EL-17-1088Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. EL-4-17-1088
Permit Type: Electrical - Residential
Work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 5/1912017
Expiration: 11/15/2017
Parcel Number
Applicant
9300 BISCAYNE Boulevard
Miami Shores, FL 33138-
1132060141640
Block: Lot:
GABRIEL COSENTINO
Owner Information
Address
Phone
Cell
GABRIEL COSENTINO
9300 BISCAYNE Boulevard
MAIMI SHORES FL 33138-
(305)962-1893
9300 BISCAYNE Boulevard
MAIMI SHORES FL 33138-
Contractor(s) Phone CeII Phone
F JIMENEZ ELECTRICAL CONTRACT( 305/556-5759
Valuation:
Total Sq Feet:
$ 1,200.00
0
Type of Work: POOL PUMP/ POOL LIGHT
Additional Info: POOL PUMP/ POOL LIGHT
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
$4.50
$4.50
$0.40
$300.00
$3.00
$1.60
$315.20
Pay Date
Invoice #
05/19/2017
04/19/2017
Pay Type
EL-4-17-63748
Cash
Cash
Amt Paid Amt Due
$ 265.20 $ 50.00
$ 50.00 $ 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 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 -name• contractor to do the work stated.
\,tom May19,2017
Authorized Signature: Owner / Applicant / C• or / Agent Date
Building Department Copy
May 19, 2017
1
BUILDING
PERMIT APPLICATION
❑BUILDING ELECTRIC
PLUMBING ❑ MECHANICAL
JOB ADDRESS:
City:
Folio/Parcel#:
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
❑ ROOFING ❑ REVISION
RECEIVED
APR .19 2017
FBC 201Y
Master Permit No. 6 I°1° 1 R 1 0-
Sub Permit No. C1 .1 - 108S
❑ EXTENSION ❑RENEWAL
❑ PUBLIC WORKS 0 CHANGE OF ❑ CANCELLATION
CONTRACTOR ll
CL 300 Ye c
Miami Shores
County: - Miami Dade
Zip:
c/J Is the Building Historically Designated: Yes
Occupancy Type:JG f? Load: BFE:
Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): l = b � l' n ( / _ - __/ (. _
Address: �( 3D O 13 1�S 1,- c,3 Yt u C,-(
City: iil . ENV t r 5 kt,,,54 State: f
Tenant/Lessee Name: Phone#:
Email:
❑ SHOP
DRAWINGS
Zip:
NO
FFE:
3�5- 18?3
3 1,3
CONTRACTOR: Company Name: r-{,, sWW2-Ale-L. t P Cs{ �c t C.AJ COVl ilf-f hone#:
Address: (� 5 0-SA/-
City: \A i5t11 �1r6� Late:
Y Ci kac i(SGc) ( 1 Phone#:
Value of Work for this Permit: $
Type of Work:
Description of Work:
Qualifier Name: .
State Certification or Registration #: EC — 1 0 z�Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Square/Linear Footage of Work:
❑ Addition ❑ Alteration
Zip: -- 3 ` `
4.Ke 265 2 /SD
ew ❑ Repair/Replace ❑ Demolition
>, P / Voo 51\-
Specify co
Submittal Fee
Scanning Fee $
Technology Fe
eitslu Afl� t 1041 t4 i` 2 YIQaci vIsto!
Permit F- -
£t *f& 14 1 ite;zz'r on F
11/401 ..: w6c9e r; rUw n teem
eV ek9 CCF $
DBPR $
rsfrOn! f!
4`tlSl(k� to, Muir:-stQaq 101.10_' t" :
tfio
150E0 ;4 ,teir Itu 3
,1V V Aryl 4144 47,4
anon Fee $
oub a Fee
Structural Reviews $ Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ 2—GS . ? s)
t.j 1 V 'I -1 i'.
Bonding.Company's Name (if applicable)
Bonding Company's Address
City x ' State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City`
4 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 p 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 ana reinspection •e will be charged.
Signatu
OWNER or AGENT
The foregoing instrument was acknowled
!' day of
d before me this
, 20 > , by ( day of
s personally known to Fi AaCFs, O �M �tV 2-- ,
Crrt *who
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Signature
C;i NTRACTOR
—r •
The foregoing instrument was acknowledged before me this
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
1
Sign: .,t;114.4 ' Sign:
Print: /` A',4 r4 ,J /,2`. Print:
Seal: Seal:
4 a .r a . i; M SULKS
Notary Public - State of Florida
d F6eiaaufmiliesglra4t rt0
Commission • FF 030252
i' OFF
�''''' ' ' Throe. NotaryAug.
A,E�� .�, '_F 4 ib _ Plans Examiner
*********************
M BULNES
1ft Notary Public - State of Florida
1 f efiratirttifirefitnifflif 2017
Commission dt FF 030252
Wit flr Notional - Alna
**********
Structural Review
Zoning
Clerk
(Revised02/24/2014)