EL-16-3213Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. EL -11-16-3213
Permit Type: Electrical - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 12/9/2016
Expiration: 06/07/2017
Parcel Number
Applicant
541 NE 105 Street
Miami Shores, FL
1122310140260
Block: Lot:
TARIK & CATHERINE GUETARN
Owner Information
Address
Phone
CeII
TARIK & CATHERINE GUETARNI
541 NE 105 Street
MIAMI SHORES FL 33138-
(404)395-7245
541 NE 105 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone
AMERICAN POWER ELECTRIC CORP (305)216-7491
CeII Phone
Valuation:
Total Sq Feet:
$ 3,200.00
0
Type of Work: NEW KITCHEN CABINET REINTALL EXISTI
Additional Info: NEW KITCHEN CABINET REINTALL EXISTI
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$3.38
$3.38
$0.80
$225.00
$9.00
$3.20
$247.16
Pay Date Pay Type
Invoice # EL -11-16-62174
12/09/2016 Check #: 01094 $ 197.16 $ 50.00
11/28/2016 Credit Card $ 50.00 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Final
Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
Underground
W. W.
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 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. Futhermore, I authorize the above-named contractor to do the work stated.
December 09, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
December 09, 2016
1
BUILDING
PERMIT APPLICATION
❑BUILDING ❑■ ELECTRIC
❑PLUMBING ❑ MECHANICAL
JOB ADDRESS: 541 NE 105 ST
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
BY:
"
Nov 2 8 2016
SQK-1
EBC 20 !.j -�
Master Permit No. I C 1Q57- 3 Z
Sub Permit No. El 1 to Z13 •
❑ ROOFING ❑ REVISION
0PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
❑ EXTENSION ❑RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#:11-2231-014-0260 Is the Building Historically Designated: Yes
Occupancy Type: RES Load: Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): TARIK GUETARNI CATHERINE GUETARNI phone#: 404-395-7245
Address: 541 NE 105 ST
NO X
BFE: FFE:
City: MIAMI SHORES State: FL
Tenant/Lessee Name: N/A Phone#:
Email: tguetarni@aol.com
Zip: 33138-2044
CONTRACTOR: Company Name: Aaye / 2I CA r) PO CI e-rl. Ne fll4ne#:
/stir) e Tti CT -
Address:
City: 14-1,11-e_4 11
k, mon 2 /2i-,,1'
State:
Qualifier Name:
State Certification or Registration #:61/3 003/017
DESIGNER: Architect/Engineer: OSCAR POSADA ARCHITECT Phone#:
Zip: 3 3 0 / 0
Phone#: '486 _ 20c-08 SI•
Certificate of Competency #:
305-554-1195
Address: 9231 SW 12 ST City: MIAMI
State: FL Zip: 33174
Value of Work for this Permit: $ 31200 , ` Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑■ Alteration n New
❑ Repair/Replace
Ti Demolition
Description of Work: NEW KITCHEN CABINET, REINTALL EXISTING APPLIANCES SAME LOCATION
GFI IN BATHROOM & KITCHEN, NEW HIGH HATS IN BATHROOM ONLY
rt
Specify color of color thru°tile:
Submittal Fee $ Permit Fee,$ ami D6 CCF $
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
,:'*i , ,'t , vtn
P.'.
CO/CC $
Notary $
Double Fee $
Bond $
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 C -
OWNER or AGENT
Signature
1 2 52
CONTRACTOR
0
The foregoing instrument was acknowledged before me this Theforegoinginstrument was acknowledged before me this
14 day of 1•Iove�-tC - , 20 1 b , by C7-Vre�day of th.W�-'i" 1ir3-eZ,..20 , by
Co -Aker in e_ e. -Fox nn , who is personally known to Ca ono^ W 11T'�who is personally kno to
me or who has produced g36S- $I - 630- 0 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:
Print:
•. GEOROINA SAL ATORE
Seal: '•; MY COMMISSION # FF911140 II Seal:
; EXPIRES August 19, 2019 1
(4O1 398-0153 FM i1aI9 a wa cgm
*****************************************************************
Sign:
Print: CAA'rL9J3 -1 1
APPROVED BY
(Revised02/24/2014)
r►s� • % Wear/ Public State et Florida
sc��ennt3 Petit
Mr Commission FF 957075
• Expires 02/07/2020
,ZBPWG'llo Plans Examiner Zoning
Structural Review Clerk