WS-18-1528Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. W 5-b-1 5-1 bZt$
Permit Type: Windows/ShuttersPentv.,* Classifr'cation Window/Door Replacers
Permit Status. APPROVED
Parcel Number
Issue Date: 813012018 1 Expiration: 02/26/2019
Applicant
1280 NE 105 Street 1122320270120
Miami Shores, FL 33138- Block: Lot:
MIAMI SHORES VILLAS LLC
Owner Information Address Phone Cell
MIAMI SHORES VILLAS LLC 724 NE 79 Street (305)807-6123
MIAMI FL 33138-
724 NE 79 Street
MIAMI FL 33138-
Contractor(s) Phone Cell Phone
EXAKT US LLC (305)310-1054
le of Work: REMOVE EXISTING WINDOWS AND DOORS R
of Openings: 110
iitional Info: REMOVE EXISTING WINDOWS AND DOORS R
ssification: Commercial
inning: 1
Fees Due Amount
CCF 55.80
DBPR Fee 18.00
DCA Fee 12.00
Education Surcharge 18.60
Permit Fee 1,200.00
Scanning Fee 3.00
Technology Fee 74.40
Total: 1,381.80
Valuation: $ 92,870.00
Total Sci Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # WS -6-18-67799
06/05/2018 Credit Card $ 50.00 $ 1,331.80
08/30/2018 Credit Card $ 1,331.80 $ 0.00
Available Inspections:
Inspection Type:
Window Door Attachment
Final
Review Building
In consideration of the issuance t m of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conf mit with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume resp si 'lity for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, CHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certi that thl fo oing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Fath reA gut orize th bove-named contractor to do the work stated.
August 30, 2018
Authorized Sign-MlV caner / Contractor / Agent
Building Department Copy
August 30, 2018 1
A
Miami Shores Village
Building Department
RECEIVED
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JUN 0,2018
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 co QL—A
BUILDING
PERMIT APPLICATION
QBUILDING ELECTRIC ROOFING
FBC 20RI ' -
Master Permit No.(L \
Sub Permit No. n S
REVISION EXTENSION RENEWAL
PLUMBING MECHANICAL PUBLIC WORKS CHANGE OF
CONTRACTOR
JOB ADDRESS: 1280 NE 105th Street
CANCELLATION SHOP
DRAWINGS
33138
Folio/Parcel#:11-2232-027-0120
Is the Building Historically Designated: Yes NO -
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Miami Shores Villas, LLC Phone#: (305) 807 - 6126
Address: 724 NE 79th Street
City: Miami State: Florida Zip: 33138
Tenant/Lessee Name: Phone#:
Email: coryreiter@gmail.com
CONTRACTOR: Company Name: Exakt.US, LLC Phone#: (305) 310 - 1054
Address: 6800 SW 40th Street, Suite 196
City: Miami state: Florida Zip: 33155
Qualifier Name: Juan Militello Phone#: (305) 469 - 2858
State Certification or Registration #: CGC#1510923 Certificate of Competency #:
DESIGNER: Architect/Engineer: Ramms Engineering, Inc Phone#: (305) 822 - 3141
Address: 2100 W 78th Street, Suite 311 City: Miami State: FL Zip: 33016
Value of Work for this Permit: $ 92,870 Square/Linear Footage of Work:
Type of Work: Addition Alteration New Repair/Replace Demolition
Description of Work: Remove existing windows & doors, replace with new impact windows & doors
Aja WINDOWS; 2'l ,)Oog.<
Specify color of color tahru tile:
Submittal Fee $ SO } C'(' (1 Permit Fee $ CCF $ SS •$ O CO/CC $
vp
Scanning Fee $__Is_
d
Radon Fee $ Z DBPR $ Notary $
Technology Fee $ 74 . 4b Training/Education Fee $ (8-10o8 •11
o Double Fee $
Structural Reviews $ Bond $
Q
TOTAL FEE NOW DUE $
Revised02/24/2014)
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. 1 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 on 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 reinspection fee will be charged.
Signature
OWNER or AGENT
a
Si
CONT
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
li} _ day of JNG 20 li by 4+k day of tVNr 20 19 by
1Y « who is personally known to 5QAA) L- L(W who is personally known to
me or who has produced t=111- as me or who has produced FL16L as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
APPROVED BY
Revised02/24/2014)
identification and who did take an oath.
NOTARY PUBLIC:
Z014U cam_ Sign:
SU l e(kVe irVeQ Ve fCPrint:
d t>R Pook -. SKYE LEA WEAVER
Notary Public - State of Florida
Seal:
Y a .' AVER
Notary Public
SKYE EA WEta of Florida
oFn d`•
COmmissfOn q GG 076373
My Comm, ExpiresFeb 23,2021 kOF d`
Commission M GG 076373
MyComm. Expires Feb 23, 2021
Bonded t!119116MI NotdryAssn. Bonded through National Notary Assn.
Plans Examiner Zoning
Structural Review Clerk
Miami s Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Inspection requirements for:
Windows, Doors, Skylights or Fixed Glass (cladding) Permits
Upon issuance of permits for the scope of work involving the removal, changing and/or
replacement of any type of windows, doors, sidelites, skylights or fixed glass (cladding)
the permit holder or qualifier bearing his signature on the permit application shall abide
by the requirements of this department and comply with the following statement:
Upon obtaining window and/or door permits for the installation of same, it is the
responsibility of the permit holder to request window/door framing in -progress
inspection, prior to concealment of any horizontal or vertical clip mullion, bucks, shims,
etc. Inspector will also verify anchor type, edge distance, embedment and spacing. The
purpose for this inspection, is for the verification of conformance with Product
Approval (NOA).
Acknowledgement:
Corr i2tL E
e
Qualifier/Owner Signature Date Print Name