ELC-18-1805PIZAIDre
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Pei
Parcel Number
Tilt
Permit NO. ELC-7-18-1805
Permit Type: Electrical - Commercial
Work Classification: Low Voltage
Permit Status: APPROVED
Expiration: 01/01/2019
Applicant
9501 NE 2 Avenue
Miami Shores, FL 33138-
1132060133920
Block: Lot:
DVS LLC
Owner Information
Address
Phone
Cell
DVS LLC
201 NE 95 Street
MIAMI FL 33138-
(305)756-3711
201 NE 95 Street
MIAMI FL 33138-
Contractor(s)
DOSOLES ELECTRICAL CORP.
Phone
(954)793-2414
Cell Phone
Valuation:
Total Sq Feet:
$ 775.00
0
Type of Work: LOW VOLTAGE WIRING
Additional Info:
Classification: Commercial
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.25
$2.00
$0.20
$150.00
$3.00
$0.80
$158.85
Pay Date
Invoice #
07/05/2018
07/02/2018
Pay Type
ELC-7-18-68113
Credit Card
Check #: 1348
Amt Paid Amt Due
$ 108.85 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
i
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 an SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that
construction and zoning. Futhermore, I authorize the above -named contractor to do th
Authorized Signature: Owner / Applicant /
Building Department Copy
Contractor / A
ork will be done in compliance with all applicable laws regulating
d.
July 05, 2018
Date
July 05, 2018 1
BUILDING
PERMIT APPLIC TION
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION
iroO � 4
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
JOB ADDRESS: ° k) > /-`)-- NE -
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
Master Permit No.
RECEi v f0
Jul 02.T01805
FBC 20
-05s4-ta [8'67)
Sub Permit No. 0—C -1 Y OS
❑ EXTENSION ❑RENEWAL
❑ CANCELLATION
❑ SHOP
DRAWINGS
City:
Folio/Parcel#:
Occupancy Type:
Miami Shores County:
it 312O OV 3q2..s‘
Load: Construction Type:
Miami Dade
Zip:
Is the Building Historically Designated: Yes
Flood Zone:
NO
BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 0 Y L Phone#:✓05 - 7f fr- 2-22c,
Address:
City: ivV0VAt $I.6t State: ��—
Tenant/Lessee Name: /1 ((' Of Ye11r—L
Email: (?-I ^)�QLC E `tkcoc'(..`C
Zip: 3 3 ( 3 8
Phone#: I'5( 582_ 5-7
CONTRACTOR: Company Name: 3 e)te S GLEG I C Phone#: iS tr 791 2-ft / 4
Address: 1f06/ PdE lift* Ave
City: CIAIL LA rib PAeK State: ELo2.A,. Zip: ,A..r .3 If
Qualifier Name: (AJA-Lre r P6eR0 r.Phone#: cgS4 793 2 ti 1 t
State Certification or Registration #: CC taoo cif r)$5 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 716- 0- Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New
Description of Work: LtY,.) J(( W\��
❑ Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ �� Permit Fee $ %� CCF $ CO/CC $
Scanning Fee $ Radon Fee $ - DBPR $ CX)o� „P.' Notary $
Technology Fee $
Structural Reviews $
Training/Education Fee $ Double Fee $
Bond $
TOTAL FEE NOW DUE$ I 09 , SS
(Revised02/24/2014)
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 ved and emsp n fee will be charged.
Signatur
f 041
1, _am
f. I I I IA I lb
OWNER or AGENT
The foregoing instrument was acknowledged befo
2 0>- day of
Signature
CONTRACTOR
s The foregoing instrument was acknowledged before me this
n
, 20 / k' , by O�fi day of 1 X,r�i , 20 / , by
/� /hP 1
Qi-�R!'L'�1YYIi�f� ,who is personally known to �aldCU P..Q [r'�-ph C , who is personally known to
me or who has produced as me or who has produced 1%ic� . S P Drtre+Qt4tt as
PAS o-9a/�- 86-3(aZ-6
identification and who did take an oath.
NOTARY PUBLIC:
Si: : l / 426W,LL11-
Q
'Siy4Zr �J17-O✓/'/laJ/�
ELIZABETH ELORRIAGA
�
•': MY COMMISSION # FF953536
•••,,a,�,;,• EXPIRES January 25. 2020
140/1398-0'a3 FklrilfRNOteryS9ry�
********************** I.A.. I lid �Y•, "'•�k************************
Print:
Seal:
identification and who did take an oath.
NOTARY PUBLIC:
APPROVED BY
Sign:
Print:
Seal:
Plans Examiner
140/139H-0'S3
401
ELIZABETH ELORRIAGA
MY COMMISSION # FF953536
EXPIRES January 25i 2020
F
****
Zoning
(Revised02/24/2014)
Structural Review Clerk