WS-19-2355Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: WS-10-19-2355
Permit Type: Windows/Shutters
� J I' ar -Classification: Window/Door Replacement
Permit status: Approved
Issue Date:11/21/2019 Expiration: 05/19/2020
Parcel Number
1080 NE 104TH ST, Miami Shores, FL 33138 1122320290200
Contacts
SHORES 104 LLC Owner
Business: 3057788787 REMY@QUILLIOT.COM
DAVID HESTER, INC. CBC Contractor
DAVID PAUL HESTER
420 NE 115 ST, MIAMI, FL 33161
Business: 7862466429
Description: NEW WINDOWS INSTALLATION (4) Valuation: $ 1,000.00 Inspection Requests:
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.10
DCA Fee
$2.00
Education Surcharge
$0.20
Scanning Fee
$3.00
Structural Review ($45)
$45.00
Structural Review ($45)
$45.00
Technology Fee
$3.50
Windows/Shutters Fee
$90.00
Total:
$241.40
Payments
Date Paid Amt Paid
Total Fees
$241.40
Credit Card
10/07/2019 $50.00
Credit Card
11/21/2019 $191.40
Amount Due:
$0.00
Building Department Copy
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.
OWNER-IDAVIT:_.-I_certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
guating co`n-s-nctien�nd zonin% Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
November 21, 2019 Page 2 of 2
t
BUILDING
PERMIT APPLICATION
OBUILDING ❑ ELECTRIC
Miami Shores Village RECEIVED
Building Department N V 2 0 0,9
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY.
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
❑ ROOFING
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS
FBC 20 1�
Master Permit No. RC-03-19-539
Sub Permit No. WS-10-19-2355
❑ REV ION ❑ EXTENSION [:]RENEWAL
CHANGE OF [:]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1080 NE 104th St, Miami Shores, FL33138
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-2232-029-0200 Is the Building Historically Designated: Yes NO_
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): SHORES 104 LLC Phone#: 305-778-8787
Address: POBOX 613248
City:
MIAMI
Tenant/Lessee Name: N/A
Email: remy@quilliot.com
State: FL
33261
hone#: N/A
CONTRACTOR: Company Name: DAVID HESTER INC Phone#: 786-246-6429
Address: 420 NE 115th Street
City: Miami
FL33161 Zip: 33161
Qualifier Name: DAVID HESTER Phone#: 786-246-6429
State Certification or Registration #: CBC1261342 Certificate of Competency #:
DESIGNER: Architect/Engineer: SCOTT WEINKLE Phone#: 786-546-5046
Address: 400 KINGS POINT DR - STE 1507 City: SUNNY State: FL
Value of Work for this Permit: $ 1000 (4W I N) Square/Linear Footage of Work: 37 LF
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work: NEW WINDOWS INSTALLATION (4 WIN)
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Zip: 33160
❑ Demolition
CCF $ CO/CC $
DBPR $
Notary $
Technology Fee
Structural Reviews $
Training/Education Fee $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ ' 'ib
Bonding Company's Name (if applicable) N/A
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 su posted notice, the
inspection will not be approved and a reinspection fee will be charged. — D
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
7q4-k,-\ day of NOVem ( 20 t R by
RPwly Qv<< (1 01 who is personally known to
me or who has produced FL D!cjve r L cersP as
The foregoing instrument was acknowledged before me this
ZO day of IJ0v-ei,, b 20 i !21 by
�-�si-P�, who is personally known to
me or who has produced
identification and who did take an oath. identification and who did take an oath.
as
NOTARY PUBLIC: NOTARY PUBLIC:
Si n: g Sign:— e
Print: �<evi n Print: 0t
Seal: :�aY °�e' KEVIN L AIPCIGi.R Seal:
Z �,� �•` Notary Public -State of=lorida
Commissior = GG 354682 BETTINASEIFRIED
OF FL
My Comm. Exoire;a,.:g'2,2023 *. V,fCOINMISSION#GG246435
i************
••s,;oE.rZ?•� ft.&dTMUN&W --PubIiCUM+!MRIt,1 i
APPROVED BY t Plans Examiner Zoning
i�tl�l1 Structural Review
Clerk