ELC-17-1407 Miami Shores Village P@/T!?1� ")� �18C !'il CtlllrGlIi
10050 N.E.2nd Avenue NE
n 1�omu- a otr Add t c�Alte. tatlan
Miami Shores,FL 33138-0000
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hie Phone: (305)795-2204 K
issue oate:5131/2017 Expiration: 11/27/2017
Project Address Parcel Number Applicant
9022 NE 8 Avenue Number: 20 1132060420350
Miami Shores, FL Block: Lot: KEILY PAZ
Owner Information Address Phone Cell
KEILY PAZ 9022 NE 8 Avenue (786)282-3928
FL 33138-
9022 NE 8 Avenue
FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 900.00
MAX ELECTRIC CORPORATION (305)498-5422 (786)277-6278
µ.0 ... Total Sq Feet: 0
Type of Work:CHANGE PANEL 100 AMP Available Inspections:
Additional Info:CHANGE PANEL 100 AMP Inspection Type:
Classification:Commercial Final
Scanning:3 Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
Underground
W.W.
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
Invoice# ELC-5-17-64109
DBPR Fee $2.25 05/31/2017 Credit Card $ 109.10 $50.00
DCA Fee $2.25
Education Surcharge $0.20 05/25/2017 Credit Card $50.00 $0.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $159.10
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 ssume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRIC PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: Wrmore,
that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. I authorize the above-named contractor to do the work stated.
May 31,2017
Authorized S' a :Owner / Applicant / Contractor / Agent Date
Building Department Copy
May 31,2017 1
Miami Shores Village
RECEIVED
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 MAY 2 2017
V!� Tel:(305)795-2204 Fax:(305)756-8972 I
INSPECTION LINE PHONE NUMBER:(305)762-4949 "h ��\\
FBC�20'a�
BUILDING Master Permit No.
1 (� x.,104-.
PERMIT APPLICATION Sub Permit No.
❑BUILDING R�fkTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING F-1 MECHANICAL E]PUBLIC WORKS [:] CHANGE OF ❑CANCELLATION E:1 SHOP
COONTRACTOR DRAWINGS
JOB ADDRESS: 90 Z Z OIL E3 A,2L• (,)-- o
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:
OWNER:Name(Fee Simple Titleholder): ` Z Phone#: SCI Z�
Address: O vz 2-�
dd ,, 77U
City: 9� a M( State: Zip: 3 ?JI J o
Tenant/Lessee Name: Phone#:
Email: CKq>1a- kz L Urn
CONTRACTOR:Company Name: �N�' \� � �011RjJ Phone#: '� �g�l Z�2_
Address:
City: State: _T(a zip: 33 '%q7�
Qualifier Name: ian.-� �� r¢.vao•.��tis-- Phone#:
State Certification or Registration M E.C..�?J `����� - Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 9�,� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alterationep
❑ New ID Demolition
ti
Description of Work: Q� �4- \'o-ZA. too
Specify color of color thru tile:
Submittal Fee$ 5�)° Permit Fee$ 44—aie 0 CCF$ ® 6 O CO/CC$
Scanning Fee$ 3 Radon Fee$ DBPR$ 2 �-� Notary$
Technology Fee$ ice' Training/Education Fee$ 4= w Double Fee$
Structural Reviews$ Bond$ r
TOTAL FEE NOW DUE$ t T' p
(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 Signature
11�OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 1 .by Ira day of AN 20 by
who is personally "6personally known to personally known to
me or who ll
as produced P ZOO So3 �O L��S'Q 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: unOZ Print:
'IFfONFF037831
Seal: r. =��m Seal: •a :cGOfiiMIS81 #FF03 1
•` r�� EXPIRES:JULY 21,2017 a EXPIRES;JULY 21,2017
,I o c yyyyWAWNNOTARY=M '�%u` �i+0� WWW.AARONNOTARY.Wm
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
APPROVED BY ;W ,07� 2,15'—A"A Y/y Plans Examiner Zoning
Structural Review Clerk
(RevisedO2/24/2014)
Aiianti Sheres. Condominium Aradon, Inc
Rut C,
June 1& 2017
JUN 1 Zo17 ELG 11— 14 0`1
Ref: A� v�for work
131�T T.
Tia wwft m A n:
This Levu mil serve as a n Ow b=M of cifteclums of Miami
Shores Corgi Awmiaton appriwed MaxEIS Cwp to dry elechkig Work in
9022 NE 8 Ave4 2 0 Nfi "shwes FL 33136-
Please feet free to corgi rrw 4 you ham iony qwiMia4 4W w
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Iel Fla.
V rd
Miami Shwes Condan»ium
Tc ,e IK51,Fa?3,1 WL Fax GxM'4 6='3-3
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Miami Shore Condominium Association, Inc Managiui
REGATTA
REAL EM MANAUMM W.
R E C i V E Rick Aller,CM
Rick@regattarealesstate.com
May 24, 2017
Ref: Approval for work
To whom It may concern:
This Letter shall serve as official notification that the board of directors of Miami
Shore Condo 9020 &9022 NE 8 Miami Shores, FL 33138 approve Max Electric
Corp to do electrical work in both buildings 9020 and 9022.
Please feel free to contact me if you have any questions at 305-673-1940 or rick
@regattarealestate.com
Sincerely,
Rick Aller, CAM
Managing Agent for
Miami Shores Condominium
560 Lincoln Road,Suite 303, Miami Beach, Florida 33139
Telephone(305)673-1940 Fax(305)673-8889
infoO-renattarealestate.com www.regaffarealestate.com