WS-20-494Miami Shores Village
10050 N E 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: WS-03-20-494
Permit Type: Windows/Shutters
ork.Clossiffcation: Window/Door Replacement
Permit Status: Approved
Issue Date: 04/13/2020 I Expiration: 10/12/2020
Location Address Parcel Number
82 NW 98TH ST, Miami Shores, FL 33150 1131010330230
Contacts
BLUE DOT HOMES LLC Owner HCD DEVELOPERS LLC Contractor
82 NW 98 ST, MIAMI SHORES, FL 33150 TOMAS RAFAEL GONZALEZ
Home: 9549800623 5273 SW 157 LN, MIRAMAR, FL 33027
Business: 3055929898 igonzalez@urbandomus.net
Description: NEW 13 WINDOWS AND 3 DOORS Valuation: $ 15,000.00 Inspection Requests:
Total Sq Feet: 1,500.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$9.00
DBPR Fee
$3.90
DCA Fee
$2.60
Education Surcharge
$3.00
Scanning Fee
$3.00
Technology Fee
$6.50
Windows/Shutters Fee
$210.00
Total:
$288.00
COV I D 19
Applicant Copy
Payments
Date Paid Amt Paid
Total Fees
$288.00
Credit Card
04/13/2020 $288.00
Amount Due:
$0.00
For Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/.
Requests must be received by 3pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that may be found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,
public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES.
April 13, 2020 Page 1 of 2
Y, 7
�. 1 1 ED
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
Mr•,r, 0 5 Jl a
BY:
F/B�C 2�0,/�
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No. W�"�—� �r Zc�' `i`l `I
Z136ILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:^'
City: Miami Shores County: Miami Dade Zip: 33( To
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE%%� FFE:
ct,
OWNER: Name (Fee Simple Titleholder): gTv�'' `"�- c-ffCYn5 41
/Phone#:
Address: IQoyE (*q 3"1
City: Ylliuu/i State: TL Zip:
Tenant/Lessee Name: Phone#:
Email: AdaWL1gQ &QC4 ZI111ACf60Ui (,l1Mn
CONTRACTOR: Company Name: 'De /-'-e Phone#:
Address: A/O t)w 2--)- f t
City:
LClllf/1
-727
O
Qualifier Name:
t%1 ���Z� Phone#:
State Certification or Registration #: ��� Certificate of Competency #: _
DESIGNER: Architect/Engineer: Rk) fi?-9 b/ 149 051/ �J 4 • Phone#:
Address:
Zip:
City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑
=llWIll
❑ Repair/Replace
❑ Demolition
. • ►v F,. i7siffl
Specify color of color thru tile: .
r,
Submittal Fee $' Permit Fee-$
Scanning Fee $ Radon Fee $
Technology Fee $,
Structural Reviews $
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
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 exce ng 12500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochur ill be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of ci mencem t must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issue . pie ob n{e of such posted notice, the
inspection will not be approved and a reinspection fee will be charged. / l l
Signature Signature
OWNER or AGENT ONTRACT R
The foregoing instrument was acknowledged before me this The foregoing instrurr nt was ac nowledged before me this
U5 day of \ " -pe 2 � 20 � by day of �� 20 --0 by
��'
i��iio—(� `tivho is personally known to who is personally known to
me or who has produced '-ACEr �a�s me or who has produced as
identification and who did take an oath.
NOTARY UBLIC:
Sign:
Print: (N,t�(n.
Seal: % SINDIA ALVAREZ
MY COMMISSION GG 238273
EXPIRES: September 3, 2022
*******************
APPROVED BY
and who did take an oath.
NOTARY PU
Sign:_
Print:
Seal: l — " -
Notary Public State of Flonda
Ivelisse Teresa Gonzalez
Expommission GG 302028
rces 0211412023
*********ie*
r�
Plans Examiner
Structural Review
*************
Zoning
Clerk
(Revised02/24/2014)