EL-18-1781Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
■
Permit NO. EL-6-18-1781
Permit Type: Electrical - Residential
Work Classification: Low Voltage
Permit Status: APPROVED
Issue Date: 8/2812018 Expiration: 12/25/2018
Parcel Number
Applicant
1263 NE 101 Street
Miami Shores, FL
1132050250040
Block: Lot:
CLAUDIO RODRIGUEZ
Owner Information
Address
Phone
Cell
CLAUDIO RODRIGUEZ
1263 101 Street
MIAMI SHORES FL 33138-
1263 101 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
HI -TECH ELECTRIC & FIRE CORP (786)326-0931
Valuation:
Total Sq Feet:
$ 2,950.00
0
Type of Work: SOUND, MUSIC, CCTV PHONE DATA AND B
Additional Info:
Classification: Residential
Scanning: 3
Fees Due
Permit Fee - Additions/Alterations
Total:
Amount
$150.00
$150.00
Pay Date Pay Type
Invoice # EL-6-18-68086
06/28/2018 Check #: 1519 $ 150.00 $ 0.00
Amt Paid Amt Due
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 and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is rate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-namQd cbnt ctor to do the work stated.
1'
Authorized Signature: Owner / Applicant / Contraett5r / Agent
June 28, 2018
Date
Building Department Copy
June 28, 2018 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION UNE PHONE NUMBER: (305) 762-4949
.FBC 20 l,t
BUILDING Master Permit Nc TC-- E -
PERMIT APPLICATION Sub Permit Nc
BUILDING ELECTRIC it ROOFING .0 REViSION ; ❑ EXTENSION r, 11RENEWAL
El PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS i"0CHANGE' OF' ❑CANCELLATION •'SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1 z 6 ,r ( Q l $ 1
Yi}.., i1AiMmi Sharess
Folio/Parcel#:
..Counti�..•.
•� 11A:�.v�: Dade - _.. Zio:
., v 1�11�1111 !/vMb. ti1M.
Is the Building Historically Designated: Yes ..•. NO
Occupancy_ Type: • t • D -"Load: • .,Construction Type: • Flood Zone: T BFE:, FFE:
OWNER: Name (Fee Simple Titleholder): C I 41 Z "Phone#: 7i- Q S ^ 2 6 — Z Z Z 1y
Address: -• I;=Z C ,, i&/ r__ 1 0 ,t S .t.
City: tri•
.lute.
• Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name:C esn £ _ (- , ri
.._ Address: * • /4- Q o /1/14) .. �71' xl-r4-
�I
• Phone#: •
,t _5 _
Phone#:
.i .i . , . ��--
Pia... f7 ) t /l ,dA r f'._r_. ice,
Est...
Qualifier Name: -1�,i �. 3�!�' ti -o Phone#: 3urC' 3 7o
State Certification or Registration #: c G"( 304 i! Certificate -of Competency #:
DESIGNER: Architect/Engineer: ~� r tif'''i ;.f- r--- `� i cam- '/ Phone#: ii g' �`- S' 3--� S S S
Address: 't 01 ( t\. `- \ l4 +'1 ' ___ -City: '� ":?2..rK State: f i 'Zip:
Value of Work for thk Permit: $ •�� U Square/Linear Footage el Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Rep r/Replace ❑ Demolition
Descr' tion of Work: _ . i- k-9 — i-'- — IA,
Speclfico/or,of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $-. Tralning/Education Fee $ - Double Fee $.
Structural Reviews $ Bond $
- -TOTAL FEE NOW DUE $ Sb' QC--)
(Revlsed02/24/2014) �'
•
i Y�1
t.v
1
1-
s Bonding Company's Name (if appiicable)•-
, Bonding Companv;s'Address
City 4 . State "I .., - ...3 , Zip
Mortgage Lender's Name (if applicable)" 1 ¢ i'' ''"1 'll c =`Y' ' 3124)1
Mortgage Lender's'Address
J Gty'fr .L.'r;I ,i yl'.• State • Zip .+I )71
' : hi rt a, 2 -R ✓'.1 }�, A 4y Y.`r1i �' .
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 tIie'issuance of al permit and that all work, wiiPte performed .fo meet the standar islof 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 lnt, i '`,,,; f-� „
OWNER'S AFFIDAVIT: 1 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. __.w -_ ,�E , •V4I St
`--"WARNINGS TO `OWNER:49YOURIFAILURE-TO -RECORD A -NOTICE jOP COMMENCEMENT MAY
- RESULT IN YOUR'P'AYING TWICE"FOR' MPROVEMENTS TO YOUR -PROPERTY.' IF:YOU INTEND
TOOBTAIN.FINANCING CONSULT-WITH'YOUR'LENDER-OR.AN'ATTORNEYrBEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
•• ._....�_. ..+.. ... .. .�,.)i l ✓.,.- . ... r._ .....�........ 1........__ -. ��.. '-. ',' ~: °' ifi.l t[ y7)'•1ft:r ! °tr'7t•04.1%�..
. _ 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 cominen.e►rieril uud Lu►niruci o,. lien luw brochure will be delivered to the person
whose property' is subject to attachment. Also,"`a certified copy "Of ife"recorded notice of commencement must be posted at the job site
--•-for-the• first. inspection+which occurs,seven.(7) days,afterr-the building _permit Is, issued._ in the•absence7of such posted notice, the
Inspection will not be approved and a reinspection fee will be charged.rf
• .
Signature
Signatu
-r_ _ OWNER or AGENT ...,t.TfiACTOR t:7
e rn�l
.
The foregoing instrument was acknowledged before me this
day of , 20 by
•
me or who has produced
Identification and who did take an oath.
The foregoing instrument was acknowledged before me this
•. ry
,20 / ' ,by
/1 ' % day of-7/ (1)3.<_
OCUIS OnEnV ,a. _ s ,P.1..1'', t )+t ,y,"c' ' 413 k J!
NOTAKY PUBLIC:
sf
—Ant:
-Seal:"•""-
own to )'I fgf , who is personally known to
'L• .,L.I:i.4s
as - me or who has produced F D L• as
j i. i r • 4.4. 44:
.49�1-'..'PY PUe
° = `c •MY COMMISSION # GG 04460
b".
APPROVED BY, _
J rv• , 1
identification and who, did talce«an
6-t:,r r, ,s tt �1'- h. 1•l S.r
NOTARY PUBLIC {{
r, ..P.,,_�4L` L. 1 f ,�, .bNA l� • u. it .. ..
4 1„
—Print
NOW
'•'c �; ''c. MY COMMISSION # FF981623
V�? EXPIRES April 122020 ,
1111
40r 398.010J FlorltlallotirySemeo,com -A,. kJ
.r P - N•,.,. II
t
Plans Examiner Zoning
Structural Review
Clerk
(Revised02/24/2014)