WS-18-173Miami Shores Village
10050 N.E. 2nd Avenue NE
Ih " Miami Shores, FL 33138-0000
'F�','a?�.d` Phone: (305)795-2204
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Permit NO. WS-1-18-173
Pe
t
Permit Type: Windows/Shuttersm
r1 orkClassification: Window/Door Replacem
Permit Status: APPROVED
Issue Date:1/23/2018 1 Expiration: 07/22/2018
Project Address Parcel Number Applicant
9701 NE 4 Avenue 1132060170240
BRIDGE INVESTMENTS II LLC
Miami Shores, FL 33138-2481 Block: Lot:
Owner Information Address Phone Cell
BRIDGE INVESTMENTS II LLC 9701 NE 4 Avenue (786)333-9096
MIAMI SHORES FL 33154-
9701 NE 4 Avenue
MIAMI SHORES FL 33154-
Contractor(s) Phone Cell Phone
ALZATE CONSTRUCTION INC (954)599-8434 (305)949-4526
ie of Work: INSTALL WINDOWS 12
of Openings: 12
iitional Info: INSTALL WINDOWS 12
ssification: Residential
inning: 1
Fees Due
Amount
CCF
$10.20
DBPR Fee
$3.30
DCA Fee
$2.20
Education Surcharge
$3.40
Penalty Fee
$100.00
Permit Fee
$220.00
Scanning Fee
$3.00
Technology Fee
$13.60
Work without Permit Fee
$220.00
Total:
$575.70
Valuation: $ 17,000.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # WS-1-18-66201
01/23/2018 Check#: 1086 $ 525.70 $ 50.00
01/23/2018 Check#: 1085 $ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Window Door Attachment
Final
Review Building EJE
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
construai�n and zoning. FWt ermore, I authorize the above -named contractor to do the work stated.
January 23, 2018
Signature: Owner / Applicant / contractor\ / Agent
Building Department Copy
nuary 23, 2018 1
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: (30S) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
RECEIVED
2 3/ p�B�"'
201�(
Master Permit No. i26Z
Sub Permit No.y�v<�' I - I
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: � 70, M 1z L
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
City: AZ -'� U 1�4 1 State: 6 Zip: _;��/S4/
Tenant/Lessee Name: Phone#:
Email: 1
CONTRACTOR: Company Name: 2�t"C't� ocgs�y -) Phone#: qS A 5cig s4'
Address: gls IJUJ k (&\,j l O
City: qL&"j State: fl zip: 331X
Qualifier Name: Ann &6=fl�t Phone#: 554 SqQ 8_ 4�_
State Certification or Registration #: r (_, G 15 '1 % 21 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ A 1-% Wy Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: I USTPrI\ Va l NL[YL ( 1
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $
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. 1 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
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged beforemethis The foregoing instrument was acknowledged before a this
✓ day of A/v 20 a , by day of 20, by
gJzP��s 19-6�011XI! who is personally known to�1J1 -�17 G mho is ersonally known t
me or who has produced L1712 .GlG as me or who has produced as
I�dif Doi g�11?
identification an o i take an oa identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLI
Sign:
Sign:
�P�o
'* ;+`-
MYCOMgK. GONZALEZ
Print:
Print:
Seal:
_.;
»= MY COMMISSION 1t GG 074]86
Seal:
' ' ;°° '
80 $ No
nded Tnn, Norary Puti er 2, zo2o
Public
S�bE�F«,M'�
y EXPIRES: Apri 14, 2202211
Underwriters
y.�
Bonded TIw Notary Pv�k UnderwlMR
APPROVED BY
Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores 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).
cknowled ement:
Qualifier/Owner Signature Date Print Name