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WS-15-673 Pwmt,No.'I S+15-673 Miami Shores Village Pefr»ij 7jrpe: )��1t�C3�Shuttem ��► 10050 N.E.2nd Avenue NE bfkC1855ffiC8ifoit:poor R@ +CiTibrlll •• ""' Miami Shores,FL 33138-0000 Pe r" .11 „ it Pef nit Status:APP tC}3 ED Phone: (305)795-2204 F`°Rt°A Expiration: 111 3/2015 Jesus,©atectxr2a Project Address Parcel Number Applicant 131 NE 93 Street 1132060133020 MSM REALTY ASSETS LLC Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell MSM REALTY ASSETS LLC 131 NE 93 Street (305)335-3515 MIAMI SHORES FL 33138- 10155 COLLINS AVE BAL HARBOUR FL 33154- Contractor(s) Phone Cell Phone $ 2,000.00 Valuation: EDIFICIUM, LLC (30)596-5047 Total Sq Feet: 0 Type of Work:EXTERIOR DOORS REPLACEMENT(3) Available Inspections: No of Openings:3 Inspection Type: Additional Info: Final Classification:Residential Review Building Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# WS-3-15-54933 DBPR Fee $2.00 03/25/2015 Credit Card $50.00 $90.20 DCA Fee $2.00 Education Surcharge $0.40 05/27/2015 Credit Card $90.20 $0.00 Permit Fee $130.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $140.20 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 AFFIDAVIT: ]..certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and in uthe e, I thorize the above-named contractor to do the work stated. May 27, 2015 Authorized ature:0 er / Applicant / Contractor / Agent Date Building Department Copy May 27,2015 1 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-230991 Permit Number: WS-3-15-673 Scheduled Inspection Date: February 03,2016 Permit Type: Windows/Shutters Inspector: Rodriguez,Jorge Inspection Type: Final Owner: MSM REALTY ASSETS LLC, MSM Work Classification: Door Replacement OCA I TV AQCCT0 1 1 f` Job Address: 131 NE 93 Street Miami Shores, FL 33138- Phone Number (305)335-3515 Parcel Number 1132060133020 Project: <NONE> Contractor: EDIFICIUM, LLC Phone: (30)596-5047 Building Department Comments EXTERIOR DOORS REPLACEMENT(3) Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid February 02,2016 For Inspections please call: (305)762-4949 Page 3 of 42 Miami Shores Village Building Department MAR 5 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 �e Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 Com'/ BUILDING Master Permit No.120 -I� Co_�`2_ P MIT APPLICATION Sub Permit No. C' h' BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP r (� CONTRACTOR DRAWINGS lI JOB ADDRESS: ( 3 tl k)C -/ 5&- City: Miami Shores County: Miami Dade Zip:/ Folio/Parcel#: `- - 43 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): ✓ v M Phone#: Address: Jrol / City: ::e� r vr State: 1-Y Zip: -33 1 s� - Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: a6 4 ci o f Phone#: 2S 32 i L) O eD Address: J9,. Ciel -� City: State: Zip: V Qualifier Name: � (/l 11.e.r Phone#: State Certification or Registration#: _ C rtificate of Competency#: DESIGNER:Architect/Engineer: ✓) e4-,o Phone#: 5 �J`—'L� c) 3'aE5- Address: /S S SZ :� /" 7- �'t City: .Q.� State: Zip:'3 33 1' 61v � � Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: r E Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ k` CO/CC$ Scanning Fee$ 3 •L>--) Radon Fee$ DBPR$ 2-1 Notary Technology Fee$ 0 •�e o Training/Education Fee$ ® Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) „, , It 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 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 approved and a reinspection fee will be charged. Signature Signature _ b-4 OWNER or AGENT 9 CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was cknowledged before me this 1 �^ day of by day of 20_%� .by , nnaflif known o i ersonally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: Notary u e o 0n a ;4 Elieser Placeres �Ydf ° Notary Public State of Florida Seal: Seal: My Commission EE 884850 Elieser Placeres p,µ Expires 03/17/2017 My Commission EE 884850 Expires 03/17/2017 ************************************************************************************************************ APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)