WS-19-742Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: WS-04-19-742
TWErj Permit Type: Windows/Shutters
r, Clossifrcmtion: Window/Door Replacement
Permit Stotus: Approved
Mue Date. 04/Z6/Z019 Expiration: 10/01/2019
Location Address Parcel Number
1245 NE 93RD ST, Miami Shores, FL 33138 1132050270070
Contacts
MARK HUNTER Owner DVG BUILDERS INC Contractor
DANIEL GARCIA
Other: 9176048328 2930 SW 115 AVE, MIAMI, FL 33165
Business: 3055067308
Description: REMOVE EXISTING DOOR AND REPLACE WITH Valuation: $ 1,600.00 Inspection Requests:
NEW IMPACT RESISTANT METAL DOOR (ROUGH OPENING TO 305-762-4949
REMAIN AS IS) Total Sq Feet: 50.00
Fees
Amount
Application Fee -Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Scanning Fee
$9.00
Technology Fee
$2.75
Windows/Shutters Fee
$60.00
Total:
$127.35
Payments
Date Paid Amt Paid
Total Fees
$127.35
Check # 1004
04/26/2019 $77.35
Credit Card
04/04/2019 $50.00
Amount Due:
$0.00
Building Department Copy
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 d zoning. Futhermore, I authorize the above named contractor to do the work stated.
Signature Owner / Applicant / Contractor / Agent
April 26, 2019 Page 2 of 2
Miami Shores Village
0r_1VED
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
APR 0 4 Z019
ul__� a� Q�
FFBC 201q
BUILDING master Permit No. 19_ (Pn2
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1A S -,),) 0 g3 Wit.
City' Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: / / .3a d $" O Q i - 00 7 b Is the Building Historically Designated: Yes NO
Occupancy Type: 1 P . Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titlleholder): gar4 & A74-- Phone#:
Address: i��5' /lily= 3 ST, ?
City: �/ An'? 1jo fe_5 State: ' Zip: 3.313E
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: boall 411611 _ U ilt-17 /)Lu/dZIS Phone#: 3OS--- .SOf, -7308
Address: c qjo S 10 1! i Au-e
City: A;: r"; State: 15-- Zip: 3:3/6,S
Qualifier Name: U Y '6," �i>/OteL,5 �'N e, Phone#: ?�!%S� 577� 73 0�
State Certification or Registration #: �(_ C % C /6 / q.�t -3 7 Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address: __A City: State:
Value of Work for this Permit: $ 6dl) Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Zepair/Replace
Zip:
❑ Demolition
Description of Work: o ve_ 4 5&. c6o,- i t eola do- &-;O n e j -rm
Ma/ -I? / /h)ot rpriiiAJ, /0'0 ?n.nn _'v /Yrn.i:e7 �x /S
Specify color of color thru tile:` "
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $.
DBPR $
Notary $
Double Fee $
Bond $ 2
TOTAL FEE NOW DUE $ J�
(Revisedo2/24/2014)
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. 1 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 pe is issued. In thedVi9mce of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Sign ure
OWNER or AGENT
The foregoing instrument was acknowledged before me this The foregoin inst
day of (I� 20 +q by fl day of
NI Qc k �isVt d f n[ ho personally known llr4£1'
x
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
as me or who has produced
t was acknowledNd before me this
20 1q by
o is oersonally knnAin to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Notary Public State or Florida wrmruwon a uu uoruar
Seal: Jenny Johnson•Sardella Seal: =,�a0. My Comm. Expires Jan 29, 202t
my Commission GG 127491 Bonded Ovoi* National Notary Assn.
�4_� Expires0712412021
as
APPROVED BY (tv1 cl Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)