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WS-18-2370`yµort£S Miami Shores Village 10050 N.E. 2nd Avenue NE 4 Miami Shores, FL 33138-0000 Phone: (305)795-2204 ><O RtDp' Permit NO. WS-9-18-2370 Permit Type: Windows/Shuttem Perml't-rk Classification: Window/Door Replacem Permit Status: APPROVED Issue Date: 9/6/2018 1 Expiration: 03/05/2019 Project Address Parcel Number Applicant 1005 NE 92 Street 1132050150150 Miami Shores, FL 33138- Block: Lot: ALBERT WATSON owner mtormation Address Phone Cell ALBERT WATSON 1005 NE 92 Street (786)445-4698 miami shores FL 33138- Contractor(s) Phone Cell Phone THE HOME DEPOT USA INC (954)336-0881 ie of Work: WINDOWS & DOOR REPLACEMENT of Openings: 14 iitional Info: WINDOWS & DOOR REPLACEMENT ssification: Residential inning: 3 Fees Due Amount CCF $0.00 DBPR Fee $0.00 DCA Fee $0.00 Education Surcharge $0.00 Permit Fee $240.00 Scanning Fee $0.00 Technology Fee $0.00 Total: $240.00 Valuation: $ 25,791.00 Total Scl Feet: p Pay Date Pay Type Amt Paid Amt Due Invoice # WS-9-18-68785 09/06/2018 Credit Card $ 240.00 $ 0.00 Available Inspections: Inspection Type: Window Door Attachment Final Review Building 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 construction and zoning. Futhermore, I authorize the above -named contractofr Authorized Signature: Owner / Applicant / Contractor / Building Department Copy September 06, 2018 all work will be done in compliance with all applicable laws regulating VQrk stated. September 06, 2018 1 Miami Shores Village n wi n , 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 G 0 6 2018 FBC 20(-'� Master Permit No. Wjt3 —ZI-71� Sub Permit No. ❑ REVISION ❑ EXTENSION *RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1005 NE 92 ST, Miami Shores, FL 333138 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3205-015-0150 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Albert Watson JR. Phone#: Address: 1005 NE 92 ST, Miami Shores, FL 333138 City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: Email n CONTRACTOR: Company Name: THE HOME DEPOT USA INC Phone#: Address: 2455 PACES FERRY RD C-11, ATLANTA, GA 30339 City: ATLANTA State: GA Zip: 30339 Qualifier Name: RAQUEL SWANNER Phone#: 954-336-0881 State Certification or Registration #: CGC-1514813 Certificate of Competency #: _ DESIGNER: Architect/Engineer: NSA Phone#: Address: City: State: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Description of work: PERMIT RENEWAL WS-1 -18-141 Specify color of color thru tile: [ J r1 Submittal Fee $ Permit Fee $ 2—` " ' CCF $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ Zip: ❑ Demolition CO/CC $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) �4o , o-,--*) 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. 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 , r� Signatu OWNER or AGENT TOR The foregoing instrument was acknowledged before me this The foregoin strumedged befo me this rw�w�as�;acknowl S day of Se 20� by 3 day of 20 by )q 1—�X r4 WO S 17 , who is personally known to f�9(.1�/.�C(%lif��2/� who is personally known to me or who has produced ��(� �� S ��O"�7�'�%a"sO me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: +; Print: J Print: = - t 0 ry Publ;c ANAS :State Ot Flor,dn-NOtarTpsi� Seal: �` o: u,,,,?.' My C0mm1ssi0n Expires Seal: Apr l 01, 2022 J1 Commiss,On Y ublic 'Fy,„oP•' G G 20208 My Commis 5 ------- sion Expires April 07, 2022 **************************** ******************************************************************** APPROVED BY / Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY bpr a STATE OF FLORIDA DEPARTMENT OF BUSINES-&-A P-ROFESSIONAL REGULATION CONSTR THE GENE PROV NDER THE UTES ECPIRATIO ►?;`' C1GUST 31, 2020 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document.