WS-19-1453Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: WS -0649-4463
Permit Type: Windows/Shutters
Work Ctassification: Door Replacement
Permit Status: Approved
Issue Dater/25/2019 Expiration: 12/23/2019
Location Address Parcel Number
1066 NE 94TH ST, Miami Shores, FL 33138 1132050120120
Contacts
STEPHEN MARINO Owner NUSPACE NETWORK, LLC Contractor
1066 NE 94 ST, MIAMI SHORES, FL 33138 MARIO RUMIANO
Other: 3058120629 DUPLICATE
Business: 3059453919
Other: 7864173610
Description: ENTRY DOOR REPLACEMENT TO REPLACE Valuation: $1,200.001 Ins
1,200.00Ins ection Requests:
WS -18-1453 305-762-4949
Total Sq Feet: 0.00
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
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$127.35
Credit Card
06/25/2019 $127.35
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.
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 st ctiog nd-zoTi�ng. Futhermore, I authorize the above named contractor to do the work stated. f
Auth
Owner / Applicant / Contractor / Agent
(0 Z
June 25, 2019 Page 2 of 2
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
Master Permit No
Sub Permit No.
RECEIVED
JUN 2.%1u1s
FBC 20 F) is-�
wS oto -l9 -14 S.3
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [-]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
rt—
City: Miami Shores /� CCo�unty: Miami Dade Zip:
Folio/Parcel#: �' 0 12—,Is the Building Historically Designated: Yes y�� NO
Occupancy Type: -_ Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee
Simple
,t� J 1 Titleholdder): Sr.yf M r t 1— I Phone#:
& /V"►��� � � (U � V�
Address: 10 (b T 4
City: MjArjAj S 0jCLFES State: Fk.— Zip:
Tenant/Lessee Name:
Email:
CONTRACTOR: Comp
Address: 111 c
I
City:
ne#:
No
Qualifier Name: iPV1M[-r-1,4Z FA I 'WA•/CJ Phone#: =f rfO G 1z- jc?
State Certification or Registration,#: G ,2 Certificate of Competency #: _
DESIGNER: Architect/Engineer: �/ ��: Phone#:
Address: City: State: Zip: n
Value of Work for this Permit: $ �, (/r/'C/ Square/Linear Footage of Work: 14sk
Type of Work:, I ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:_..
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ I V—) Ss
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
s , t. ;- I- _ J
,-City ' I IL I 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 COMMENCEMENVIJI
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 most be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence o such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Y i
a
Signature
?or
k- e -J
OWNER or AGENT
The foregoing instrument was acknowledged before me this
O day of 20, by
5-W+f C#" m rLLt , wOo�is per_Yso`nally known to
`
me or who has produced T �-- Z*.2 as
identification and who did take an oath. A
NOTARY PUBLIC: A A
Sign:_
Print:
Seal:
APPROVED BY
, s . ,
(Revised02/24/2014)
Signatui
. A
COMTRACTOR
The foregoin nstrume4as acknowledged before me this
WOWSof �L.. 20 by
Ml
l i 'I-+ t S 4et*"- AINO, who i to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
is Sign:
Print:
Seal:
v!Z
Plans Examiner
Structural Review
.Iio b
0 cz, c _
a a,
icOR1CA�
�* �N\X��\` ;
Zoning
Clerk