EL-17-2214Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. EL -8-17-2214
Permit Type: Electrical - Residential
Work Classification: Service Change
Permit Status: APPROVED
Issue Date: 9/1/2017
Expiration: 02/28/2018
Parcel Number
Applicant
67 NW 92 Street
Miami Shores, FL
1131010170140
Block: Lot:
VERO HOMES LLC
Owner Information
Address
Phone
CeII
VERO HOMES LLC
701 BRIECKELL AVE
MIAMI FL 33131-
(305)902-4660
701 BRIECKELL AVE
MIAMI FL 33131-
Contractor(s)
Phone CeII Phone
J & J TELECOM & ELECTRIC INC (954)864-8091
Valuation:
Total Sq Feet:
$ 500.00
0
Type of Work: UPDATE ELECTRICAL SERVICE
Additional Info: UPDATE ELECTRICAL SERVICE
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.25
$2.25
$0.20
$5.00
$150.00
$3.00
$0.80
$164.10
Pay Date Pay Type
Invoice # EL -8-17-65057
09/01/2017 Credit Card
08/31/2017 Credit Card
Amt Paid Amt Due
$ 114.10 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
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 t
construction and zoni
..j
the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
Authorize
ove-named contractor to do the work stated.
arYature:Owner / Applicant / Contractor / Agent
Building epartment Copy
September 01, 2017
Date
September 01, 2017 1
qe-c51 3e f(s- C
c�5i 922 X365
c\\\
A1069-'
BUILDING
PERMIT APPLICATION
❑BUILDING x❑ ELECTRIC
❑PLUMBING ❑ MECHANICAL
JOB ADDRESS:
City:
67 NW 92nd STREET
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
❑ ROOFING
❑PUBLIC WORKS
Master Permit No.
Sub Permit No.
❑ REVISION
❑ CHANGE OF
CONTRACTOR
RECEIVEL
AUG 31 7017
CV( `1%1
FBC 20
El (-9 221 -(
`Z.C. Ido- 21U3p
❑ EXTENSION ❑RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
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):
Address:
848 BRICKELL AVE.. SUITE 1220
VERO HOMES LLC
Phone#: 305-902-4660
City: MIAMI State: FLORIDA zip: 33131
Tenant/Lessee Name: Phone#: 305-902-4660
Email: hectorsdlceverohomesllc.com
CONTRACTOR: Company Name: 1 & 1 TELECOM & ELECTRIC, INC Phone#: 954-864-8091
Address: 2009 NW 21 AVE
City; FORT LAUDERDALE
Qualifier Name:
TIMOTHY A BRUNO
State: FLORIDA
State Certification or Registration #: EC13006062
Zip: 33311
Phone#: 954-864-8091
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 500.00 Square/Linear Footage of Work:
Type of Work: El Addition . x❑ Alterati n ❑ N CIRepair/Replace ❑ Demolition
Description of Work: e /eceir5 _- vr'
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ / i '/ ®O
Scanning Fee $ Radon Fee $
Technology Fee $
Structural Reviews $ Bond $
(Revised02/24/2014)
CCF $
DBPR $
CO/CC $
Notary $6J" ' cz
Training/Education Fee $ Double Fee $
TOTAL FEE NOW DUE $ ` I ' 10
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 reinspectio ee will be charged.
Signature
-.dr> Signature
OWNER r AGENT CONTRACTOR
The foregoing instrument was acknowledged beforemethis The foregoing instrument was acknowledged before me this
51 day of /T v z o l'R , by 30 day of AUGUST , 20 17 , by
a
I ` G oY .spersonally known to TIMOTHY A BRUNO ,who is personally known tol
me or who has produced 1 \ I( 9) ' . as Mor who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
identification and who did take an oath.
Print:
Seal:
MAHARAI K. GONZALEZ
MY COMMISSION # GG 044802
EXPIRES: November 2, 2020
Bonded Thrulloary g
APPROVED BY
(Revised02/24/2014)
Sign: x
Print: DEBBIE DEROS
!h. DEBBIE DEROS
Seal: Cammlsslon re GG 107318
Expires May 23.2021
?o,,se• sato Ise eestirow! MMvr
/,e'PFafs Examiner zoning
Structural Review Clerk