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EL-18-200X ".RCS Miami Shores Village 10050 N.E. 2nd Avenue NE "' Miami Shores, FL 33138-0000 Phone: (305)795-2204 F�ORLOp' Permit No. ELA-18-200 Permit Type: Electrical - Residential Pen ' Work Classification: Low Voltage Permit Status: APPROVED Issue oats:1/2612018 1 Expiration: 07/25/2018 Project Address Parcel Number Applicant 1569 NE 104 Street 1122320320160 ALAIN &CARLY GONZALEZ Miami Shores, FL Block: Lot: Owner Information Address Phone Cell ALAIN & CARLY GONZALEZ 1569 NE 104 Street (786)277-9756 MIAMI SHORES FL 33138- 1569 NE 104 Street MIAMI SHORES FL 33138- Contractors) Phone Cell Phone A&B ELECTRICAL SERVICES OF FLO (786)302-1175 of Work: PRE WIRE FOR TV, WIFI, SOUND AND CA onal Info: ification: Residential Scanning: 1 Fees Due Amount CCF $2.40 DBPR Fee $2.25 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee - Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $163.65 Valuation: $ 3,500.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # EL-1-18-66238 01/25/2018 Credit Card $ 50.00 $ 113.65 01/26/2018 Credit Card $ 113.65 $ 0.00 Available Inspections: Inspection Type: 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 zoning. Futher e, I autho ize the above -named contractor to do the work stated. Wt January 26, 2018 Authorized Signatuu6: Owner / Applicant / Contractor / Agent Building Department Copy January 26, 2018 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 issue Date: 01/26/2018 Location Address Parcel Number 1569 NE 104 ST, Miami Shores, FL 1122320320160 R Contacts Permit NO.: L-1-18-200 Permit Type: Electrical - Residential Work Classification: LOW Voltage Permit status: Approved Expiration: 06/04/2019 ALAIN & CARLY GONZALEZ Owner ALAIN & CARLY GONZALEZ Applicant 1569 NE 104 ST, MIAMI SHORES, FL 33138 1569 NE 104 ST, MIAMI SHORES, FL 33138 Mobile: 7862779756 Mobile: 7862779756 ADVANCED ELECTRICAL INNOVATIONS Contractor JOSEBARROSO 8334 NW 56 ST, DORAL, 33138 Business: 7863021175 Description: PRE WIRE FOR TV, WIFI, SOUND AND CAMERA ON Valuation: $ 3,500.00 Inspection Requests: THE 1ST FLOOR AND 2ND FLOOR OF HOUSE. 305-762-4949 Total Scl Feet: 0.00 Fees Amount CCF $2.40 Change of Contractor $110.00 DBPR Fee $2.25 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee - Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $273.65 Building Department Copy Payments Date Paid Amt Paid Total Fees $273.65 Credit Card 01/26/2018 $113.65 Credit Card 12/19/2018 $110.00 Credit Card 01/25/2018 $50.00 Amount Due: $0.00 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 authonze the above med contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date December 19, 2018 Page 2 of 2 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. F-L' V6---2-0Z) Owner's Name (Fee Simple Title Holder): 4.4AIfi y ONZ'q«L Owner's Address: /5 6 i N is 1 q t1 d' City:A. m) S-Xii-tar State : Phone #: 72 6 f! 7S-4 Zip Code: 33> 3 �? Job Address (Of where work is being done): %S� 7 ' L� 1044,rr City: Miami Shores State: —Florida Zip Code: 33>� Contractor's Company Name: /4` /3 �,�, Phone #: % G w ����i - yl✓ Address: 3 61T0 0 4 AVE City: State: Zip Code: 33012 Qualifier's Name: 4A,1 A fZ-11-'X r 010C &.0la) Lic. Number: r' /_rb4le-411V37b Architect/ Engineer of Record Name: Address: City: Describe Work: r�7-�—t(6 — s o -o State: Phone #: Zip Code: hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless of all le al i olv ment. Signature C� Signature Owner or Agent Contractor or Architect The foregoing instrument was aknowledged before me this L� day of VIC— 120by IOW (0O4�U1Lk1- Who is onally kn to me or wh\\\�OjpmoNbed gIV efm defi%f cation. Notary Public: �Q� �6 20�op4/9� „� M Sign: Seal: o*'. gFEg5A1�`44zz . The foregoing instrument was aknowledgedRR before me this day oft"LC • 20 bWLtItS 3 wh ' personally known me or who has produced as indentification. Notary Public: Sign: dhim 11SSy ARIoN IMORN OnOM paWo9 Seal: 3 61ff i ndossaildx }yo YY ;Ir d68 iStl �o� _ • , epuol4 to aleiS • ollgnd A�eloN :�,a .,� _ Z3lVZDIQ9 NIV /q••���'!1 ;",,,, Miami Shores Village RECEIVEV 6 'Id' D UI Ing epartment fl .