WS-20-60Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: WS -01-20-60
Permit Type: Windows/Shutters
-' IU worrk classification: Window/Door Replacement
Issue
Location Address Parcel Number
335 NE 101ST ST, Miami Shores, FL 33138 1132060135211
Contacts
Permit Status:. Approved
Expiration: 07/20/2020
FEDERICO ROJAS AYALA Owner MDV GLASS Contractor
335 NE 101 ST, MIAMI SHORES, FL 33138 DANIEL NAIM
Home: 3054847714 FEDERICO.ROJAS@YAHOO.COM 20865 NE 32 AVE, AVENTURA, FL 33180
Other: 3054872205 office@mdvglass.com
Inspection Requests:
Description: SUPPLY AND INSTALL IMPACT GLASS 17 1 Valuation: $ 24,167.00 305 7fs2 4949
WINDOWS AND 3 DOORS TO REPLACE PERMIT#WS-06-19-1300
LL:
Total Sq Feet:
Fees Amount
Payments
Date Paid Amt Paid
50% Renewal Fee $150.00
Total Fees
$150.00
Credit Card
01/21/2020 $150.00
Total: $150.00
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 and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / I Agent Date
January 21, 2020 Page 2 of 2
BUILDING
PERMIT APPLICATION
Miami Shores Village RECEIVED
Building Department AT 13 2020
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
'F�BC 20
v I
Master Permit No. � S_ Q 1 - 20 - Go
Sub Permit No. t -LA -0(,-1 q -1360
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RqRENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 335 NE 101 Street
City: Miami Shores J County: Miami Dade zip: 3313e
Folio/Parcel#: (1 r 32p(, - U (3 - 5 Z(( Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Federico Rojas Phone#:305-904-4884
Address:335 NE 101 Street
City: Miami Shores State: FL Zip:
Tenant/Lessee Name: Phone#:
Email
CONTRACTOR: Company Name: _�/�'17� i 71,255 Phone#: 305-4(5C) -6"Y5'7
Address: 3136 RoIlut,snoj 'b V4
City: , (4 we -2-3j State: F L Zip: 33OZ(
Qualifier Name: CA KI C' Phone#: 30-3-4{S6-64361
State Certification or Registration #: c: 3C 12-51349 & Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 00 Square/Linear Footage of Work: 460 -
Type of Work: ❑ Addition
❑ Alteration
❑ New
❑ Repair/Replace
❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Radon Fee $
Training/Education Fee $
CCF $ CO/CC $
DBPR $
Notary $,
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 1 '�;d' CSO
Bonding Company's Name (if applicable)
4
•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 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 Signature
NER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged beforemethis
�3 day of d� OQ.�' 20 by 12- day of DKs' T- vy-N bC�E— 20 1 by
Q.`c•C� �K�f who is personally known to TPrii i� �'�l kC�-✓1 , who is personally knowwo_..
me or who has produced
as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
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Sign:
Sign:
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Print: q ��G'c�tCl�/ <ta.�� S
Print:
ariarteo"UrlaA1a
Seal: ��'� Commission I GG09M
Seal:
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i`.� Expires: April 30, 2021
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Bonded thrJAaron Notary
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APPROVED BY V'
Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)