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WS-18-493Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address ■ � ,_ Issue Date: 2127/2018 Permit: NO. W$-2-18-493 Permit Type: Windows/Shutters Work Classification: Garage Door PermitStatus: APPROVED Expiration: 08/26/2018 Parcel Number Applicant 701 GRAND Concourse Miami Shores, FL 33138-2475 1132060172230 Block: Lot: OLGA NADJA ZUBRIK Owner Information Address Phone Cell OLGA NADJA ZUBRIK 701 GRAND Concourse MIAMI SHORES FL 33138- (305)604-1518 Contractor(s) Phone AUTOMATED HOME SERVICES INC (305)594-3810 Cell Phone Valuation: $ 2,295.00 Total Sq Feet: 128 Type of Work: REPLACE EXISTING GARAGE DOOR WITH I No of Openings: 1 Additional Info: Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $o.00 $o.00 $o.00 $0.00 $55.00 $3.00 $0.00 $58.00 Pay Date Pay Type Amt Paid Amt Due Invoice # WS-2-18-66585 02/27/2018 Check #: 39292 $ 58.00 $ 0.00 Available Inspections: Inspection Type: 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 cert construction oning. Fut he foregoing i, •rmation is accurate and that all work will be done in compliance with all applicable laws regulating uthorize t* above -named contractor to do the work stated. zed Signature: Owner / A•. ' ant / Contractor / Agent Building Department Copy February 27, 2018 Date February 27, 2018 1 \rtS LOG.0 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (306)795-2204 Fax: (305)756-8972 Inspection Number: INSP-310239 Permit Number: WS-2-18-493 Scheduled Inspection Date: August 23, 2018 Inspector: Riveron, Alexis Owner: ZUBRIK, OLGA NADJA Job Address: 701 GRAND Concourse Miami Shores, FL 33138-2475 Project: <NONE> Permit Type: Windows/Shutters Inspection Type: Final Work Classification: Garage Door Phone Number (305)604-1518 Parcel Number 1132060172230 Contractor: AUTOMATED HOME SERVICES INC Phone: (305)594-3810 Building Department Comments REPLACE EXISTING GARAGE DOOR WITH IMPACT RATED GARAGE DOOR WS17-2028 Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid tnfractio Passed Comments INSPECTOR COMMENTS False Inspector Comments CREATED AS REINSPECTION FOR INSP-298126, cancel by brenda August 22, 2018 For inspections please call: (305)762-4949 Page 10 of 23 JOB ADDRESS: %DI / kup 6/1/12.eciieSk- City: Miami Shores County: Folio/Parcel#: /1 - 3 ?D� -- of - -24R30 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 BUILDING PERMIT APPLICATION 1 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CONTRACTOR Miami Dade RECEIV FEB 2�8 S-}) FBC 201-1 Master Permit No. VNI S 1 54U q Sub Permit No. ❑ EXTENSION ❑ RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS Zip: 33/3g Is the Building Historically Designated: Yes NO it" Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Dz.4fel WID..74 1,0iZ/ A Address: JD/ 44.4Nai 472SA— City: /7a/4, -2/ cr5/Uoec_ S State: �L Zip: J.'�'1.S Tenant/Lessee Name: Phone#: &6---tiaD4— /Z Email: Phone#: CONTRACTOR: Company Na-mJe: G/T6,m,47.— --) /0/% v&n.,,,Lc+ki�.,Phone#: Address: r2O/,0 47/f 9�,12 City: %r%/ 4 12, State: R' L Qualifier Name: 2D///le _/' 2 " ,tif3 Phone#: State Certification or Registration#: Certificate of Competency #: DESIGNER: Architect/Engineer: Ai. ),d C o?4 Cam Address: No doigET %i2 _firs-200 City: �%%//4ll9/ Value of Work for this Permit: $ .�o?T.5 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ?®g ' S 7�'y 3�✓0 Zip: 5a,7 60TC Ceeo Phone#: SOS" 9/o 4t ' g/Z, State: 'IL— Zip: ❑ New © Repair/Replace 1ak/ /fv.['8 ❑ Demolition Description of Work: /2ePLrad6 EY/Sf/N(' 6'4,2,04 , %J /%N / 4:(1.% %Cl) AEA4e zped.e. r-ep1aCU. vN1S -7OZR- Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Structural Reviews $ Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ 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 Lii.INER or AGENT The foregoing instrument wa cknowledged before e this —1 day of Y , 20 1 , by ( s ql \nCh cay. personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: LiJcv co LISA A LUNGARO 5. Notary Public - State of Florida "s.�l��•o�f My Comm. Expir s May 31, 2018 oF v`.•`� *******###O�1gd4`!�***#*##ppm i1YgS is «JiF #il 6## APPROVED BY Signatur CONTRACTOR The foregoing instrument� was acknowledged before '5:-1 day of S1—``� . 20 this by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Florida My Comm. Expires May 31, 2018 Commission # FF 104746 tate of ***************************************************************** Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk