EL-18-1604Permit No. EL-6-18-1604
�sK"Rf yt Miami Shores Village Permit Type: Electrical - Residential
10050 N.E. 2nd Avenue NE Work Classification: Alteration
" Miami Shores, FL 33138-0000 Perl"11"tPermit Status: APPROVED
ryea� Phone: (305)795-2204
�ialit Expiration:01/09/2019
Issue Date: 7/13t2018
Project Address Parcel Number Applicant
150 NE 94 Street 1132060132970
Miami Shores, FL Block: Lot: STEFANO CARNIATO
Owner Information Address Phone Cell
STEFANO CARNIATO 150 NE 94 Street (786)210-0789
MIAMI SHORES FL 33138-
150 NE 94 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
AAA ON TIME ELECTRIC INC (786)295-1748
e of Work: KITCHEN REMODELING (3) SMOKE DETECT
itional Info: KITCHEN REMODELING (3) SMOKE DETECT
ssification: Residential
nning: 1
Fees Due
Amount
CCF
$2.40
DBPR Fee
$2.25
DCA Fee
$2.00
Education Surcharge
$0.80
Penalty Fee
$100.00
Permit Fee - Additions/Alterations
$150.00
Scanning Fee
$3.00
Technology Fee
$3.75
Work without Permit Fee
$150.00
Total:
$414.20
Valuation: $ 4,000.00
Total Sq Feet: p
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL-6-18-67893
06/12/2018 Credit Card $ 50.00 $ 364.20
07/13/2018 Cash $ 364.20 $ 0.00
Available Inspections:
Inspection Type:
Rough
Review Electrical
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 ;rtjng. Futhermore, I authorize the above -named contractor to do the work stated.
July 13, 2018
Authorized nature -Owner / Applicant / Contractor / Agent
Building Department Copy
Miami Shores Village+
Building Department UN 112 2 18
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Uzi : "-
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
BUILDING Master Permit No. 12C" 3 - q3-1-1 Z
PERMIT APPLICATION Sub Permit No. -CL j $ -160 4
❑BUILDING YELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ' ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: / 50 00 9-1 S 7—
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:
�_
OWNER: Name (Fee Simple' Titlleholder)Q� / V rA AJ C ��1 '�V v
Address: / � 0 1�-� f - { Z/
City: / / J/� �� / 6��� State:
Tenant/Lessee Name:
Email:
BFE: FFE:
CONTRACTOR: Company Name: 1) 1/me: - X (�� (�j1 �. ��e 6(� Phone#:-7 U��Zgs� 7 /��j
Address: 6 5 / /y �, / Oo 7?/2/Z
City: I"!
Qualifier Name:
State Certification or Registration #: L—, �U 2 V 1 b Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Zip:
Address: City: State:
Value of Work for this Permit: SO .L Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New In ❑ Repair/Replace
( Description of Work: r"�� ��� ��` ��> � �/S 30 -5M 1oi4
G
Zip:
❑ Demolition
2> sw "'/<--'(d-
Specify color of color thru tile:
Submittal Fee $S6;,-?CCt Permit Fee $ / "' O6 CCF $ CO/CC $
Scanning Fee $ 1 Radon Fee $ o� - 00 DBPR - Notary $
Technology Fee
Structural Reviews $
Training/Education Fee $
Double Fee $
Bond $ _
TOTAL FEE NOW DUE $ %q
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 goo with that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property ubject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first insp t' n which occurs seven (7) days after the building permit is issued. In the absence of suchposted notice, the
inspection will nok W^Oved and a reinsp4tion fee will be charged.
Wx�Signature `�
OWNER or AGENT
The foregoing instrument was acknowledged before me this
—1Z— day of file 120 by
eC ah Carr►i 6 who is personally known to
me or who has produced _ 1) Yi J'e r ' I C tra -P as
and vabo dief take an
NOTARY P BLIC:
Sign:
Print:
Seal:
.�J
L-'
s**ss*s*sssssssss**
APPROVED BY
`� jt ADY PRIETO
MY COMMISSION # FF 214031
EXPIRES: March 25, 2019
Bonded Thru Notary Public Underwriters
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day o J V Ale— 20 f' . by
O�AI >7n ho is persona ly known to
me or who has produced as
identification and who did take an oath.
NOTARY P LIC Notary Pudic State of Florida
Jose Luis Saladin
My Commission FF 914315
Of Expires 08131/2019
Sign:
Print: `L�J L� �k
Seal:
sssssssssssssssssssssss*sss
Plans Examiner Zoning
Structural Review Clerk
(RevisedO2/24/2014)