WS-18-2288Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit NO. wS-8-'I 8-2288
Permit Type: Windows/Shuttem
erlm orkClassification: Window/Door Replacem
Permit States: APPROVED
Parcel Number
issue Date: 8/29/2018 1 Expiration: 02/25/2019
Applicant
9730 NE 5 Avenue Road 1132060171470
JOHN &MARIE PERIKLES
Miami Shores, FL Block: Lot:
Owner Information
JOHN & MARIE PERIKLES 9730 NE 5 Avenue Road (786)236-0254
MIAMI SHORES FL 33138-
Contractors) Phone Cell Phone
LEADING EDGE CONTRACTOR SERV (786)406-2488
of Work: REPLACEMENT OF 15 WINDOWS AND 5 DOO
No of Openings: 20
Additional Info:
Residential
Scanning: 9
Fees Due
Amount
CCF
$0.00
DBPR Fee
$0.00
DCA Fee
$0.00
Education Surcharge
$0.00
Permit Fee
$300.00
Scanning Fee
$0.00
Technology Fee
$0.00
Total:
$300.00
Cell
Valuation: $ 15,000.00
Total Sq Feet: p
Pay Date Pay Type Amt Paid Amt Due
Invoice # WS-8-18-68694
08/29/2018 Credit Card $ 250.00 $ 50.00
08/27/2018 Credit Card $ 50.00 $ 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 AF A T: I certify
construction anji zqhmg. Futhen
kthe foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
I authorize the abov me contractor to do th work stated.
m 2� U1 ,cn--'� August 29, 2018
Signature: Owner / Applicant
Building Department Copy
/ Contractor / Agent
August 29, 2018 1
QP
Miami Shores Village
.�0
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 -j_
FBC 20 li-�
BUILDING Master Permit No._ _jLt- 23c c1
PERMIT APPLICATION Sub Permit No. V\s ( G 2( U
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [_—]RENEWAL
R 'C>F,TNT"F
AU 2 7 018
BY:
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
G C CONTRACTOR DRAWINGS
S
JOB ADDRESS: 1 �� `�� AV G -0-
City: Miami Shores Countv: Miami Dade Zip: —5j
Folio/Parcel#: 11 10'" 'O l'� (14-70 _Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
1 1 ri ,` 1^7
OWNER: Name (Fee Simple Titleholder): vW t^ �" � Sy 1 Phone#: ,Cf,, 0
Address: 13 0 (J C �-
City:
Tenant/Lessee Name:
Email
State:
hon
Zip:'-S-s � I
CONTRACTOR: Company Name: Lc A3 C c� CJ �r �1��+�D Phone#: 72 1�' 6
Address: k �O' Z'� i'�.r(-✓ � ? �- vC%
City: V V, ( tk LAI'\ `
Qualifier Name: 1
State Certification or Registration #:
DESIGNER: Architect/Engineer: _
Address: City:
Value of Work for this Permit: $ 1 Square/Linear Footage of Work:
r
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work:
State: C , Zip: & v( Y
Phone#: Z96 qC C' �-'k
yT
Certificate of Competency #:
Phone#:
M3
❑ Demolition
Efl`C' W 1 tAj o 1.✓ j/k'rL' nn 1
Specify color of color thru tile:
Submittal Fee $ E>O- OD Permit Fee $ ' CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ _ Bond $
TOTAL FEE NOW DUE $ l ' CO
(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 an estimated value exceeding $1500, 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 i " ue . In the absence of s posted notice, the
inspection will not be approved and Vei71,wi/I be charged.
:::)Signature Signature
/ OWNER or AGENT 1 CONTRACTOR
The foregoing instru ent was acknowledged before Lne this The foregoing instrument was acknowledged before me this
day of , 20 by v day of �y��� 20 1 by
who I arcnnallu kn� _ � 0-921 N47k�� who is personally known to
me or who has oduced as me or who has produce.. �(ZI 2 -s
i ntification who did k an oath. identific ti n and who did take an oath.
OTARY PU C: NOTARY PUBLIC:
v
r
Sign: _ Sign:
Print: I Print`J'lhl f
? U notary Public taste of Florida
Seal: �,<�";•' LORMACOMM Seal: Sindia Alvarez
• My t�7MM��5)oN ,�� My Commission FF 156750
* * 4OFaExpires09/03/2018
WOW Thill
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)