WS-19-784Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: WS-04-19-784
() rL Permit Type: Windows/Shutters
rs
lJ1 .Classification: Window/Door Replacement
Permit Status: Approved
Issue Date:04/12/2019 l Expiration: 10/08/2019
Parcel Number
10250 NE 2 AVE, Miami Shores, FL 1132060131710
Contacts
RACHEL SANON Owner RACHEL SANON Applicant
10250 2 AVE, MIAMI SHORES, FL 33138 10250 2 AVE, MIAMI SHORES, FL 33138
Arco Construction Corporation Contractor
LESTERJENSEN
1665 NE 137 TER, MIAMI, FL 33181
Business: 3058926507 arcoconstruction@aol.com
Other:3058926507
Description: INSTALLATION OF NEW (9) WINDOWS & (1) Valuation: $ 3,500.00 Inspection Re nests: 305-62-4949
FRENCH DOUBLE DOOR ON LEGALIZE PATIO ENCLOSURE
TotalSq Feet: 230.00 11
.J
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
DBPR Fee
$3.00
DCA Fee
$2.00
Education Surcharge
$0.80
Notary Fee
$5.00
Scanning Fee
$3.00
Technology Fee
$5.00
Windows/Shutters Fee
$150.00
Tota I :
$221.20
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$221.20
Check # 2740
04/12/2019 $221.20
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
regulatin onstruction and zoning. Futhermore, I authori the ab�tlr-�o�� r g do the Work stated.
thori d Signature: Owner / Applica t / ontr ctor / Agent Date
April 12, 2019 Page 2 of 2
Miami Shores Village u�;C
Building Department LPR 2019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138BY
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 BUILDING Master Permit No. -1/
—2� I
PERMIT APPLICATION Sub Permit No. wS— 04 -i 1- j8741
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I O ZOO N 2' `J e
City: Miami Shores County: Miami Dade Zip: F2?2
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: nstructioknType: Flood Zone: BFE: FFE: %
OWNER: Na a (Fee Simple Titleholder):S )iA) C� Phone#:
Address: (\1 r 7 n t-__ _ Y�rVP _
City:
Tenant/Lessee Name:
Email
State:
ne#:
p:
1-) 1�
_
CONTRACTOR: Company Name: A Q Phone#: �5 0
Address: 17C'ia Arb !tn �4A.4 S'r
City:
2
Qualifier Name: C-2 ( �_
State Certification or Registration #:
State: (_ Zip:
Phone#:
Certificate of Competency #:
DESIGNER: Architect/Engineer: ZP imL[k �4 . vL,P14 —� Phone#:
' =3
Address: , .�?'�:46 O (� -t �sP ��} C0:' � State: Zip:
Value of Work for this Permit: $ LOat — ScIi are/Linear Fooiage of.Work:
Type of Work: Addi&pn ❑ Alteration ❑ New, 'Repair/Re'place ❑ Demolition
b6criplion of•Work: ' ° ' "
ir
114
SpeciNfcolat;' color thru tile: �r„s,`, },�•
Submittal Fee $ l
Scanning Fee $
Technology Fee $_
Structural Reviews $
Permit Fee $ c2V l J CCF $
Radon Fee $
Training/Education Fee $
CO/CC $
DBPR $ Notary
Double Fee $
Bond $ ^�'1 ^l
TOTAL FEE NOW DUE $ G� • Zv
(Revised02/24/2014)
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 on 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 sev ) days after the building permit is issued. In the absence of such posted notice, the
inspection will nAe approved AGnV a re nspe tion fee will be charged.
Sign
OWNER -or AGENT
The foregoing instrument was acknowledged before me this
day of L--) f i 1 20 by
Glch-e l S a no n J who i personally known to
me or who has produced
ident
who di to
NOT
Sign:
Print1
Seal:
Id-Q Y 111(QnS`Q_ as
Signature
CONT AC R
The foregoing instrume t was ac wledged before me this
cl y of ri 20 1 by
S r -C Y►S-Q who is pers nally known to
me or w4etras produced �►�V�k Y l i rd h was
oath pi PRIE'Tp�•�/ identific tion an ho did`take an oath.
.•
^�;N1S.20ci1,••• N TAR PUBLIC: ; ;�11►i'f •.
it '40
�• ,Sign:
•• eond�s �"; Print: CA A ,. t
y///////i•.BiIC:.S.r;� �\\ Seal:STAC0���\
**ss********:***rs***s***s**********�*************r*�*r********�*.*:.*.****:::�.*r*s******:*s********■:****
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).
Acknowled eme t:
L1___<UaIifier/66ejrignature
�U� J ._ � SE11.
Date Print Name
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
REPLACEMENT OF WINDOWS, DOORS AND SHUTTERS.
Permit application must be accompanied by:
Two (2) copies of drawing of the building, showing location of the windows, doors and
shutters to be replaces.
❑ Two (2) copies of the Comparison Chart, with all the required information. (NOA approval
number, size of each opening, (width and height), opening design pressures, and design
pressures for each component taken from the individual NOA, "Notice of Acceptance")
❑ Two (2) copies of State of Florida or Miami Dade County approved NOA for each different
components being installed. (Windows, Doors, Mullions, Fixed Glass, shutter)
❑ Florida Building Code -Existing Building, section 706.4 Replacement of windows and
doors. The replacement of garage doors, exterior doors, skylight, operative and inoperative
windows shall be designed and constructed to comply with Chapter 16 of the Florida
Building Code, Building.
Exceptions:
2. Opening protection exception for High -Velocity Hurricane Zones. For one -and
two-family dwellings constructed under codes prior to September 1, 1994, the
replacement of exterior doors with glazing, sliding glass doors, glass patio
doors, skylights, and operable and inoperable windows within any 12- month
period shall not be required to have opening protection provided the aggregate
area of the glazing in the replaced components does not exceed 25 percent of the
aggregate area of the glazed openings in the dwelling or dwelling unit.
❑ Every bedroom shall have at least l egress opening. The minimum opening size: (20" wide x
24" high)
❑ If Owner is doing the work, include the Owner Builder Disclosure.
❑ Require inspections: Buck (if greater than Ix), Framing and Final.
THE ABOVE REQUIREMENTS ARE FOR EXACT RETROFIT ONLY. WINDOWS, DOORS AND
SHUTTERS MUST BE INSTALLED AS PER PRODUCT APPROVAL. GROUT OR HYDRAULIC CEMENT
ARE NOT ALLOWED AS INFILL ON THE PERIMETER OF THE WINDOWS OR DOORS UNLESS
SPECIFIED ON THE PRODUCT APPROVAL.
Revised on 7/22/2009; 11/17/2014