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WINDOWS/DOORSMiami Shores Village BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Contractor's Company Name Contractor's Address City Qualifier ka„l;?■ ( G V Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ❑Addition Describe Work: Submittal Fee $ Notary $ Training/Education Fee $ Scanning $ 30_ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Building XO Radon $ Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) ,j �V� rl A11;(1-1 Owner's Address N _ y:.c> >t City '~l t (OM 't : 5 State Zip , 331 Tenant/Lessee Name ©U•:.1 Phone # t4CS� '7Sf�-3 O Job Address (where the work is being done) `t 2O 1.1 E_. I City Miami Shores Village County Is Building Historically Designated YES NO Yarn l Co 1 0-SS s t ; r(7(Cw S Phone # aC sf ,Sj It 7 ❑Alteratio / �/ State L State Certificate or Registration No. Certificate of Competency No. C( 7 Pi3003 2 441 0 Opeivitv- Permit Fee $ r-► Miami -Dade ❑New Structural Plan Review. $ 1► Permit No A j LQ Master Permit No. Zip Phone # Square Footage Of Work: * * * * * * * * * ** * * * * * * * * * * * * * * *** Fe * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** 30 Zip -)©I(1- NI Repair/Replace CCF $ ' 3 CO /CC S' Technology Fee $ /i 'O Zoning Bond $ ( JAN 2 ?n" Roofing 530 s4. ❑ Demolition a 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 approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this 14 day oft2e -Q./, 2004 , by Sk-c•e.-r Lk. 2.0 , w of is personally known to me who has produced As identification and who did take an oath. NOTARY P LIC: Sign: My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 Signature NOTARY PUB Sign ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor The foregoing instrument was acknowledged before me thus ) day of J 1 eA6r200v , by Cau 1(v e/ tr 0 who is personally known to me or who has produced as identificatio d who did take an oath. My Commission Expires: ) JAN 2 5 2605 „ Rosa I. Palados i 0 ` Expires Dec. 28, 2005 T Print: O tt+ Deborah E. Sadno Print: r • My Commission D0192602 le0 Ew res March 12.2007 ******************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * ** * * * ** ``� Atlantic Bonding Co. r ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 5D 60 (Di STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: S €c Pb 10 P9 3 Amount of bond $ 6. Lender's name and address: Print Notary's Name My commission expires: 123.01 -52 PAGE 4 8/02 ok- 40* owa.h E SWbino • j Mycan►rssWnDD1920(2 Mint► a J( Signature of Owner Print Owner's Name St-ev't W • t- Z Sworn to and subscribed before me this 1 day of De cia-rat --•f!" , 20 Q`f by .3 eve W . Ze l 4. i,,,►� e use- srr.and1.11 it.now Notary Public - ---< 1111111111111111111111111111111111111111111 c :F= ifs 200.8 1 131.639 OR Bk 22918 Ps 1387; (1Ps) RECORDED 12/17/2004 15:05 :33 HARVEY RUVIN► CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE Lo 9 * 10 81 k5 - of N;elivni Stores, `1D0 NE 95St. 2. Description of improvement: F- r n is ti `+- Z - n s1-&( ( L rneact Ij) n w.S 3. Owner(s) name and address: 5 { Vei 1,13 ' - A 1 1 i Sv Ze iI ko w , f z 9-7-o N c s St H icknmi S, FC_ 3313E Interest in property: Name and address of fee simple titleholder: (>>s,.)ne( 4. Contractor's name and address: T O.Ann 11 Class W : rldc s y $Q LO $ ct sf. . I \A i clA e .�'l PL. 330 14.- 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: A. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differe date is specified) Prepared by '31 eVe..vl Ze 1 kot : z Address: S3eue.'+ Ze ko w t 2 44)o N& 95 -Si. 5•1ore5 ) C. "531 3 8' E i4115fs' piiie ut, ? ;er g m 21:. , , l (�'� "�' U�l i i. t •. lt�a Q� �� ). \f ra . Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/3/2005 Applicant: ALLISON Owner: ZELKOWITZ JOB ADDRESS: 420 NE 95 Parcel # 1132060140461 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -96 ZELKOWITZ ALLISON ST Contractor YAMILL GLASS & WINDOW INC Contractor's Address: 480 W. 84 St. #107 Local Phone: (305) 826 -2121 Permit Status: APPROVED Permit Expiration: 7/23/2005 Construction Value: $25,000.00 Work: REPLACE WINDOWS 16 CASEMENT IMPACT GLASS WINDOWS AND 4 DOOR IMPACT Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 9 & 10 BLK 52 LOT SIZE 100.000 X Fees: Description Amount FEE2005 -1425 Building Fee $300.00 FEE2005 -1426 CCF $15.00 FEE2005 -1427 CO /CC $50.00 FEE2005 -1428 Training and Education Fee $5.00 FEE2005 -1429 Technology Fee $30.00 FEE2005 -1430 Technology Fee $7.50 FEE2005 -1431 Submittal Fee ($50.00) Total Fees: $357.50 Total Fees: $357.50 Total Receipts: $0.00 4 /4c FEB 0 3 PAID 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Build g inspection Request Date �� Type Insp'n P 1 Permit No. Name Address ;F doiki f, Company iii /� ✓- iA t �� Phone # Inspection Date pprovedr --. Correction Re- Insp'n Fee z BUILDING PERMIT APPLICATION FBC 2001 Contractor's Company Name $ Value of Work For this Permit • J Submittal Fee $ Notary $ Scanning $ f�. Total Fee Now Due $ (Continued on opposite side) Training/Education Fee $ Radon $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Buildil Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) ( Ze/kg (f//-S Phone # � > 58 3f, / , Owner's Address '`��� 4/5 ff 7# �/ City_il / 5k,e- -t5 State / Zip 33/3P Tenant/Lessee Name Phone # Job Address (where the work is being done) 4/Z We 95 5/ City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO /, .T Phone # Contractor's Address / / 7� 1Q d45-7 � / 5 .7-/Q7 City /Q .a% State / Zip Qualifier Ma/ 6 /eeiiPD State Certificate or Registration No. Certificate of Competency No. / / ,19sX5,4 Architect/Engineer's Name (if applicable) Phone # Type of Work: ['Addition ❑Alteration ['New ( Repa ' eplace ❑ Demolition Describe Work: * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * *,� * * * * * * * * * * * * * * * * * * * ** Permit Fee $ Zo Code Enforcement $ Structural Plan Review. $ MAR 3 0 NIP , 1 ^7 1 ,3 .... • , ., •_ ' w ` -6 ....oven,. Permit No. 6/ �(D Master Permit No. 33 /3y Square Footage Of Work: 45 CO /CC 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 approved and a reinspection fee will be charged. Signature Signature Owner or Agent 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. APPLICATION APPROVED BY: Chc 05/13/03 NOTARY PUBLIC: NOTARY PUB Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: The foregoing instrument, w s acknowledged before me this / 7 day of q�rc , 200S,by t u/,UPXre -rO who is personally known to me or who has produced as identification and who did take an oath. „opili�4 Rosa I. Palacios ►A G : Commission # DD080001 .• 1,,pires 28, 2005 thn Atlantic Bonding Co.. ne. *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** 2 ** v * * * * * * * * * * * * * * * * * * * * * * * * * ** KIR Plans Examiner Engineer Zoning ,c:ea#r 4ae (4'7nee) 103/411,sr 6' ion °xsil�' 51. FD SL FP X ‘ b" x gi`b,`° - 75 O - 75 0 Steven W. 7el uowifi3 4,20 Q5 sf i-f+a ur Shokes , F! 3,5138 MIA MIDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -290E NOTICE OF ACCEPTANCE (NOA) PGT Industries P.O. Box 1529 Nokomis, FL 34274 SCOPE: This NOA is beingissued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the Al-l.1 (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Series FD -101 Outswing Aluminum French Door w/ Sidelites - Impact APPROVAL DOCUMENT: Drawing No. 972, titled "Aluminum French Door w/ Sidelites", sheets 1 through 8 of 8, prepared by manufacturer, dated 7 -12 -99 and last revised on 01- 17 -03, signed and sealed by Robert L. Clark, P.E., bearing the Miami -Dade County Product Control Renewal stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. • ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, thcn it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises & renews NOA # 02- 0702.01 and, consists of this page 1 as well as approval document mentioned above. The submitted documentation was reviewed by Ishaq I. Chanda, P.E. NOA No 02- 0927.13 Expiration Date: February 13, 2008 Approval Date: February 13, 2003 Page 1