EL-17-1596Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Pe
mit
Permit NO. EL -6-17-1596
Permit Type: Electrical - Residential
Work Classification: Pool - Private
Permit Status: APPROVED
issue Date: 10/2512017
Expiration: 04/23/2018
Parcel Number
Applicant
445 NE 94 Street
Miami Shores, FL
1132060140520
Block: Lot:
ARMANDO ORTIZ
Owner Information
Address
Phone
CeII
Darren Ockert
445 NE 94th Street
Miami Shores FL 33138
917 573-9022
Contractor(s)
MESA BROTHERS INC
Phone
(305)345-1974
CeII Phone
Valuation:
Total Sq Feet:
$ 1,000.00
10
Type of Work: POOL ELECTRICAL WORK
Additional Info: POOL ELECTRICAL WORK
Classification: Residential
Scanning: 3
Fees Due
CCF
pBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$4.50
$3.00
$0.20
$300.00
$9.00
$0.80
$318.10
Pay Date Pay Type
Invoice # EL -6-17-64334
06/16/2017 Credit Card
10/25/2017 Check #: 1515
Amt Paid Amt Due
$ 50.00 $ 268.10
$ 268.10 $ 0.00
*Available Inspections:
Inspection Type:
Final
Light Niche
Bonding
Review Electrical
Alarms
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 . --..� information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I au, -'o ze�f� above-named contractor to do the work stated.
October 25, 2017
Authorized Signature: Ow' er Q r :*licant / Contractor Agent Date
Building Departmeopy
Octoberi 25, 2017
1
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC
t
❑PLUMBING ❑ MECHANICAL
JOB ADDRESS:
City:
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
FBC 20 kt
Master Permit No.cTiq` «�
Sub Permit No.
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
El PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
4115" eve 94,4
❑ CANCELLATION
❑ SHOP
DRAWINGS
Miami Shores
County: Miami Dade
Zip:
3
Folio/Parcel#: Is the Building Historically Designated: Yes
Occupancy Type: Load:
OWNER: Name (Fee Simple Titleho
Construction Type: Flood Zone:
Ider): M R-nnc) 001-T7
Address: 144 N 9 t -t- si
BFE:
NO
FFE:
Phone#: 90-370 -66R3
City: m (F3( \•( 5• )40 e -C 5
State:
iF
Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: PO( ��-_ _ Phone#: -7R7355 3 342
Address:
12_315 Scam..)
City: �i (f�� ( State: Zip: 331 840
Qualifier Name: l7Ul 1l -i-?c «�s1 v e�=
State Certification or Registration#: CPC 1 45 2E4:5
DESIGNER: Architect/Engineer:
Address: City: State: Zip:
oo
Phone#: 7 g&,-`732-0C2/?J
Certificate of Competency #:
Phone#:
Value of Work for this Permit: $ 25/ boo
Type of Work: ❑ Addition
n e(_) m i n
Description of Work:
Square/Linear Footage of Work:
❑ Alteration cg New
r
11 r
pew e 2 DE5cGc.
❑ Repair/Replace
❑ Demolition
Specify Color of color rthru tile:
Submittal Fee $ ' % Permit Fee $- S0 • GO
Scanning Fee $ Radpn Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $ cx
CCF $ CO/CC $ SO '
(Revised02/24/2014)
Notary $ p
Double Fee $
Bond $ ua�
TOTAL FEE NOW DUE $ SCJ ( • S-0
(/ L.�. 0 S
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 K__ 67
OWNER or AGENT
Signature
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
22- day of ?mil' -C (-F , 20 11 , by 4:2 ca- day of MA12 C , 20 11 , by
f2rintncto V 77. , who isprsQ�/t�nally known to C u )/-enno eccOIVe(-- ; who is personallyknown to
me or who has produced as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sig
Print:
Seal:
io
APPROVED BY
(Revised02/24/2014)
mr
"PeoF Fl.
* MY COMMISSION 1 FF 165583
xPtREb: October 5, 2018
4) Bonded Thru Budget Notary Services
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner
Structural Review
EXPIRES: October 5, 2018
Bonded Thru Budget Notary Services
r(( 717
Zoning
Clerk
Miami Shores Village JUN 16'2017
Building Department �YQQ
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
s-�
FBC 20N
BUILDING Master Permit No. 61?/ 7 - �� 7
PERMIT APPLICATION
OBUILDING
rd
Sub Permit No. c I t \ - i 5Ci
ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ PLUMBING ❑ MECHANICAL El PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 47 15 //
City: Miami Shores County: Miami Dade Zip: .33 73 P
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: (69k2 Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 64/' ey/4:" L7e9f-0z Phone#:
Address: 4/4/.5-/✓
City: ,11,? " State:
Tenant/Lessee Name: Phone#:
Email:
Zip: lT g:
CONTRACTOR: Company Name: /"/ etc 3' 77 / E' - Phone#:
Address: //
City: ,d / �G�'i'� State: IGG-IG�G
Qualifier Name: ie4
State Certification or Registration #: 6C°- / ? c' �D Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ %bOc7- Square/Linear Footage of Work:
Zip: /Z
Phone#: - Z ��
Type of Work: ❑ Addition ❑ Alteration
New ❑ Repair/Replace ❑ Demolition
Description of Work: Nr, ge,O ( k- �y
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ 300 ' de, CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
��,�
TOTAL FEE NOW DUE $ _G�'� i .
(Revised02/24/2014)
{
Bondir4tomo ny'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 o a building pp f g permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In • - • . ence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signatu
The foregoing instrument was acknowledged before me this
,� f ^^� 2_ day of : U a� i% , 20 11 , by
7tMAn An. 01-1-1-2_, who is personally known to
Signature
The foregoing instrument was acknowledged before me this
CONTRACTOR
. day of J U p.) , 20 / 7 , by
ft 4e,c-M- who is personally known to
me or who has produced as meor who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
pPY P
r'
GUERO
* ,t_>
11114
'1.$ Of FOC' Bonded Thru Budget Notary Services
* COMMISSION # FF 165583
EXPIRES: Octobor 6,2018
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
tt t'4`^ MDA PEG UERe-
* Nt �?* MY COMMISSION # FF 165583
EXPIRES:October5, 2018
N,9rr „oe Bonded Thru Budget Notary Servkes
*t********************** **********************************************************************************
APPROVED BY
(Revised02/24/2014)
/ Plans Examiner Zoning
Structural Review Clerk
• Val
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BLOCK
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•
LOCATION MAP pROPEk? AIDRESS: . ••
NOT TO SCALE 445 NE 94TH STREET, MIAMI SHORES. FL 33138
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LEGAL DESCRIPTION:
LOTS 20 ANO 21, BLOCK 52, 09 411AAN SNORES 5E61104 2, ACCORDING TO 114E PLAT THEREOF, AS RECORDED N PLAT BOOK 10,
PACE 37, OF THE PUBLIC RECORDS 0f MINA-0ADE COUNTY, RONDA.
FLOOD ZONE INFORMATION:
BASED 01 THE 0.000 INSURANCE RATE MAP Of THE F(DEIIAL EMERGENCY MANACOMEN1 AGENCY REVISED ON 09/11/01 AND
1NOEK MAP REM5ED ON 09/11/09 114E ORAPNCALLY DEPICTED 90(0446(5) SNOW ON THIS MAP Cf SURVL'Y IS WHIN ZONE I
BASE 8000 ELEVATION N/A COMWNITY NAME & 14U48CR MINS SNORES 120652 MAP & PANEL MANTR 1208600302 5UPT10 L
LEGEND & SYMBOLS 1)/VI
EO
• 00990 -WAY
ENcCN OE or PAVEMENT
1044 - F ONLL INOC
OV - T 4T CORM
A . ARC DISTANCE
A - AN 0001104/01 PAD
80 6R0WAR0 CO NTY.x00ROf
pp0- RNE0XG
BY - 80401 MARK
COS - COOHEIE BLD01 & STUCCO
(C) . CALCULATED
. CA104 BASIN
CURT &
00114 LINK THLINKENCE
- COLUMN
TIME . 00RNNACE Y MANTENANCE
EMINENT
SURVEYOR'S NOTES:
RP . 10110 RCN PPE
FIRFOUND RCN 900
fN • FOND NAL (4401D
0 • 10810 NAA k 0W
14
LP ..'LICIT -POE.
