WS-15-195 Miami Shores Village
BuildingDepartment ���
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10050 N.E.2nd Avenue,Miami Shores,Florida 33138 JAN 2 �Oi5
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 BY.
��FBC 2010
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
OBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 54 NW 92nd St
City: Miami Shores County: Miami Dade Zip:33 IS®
Folio/Parcel#:11 3101 017 0190 Is the Building Historically Designated:Yes NO x
Occupancy Type: Load: Construction Type: Flood Zone:)—BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Helen Stefan Phone#:305- 9(3 7- 7337
Address:P O Box 530774
City. Miami State: FI Zip: 33153
Tenant/Lessee Name: NSA Phone#:
Email: /2
CONTRACTOR:Company Name: Florida Window& Door �' r'��1,�Phone#: 561 340 4300
Address: 7108 Fairway Drive#120
city. Palm Beach Gardens State: FI Zip: 33418
Qualifier Name: Scott Berman Phone#:
State Certification or Registration#: CGC1509450 Certificate of Competency#:
DESIGNER:Architect/Engineer: t7 q Ineeri a Q EX PfelSS Phone#: qs LI -a 57y' 0(0160
Address: 160 SW 0"Ayenuuee t—/(j&o City,D"r4 eld J State: FL Zip. 33gyD,
Value of Work for this Permit:$5400.00 Square/Linear Footage of Work: 7�° a N s4 -f+
Type of Work: ❑ Addition 0 Alterationpp E7Newp` `❑ Repair/Replace ❑ Demolition
Description of Work:ltl�1 1 ImRcAcT Uuine'yOI, Q. ( I CC1Sem en-1
horizonlad rollinC1)
Specify color of`color thru tile:
Submittal Fee$ �V> 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$
(Revised02/24/2014)
Bonding Company's Name(if applicable) N/A
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable) N/A
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 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 such posted notice, the
inspection will not be pro d and a r inspection fee will be charged.
Signature I ture
OWNE ENT - �� a CONTRACTOR
�/ _'
The foregoing instrument was acknowledged before me this The foregoing-ih►/�' �,ent was acknowledged before me this
day of�/�/11/Pt hP.� 20 �� by 30 day oft./.P�-e 20 r y by
�2�en S,2 2T44 who is personally known to V C,C2T Bepol/?W�,who is personally known to
me or who has produced_ 1)Z as gLUr who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign �i�
Sign:
Print: e Print: orw.I ;oik
ANNETTEBURGESS t*°;"'••B�'o
HOWARD SIMKOFF
Seal: A50-Y 114 Seal:
'_°• :°�= Notary Public-State of Florida *SM."'.
� * Ml'COMMISSIONEEIi30795
•�.My Comm.Expires May 18,2018 �,9 \o� EXPIRES:August 27,2016
'sem oma. rEQK ®a Bonded Thru Budget Notary Services
Commission#FF 102807
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Arlenis Silvera
From: Quest Consultants Inc. <quest_@bellsouth.net>
Sent: Monday, November 23, 2015 1:42 PM
To: Ismael Naranjo
Cc: Arlenis Silvera
Subject: re: Permit No. WS-1-15-195
A permit was pulled by Florida Impact Windows but the job was never initiated and the project aborted. Please close
out the permit request for Impact Windows for 54 NW 92nd Street, Miami, FI 33150., 1 received a letter today requesting
feedback. I do not have ANY open permits on this property and I am the owner.
Best Regards,
Helen Stefan
t'
305-756-0222 Office Oil` c
305-807-7337 Cell S
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