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EL-16-2801 Miami Shores VillageP7erm#Type 6l 01Resident 10050 N.E.2nd Avenue NE '• Miami Shores,FL 33138-0000 e ms� P QV Phone: (305)795-2204 ..v, Isaias p � 2 Expiration: 04/22/2017 Project Address Parcel Number Applicant 9029 NE 4 Avenue Road 1132060460150 Miami Shores, FL Block: Lot: C/O LA PLAYA PROPERTIES Owner Information Address Phone Cell C/O LA PLAYA PROPERTIES 2275 BISCAYNE Boulevard MIAMI SHORES FL 33138- 2275 BISCAYNE Boulevard MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,500.00 SAL ELECTRICAL CONTRACTORS C( (786)344-4762 _. .,..._ ... _.::_. _. Total Sq Feet: 0 1 Type of Work:BATH REMODEL,KITCHEN,SMOKE DETECT Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee Invoice# EL-10-16-61665 $2.25 10/24/2016 Credit Card $ 110.70 $50.00 DCA Fee $2.25 Education Surcharge $0.40 10/17/2016 Cash $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $160.70 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 tat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constr zonin . ut�ify ermi V uthorize the above-named contractor to do the work stated. L October 24,2016 --Tuth6rized Signature:Owns / Applicant / Contractor / Agent Date Building DepartmJnt Copy October 24,2016 1 �0. , Miami Shores Village RECEIVED tiO� Building Department CT 17 2016 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 I y- BUILDING Master Permit No.V4C e— Ifo- PERMIT fo -PERMIT APPLICATION Sub Permit No. F_L(�— 2&DI F-]BUILDING IMELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-IPLUMBING F_J MECHANICAL OPUBLICWORKS 0 CHANGE OF E] CANCELLATION [:1 SHOP J� CONTRACTOR DRAWINGS JOB ADDRESS: '1'029 -f��1� • �� s9 Q 01T -W "�0-2_ck City: ,Miami Shores County: Miami Dade Zia:33 130 Folio/Parcel#: ( a 52_0/a 0 A 6'0 4 G® Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: `` Flood Zone: BFE: \\ FFE: A OWNER:Name(Fee Simple Titleholder): D-47> Phone#: Com ) Z- Sy2- Address: J029 hl t " -4-AAA X-4 e_ 12 � o? OTT ' 1.07_'q City: t-%"k t S State: '1=Lo��T�� Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 1_=G 45 Cr/zcl-76- Phone#: Address: -,-:�;VC2 .3 ,U ItZ / c? '7 S City: /li��1i State: l%G® �'�� Zip: QualifierName: ��/f� /�/� !� Sl7�GfI'�f�2 Phone#: e"'��G State Certification or Registration#: G��f3�0�3 Certificate of Competency#: ©%l-'DD4�� DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑,New Repair/Replace ❑ Demolition Description of Work: 9// 7 & tl2e l-/a49,'F-4, /G �Cr l�l✓i SC1e/L!= P(-= / tv 5 f"?"C) Specify colorpo—f rcolor thru tile: Submittal Fee$ 7 1' Permit Fee$ CCF$ • Z� CO/CC$ Scanning Fee$ Radon Fee$ 2 DBBPRR$ Z • Notary$ Technology Fee$ f • (.0 Training/Education Fee$ ' "'[0 Double Fee$ 45e)— Structural Reviews$ '� Bond$ TOTAL FEE NOW DUE$ 11 n . (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 a reinspection fee will be charged. Signature e� Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this 'The foregoing instrument was acknowledged before r� me this �4f r6f� 7C 20 � �/ .by (, day of`j0 "��'r°(/ 20 � � ,by � 7 day of A'�o ��¢Q� P�'Gt(/� who is personally known to 5 �i who is personally known to me or who has produced V��e�� F(4. yPGe,� as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print Print:,//�Y�q�f� �i� /✓� a ry Seal: J6 % Notary Public,State of Florida Seal: +�. ". � DAMASO�I�CommissioO FF149307 * MY COMMISSION s 61 MY comm. 2Z 202D expires Aug.10,2018 -^''u,0-141 BandeEXPdThruBudp�eeft"Mm APPROVED BY l /� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850)487-9395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 SALAZAR, RAMON SAL ELECTRICAL CONTRACTING, CORP. 7803 NW 199TH ST MIAMI FL 33015 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and *015 STATE OF Professional Regulation. Our professionals and businesses rangeDEPARTMENT FLORIDAI BUSINESS AND from architects to yacht brokers,from boxers to barbeque DEPARTMI N REGULATION restaurants.and they keep Florida's economy strong. -_ Q Every day we work to improve the way we do business in order EC13006377 jU 07/05!20?fi to serve you better. For iinfomiation about our services,please konto www.mynoredaticense.corn. There you can find more CERTIFIED ELE tiC CONTRACTOR intrmation about our divisions and the regulations that impact SALAZAR,RANI( you,subscribe to department newsletters and team more about SAL ELECTRICAL` dv CORP the Departments initiatives- Our mission at the Departinent is:License Efficiently.Regulate Fairly.We constantly strive to serve you better so that you can IS GERTIFfED under the provisions of Ch.469 FS. serve your customers. Thank you for doing business in Florida, �_X31 zine i issz ,� and congratulations on your new license! DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD '' v EC13006377 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2018 SALAZAR, RAMON SAL ELECTRICAL COINW10 G, CORP w •. 7803 NW 199TH STS MIAMI FL: $ • 006476 Local Business Tax Receipt Miami-Dade County, State of Florida THIS IS NOT ABILL-DO NOT PAY k-_LBT _j 5032510 BUSINESS MAME/LOCATK M RECEIPT MO. EXPIRES S&RECTMM C®WULTOM CORP FIENEWAL SEPTEMBER 30, 2017 7803 NW 199 Si 5255237 Must be displayed at place of business INKM)R 33015 Pursuant to County Code Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS SAL ELECTRICAL CONTRS CORP 196 ELECTRICAL CONTRACTOR PAYMENT RECEIVED aY TAX cou.EcroR C/O RAMON SALAZAR,PRESIDENT 03ED00224 Worker(s) 1 $75.00 07/19/2016 CHECK21-16-093809 This Local Business Tex Receipt only confines payment of the Local Business Tax The Receipt is not a license, permit,or a certification of the holder's qualifications,to do business. Holder most comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Code Sec 8a-276. For more information,visit ma+mminmWade.gov oxcollector