RF-19-2213Location Address
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date:'10/08/2019'
Parcel Number
1460 NE 103RD ST, Miami Shores, FL 33138 1132050310060
IN 1111111, 111111 111
Contacts
Permitwo.: RF -09-19-221
Permit Type: Roof
Work 0assification: Gutters
Permit status: Approved
Expiration: 04/06/2020
MONICA SAVITS Owner ABC SEAMLESS RAIN GUTTERS Contractor
1460 103 JIRON FANOR
Business: 3052263995 abcraingutters@msn.com
Description: INSTALLATION OF 6" K-STYLEWHITE ALUMINUM Valuation: $ 3,300.00 Inspection Requests:
r-444§
GUTTER SGAMLESS WITH 3X4 DOWNSPAUTS + RAINCHAINS
Total Sq Feet: 350.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
DBPR Fee
$3.75
DCA Fee
$2.50
Education Surcharge
$0.80
Roofing Fee
$50.00
Scanning Fee
$9.00
Technology Fee
$6.25
Total:
$124.70
Payments
Date Paid Amt Paid
Total Fees
$124.70
Credit Card
10/08/2019 $74.70
Credit Card
09/23/2019 $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 ig accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the aboveynamed contractor to do the work stated.
Authorized Signature: Owner / Applicant /
Agent
Date
October 08, 2019 Page 2 of 2
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
❑ BUILDING ❑ ELECTRIC C% ROOFING
C IFIIVFID
EP 12 V019
BY: "I-1VA'ti' ,
F{BC 20 2
Master Permit Not►r — 09—I I q _QUJ
Sub Permit No.
❑ REVISION ❑ EXTENSION DRENEWAL
❑PLUMBING ❑ MECHANICAL F—] PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
/ G CONTRACTOR DRAWINGS
/
JOB ADDRESS: �f C�� �- / s-
03 F
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):'��� V `l Phone#:I) D 17 t`_
Address: I V�-V N c-`.
City: %11 / Y1 -1-11 s r10 (210; State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: // 1 AJC— ��6.Lvl l'CS S l L`��%?� Phone#:
Address: l� l.R,j C i,
City: ��,�d�^. State: Zip: 07.6
Qualifier Name:
State Certification or Registration #:
A .
ne#:
Certificate of Competency #: 0 q( S 6 C 3 4_/
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
r
Value of Work for this Permit: $ 3� ') Square/Linear Footage of Work: 3
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Deolition,.
Description of Work: ` Tf 4,wj- /rn' e)r-J- e i= 6 �� r� �� �'t X16 �. W T( -)?Ai 11/0 !
c.�q f -j 3 X y
Specify color of color thru tile:
Submittal Fee $� 'd
Permit F.ee $_..,_, .- CCF $ CO/CC's
Scanning Fee $
Technology Fee $.
Structural Reviews $.
(Revised02/24/2014)
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE S `/
7
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 fai hat 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 ins i n which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will t pproved and a reinspection fee will be charged.
OWNER or AGENT
Signature1__Jt 1
ONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 11'1 20 , by day of V Mb -"K 20 by
�Yn S t 0OU J 1 who is personally known to fX IQ IYQ►1 who is personally known to
me or who has produced as me or who has producedTy)ye VS U(_cngc, as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
Pri Print:
Se ,2°��aYPUB`�=State of Florida -Notary Public Seal:
*= Commission # GG 118087
+•E o°;' My Commission Expires
June 22, 2021
'hn n
************************************/*�**********************
APPROVED BY 6��/g5,7/( 7 Plans Examiner
Structural Review
(Revised02/24/2014)
LIZETTE LLORET
State of Florida -Notary Publi
Commission # GG 118087
My Commission Expires
June 22, 2021
*************
Zoning
Clerk
CUSTOMER:
H
AFtCBY..
5EXILa15.5 RRI'll OTTRRR
"I'll,
P23219
� {PU
2043 W 62 ST. Hialeah, FL 33016
Ph: (305) 226-3995
Name C"5 �iw t' 73
Address:
tybo /YE 1035
City, State ti
pi"I S 1+DaU 1 f T__
Phone
3 � % � � �{ �-iQ N r cy
091
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Customer 4,
JOB SITE:
TOTAL FOOTAGE TOTAL DOWNSPOUT
TOTAL $ ' ,-/' ` i CASH
DEPOSIT $ _ r
[3 CHECK
BALANCE $ CREDIT CARD —
5 YEAR GUARANTEE ON LABOR / 20
EXCEPT: Damage resulting from accident. misuse. abuse, neglec
TERMS OF PAYMENT Payment in full due upon completion. Contracts which a
and must be sigred by representatives of both parties. FINANCE CHARGE. Fin
or the maximum allowed by law. will be added to all Invoices that are 30 days a
unless agreed to by ABC Seamless Rain Gutters, Inc, beforehand, in writs
CLIENT SIGNATURE: DATE: 01 t
NALW�
SII=\3flsi� � ■ • . � _
a draw cut off
AUTHORIZED SIGNATURE:
246-6151
E-mail: abcraingutters@msn.com SearT lvt s Rain Gutter
. .
.... ......
CONTRACT..
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Address:
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......
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City, State
• • • •
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�'CCV
••'"•
095SO0361
TOTAL FOOTAGE TOTAL DOWNSPOUT
TOTAL $ ' ,-/' ` i CASH
DEPOSIT $ _ r
[3 CHECK
BALANCE $ CREDIT CARD —
5 YEAR GUARANTEE ON LABOR / 20
EXCEPT: Damage resulting from accident. misuse. abuse, neglec
TERMS OF PAYMENT Payment in full due upon completion. Contracts which a
and must be sigred by representatives of both parties. FINANCE CHARGE. Fin
or the maximum allowed by law. will be added to all Invoices that are 30 days a
unless agreed to by ABC Seamless Rain Gutters, Inc, beforehand, in writs
CLIENT SIGNATURE: DATE: 01 t
NALW�
SII=\3flsi� � ■ • . � _
a draw cut off
AUTHORIZED SIGNATURE:
246-6151
E-mail: abcraingutters@msn.com SearT lvt s Rain Gutter
PROPOSAL/
CONTRACT..
GUTTER COLOR
'DOWNSPOUT COLOR
.
��■••�■■■����
OMEN
MIME
01 -
TOTAL FOOTAGE TOTAL DOWNSPOUT
TOTAL $ ' ,-/' ` i CASH
DEPOSIT $ _ r
[3 CHECK
BALANCE $ CREDIT CARD —
5 YEAR GUARANTEE ON LABOR / 20
EXCEPT: Damage resulting from accident. misuse. abuse, neglec
TERMS OF PAYMENT Payment in full due upon completion. Contracts which a
and must be sigred by representatives of both parties. FINANCE CHARGE. Fin
or the maximum allowed by law. will be added to all Invoices that are 30 days a
unless agreed to by ABC Seamless Rain Gutters, Inc, beforehand, in writs
CLIENT SIGNATURE: DATE: 01 t
NALW�
SII=\3flsi� � ■ • . � _
a draw cut off
AUTHORIZED SIGNATURE:
246-6151
E-mail: abcraingutters@msn.com SearT lvt s Rain Gutter