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107 NE 93 St (11)Essue Date: 6/8/2006 Owner's Name: OSCAR RIZZO Permit Type: Windows /Shutters Work Classification: Shutters Job Address: 107 93 Street NE Contractor(s) Phone Primary Contractor SEARS HOME IMPROVEMENT PRO 561- 732 -6614 Yes Comments: IMPACT Afa iLaLc:›WS Additional Information Type of Work: IMPACT WINDOWS No of Openings: 27 Additional Info: Classification: Residential In consideration of the issuance to me of this permit, I agree to perform t e 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 construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Tota[ Square Feet: 0 equired Inspections Shutter Attachment Shutter Final Total Valuation: $ 5,1 88.00 Fees Due CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Miami Shores Village, FL 33138- Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Expires: 11/29/2006 Amount $3.60 $1.20 $370.00 $9.00 $9.25 $393.05 Permit Invoice Number WS - 6 - 06 - 25140 Total: Parcel #: Block: Section: Amt Due $393.05 Permit Status: APPROVED Permit Number: WS -6 -06 -1506 Phone: (305)759 -7466 1132060133000 Lot: PB: Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMBTS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Date: To: Permit No: �Sh Ott lic, State of Florida i,ssion Expires: 1 a:.-L A6, SE RS HOME IMPROVEMENT PCIDDUCTS To Whom, It May Concern: Please be advised that the following contracted, work has not been performed and Sears Home IImprovement Products, Inc. would like to have the permit cancelled at this time per the homeowner's request. Reference Customer Name and Address: If you have any questions, please call 407- 551 - 5402. Thank you for your help. Sincerely, Alfre .!+ . Nyman, J Qualifier for the State of Florida (CMC1249510) Sworn �• i d subscribed before me this It day of O D)S - -- , 200 i _ 1 r. Seal: JANET ALONSO MY COMMISSION df DD4S4264 14OFill EXPIRE.5. July 24,21)09 (401) 3F&o1 &3 ' c * Notary 9wvAca Ca 1612 NW 84th AVENUE, DORAL, FLORIDA 33126 • PHONE: 305 -341-5663 FAX: 305 -341 -5664 BUILDING PERMIT APPLICATIO FBC 2004 Permit Type (circle): Building Owner's Name (Fee Simple Titicholdcr), „ Owner's Address City:,] 5 Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miam FOLIO / PARCEL #,!� Is Building Iiistorically Designated YES NO Contractor's Company Name Contractor's Address J City_,ti` r Qualifier Nam ■ State Certificate or Registration No. Value of Work For this Permit $ - State Architect/Engineer's Name (if applicable) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 r Br; Electrical State Type of Work: ['Addition ElAlteration ❑New Describe Work: r e t. ( J. Permit No. Master Permit No. Plumbing Phone ti 3 Mechanical Hooting Phone # Phone # Phone # Zip Zip - 3 l Phone # Certificate of Competency No. Square / Linear Footage Of Work: ❑ Repair/Replace ❑ Demolition 4_Z rc :t .:..** *: L'**** ***.::':::*** ** * **9L'*********• ***F : i'** ****** CX> F' YCX• I: SC Y•Yf3:••}:***i:*** **�:****T.%•* , Submittal Fee S Permit Fee $ - - ) CCF $ ' ' ° CO /CC Notary S Training/Education Fee S Technology Fee S Scanning S Radon S DPBR $ Zoning ,$ Bond $ Code Enforcement S Double Fee $ Structural Review. S Total Fee Now Due $ See Res crse side —> Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 apprd and a reinsertion fee will be charged. Signature Owner or Ages The foregoing instrument was acknowledged before me this day of ,20,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: puilip ;2410v, OP noRinA Raymond Codispoti Commission # DIJ498084 Expires: JAN. 27, 2010 Sign: . Print: U nonded Tiuii At}an+ie Bonding Co., Inc. My Commission Expires: Signature ******************************** * * * * * * * * * * * *q * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) Contractor The foregoing instrument was acknowledged before me this - day of , 2C'. ° by who is personally known to me or who has produced as identifiption . 1 ft„IltIliev oath. NOTARY PUBL Commission 41)3195 1 E M a : . 7,3, 2JC`i (( • "e�iF• 'e`, 3ondcd Thru \ kf ;. �i r ', Sign: Print: My Commission Expires: **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning PROPERTY LOCATED AT: \0k S� As legal owner of subject property, I request the cancellation of permit numberjlG 6- 0C issued to A L c EAD wnANJ semis t V)"-c,.i 5 k2)02.r1 -vA c L9 k ^t L^ 3 cr4 u, 1 for the following reason: Date of last inspection: I hereby apply as owner - builder, or authorize (new contractor) WOW'S to apply for such permits as necessary to construct or complete the construction on subject property. I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any responsibility or liability for any legal action or damage, cost or expense (including attorney's fee) resulting from the cancellation of the existing permit or the issuance of a new permit. I furthermore assume responsibility for the correction, if required, of work performed under the permit for which I am requesting cancellation. (Owner's Signatu (Print Name) State of Florida County of Dade: The undersig property. Sworn to and s Notary Public, Sat k `!",, JORGI CARO i . ' �?,MMISSION :1 DD160432 w f, © . 2S: OcicSzr 23 .2 26 J being thelirsr 'r1a• Vaire4Viatve MODefrvermeat 10050 NE 2 Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305- 756 -8972 www.miamishoresvillage.com HOLD HARMLESS DATE: ° 0 (Prime Contractor-Only if subcontractor holds permit or if change of qualifier) (Print Name) eposes and says that he /she is the legal owner of the above day of