WS-17-2580Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Perm
Permit NO. WS-10-17-2580
Permit -Type' Windows/Sutters
V'ark Classification:: Window/Door Replacem
Permit Status: APPROVED
Issue Date: 10/31/2017
Expiration: 04/30/2018
Parcel Number
Applicant
9300 BISCAYNE Boulevard
Miami Shores, FL 33138-
1132060141640
Block: Lot:
GABRIEL COSENTINO
Owner Information
Address
Phone
Cell
GABRIEL COSENTINO
9300 BISCAYNE Boulevard
MAIMI SHORES FL 33138-
(305)962-1893
9300 BISCAYNE Boulevard
MAIMI SHORES FL 33138-
Contractor(s) Phone
STABLE ROCK CONSTRUCTION COR (786)877-2796
Cell Phone
Valuation:
Total Sq Feet:
$ 4,500.00
' 0
•
Type of Work: DOOR AND WINDOWS ON NEW ADDITION
No of Openings: 5
Additional Info:
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Amount
$3.00
$2.25
$2.00
$1.00
$5.00
$150.00
$9.00
$4.00
Total: $176.25
Pay Date Pay Type
Invoice # WS-10-17-65498
10/31/2017 Check #: 3619 $ 50.00 $ 126.25
10/31/2017 Check #: 3620 $ 126.25 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Final
Window Door Attachment
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 accur e and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -name • • •nt ..(tor to do the work stated.
•
October 31, 2017
Authorized Signature: Owner / Applicant derlir / Agent Date
Building Department Copy
October 31, 2017 1
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
RE WED
0 T312017
BY:
FBC20(LI 4
BUILDING Master Permit No. 4/E -22t
PERVIIT APPLICATION Sub Permit No. 25-9
UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
['PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: y) 8iS6gyk.. - Pi✓ P
City: Miami Shores County: Miami Dade Zip: 3 3 / 3 2
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 2,4t3Ie/el:, CC5e3- % /N.� Phone#:
Address: !'3cV , /3/s tti 5L-/ram
City: rf arm l j (-fii2 f State: -re-
Tenant/Lessee Name: Phone#:
Email:
Zip: 33/.3r
CONTRACTOR: Company Name: $7c-R4- & Gyn.; SC7 z,./JPhone#y/ 0' J ��/ � fc.
Address:} 3c4AN&Qi .
City: owlph:r /ik) I State: ?(.� Zip: _33 / 6'c�
Qualifier Name: i) /e_ Niu N � �'' Phone#: �J %1 Z7 (.
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ '-11 aOD C bJO( 6`6Square/Linear Footage of Work:
Type of Work: [21 Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Donk s 1..,J,i00 w5 NFL-! 4-0DiTza _
2-
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $ • G�
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(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 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 9reinspection fee will be charged.
, Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
3 ° day of 0G Y- , 20 t , by
t R'frr,e,I CoSLn,+i,i , who is personally known to
me or who has produced fL L/C. as
identification and who did take an oath.
NOTARY P L
Alf
Sign:
Print:
Seal:
###************
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
I day of C5c 'e" . 20 I r. , by
N V , who is personally known to
me or who has produced as
identification and who did take an oath. 1.
'NOTARY PUBLIC:
Sign:
Print:
Seal:
(-415i.P6, a.E�
? 04SYPv' Notary PublicStateofFlorida {
`)• n Sindia Alvarez 4.
xr
aQ My Commission FF 156750 [
�(} 'oF F`& Expires 09/03/2018 1
**s#**wT**a******************************************say*****************#**** ******
►In
APPROVED BY — I Plans Examiner
Zoning
Structural Review
(R6ised02/24/2014)
Clerk
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Inspection requirements for:
Windows, Doors, Skylights or Fixed Glass (cladding) Permits
Upon issuance of permits for the scope of work involving the removal, changing and/or
replacement of any type of windows, doors, sidelites, skylights or fixed glass (cladding)
the permit holder or qualifier bearing his signature on the permit application shall abide
by the requirements of this department and comply with the following statement:
Upon obtaining window and/or door permits for the installation of same, it is the
responsibility of the permit holder to request window/door framing in -progress
inspection, prior to concealment of any horizontal or vertical clip mullion, bucks, shims,
etc. Inspector will also verify anchor type, edge distance, embedment and spacing. The
purpose for this inspection, is for the verification of conformance with Product
Approval (NOA).
Acknowledgen)ent:
Qualifier/Omer Signature
Date Print Name