EL-18-3574Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date
Location Address Parcel Number
1122 NE 98TH ST, Miami Shores, FL 33138 1132050180370
Contacts
Permit No.: EL-12-18-3574
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit status: Applied
Expiration: 06/01/2019
HAKKI YEMENICILER Owner NOVOA ELECTRICAL CONTRACTOR Contractor
112 OSVALDO MONIER
6625 SW 79 ST, S MIAMI, FL 33143
Business: 7862874220 NOVOAELECTRIC@YAHOO.COM
Other:3058242858
Description: F & 1 10 OUTLETS 5 GFI'S 6-SWITCHLEG 10 4" Valuation: $ 4,000.00 Ins ection Requests:
HIGH HATS 305-762-4949
TotalSq Feet: 1,100.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
DBPR Fee
$2.10
DCA Fee
$2.00
Education Surcharge
$0.80
Permit Fee
$90.00
Scanning Fee
$9.00
Technology Fee
$3.50
Total:
$159.80
Payments
Date Paid Amt Paid
Total Fees
$159.80
Credit Card
12/03/2018 $50.00
Credit Card
12/10/2018 $109.80
Amount Due:
$0.00
Building Department Copy
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.
AFffIPAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
on*fuction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
December 10, 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
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING M ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL
JOB ADDRESS: 1, \_Z�2—
EC 0 201
(FBC 20
Master Permit No. 1 pie^1 ��
Sub Permit No. ' S
❑ REVISION ❑ EXTENSION RENEWAL
J PUBLIC WORKS ❑ CHANGE OF
G��—CONTRACTOR
❑ CANCELLATION ❑ SHOP
DRAWINGS
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction
OWNER: Name(FeeSimple Titl holder : 5—N
Address:
Flood Zone: BFE: FFE:
IGl
City: r' 1 Yip- M ( -�5 k 0 State: Zip: Tenant/Lessee Name: Phone#:�2os- �Z5 14
� Z-7
Email:
CONTRACTOR: Company Name: 4tw 619cw&jdy Phone#: ,3OS)q;? q 7,858
1 /:?//y 1 9Is; fief.; �'1!�
Address: .��� hi '
City: --- M
Qualifier Name:
State Certification or Registration #:
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: ,ca�,� City: Stat
Value of Work for this Permit: $ k lT are/Linear Footage of Work:_
Type of Work: ❑ Addition ❑ Alteration ❑ New pair/Replace
I
?ip: 33 :76
3oS-gas- u6 9D
Zip:
❑ Demolition
Description of Work: O S
• Ott � h 1M y.. ' K �'
Specify color of color t 'ru tile:-.
Submittal Fee $ I Permit Fee $� il�����5'�CF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
Double Fee $
Bond $
TOTAL FEE NOW DUE $Iy F
(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.
111111. fill. Ili I1 to t
Signatu
NER or AG
The foregoing instrume t was acknowledged before me this
ay of 20 l by
is personally known to ; P Y
VVV me or who has produced as
identification and who did take an oath.
NOTARY
Sign: ULY
Print:
,►"Y ►ue, (AURA FARLEY
Seal: ��•••••°* My COMMISSION1tFF188027
" EXPIRES: March 16, 2019
i11 WTBoWedThNBudget NoterySenii-
"",de
Signature
,
ONTRACTOR
The foregoing instrume was acknowledged before me this
dayof �L/ 20 I S by
o tt (01i1,` k f '-4, who is personally known to
me or who has produced as
identification and who did t n oath.
NOTARY PU
Sign: r U
Print: it/Q U✓C4—.01hoF G
Seal:
" EXPIRES: M� 1 cer�n
r BgdedillN> NOhN
############################################################################################################
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)