EL-18-557Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. EL-3-18-557
Permit Type: Electrical - Residential
Work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 4/23/2018
Expiration: 10/20/2018
Parcel Number
Applicant
10501 NE 3 Avenue
Miami Shores, FL 33138-
1122310130390
Block: Lot:
JUAN & VERONICA SCATENA
Owner Information
Address
Phone
CeII
JUAN & VERONICA SCATENA
160 NE 118 Street
MIAMI SHORES FL 33138-2007
(305)759-4500
Contractor(s) Phone CeII Phone
NOVOA ELECTRICAL CONTRACTOR (786)287-4220 (305)824-2858
Valuation:
Total Sq Feet:
$ 1,100.00
0
Type of Work: ELECTRIC FOR POOL AND SPA
Additional Info: ELECTRIC FOR POOL AND SPA
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Amount
$1.20
$4.50
$3.00
$0.40
$300.00
$3.00
$1.60
Total: $313.70
Pay Date Pay Type
Invoice # EL-3-18-66667
04/23/2018 Check #: 6513
03/05/2018 Check #: 6396
Amt Paid Amt Due
$ 263.70 $ 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�FFID\VIT: I certify tha
constructs and z¢ning. Futhermor
Authorized Signature:
Building Departm
all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
I authorize the above -named contractor to do the work stated.
Contractor /`Agent
April 23, 2018
Date
April 23, 2018 1
Address:
CONTRACTOR: Company Name: � N1 0 Q-A-
City: 14 \ OJeak a State:
Qualifier Name: O 5va\c c - or )e y' ,�,
State Certification or Registration #: EC 1 3 (DOG? ..1 DESIGNER: Architect/Engineer: 141,0 Q. \ � \0 O Phone#: ? ) 59 '(1 "1 S-v(1
Address: I `(O5S S�) 3 c-- City: \ O•Mi State: t t__ Zip: 33/ 33
Value of Work for this Permit: $ 1 ,i \ PO , O'' Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Altera ion <-� New ❑ Repair/Replace nCDemolliitiion
Description of Work: i . Y�I C �V cQ�\ `, `)
BUILDING
PERMIT APPLI ION
(BUILDING LECTRIC
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
RECEIVED
cMiRiF47,
(p-h
FBC 2019-
Master Permit No. p 19` S2.
Sub Permit No.
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
%%�� CONTRACTOR DRAWINGS
JOB ADDRESS: (D5 0 \ L) e " GO
"� C�
City: Miami Shores i /^� County:(Miami Dade Zip: '- I V
Folio/Parcel#: 1 II�� n' ` - 0 3 I0 Is the Building Historically Designated: Yes NO
Occupancy Type: Y) �ektd:' Construction Type: RWFlood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
Address: Q \ 05 OI t 3
City: 1 \ O t•-4I 5k)OfeS State: —P10 r(
Tenant/Lessee Name:
Email:
�Q'COV(1C9 ScC teychone#:
Q o ri st 5 peAL .
m
Cb37, C1,' o%
5B 0 woes ? B `15(acs_+-
T L
o r 3` sq-q-31
Zip:
Phone#:
Certificate of Competency #:
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ .74e)e,e e2 C7 CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 1,0 3 •
(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 approved and a reinspection fee will be charged.
E
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this /
D- CR day of e bji-�-U Q Icy , 20 /8 , by
�.YOYI (i 01 �CQA kY? who is personally known to
me or who has produced Q.. $.Q as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
, 20
by
Q(11(✓ who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
DIANA M HERNADNEZ-PADRON
ca
V ' • V
EXPIRES May 28, 2020
(407) 398-0153 FlorWeNoferySeMoe.00m
************************************** ***************************
/z9 Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review
Clerk