EL-18-3442Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit No.: EL-11-18-3442
-1-=^ Permit Type: Electrical - Residential
Work C/assifacatian: Addition/Alteration
Permit status: Approved
Issue Date: 11/14/2018 1 Expiration: 05/13/2019
Parcel Number
! 909 NE 99TH ST, Miami Shores, FL 33138 1132060340230 1
Contacts
VASCO PINTO BAPTISTA LOPES DA SILVA Owner
909 NE 99 ST, MIAMI SHORES, FL 33138
Other: 3056062285
CARIBE S ELECTRIC INC Contractor
HENRY HERNANDEZ
7812 NW 72 AVE, MEDLEY, FL 33166
Business: 7862556212
Description: KITCHEN REMODELING Valuation: $ 1,500.00 305-7G2 4949
Inspection Requests:
Total Sq Feet: 265.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.10
Payments Date Paid
Amt Paid
Total Fees
$111.10
Credit Card 11/14/2018
$50.00
Credit Card 11/14/2018
$61.10
Amount Due:
$0.00
Building Department Copy
In consideration of the is ance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and i strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. Inaccepting t is permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AF
regulating A
r: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
i and zoning. Futhermor I he ab named cont uthorize tractor to do the work stated.
1W � 11111,1115,
Owner / Applicant / Contractor / Agent Date
November 14, 2018 Page 2 of 2
Miami Shores Village RECEIVED
Building Department NOV 14 1018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 CL---f %�-,
Tel: (305) 795-2204 Fax: (305) 756-8972 y�
INSPECTION LINE PHONE NUMBER: (305) 762-4949 '
BUILDING
PERMIT APPLICATION
❑BUILDING M ELECTRIC ❑ ROOFING
/FBC 20r+ /
Master Permit No.gg 1��
Sub Permit No. C
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: fUI'
Citv: Miami Shores
Countv: Miami Dade
3
Folio/Parcel#: Is the Building Historically Designated: Yes NO _
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
n
OWNER: Name (Fee Simple Titleholder): 11�6?CjC0 /00jeZ5 tf 9 51( V (? Phone#: ?D� -6120 "1Z20 5
Address:V q_ZI%
OP C-)�
I
City: (2M ) f2ba
es State:
/
Fri-
Zip:
Tenant/Lessee Name:
Phone#:
Email:
CONTRACTOR: Company Name:
�C(ri bP
/F'C /i�,
-7,C Phone#: 3ba JQ 2-2 -o D VLj /.
Address: 7 -�- 0 W
0 5T --A--
3 - 0.
City: 1 cAp al-,
State:
F
Zip: 3
Qualifier Name: hknKV
Phone#: .3US 3- ~�'�•
State Certification or Registration #: CC 1300 S 7 Certificate
of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address:
City:
State: Zip:
Value of Work for this Permit: $�
, ` C1� .
Square/Linear Footage of Work:
Type of Work: ❑ Addition
® Alteration
❑ New
❑ Repair/Replace ❑ Demolition
f-1-
(
Description of Work: �4, j
e rye
0 ckp
Ct
•
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $ _
Notary $
Double Fee $ _
Bond $
TOTAL FEE NOW DUE $
(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
Zip
City State Zi
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 Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
® day of 20 17 by
0 AO-f who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY P
Sign:
Print:
Se ,Y.P
;=o
OF f
****s****U
l7
JULIA SALSA
.011fary Public - State of Florida
commission r GG 242596
My comm. Expires Nov 21. 2022
ed through National Notary Assn.
APPROVED BY
as
The foregoing instrument was acknowledged before me this
3 day of 00\J 0M6-gr 20 , by
IfIK who is pert sonally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: �JexcE
P
MY COMMISSION # GG 132472
EXPIRES: August 7, 20V
Bonded Thru Notary Public undeM1m
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Plans Examiner Zoning
(Revised02/24/2014)
Structural Review Clerk