REV-16-3064 J
Miami Shores Village c
Building Department NOV 082016
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 —�
INSPECTION LINE PHONE NUMBER:(305)762-4949
7-0-�ro_ 18 i FBC 201
BUILDING Master Permit No.EUIC, 2-�:�)
PERMIT APPLICATION Sub Permit No.72F—V 16-306
❑BUILDING fZ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL r-]PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
�
1 CONTRACTOR DRAWINGS
JOB ADDRESS: 30 NE /2 'S f
City: Miami Shores County: Miami Dade Zip: 3 Y'
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder):J� � l2�lifC�S �c- Phone#: 309 M K u26t"
Address: 30IVE2� _�,{
City: (t'l.f CllM l J �'W J State: zip: 3 313
Tenant/Lessee Name: //�� Phone#:
Email: �A_ F4-GGLDONI._jQ P 6iUgt1_
CONTRACTOR:Company Name: 6L-r— Phone#:
Address: �B� /��"� /?3
City: ) State: Zip: 33e))5.
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ d Square/Linear Footage of Work: �° Sf
Type of Work: ❑ Addition EJAlteration ❑ New [Repair/Replacer ❑ Demolition
Description of Work: &'44 'o o ^ reu c a 6efe l _ ►k u►� //d� LP `Z
Specify color of color.thru tile:-.
Submittal Fee$ Permit Fee$ 2'9>�U CCF$ CO/CC$
Scanning Fee$ 3" Q Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ Ztii?� r`\
-
(ReAsed02/24/2014)
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
T- WNER or AGENT NTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
-day of NQVe Mb?_Y 20 16 by 9 day of t�Q'Ie m 62V 20 14-0 by
Fraftef TACCI d0WI,0 who is personally known to V1aI1mllr Labro d(1 who is personally known to
me or who has produced DrNIU 1 %C2y1S2 as me or who has produced Aver b eftst as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign. `V If Sign: JOYIXLUIS QA4ef
Print: LV del Print: Joy'61,P LU Lr C t1
Seal: 1 �;¢j/ , Jorge L. Cituentes M. Seal: .R '.1 ",v., Jorge L.Cituentes M.
�= Commission#FF985416Commission#FF985416
Expires: April 25, 2020 '�= Expires: April 25,2020
APPROVED BY �gldo4w/ Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL. REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD (850)487-1395
'ro 2601 BLAIR STONE ROAD
TALLAHASSEE FL 32399-0783
LABRADA,VLADIMIR A
B.L.F ELECTRIC. INC
7897 NW 173 ST
HIALEAH FL 33015
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range STATE OF FLORIDA
from architects to yacht brokers,from boxers to barbeque i DEPARTMENT OF BUSINESS AND
restaurants,and they keep Florida's economy strong. PROESSI� aULATION
Every day we work to improve the way we do business in order EC 130,04868 �Sut, `08/10!2016
to serve you better. For information about our services,please oN
log onto www.myfloridalicense.com'. There you can find more CERTIFIEDAS
I*'Jf'?L t `° CTOR
information about our divisions and the regulations,that impact LABRADA ASIIR A
you,subscribe to department newsletters and learn more about B.L.F ELECTRtC:f1C
the Department's initiatives.
Our mission at the Department is: License Efficiently, Regulate
Fairly.We constantly strive to serve you better so that you can
serve your customers. Thank you for doing business in Florida as Z-tRTfFiED under the Provisions of Ch.489 FS_
and congratulations on your new license! ` "'" AUG sf'201a 18081°0rs
DETACH HERE
RICK SCOTT, GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL COTR OTORS LICENSING BOARD
OWN
TheELECTRICAL C. NTRACTf)R k .
Nprr ed below IS.CERTIF[ED
._
Under the provisions of Ghaptpr 489 FS.
-Expiration'date." 31, X018
LAB A� ADIMIR A '
B L F,E`LECTRIC INC
r
7897,�^N`W173 ST
R F
dYi+ 7' i 4 4
• .. ....«..ew ... _ .. _ .. - uw...W ..., u ...,._raw .4 - _
ISSUED: 08/10/2016 DISPLAY AS REQUIRED BY LAW SEQ# L1608100001987
010161
Local business,Tax Receipt
M1arni-Dade County, State of Florida
THIS l5 NOT A BILL-DO NOT PAY
6253082 L BT
BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES
BLF ELECTRIC INC RENEWAL SEPTEMBER 30, 2017
HIALEAH FL 330012 ALE1750 1146 ST 12 Must be displayed at place of business
Pursuant to County Code''
Chapter 8A-Art.9&10
OWNER SEC.TYPE OF BUSINESS
BLF ELECTRIC INC: 196 ELECTRICAL CONTRACTOR PAYMENT RECEIVED
EC13004858 BY TAX COLLECTOR
Worker(s) 1 $45.00 07/17,/201`6
CREWTCARR-16-041446
This Local Business Tax Receipt only confirms 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 must comply with any governmental
at nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Rade Gods Sec 8a-276.
For more information,visit www.miamidade.govltaxcaReetor