WS-16-1281 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone:(305)795-2204 Fax: (305)756-8972
Inspectlon Number: INSP-260333 Permit Number. WS-5-16-1281
Scheduled Inspection Date:June 08,2016 Permit Type:WindowslShutlers
Inspector: Mesa,Michel Inspection Type: Final
Owner: SANG,JERRY Work Classification: Shutters
Job Address:50 NE 93 Street
Miami Shores,FL
Phone Number (786)512-5177
Parcel Number 1132060130180
Project: <NONE>
Contractor: THE HOME DEPOT AT HOME SERVICES Phone:(954)336-0881
Building Department Comments
SHUTTER INSTALLATION 13 ACCORDIONS Infra meats
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-260235.6-3-16
NO PLANS,NO PERMIT ON SITE,100PM. LEFT NOTE AT FRONT
DOOR.
Failed
Correction
Needed ❑
Re-Inspection D
Fee
No Additional Inspections can be scheduled until
re-inspection fee Is paid.
12
......:.....
June 07,2016 For inspections please call:(305)762-4949 Page 24 of 36
ff _s. d P '•T
Miami Shores Village
10050 N.E.2nd Avenue NE
t
Miami Shores,FL 33138-0000 4
Phone: (305)795-2204 ;
#` Expiration: 11/0812016
Project Address Parcel Number Applicant
50 NE 93 Street 1132060130180
Miami Shores, FL Block: Lot: JERRY SANG
Owner Information Address Phone Cell
JERRY SANG 50 NE 93 Street (786)512-5177
MIAMI SHORES FL 33138-
50 NE 93 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 9,573.00
THE HOME DEPOT AT HOME SERVIC (954)336-0881 Total Sq Feet: 136
Type of Work:SHUTTER INSTALLATION 13 ACCORDIONS Available Inspections:
No of Openings:13 Inspection Type:
Additional Info: Shutter Final
Classification:Residential
Shutter Attachment
Scanning:4 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $6.00 Invoice# WS-5-16-59746
DBPR Fee $3.45 05/12/2016 Check#:11905 $264.90 $0.00
DCA Fee $3.45
Education Surcharge $2.00
Permit Fee $230.00
Scanning Fee $12.00
Technology Fee $5.00
Total: $264.90
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 either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WIND15"A DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing informi to and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-na co or to do the work stated.
May 12,2016
Authorized Signature:Owner / Applicant / Confa / Agent Date
Building Department Copy
May 12,2016 1
Miami Shores Village ; R��� TFa;D
MAY 1 � 2016
Building Department �By:
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER (305)762-4949 VA
FBC 20
BUILDING Master Permit No. Uj Is
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
M PLUMBING ❑MECHANICAL M PUBLIC WORKS M CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 50 IJ E Ct 3 nw car
City: Miami Shores County. Miami Dade 3&3r
Folio/Parcel#:_11— SW6- O i 3—bid is the Building Historically Designated:Yes NO_je--'
Occupancy Type: Load: —Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Phone#: 3DS�Z�• -�210 O
Address:__50 IrJE q3 'SVflr''ia'-T
City: mlk*1 i SFAotLte. State:^ Zip: 3313
Tenant/Lessee Name: N/A Phone#•
Email:
CONTRACTOR:Company Name: The Home Depot At Home Services Phone#: 954-336-0881
Address: 290 Cumberland Pkwy 300
City. Atlanta State: GA zip: 30339
Qualifier Name: 8P&at& ?-*1"QttVV Phone#• 954-336-0881
State Certification or Registration#: C(L(,DK�B.S'p Certificate of Competency#:
DESIGNER:Architect/Engineer: N/A Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Q $ 3 Square/Linear Footage of Work: i 3 Ls
Type of Work: ❑ Addition O Alteration ❑ New ❑ Re air/Re lace
p p ❑ Demolition �
Description of Work: 4S&1A4- TtM& iy e.�-_,S� 13 Accnew yown
Specify color o color thru tile: "tin dill
Submittal Fee$ Permit Fee$, 23O'C1:) CCF$ tip @t I
Scanning Fee$ ,�' Radon Fee$ ` `f DBPR$_:?>' 5 Notary$ A __
Technology Fee S -co Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
264- CID
(Revisec102/24/2014)
Bonding Company's Name(if applicable) la-
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. 1 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 low brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of th"ecorded notice of commencement Must be pasted 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 t be approved and a reinspection fee will be charged.
Signature Signature `"�' --
OWNER or AGENT CONTRACTOR
The foregoing instrumentwas acknowledged before me this The foregoing instrument was acknowledged before me this
_day of J/nY'i 1 20 _,by ,3 day of th/ .20 by
\J eVY '�-A h Q ,who is personally known to $w Ig
me or who has produced C r�d 4Y� �I Ct'v�S C as me or who has produced as
identification and who did tak ath. identification and who did take an oath.
NOTARY PUBLI NOTARY PUBLIC:
Si Sign
Prm ✓4 Ci vl Print: Pyk 1%
;
,�pR�Pv MARIUSKA MORALES
Seal: Seal: ;'r*, .a Notary Public-State of Florida J
94
- Commission#FF 220108
114 0111111111111b" ���4°;• My Comm.Expires Apr 13,2019
************* ** ***************************s**** ****J4"4th
MAIati6Ra4fllRaryAssn.:
APPROVED BY
W/��'Ifoplans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
SHUTTEH=TECH. mc.
Date:
To:
Shutter Tech,Inc.is the Miami-Dade County Notice of Acceptance holder for:
Acceptance No: Exp.Date: KD Factor
HV 1/HV2 Accordion 15-0624.03 04/26/17 KD.85
24 Ga.(0.031"min)Storm Panel 15-0714.23 03/22/17 KD.85
.050 Aluminum Storm Panel 15-0714.22 10/22/17 KD.85
Dura Weld Bahama Shutter 15-0714.21 05/08/18 KD.85
Dura Weld Colonial Shutter 15-0714.20 09/04/18 KD.85
58mm Roll Up 15-0721.11 04/03/19 KD.85
This Letter authorizes �9DA'1� P &f (n2—Cj*b¢)use the above named products at the
following job site:
SO Af6
Thank you,
Steve Buzzda
Shutter Tech,Inc./President
7485 West 2nd Court–Hialeah,FL 33014
Phone:305-823-2323
Fax:305-826-7979