WS-19-1286Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: WS-06-19-1286
Permit Type: Windows/Shutters
llr�C1 assification: Window/Door Replacement
Permit Status: Approved
Issue Date:07/26/2019 I Expiration: 01/28/2020
Location Address Parcel Number
549 NE 106TH ST, Miami Shores, FL 33138 1122310140130
Contacts
Nicolas Gertie Owner A CHRISTIAN GLASS & MIRROR Contractor
3300 DEER CREEK ALBA CIR, DEERFIELD BEACH, FL 33442 COMPANY
TODD PETER ABERNATHY
925 S CONGRESS AVE, DELRAY BEACH, FL 33445
Business: 5612783385
Other:5618603452
Inspection Requests:
Description: REMOVE & REPLACE WITH HURRICANE RESISTANT Valuation: $ 16,809.54 Inspec ion Re
WINDOWS (12) & DOORS (6) Total Sq Feet: 0.00
49
AT NO CHANGE TO SIZE OR OPENING TO REPLACE
PERM IT#WS-7-18-2016
Fees Amount
50% Renewal Fee $90.00
Application Fee - Other $50.00
Total: $140.00
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$140.00
Credit Card
06/05/2019 $50.00
Credit Card
07/26/2019 $90.00
Amount Due:
$0.00
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 coAstr-u�tion and zAr ing. FLAermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner \ / \Applicant / Contractor / Agent
July 26, 2019
Date
Page 2 of 2
i
P2.ECEIVED
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
JU 062019^
BY:
FBC 20
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.IJ�(�r
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ✓EXTENSION VItENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: a4�� t�G t��
iak
City: Miami Shores
County:
Miami Dade
Zip:
Folio/Parcel#: I j a3zl-o U oI
c>
Is the Building Historically Designated:
Yes NO
Occupancy Type: Load:
Type:
Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
jlConstruction
tV Ico ■ Cls
G - r�
Phone#: �� - ��� "g4� t
Address: J4q p��'p, 1 ,z)iP
S�rPel
City: M.o ` -% S\we5'
State:y1.ol
Zip: . SS� "A
Tenant/Lessee Name:
Phone#:
Email:
Comp NY
CONTRACTOR: Company Name: _<< ��iA CI � Phone#: iskot a w- 1_395
Address: q, ,SOIk1 �f �11(2SS (�� .
City: wa h State: Zips: 3-:3
Qualifier Name: Phone#:
State Certification or Registration #:v
DESIGNER: Architect/Engineer:
L �, rtificate of Competency #:
ne#:
Address: ( �Il J ) G City:
Value of Work forthisPermit: $� Square/Linear Footage of Work:
Type of Work: [_'"ition ❑ AlteratiQp� ❑ New ❑ Repair/Replace
e-Vesc(iption of Work:
M
Zip:
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ ✓a , CK3 Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $,
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $
)?LUcf
O -ZOIL
(Revised02/24/2014)
TOTAL FEE NOW DUE $ �0 ,
r
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
E
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 .S—`� Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowled ed before me this
day of - 00- LQ 20 / CJ by Sg6t day of c�y-`c`� 20 k o1 by
[� d Ah42rnQ fhu , who is personally known to N1{ w awl et ey- '1,e who is personally known to
me or who has produced
identification and who did take an oath.
NOT PUBL
Sign:
�.
Seal: ;w ng
..
(407) 39M153
APPROVED BY
ANGELA FREUND
MY COMMISSION #FF997899
EXPIRES June 01, 2020
as me or who has produced
identification and who did take an
NOTARY PU IC:
Sign:
Seal:
o..0
(407)3W-0 53
Plans Examiner
Structural Review
ANGELA FREUND
MY COMMISSION # FF997899
EXPIRES June 01, 2020
as
Zoning
Clerk
(Revised02/24/2014)
RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY
b
a
nt,-� r
r--*f
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
i Y
CONSTRUCTION INDUSTRY LICENSING BOARD
THE GLASS AND GLAZING CONTRACTOR, HEREIN_ IS' ERTIFIED UNDER THE
PROVISIONS OF CHAPTER 489, FORIDA STATUTES
ABERNATHY,-TODD PETER
A CHRISTIAN GLASS & MIRROR COMPANY
925 S CONGRESS AVENUE
DELRAY-BEACH FL 33445
LICENSE NUMBER: SCC131151235
EXPIRATION- DATE: AUGUST 31, 2020
Always verify licenses online at MyFloridaLicense.com
a. a
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.
■ .0
Local Business Tax Receipt
Miami -Dade County, State of Florida
—THIS IS NOT A BILL — DO NOT PAY
7006810
LBT
BUSINESS NAMEILOCATION
RECEIPT NO. EXPIRES
EXPIRES
A CHRISTIAN GLASS & MIRROR
COMPANY
RENEWAL
2019
7282247
DOING BUSINESS IN DADE
Must be displayed at place of business
COUNTY
Pursuant to County Code
Chapter 8A - Art 9 & 10
OWNER SEC. TYPE OF BUSINESS
PAYMENT RECEIV
A CHRISTIAN GLASS & MIRROR CO 196 SPECIALTY BUILDING BY TAX COLLECTOR
TODD P ABERNATHY, QUALIFIER CONTRACTOR
75.00 07/17/2018
Worker(s) 10 SCC131151235 CHECK21-18-069425
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license,
permit or a certification of the holder's qualifications, to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT NO. above must be displayed on all commercial vehicles - Mlsmi-Dade Code Sec 8a-M
a For more information, visit www m*amidsde ggy&xcallector