EL-18-664Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit NO. EL-3-18-6 64
Permit Type: Electrical - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 3/20/2018
Expiration: 09/16/2018
Parcel Number
Applicant
10618 NE 11 Court
Miami Shores, FL
1122320280420
Block: Lot:
ARTURO RODRIGUEZ
Owner Information
Address
Phone
Cell
ARTURO RODRIGUEZ
10618 NE 11 Court
MIAMI SHORES FL 33138-
(305)877-0897
10618 NE 11 Court
MIAMI SHORES FL 33138-
Contractor(s)
RREYES ELECTRIC, INC
Phone
(305)796-3558
Cell Phone
Valuation:
Total Sq Feet:
$ 1,500.00
0
Type of Work: BATHROOM REMODELING NEW 80 AMP INST
Additional Info: BATHROOM REMODELING NEW 80 AMP INST
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
$2.25
$2.00
$0.40
$150.00
$3.00
$1.60
$160.45
Pay Date Pay Type
Invoice # EL-3-18-66790
03/14/2018 Check #: 1240
03/20/2018 Credit Card
Amt Paid Amt Due
$ 50.00 $ 110.45
$ 110.45 $ 0.00
a
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 AFFIDA
construction an
I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
Futhermore, I authorize the above -named contractor to do the work stated.
March 20, 2018
Date
Authoriz
Signature: Owner
/ Applicant /
Building, -Department Copy
Contractor / Agent
March 20, 2018
IVIIdf I II JI IUI t S V IIId�C
BUILDING
PERMIT APPLICATION
❑ BUILDING [4LECTRIC
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.
❑ ROOFING ❑ REVISION
Sub Permit No.
❑PLUMBING El MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
JOB ADDRESS: /D6 /6 N // eT'
RECEIVED
COAN , MAR 141018
FBC 20i* J �
� ,6-(otPq
❑ EXTENSION ❑RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
City: Miami Shores
Folio/Parcel#: Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone: BFE:
a rT✓ra Rai r' jvcZ
OWNER: Name (Fee Simple Titleholder): S Phone#:
Address: /O6/8
County: /4: - Miami Dade
zip: - 3 3/3g
NO
FFE:
City: ,/-/(6`,Ac-{ s% 'r
State:
Zip: _33/3S
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: i? / e.y.e 'c ee/!"t e.
Address: `/700 �S W 357
City: CO?'�/aee-Wes' State:
Qualifier Name:-.Z4oS6/4 7 sd4/"C.
Phone#: 305 77463SS'd'
Zip: 5.3 crI
Phone#: 305- 794 3 cSe?
State Certification or Registration #: i eZ /30 /S/ 9 c/ 7 Certificate of Competency #: /O c 006 .`i t 7
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ / 4ro2.0 0
Square/Linear Footage of Work:
Type of Work: El Addition ❑ Alteration ❑ New
Description of Work: ea/4 rY' * -/ /Ze,a�e // kf. S
4ea 'e r-
d� e1-iS1luj eVeefreC (lo et/
Specify color of color thru tile:
[Repair/Replace ❑ Demolition
Ale“) R o 4/4/9
Rc e, e ery e-c.r
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $, 5: --
Radon Fee L c
Training/Education Fee $
CCF $
DBPR $
CO/CC $
PS-, Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUES j ��
Bonding Company's Name (if applicable)
Bonding Company's Address
x
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
OWNER or AGENT
The foregoing instrument/ywas acknowledged before this
i � day of `./' U 6/ 1 , 20 � , by
f 7'i7/rt' /2 ddr/9 VG z , who is personally known to
me or who has produced b(Lt"e4 5 t(C-e'n 5. as
identification and who did take an oath.
NOTARY PUBLIC:
Print:
Seal:
•
Ick
`I j i`
3t1 S 1'
it`s
APPROVED c `I'.,, /4/,4')Z Plans Examiner
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
/ A day of Ala,- • , 20 47 , by
4og'a_ -y �Q ✓C Z , who is personally known to
me or who has produced £l riezr 6ce-,7Se as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
f Flor1Wnt:
Ana Maria Perez
y,My Commission GG 1910eal:
m: ap" Expires02/28/2022
, e -eei Lo (-z_
>�Y 6l/ , �erced
,,ti ' es Lopez
�s: Commission # GG145730
? Expires: Sept. 25, 2021
s Bonded thru Aaron Notary
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Zoning
Structural Review
Clerk