WS-15-2430Inspection Worksheet
Miami Shores Village •
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
�Rc I5 -n53
Inspection Number: INSP-244112 Permit Number: WS -9-15-2430
Scheduled Inspection Date: November 02, 2016
Inspector: Mesa, Michel
Owner:
Job Address: 1263 NE 94 Street
Miami Shores, FL
Project <NONE>
Contractor. CONSTRUCTION UNLIMITED GROUP
Permit Type: Windows/Shutters
Inspection Type: Final
Work Classification: Window/Door Replacement
Phone Number (954)288-7886
Parcel Number 1132050100070
Phone: (305)213-1878
Building Department Comments
REPLACE 16 WINDOWS AND 5 DOORS;
tnfractio
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.
\6
November 01, 2016
For Inspections please call: (305)762-4949
Page 5of51
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Pe
Permit NO. WS -9-15-2430
Permit Type: WindowslShutters
rii1 ork Ciassifrcation: WindowlDoor Replacem
Issue Date: 10/22/2015
Permit Status: APPROVED
Expiration: 04/19/2016
Parcel Number
Applicant
1263 NE 94 Street
Miami Shores, FL
1132050100070
Block: Lot:
NUHOUSE INVESTMENTS INC
Owner Information
Address
Phone
Cell
NUHOUSE INVESTMENTS INC
15751 SHERIDAN Street
FORT LAUDERDALE FL 33331-
(954)288-7886
Contractor(s) Phone
CONSTRUCTION UNLIMITED GROUP (305)213-1878
Cell Phone
Valuation:
Total Sq Feet:
$ 12,745.00
0
Type of Work: REPLACE 16 WINDOWS AND 5 DOORS.
No of Openings: 21
Additional Info:
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$7.80
$4.65
$4.65
$2.60
$310.00
$3.00
$10.40
$343.10
Pay Date Pay Type
Invoice # WS -9-15-57195
09/23/2015 Check #: 1499 $ 50.00 $ 293.10
10/22/2015 Check #: 1542 $ 293.10 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Window Door Attachment
Final
Review Building
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 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. Futhermore, I authorize the above-named contractor to do the work stated.
OdthGj (� October 22, 2015
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
October 22, 2015 1
BUILDING
PERMIT APPLICATION
iy;I ❑ ELECTRIC
PLUMBING
JOB ADDRESS:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 (0
Master Permit No. RCS 15 - (�l'3
Sub Permit No. (
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ MECHANICAL 11] PUBLIC WORKS
1263 NE t1si •
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip: 33 (38
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: 1Z:59 Load:
Construction Type: C-15 c7 Flood Zone: YE -S BFE: FFE:
OWNER: Name (Fee Simple Titleholder): N -I OSE iove-- 1 E.-1QT%) 11.1C
t.57t S IER-1 /1/413 $ • # I isC
Address:
Phone#:
City: r. LNOD - t» c
State: Zip: 3 333 1
Tenant/Lessee Name: Phone#: 6194 ` Z.)') 1 VM.
Email: jbt3 a WI -1003e 11.)V -FST Mr44.1T5. cow\
Co►)ST2tcfi l 0 1 -MX -1M 1TE-0 G(24('
CONTRACTOR: Company Name: �y �y (Phone#:
Address: 11 LC &
5ge L
City: 14 1
State:
Qualifier Name: efJe I IZI DL
Zip: 33 01$
Phone#:
State Certification or Registration #: 606-C ' IJ 1 0 �5 1, Certificate of Competency�`#:
z
DESIGNER: Architect/Engineer: LOB / � L R. -+ tS(6Phone#:
Address: Z?oO 1.). .M 1 kM (41Z/14c."
ANE SV % m 903 City: M 6 i is ( State: Zip: '33 1 27
Value of Work for this Permit: $ 41 Z, i 4 S • O Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
Description of Work:
❑ New Repair/Replace ❑ Demolition
gv,p(A-GE W I IJ S 4' Ewr L3. 10 (Jots a-
(
Specify color of color thru tile:
Submittal Fee $ Permit Fee $' 40 CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ ' _ 10
(Revised02/24/2014)
Bonding Company's Name (if applicable) N+
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) I'J//k
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
OWNER or AGENT
The foregoing instrument vias acknowledged before me this
, who is personally known to
1
day of
•
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
, 20 /6 , by 31st day of j G{
me or who has produced /7 .i as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
********
'7t(5/
i
A
APPROVED BY
(Revised02/24/2014)
me or who has produced
identification a h
NOTARY
A. PIA22ESE Seal:
Notary Public, Stab of Rom
Commlaslonit FF 237295 I
My comm, 54519July 1,1919
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Jutkr
Plans Examiner
Structural Review
JOSE MARIA VALENTIN
Notary Public - State of Florida
My Comm. Expires Apr 2, 2016
***€61rgliSlier#4 **120Q**
*************
Zoning
Clerk