- 014 - 1 Do20 Is the Building Historically Designated: Yes NO )0 Occupancy Type: Load: A,Construction Type: p Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): P2.A) L cC►�4 l...O Li /IA Phone#: -3'g6" 2/I60 - `i'470/ Address: 555 N e `13 r. g i City: t..11 Agri( S f-(- O R&' S State: F L. zip: 3 3 i 3 8' Tenant/Lessee Name: r` Phone#: Email: Vef0rt�l CQ_ �OCtvt�`iQlvte. con') CONTRACTOR: Company Name: Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: 1 £INI 6I 11 - T LLC /SvA,J 1i'tOREA) O Phone#: 954 - e/34-- 2 4 ` } Address: 92.15 LAIC_p 2)502- City: POJ?_AL State:F(.. Zip: Value of Work for this Permit: $ Z-IJOO Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Rep it/Replace • ❑ Demolition Description of Work: W (opo S(I:l/lAN)D Do 0 �S C o2� Specify color of color thru tile: • Submittal Fee $ 250 Permit Fee $ 2 4Q CMS:. .....:.x...,. _ CO/CC $, Scanning Fee $ 3 Radon Fee $ 2.40 DBPR $ 3 • bo Notary $ Technology Fee $ 9 Training/Education Fee $ i ,_� Double Fee $ Structural Reviews $ Bond $ coo TOTAL FEE NOW DUE $ Z 4 (Revised02/24/2014) Bonding Company's4Name (if applicable) NV Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby rfiade 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 OWNER or AGENT The foregoing instrument was acknowledged before me this tt-it day of 11 �� U CA do l c� �bolis pdrsor�ally known to me or who has produced 4--14 1 1112._ji)S�s identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: N �V , 20 _fa, , by * #** ■ *,k,k,k,k,k APPROVED BY MAHARAI K. GONZALEZ " MY COMMISSION # GG 044602 "°".g,ir EXPIRES: November2, 2020 ',.FOFF5,:' Bonded Thro Notary Public Undelvinters Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of , 20 , by , who is personally known to me or who has produced • as identification and who did take an oath. NOTARY PUBLIC: Sign' Print: Seal: _ . *************************************************** ******* Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) 4 Miami Shores Village 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: Patti(r l l /9 /l i2 AJ Lc o K.o U /OA Qualifif/OwnSigna ure Date Print Name