WS-18-154�sNO1so,� Miami Shores Village
.� «�„"'�' 10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
F'LORtOp'
Permit No. WS-1-18-154
Permit Type: Windows/Shutters
Per itvork0assification: Window/Door Replacem
Permit Status: APPROVED
Issue Date: 3/12/2018 1 Expiration: 09/08/2018
Project Address Parcel Number Applicant
420 NE 91 Street 1132060190070
Miami Shores, FL 33138- Block: Lot: PROPERTY HOUNDS LLC
Owner Information
PROPERTY HOUNDS LLC 420 NE 91 Street
MIAMI SHORES FL 33138-
7021 NW 67 Court
PARKLAND FL 33067-
Contractors) Phone Cell Phone
RARE RENOVATIONS LLC (954)426-8018
Type of Work: 10 WINDOWS AND 5 DOORS
No of Openings: 15
Additional Info:
Classification: Residential
Scanning: 3
Fees Due
Amount
CCF
$6.60
D13PR Fee
$3.75
DCA Fee
$2.50
Education Surcharge
$2.20
Permit Fee
$250.00
Scanning Fee
$9.00
Technology Fee
$8.80
Total:
$282.85
Phone
(954)520-2268
Valuation: $ 10,400.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # WS-1-18-66181
03/12/2018 Check #: 6378 $ 232.85 $ 50.00
01/19/2018 Credit Card $ 50.00 $ 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 A nn'1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construct/on and Lnina. Futhe ncre..l-authorize the above -named contractor to do the work stated.
Authorized Signature: Owner / Applicant
Building Department Copy
March 12, 2018
March 12, 2018
/ Contractor / Agent
C+411;-7-C- SEN i 01 MCI
1
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
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
REMVEO
JAN 19 2 17
FBC 2014
Master Permit No.
TSub Permit No.
❑ REVISION ❑ EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 42 O IA �'- a( �
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: (V17,15l0-0( G"dam D Is the Building Historically Designated: Yes NO A —
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder):PC Cj- -tk11. fJLf1 Y] L.Lr Phone#: C A -SW '17_(08
Address: '1 021- �MW U1 Gr U
City: rk ! GL(-'�I-U State: F Zip: ,33 n( nQ
Tenant/Lessee Name:
Email
CONTRACTOR: Company Name: r e (Zf_C1&,f CLII Cyr( C Phone#:
Address;:: 73bu M V T
Lp-t (
City: P cA oc_ i CInid State: Zip: 7>30ul
Qualifier Name: 1 d chn r I i2(taCS Phone#: q co ^!&?-b
State Certification or Registration #: QaG !2juosS ! Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address:
City:
Phone#:
bo
Value of Work for this Permit: $ U I W003 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
Description of Work: V�_ 1�''1(
Specify color of color thru tile:
1 2'New ❑ Repair/Replace
F`a 1 I6 WIN ' PC)"M
te: Zip:
❑ Demolition
Submittal Fee $� J� Permit Fee $ 2�J ' CCF $ CO/CC $ r
Scanning Fee $ •y0 Radon Fee $ 24 i
'DBPR $ 3 ' S Notary $
Technology Fee $y� Training/Education Fee $ 2-• 2.0 Double Fee $ �q
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 23 2 • �i�
(Revi5ed02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 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 rein5pection fee will be charged.
Signature( _ Signature
\ OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of by
j krce xt t RCLcc S w 1
0 i rsonally known t
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
r
Sign: L4 �
- 4.�.� �
� 4a R,**iLc
The foregoing instrument was acknowledged before me this
day of JCLY)JA(ArUl 20 jib, by
P-artS O i�o wn to
me or who has produced / as
identification and who did take an oath.
NOTARY PUBLIC:
u
Sign:
Print: NaTt-O hCL R b6t.X
Seal: P NATASHABOOKIE Seal:
COMMISSION # GG 154422 �*' NATASKA BOOKS
MY OcEober 27, 2021 ' ► MY COMMISSION # GG 154422
EXPIRES :•:_
''!oin?pP BondedTMu pubGoUndwxftm :?-,Awl
�c EXPIRES
:Oc6ober27,2021
**************** r ************** * °*********
r
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)