EL-17-295Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. EL -2-17-295
Permit Type: Electrical - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 2/10/2017 Expiration: 08/09/2017
Parcel Number
Applicant
640 NE 98 Street
Miami Shores, FL 33138-
1132060171820
Block: Lot:
IAN & CORY ROSS
Owner Information
Address
Phone
Cell
IAN & CORY ROSS
640 98 Street
MIAMI SHORES FL 33138-
(305)979-3879
640 98 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
PRECISION POWER & CONTROL, COI (305)345-2161
Valuation:
$ 1,500.00
Total Sq Feet: 238
Type of Work: RUN ELECTRICAL AS PER PLANS AND REC
Additional Info: RUN ELECTRICAL AS PER PLANS AND REC
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
$3.38
$3.38
$0.40
$225.00
$3.00
$1.60
$237.96
Pay Date Pay Type
Invoice # EL -2-17-62840
02/03/2017 Cash
02/10/2017 Credit Card
Amt Paid Amt Due
$ 50.00 $ 187.96
$ 187.96 $ 0.00
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 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.
February 10, 2017
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
February 10, 2017
1
l� ,\ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-499 5r\
FBC20
Master Permit No. rzc- - « Za B -1 -
Sub Permit No. t t — %q S •
El BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
Miami Shores Village
Building Department
Fa 3 2017
4 n
BUILDING
PERMIT APP ICATION
ID PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION 0 SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: (-AO F -1E t' 6 Si-
City:
Miami Shores County:. Miami Dade Tin: 31 - 1Z
Folio/Parcel#: 1 l - ?D2OC., - 011 1 s 20 Is the Building Historically Designatedi)Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFEI FFE:
OWNER: Name (Fee Simple Titleholder): GoC, (al 4 l A N 2fS Phone#: o5 '-1 "qWt 58.R9
Address: 6 tel() t -i E aeA S1 ,
City: MIAMI SW'QES
State: 'FL £:=Y 2412_
Tenant/Lessee Name: A Phone#:
Email: Cr1�ec 9 c» a;' I . co en
3�s 34.5 z1 I
CONTRACTOR: Company Name: = PPxG POvN a2 A co rh 12q, Cc12l hone#: -1P6 i X84 �3
Address: 2A 1 a I0 sT 1-11At_EA 14 . _ ..
City: N I A Le p\--14 State: Zip: 2-. e,1 O
Qualifier Name: At?t- 4D AL_V A C2. Phone#: ( 0 ) - l y'—
State
_State Certification or Registration It: E 1 -JCS •(;1 4 8 Certificate of Competency #:
DESIGNER:Architect/Engineer: 2-)CCA2-- A . GA C)'A N \
•
Sv
Phone#: 4c16 511
Address: '2)-1 9 2. Sud 14 Sv , City: M 1APL1 State: FL Zip: 33 CI
Value ofWork forthisPermit$ 1. COO Square/Linear Footage of Work: eZ. . -r .
Type°. Work El AddtionAlteration ❑ New ❑ Repair/Replace ❑ Demolition
Desa ption of Wart: , - -r 2 c A L
AS Pe 2 •-' P L PN 2ecr� N ‘G 0 2-6.-
Specify
-6
Spey (Dior of color tlrlu file.
11�� .r-�cc s 1 . 7---4) CO/CC $
final Fere $ �O •P-I�11� • Peens Fee $ � �,3ir�o ' �
Stionl Few $ Radon Fee $3 - .° DBPR $ S tom. Notary $
Tesibimbey Fee $ 1 • CD Training/Education Fee $ •c ® Double Fee $
Stmetmal Roden $ Bond $
TOTAL FEE NOW DUE $ 16 TA '-.
Bonding Company's Name (if applicable) 1'4 /k
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 sucAposteci,notice, the
inspection 'ilr'not be approved and a reinspection fee will be charged.
Signature
V vim"-'•
WNER or AGENT
The foregoing instrument wasracknowledged before
me this
day of Feb req iN , 20 (7 , by
C{ 1 g0 , who its personally known to
me or who has produced as
•
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
APPROVED B
(Revised02/24/2014)
;;:►•:�r�* • ALVARO ROJAS
tau t346.01 h3
S May 11. 2019
1-•rrWaNMa ry atvrfle CAT
Signatur-�"
CO RACTOR
The foregoing instrument was acknowledged before me this
1 day of F" jirrArti
/�
� /� � , 20 13- , by
A] 0 >� `1/C %l , who is personalty knownso
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: Aay
Print:
Seal:
Ire/3 I ?' Plans Examiner
Structural Review
• A"'�r'- ALVARO ROJAS
•Ita,,;
140/1346 1h3
ISSION # FF229202
CS Mai 11. 2019
1- mirt..NMaryS.Nvi:;O cnm
Zoning
Clerk