ELC-18-973Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. ELC-4-18-973
Permit Type: Electrical - Commercial
Work Classification. Addition/Alteration
Permit Status: APPROVED
issue Date: 7/5/2018
Expiration: 01/01/2019
Parcel Number
Applicant
717 NE 91 Street Number: 2-B
Miami Shores, FL
1132060440040
Block: Lot:
MAFFE 1 LLC
Owner Information
Address
Phone
Cell
MAFFE 1 LLC
3001 NE 185 Street
AVENTURA FL 33181-
3001 NE 185 Street
AVENTURA FL 33181-
Contractor(s)
CARIBE S ELECTRIC INC
Phone
(786)255-6212
Cell Phone
Valuation:
Total Sq Feet:
$ 200.00
0
Type of Work: RELOCATE WIRE RECEPTACLES (1)
Additional Info: RELOCATE WIRE RECEPTACLES (1)
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
04/12/2018
Pay Type
ELC-4-18-67145
Check #: 3887
Credit Card
Amt Paid Amt Due
$ 108.85 $ 50.00
$ 50.00 $ 0.00
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 AFFI
constructio an
ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
hermore, I authorize
%the above -named contractor to do the work stated.
1r•44s:$4<o `z
Autho, Signature: Owner
Applicant / Contractor / Agent
July 05, 2018
Date
Buildi *"Department Copy
July 05, 2018
1
4
BUILDING
PERMIT APPLICATION
MiamiShores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
Master Permit No.
C81
8
FBC 201? titt►
C\a -9 z
Sub Permit No. E L 1$ - 73
El BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL 0 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 717 NE 91st Street, Apt 2 Qj
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: k-32%- Y4'1 -- 0040 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE:
OWNER: Name (Fee Simple Titleholder): QL14e uce_
Address:
30o t k$s 2A0
FFE:
Phone#: S6 ~ tb b- `ct
City: ICAV r k State: Zip: l l -
Tenant/Lessee Name: (� I
Email: `�`nakei � A% Q� D. ' at400
Phone#:
CONTRACTOR: Company Name: CARIBE S. ELECTRIC, INC. Phone#: 305-822-8449
Address: 1770 W. 40 ST., BAY 3-4
City: HIALEAH
Qualifier Name: HENRY HERNANDEZ
State: FL Zip: 33012
Phone#: 786-255-6212
State Certification or Registration#: EC13005471 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ .�-' Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
❑ New 0 Repair/Replace n Demolition
Description of Work: RELOCATE WIRE RECEPTACLE (1) ONE.
Specify color of color thru tile:
Submittal Fee $ 5 ; d Permit Fee $ A 61P, e.0 O CCF $ CO/CC $
Scanning Fee'$ Radon Fee $ a -Q DBPR $ a ' oZ. Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $'
(Revised02/24/2014)
TOTAL FEE NOW DUE$ 1 os •
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 r `
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
OWNER or AGENT
, by
jk.attt4 +Q.pp _ , who is personally known to
Sotto Lye I as
The foregoing instrument was acknowledged before me this
'1'" 7t' day of H "J- , 20
me or who has pro
identificatio
Sign:
Print:
Seal:
ARCS • SEBASTIAN MODERNELL NEVAREL
ommission # GG 34000
My Commission Expires
September 27, 2020
31141J . Sign:
Cob' • Print: NU
Seal:
Signature
.CONTRACTOR-
The foregoing instrument was acknowledged before me this
13TH . day of MARCH , 20 2018 by
HENRY HERNANDEZ , who is personally known to
me or who has produced PERSONALLY KNOWN as
identification and who did take an oath.
ry 4
NOTARY P BL : -•�q10 , • • Du ue
•�= Commission I GG140154
n Expires: Novemeber 21, 2021
,a,� : . filed thru Aaron Notary
***************
APPROVED BY
YIDUQ
**************************************************************************************tit***
erA)/7 4- 1- /ePlans Examiner Zoning
Structural Review
Clerk
(Revised02/24/2014)