WS-18-3584Location Address
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: WS -12-18-3584
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a Permit Type: Windows} Shutters
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lorTclossification: Window/Doer Replacement
Permit Status: Approved'
issue Date: 12/06/2018
Parcel Number
144 NE 99TH ST, Miami Shores, FL 33138 1132060132260
Contacts
Expiration: 06/03/2019
JOSE GONZALEZ Owner THE HOME DEPOT Contractor
144 NE 99 ST, MIAMI SHORES, FL 33138-2341 ROBERTO SANCHEZ
2455 PACES FERRY RD C-11 HSC, ATLANTA, GA 30339
Mobile: 9543956426 matt_morales@homedepot.com
Description: 8 IMPACT WINDOWS REPLACEMENT AND 4 Valuation: $ 21,722.17 Inspection Requests:
IMPACT DOORS REPLACEMENT. 305-762-4949
Total Scl Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$13.20
DBPR Fee
$3.30
DCA Fee
$2.20
Education Surcharge
$4.40
Scanning Fee
$12.00
Technology Fee
$5.50
Windows/Shutters Fee
$170.00
Total:
$260.60
Building Department Copy
Payments Date Paid
Amt Paid
Total Fees
$260.60
Check # 17518 12/06/2018
$260.60
Amount Due:
$0.00
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/NE`RS AFFIDAVI : I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating constructio and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner ,Y / Applicant / Contractor / Agent Date
December 06, 2018 4-1"Gcyi-f� ovc>' 1-- Page 2 of 2