WS-19-1185Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: WS-05-19-1185
rIL Permit Type: Windows/Shutters
i - ossification. Window/Door Replacement
Permit Status: Approved
Issue Date: 05/31/2019 I Expiration: 11/27/2019
Location Address Parcel Number
9405 NW 2ND AVE, Miami Shores, FL 33150 1131010330670
Contacts
LUCIA MESIAS Owner FHIA LLC Contractor
9405 NW 2 AVE, MIAMI SHORES, FL 33150 WAYNE BURNETT
Business:9547924415210 PERMITS@FHAPRODUCTS.COM
Inspection
Description: REPLACE EXISTING 7 WINDOWS AND 1 DOOR TO Valuation: $ 18,200.0Requests: 0 4949
REPLACE PERMIT#WS18-1681 305-762
TO REPLACE EXPIRED PERMIT WS-6-18-1681 Total Sq Feet: 0.00
Fees Amount
Payments
Date Paid Amt Paid
50% Renewal Fee $90.00
Total Fees
$90.00
Credit Card
05/31/2019 $90.00
Tota I : $90.00
Amount Due:
$0.00
Building Department Copy
In consideration of the ' suance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto an in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In acce' in is permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are r4clo e f r ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWN�ionand
baLall the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
May 31, 2019 Page 2 of 2
�aa-�J35 -IQ£I,�Cwa.L
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: (305) 762-4949
BUILDING
PERMIT APPLICATION
ro-JBUILDING ❑ ELECTRIC ❑ ROOFING
MAY 3 21 9
BY:
FBC 20
Master Permit No. Wn - b- 18 " 1631
Sub Permit No. ws QS -11 4 O 3
❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING MECHANICAL [:]PUBLICWORKS [:]CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9405 NW 2 AVE
City: Miami Shores County: Miami Dade Zip: 33150
Folio/Parcel#: 11-3101-033-0670 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): RUBEN G PAREDES Phone#:
Address: 9405 NW 2 AVE
City: MIAMI SHORES State: FLORIDA Zip: 33150
Tenant/Lessee Name: N/A Phone#: N/A
Email: N/A
CONTRACTOR: Company Name: FHIA, LLC Phone#: 9547924415
Address: 3044 SW 42 STREET
City: HOLLYWOOD State: FLORIDA Zip: 33312
Qualifier Name: WAYNE THOMAS BURNETT Phone#:
State Certification or Registration #. CGC061890 Certificate of Competency #: N/A
DESIGNER: Architect/Engineer: N/A Phone#: N/A
Address: N/A City: N/A State: N/A Zip: N/A
Value of Work for this Permit: $ 200 ^Square/Linear Footage of Work:
Type of Work: ❑ "Addditionj ❑ Alteration �-7❑ New I ❑■ Repair/'Replace ❑ Demolition
Description of Work: 1 �� `a�`� �XI�S�i I UU iylilbW S �f1 Gt ) SOO r
of 5-6-18 - 16et
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $
Structural Reviews $
Training/Education Fee $
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ �CJ '
(Revised02/24/2014)
2
Bonding Company's Name (if applicable) N/A
Bonding Company's Address N/A
City N/A State N/A
Mortgage Lender's Name (if applicable) N/A
Mortgage Lender's Address N/A
City N/A State N/A
Zip N/A
Zip N/A
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 foi that a copy of the notice of mencement and construction lien law brochure will be delivered to the person
whose prope is subjec to attachment. Also, a ert ted copy of the recorded notice of commencement must be posted at the job site
for the fi t inspection ich occurs seven (7) day after the building permit is issued. In the absence of such posted notice, the
inspec on willnotbe apved and a reinspect on f e will be charged.
Signatu
OWNER or
The foregoing instrument was acknowledged before me this
2( daily of f 120 t T by
w oPnally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: Miguel M
Seal: ;
APPROVED BY
MIGUEL A MtK%,JA1JW
MY COMMISSION # GG095745
EXPIRES April 19, 2021
Signature� r�L-
\ \Pq ONTRACTOR
The foregoing in rument was acknowledged before me this
�l day of 20 lr by
r- 9 v1-T , who i ersonally known
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: Miguel
' MIGUEL A MERCADO
Seal: F. �'•-
MY COMMISSION # GG095745
EXPIRES April 19, 2021
as
U L�
Plans Examiner Zoning
Structural Review
Clerk
(Revised02/24/2014)