WS-16-3211 /o;tea
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INS P-271748 Permit Number: WS-11-16-3211
Scheduled Inspection Date: November 29,2016 Permit Type: Windows/Shutters
Inspector: Naranjo, Ismael Inspection Type: Final
Owner: PERAGALLO, DINO&IRENE Work Classification: Window/Door Replacement
Job Address:55 NE 97 Street
Miami Shores, FL 33138- Phone Number (305)995-5224
Parcel Number 1132060130990
Project: <NONE>
Contractor: RAMI JEDA Phone: (305)970-7079
Building Department Comments
REPLACE 18 WINDOWSAND 2 DOORS. Infractio Passed Comments
INSPECTOR COMMENTS False
TO REPLACE PERMIT#WS-12-15-3092
,Inspector Comments-
Passed
ommentsPassed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 28,2016 For Inspections please call: (305)762-4949 Page 39 of 64
Perms N
Miami Shores VillageP£rmit"l'ype,,Windows/ftttttllrS
S� ty 10050 N.E.2nd Avenue NE
a.. Qrk clan trt Wir f lrrl + ar Repia m ,
Miami Shores,FL 33138-0000
,rP Phone: (305)795 2204 Permit Status;'APPROVED
xioRml*
„ %te 111Ei1 Expiration: 05/27/2017
3r
Project Address Parcel Number Applicant
55 NE 97 Street 1132060130990 DING&IRENE PERAGALLO
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
DINO&IRENE PERAGALLO 55 NE 97 Street (305)995-5224
MIAMI SHORES FL 33138-
55 NE 97 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
Valuation: $ 15,000.00
RAMI JEDA
(305)970-7079
Total Sq Feet: 0
Type of Work:REPLACE 18 WINDOWS AND 2 DOORS. Available Inspections:
No of Openings:20 Inspection Type:
Additional Info: Window Door Attachment
Classification:Residential Final
Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $9.00
Invoice# WS-11-16-62170
DBPR Fee $4.50
DCA Fee $4.50 11/23/2016 Credit Card $50.00 $292.00
Education Surcharge $3.00 11/28/2016 Credit Card $292.00 $0.00
Permit Fee $300.00
Scanning Fee $9.00
Technology Fee $12.00
Total: $342.00
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: I certi that II the cregoing information is rate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Fu ermor ,I o ize bove-na tractor to do the work stated.
November 28, 2016
Autho zed gn :Own / Appli / o / gent Date
BUlldi part ent opy
November 28,2016 1
mr�6 C1
Miami Shores Village REC1IVE0
Building Department
De i
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 -1
INSPECTION LINE PHONE NUMBER:(305)762-4949 S
FBC 201 `�
BUILDING Master Permit No. V V (b'32.11
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL r-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
/�
JOB ADDRESS: v C 1� S_�
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: �� FFE: G
OWNER:Name(Fee Simple Titleholder):_ ) �`81(�) I b Phone#: 0bq-� 9`2y� I
Address: 5S `- q1
City:M i(11*1 s' State: 9_ Zip: 39138
Tenant/Lessee Name: Phone#:
Email: et-CAd l e- C-A rn
a 6 6 1--4
CONTRACTOR:Company Name: Phone#: �u qlp ?c>?- l
Address: / .A l 4 L-
City: AI Idl State: L Zip: sit C11
Qualifier Name: Phone#:
State Certification or Registration#: G GG 06-R,) S dr Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ / lNl� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration 7q❑ Nee�w D4 Repair/Replace F-1Demolition
Description of Work: '�� W 1llkq `^'S ��
770
i WS
Specify color of color thru tile:
Submittal Fee$ �J 0:�) Permit Fee$ �� CCF$ •W CO/CC$
Scanning Fee$_'�l Radon Fee$4.93 DBPPtR$$ Notary$
Technology Fee$ PAD Training/Education Fee$ 3 •W Double Fee$ �Vyi
Structural Reviews$ Bond$ Y�
TOTAL FEE NOW DUE$ co
(Revised02/24/2014)
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 _
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be post at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of suc osted notice, the
inspection will not be approved and a reinspection fee will be charged.
I r
Signatu6e Signature
OWNER or AGENT CONTRACTOR
The foregoing instruments was acknowledged before me this The foregoing instrument was acknowledged before me this
da of Uv by dayof20 by
�`� ho is personally k own to Ram r 1" who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oa identification and ho did take an o
4TALBC NOTARY B
`r,,-- II gn:
71/�� Print:
Seal:
YAAKOV KOPFST
VIII 1/l°„N YAAK V KOPFSTEIN
ot'Pr�o°gin'
Commission# FF 017769 `' °�� Commission#FF 017769
M Commission Expires
"r Y MY Commission Expires
2017
APPROVED BY ® Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
STATE OF FLORIDA '
DEPARTMENT OF !BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
JEDA, RAMI
INDIVIDUAL
17925 N E 9TH PL
N MIAMI FL 33162
Congratulations! With this license you become one of the needy � .
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range STATE OF FLORIDA
from architects to yacht brokers,from boxers to taarbeque DEPART_41BII CIE: USINESS AND
restaurants,and they keep Florida's economy strong. PROFS „ UloATIOId
Every day we woik to improve the way we do business in order CGC082288 z 06/21/20`16
to serve you better. For information about our services,please .,
Inngg onto www.myfloridalicense.com. There you can find more CERTIFIED GEW
information about our divisions and the regulations that impact .IEDA,RAMI v
you,subscribe to department newsletters and loam more about INDIVIDUAL
the Department's Initiatives. f..
Our mission at the Department is:License Efficiently,Regulate
Faigy.We constantly strive to serve you better so that you can is CERTIFIED under the ptouislons or Ci:48 5:
sere your customers. Thank you for doing business In Florida,
and congratulations-on your new license! AUG as aoae i rits�
DETACH HERE
RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION,
CONSTRUCTION INDUSTRY LICENSING BOARD
•CWN2268
The'GIENERALCONTRACTOR
Ne d below IS CERTIFIED
Underthe'pttivls w-;4, ,C lapter 489 FS_
ation date: AUG 31,2018 "
Ott..SDADANT i i
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INWs�hyVlIJUAL-gam ( •
5NE
N�R�=ice . L 33162 .�
IRRil�r9 nRi91l9n9�i DISPLAY AS REQUIRED BY LAW SEQ# L160621WO1077