EL-17-1736Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number
Expiration: 0110612018
Applicant
123 NE 97 Street
Miami Shores, FL 33138-2332
1132060132440
Block: Lot:
JUAN R. DEL RIO
Owner Information
Address
Phone
CeII
JUAN R. DEL RIO
123 NE 97 Street
MIAMI SHORES FL 33138-2332
123 NE 97 Street
MIAMI SHORES FL 33138-2332
Contractor(s)
CPS ELECTRIC, INC.
Phone
305-607-8221
CeII Phone
Valuation:
Total Sq Feet:
$ 1,800.00
0
Type of Work: GARAGE ALTERATION
Additional Info: GARAGE ALTERATION
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.25
$2.25
$0.40
$150.00
$3.00
$1.60
$160.70
Pay Date Pay Type
Invoice # EL -7-17-64495
07/06/2017 Check #: 2047 $ 50.00 $ 110.70
07/10/2017 Credit Card $ 110.70 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Final
Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
W. W.
Underground
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 s 'lot conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I a sume 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 AFFIDAVI 1 I' `rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zo hermore, I au ize the above-named contractor to do the work stated.
July 10, 2017
Signature: Owner / Applicant / Contractor / Agent
Buildin • Department Copy
Date
July 10, 20 7
1
0111
_AV\V\
1)"''
BUILDING
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tek (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
RECEIVED
i\\u� o ds i�on
71
FBC 20 1'
Master Permit No. /2C 6 r7
PERMIT APPLICATION Sub Permit No. I - IR 3C0
❑BUILDING IN ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL El PUBLIC WORKS
JOB ADDRESS: 1 ) N E 1 y_
❑ REVISION ❑ EXTENSION El RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County:
Miami Dade Zip:
Folio/Parcel#: ' %..0 0 `3 _ kkkko Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type:
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): J\AO WA. `k0 Phone#: 30%.% k bkoq
tll cta Ss -
Address:
City: MS. S\ ON
State:
Zip:
Tenant/Lessee Name: Phone#: "
Email:
'S�ArJ _OC-�1k0 Q.iiwk • Om
CONTRACTOR: Company Name: CPS Electric, Inc.
Address: 1600 NW 28th Ave.
Phone#: 305 6345570
City: Miami
Qualifier Name: Angel Romero
State: FI
Zip: 33125
Phone#: 305 6345570
State Certification or Registration #: EC13005401 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: D City: State: Zip:
11
Value of Work for this Permit: $ I/ 0 Square/Linear Footage of Work:
Type of Work: 0 Addition
Description of Work: fie
Alteration ❑ New 0 Repair/Replace
L 77'74f
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ C)' 4)9ed'd CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ (1 0 • �®
(Revisedo2/24/2014)
.01
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: 1 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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day o , 20 by
r1 el , who is personally known to
" me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
MY CO 1. y a # FF981823
FXPIRES April 12 2020
Oro;s9$0153 FlorirlaldoauySWvieacom
as
APPROVED BY
(Revised02/24/2014)
Signature
TRACTOR
The forejging instrument was acknowledged before me this
��'�� , 20 �, by
8, / ,4A Qr'o , who is personally known to
me or who has produced
.Fr��
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
c226 .reed Y / y Plans Examiner
Structural Review
407) 39841163
as
MMIS$roN # FF981023
Zoning
Clerk