�19 29 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 S FBC 201y BUILDING Master Permit No. Ric I-) 15� 5 PERMIT APPLICATION Sub Permit No. F—LI �__cl;zloo ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP � l CONTRACTOR DRAWINGS JOB ADDRESS: 1 �(S� 9 City: Miami Shores County: Miami Dade Zia: 3�13 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Al h% ly �,i1 LALC -, Phone#: I E) ` d�7 /'` Address:/ f � A) Es' A) f City: �/ )A h') fX bjZ� State: / -& Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: '40y'*1✓ 'T0 1/✓.f/d1m-7-1n)�1 Phone#: e r yf� �?I'4 Address: 9 33 y I" .S6 ,ram City: Qualifier Name: Zip: 31/f z Phone#: _7,56 - i719-1— J State Certification or Registration #: 45-6 - f 3d0rP11 / Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: 412r 17jV Address: City: State: Zip: Value of Work for this Permit: $ Jl� 4�n Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: _PAeLlm 4''i7 !/� �/ ` v2 Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Structural Reviews $ h().oD Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ � `� 'a') (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 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 was acknowledged before me this day of F,,-. , 20 by A--44r-�i GTJn1ZI41---who is perco-n-5-57k—n—ovin to me or who has produced as identification and who did take an oath. B NOTARY PUBLIC: I A 4C EJ :pON t0 • � rn X• 1/011IIlN11%Oxx APPROVED BY Signature %u lJ�//jiG✓�'Ld CONTRACTOR The foregoing instrument was acknowledged before me this 1 1� day of 1DkQE4-n 96f'� , 20 iC2�:, by —SO-) c5 '�, --z' who is personally known to me or who has produced' c V �i�_� as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) 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 BUILDING PERMIT APPLI ATION ❑BUILDING ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS J N 25 01� BY: FBC 20 ('- Master Permit Nol!C, (r - 17 - 1 S&5' Sub Permit No. 'C-L I Pj - 2-00 ❑ REVISION ❑ EXTENSION RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS 10B ADDRESS: 1,56 f iUL /04"'fr City: Miami Shores County: Miami Dade Zip: 33I38 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): A Z-A / N U �NZ� L �Z- Phone#: -7 96 -a77- �Ml A Address: 5- J�iC:, �� 4 u / rb City: /�'%/,�%%'? 1 �� Stater Zip: Tenant/Lessee Name: Email: CONTRACTOR: Company Name: t r �L�Gf72/GAL S�lZ1�dGLr' OF �G�lyl7/Y Phone#: ZA 30Z-1/7r Address: T 80 60 "b4� 5 City: State: Zip: Qualifier Name: 13~010 Phone#: 7c?6- $4yY- 19Yf6 State Certification or Registration #: �iLI�O %S�l� Certificate of Competency #: DESIGNER: Architect/Engineer: Add Value of Work for this Permit: $1 Type of Work: ❑ Addition ❑ Alteration Description of Work: .. � --j ,vg G Specify color of color thru tile: ne#: City: Square/Linear Footage of Work: fNew a Tv.wlr-1,soaw ❑ Repair/Replace Zip: ❑ Demolition ,J r'/ /rT Submittal Fee $ 0:) Permit Fee $ / -5rC ''V%P CCF $ 2. • 4f O CO/CC $ Scanning Fee $ 3 Radon Fee $ 2 • DBPR $ 2. 25 Notary $ Technology Fee $ 3 ' ?�� Training/Education Fee $ d �`� Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (a- GG ✓ (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 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 Signat�r OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this ) day of ) ) 20 �by IR�.C�;a& v>�KIO�I-�Z who i personal) nown to me or who has produced as The foregoing instrument was acknowledged before me this 3 day of �' i� 20A' by who is personally known to me or who has produced .41'6W-f —'as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Tvi� e v �a�w Print: NOTAF;Y F'.r9LJC UL Seal: :'+; V �6 : Notary Public cFEStat Do! Florida Seal: Commission # GG 171862� JENNI My Comm. Expires Jan 2.2022 Bonded through Nation, Notary Assn. l9? APPROVED BY -Plans Examiner Zoning Structural Review (Revised02/24/2014) Clerk