(M) - MEASURED
9001.o109 -CAGE COUNTY
n - ORD
MINED5FLOOR
NN -MM NOLL RES.. RESEENCE
Ory OVOO.M UT4TY IRRE 9P - SET NON PIPE
SET NAIL & DISK
SOCNALK
TIMM
*MUTT SOX
UINUTYAtAt SEMENT
LLT P
61
ARRAN AT1Ia
PC
R
PPL
9DG
PIN
PPLA? LAT O
Of CURVATURE T7
PACE
P NT OF INTERSECTION UE
POOR
NT OF SEWING
PONT CP CCPW1ttMDNT
MAW REERINCEtra&�1
raY (O0'). CRIONM. 101T DISTANCE
014 84041 OF WAY 099 - R j'
.K 0.00 - ELEVATION
'
1. ELEVATIONS RRLN 5NOYN REFER TO NATIONAL OE00E110 VER1ICAL DATUM (NOVO). 2. N0 ATTEMPT wA5 MADE TO LOCATE -'
FOOTINGS/FOUNDATIONS UNLESS OTHERWISE NOTED. D. THE LANDS 940M HEREON NAVE NOT BEEN AB50AC1E0 N REGARDS
TO MATTERS OF INTEREST BY OTHER PARTIES. SUCH AS EASEMENTS. RIGHTS OF WAYS, RESERVATIONS. ETF ONLY PLATTE()
EASEMENTS ARE SHORN. 4. 1195 AIRVEY WAS PREPARED FOR AND 0080900 TO 119 PIAN(IES) INOCATE0 HEREON AND I5
NOT TRANSFERABLE CR ASSIGNABLE S. THE INTENT OF 'HIS SURVEY AS COM UNICATEO BY ME CERTIFIED PARTIES IS FOR
REAL-ESTATE TRANSACTION OR MORTGAGE MNION080, 415 SURVEY IS NOT TO BE USED FOR ANY 0114ER PURPOSE OR
PAR1Y(IE5) WITHOUT THE AUTHORIZATION Of THIS FIRM. 6. THIS SURVEY IS NOT MENDED 909 NEITHER OE9GN NOR
CONSTRUCTION PURPOSES. FOR THOSE PURPOSES A TOPOGRAPHIC WHEY 15 REOURE0. 7. ALL 80UN0MY UNIT INOCATORS
SET ME STAMPED 1.139 7104. 9. ME 8OINOMY UNITS STABU91E0 ON THIS SlR5Y ME BASED OA 1K LEGAL DESCRIPTIO/
P90NDE0 BY CLIENT 0E ITS REPRESENTATIVE 10. A0010 45 OR OELE114110 TO AIRLEY MAPS OR REPORTS SY 0114ER MM THE
SIGNING PARTY 0R PARTIES IS P9049400 SATNOUT WI ITEN CONSENT OF THE SIGNING PARTY OR PARTES. 11. ELEVATIONS
4140/0R CONTOURS 940WN HEREON HAZE SEEN MEASURED TO AN E0TIMATE0 VERTICAL P09TONAL ACCURACY OF 0.09. 12.
WELL-IDENTIFIE0 FEATURES IN MIS SURVEY AND MM HAVE BEEN MEASURED TO AN ESTIMATED HORIZONTAL. P09110NAL
ACCURACY OF 0.09. 13. SEARNOS WHEN SHOWN ARE TO M 455UME0 MENOM. 111E CENTERLINE OF NE 94TH soar HAS
REN ASSIGNED A BEAR9N0 0f WEST. '
1 HEREBY CERTIFY THAT. THIS SURVEY IS TRUE AND CORRECT TO THE RST OF MY KNONEEDGE AND RUEF AS RECENTLY
SURVEYE0 ANO DRAWN UNDER MY DIRECTION A10 MEETS THE ORMA M TECHNICAL STANDARDS SET FORTH BY THE FLORIDA
STATE BOARD Of SURVEN 415 A110 MAPPERS N 01M10R 6107-6 FLORIO* ADMINISTRATIVE CODE PURSUMT TO 0005014
472.027 11.0R10A STATUE.
• AUTHENTIC COPIES OF THIS
SURVEY SHALL BEAR THE
RASED SEAL OF THE
ATTESTING REGISTERED
SURVEYOR AND MAPPER
SEAL
JUAN A. SUAREZ
PROFESSIONAL SURVEYOR ANO MAPPER
STATE OF FLORIDA UC. / 8220
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