EL-18-3197Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
4
issue Date:12/14/2018
Permit No.: EL-10-1&3197
Permit Type: Electrical - Residential
Work Classification: Pool
Permit status: Approved
Expiration: 06/12/2019
Location Address Parcel Number
1260 NE 94TH ST, Miami Shores, FL 33138 1132050100180 —_....__.,__ Y-
Contacts
MARIA ANDREINA MARTINEZ Owner F JIMENEZ ELECTRICAL CONTRACTOR, INC Contractor
1260 NE 94 ST, MIAMI SHORES, FL 33138 FRANCISCO JIMENEZ
Other: 3054391663 12401 WEST OKEECHOBEE RD 419, HIALEAH GARDERNS, FL 33018
Business: 3055565759
Description: POOL REMODEL Valuation: $ 900.00 Inspection Requests:
305-762-4949
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Scanning Fee
$54.00
Technology Fee
$2.50
Total:
$161.30
Payments
Date Paid Amt Paid
Total Fees
$161.30
Check # 1352
12/14/2018 $161.30
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.
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 authorize the above named contractor to do the work stated.
Authorized Signature: Owner
Contractor / Agent
Date
December 14, 2018 Page 2 of 2
Miami Shores Village��°�
Building Department OCT 172o'/*�j[/
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 (-7
BUILDING Master Permit Nose CO- _ 3 1
PERMIT APPLICATION sub Permit No. 1;_L 15-- S 1 q.1
❑BUILDING ZELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
/ Z 6 o a vr c �� �� CONTRACTOR DRAWINGS
i
JOB ADDRESS: /
City: Miami Shores County:
Miami Dade Zip 3
Folio/Parcel#: 1) 3 2-D 5 — ()16 — o / ,,� O Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type:
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): ' ' " �' 1 19N DO
6) "A ri #''"-6 z- �! �
Phone#:
�•
Address: � "6 s T
City: n /A ' I 5� 110 7` State: za=
Zip:
Tenant/Lessee Name:
Phone#:
Email:
CONTRACTOR: Company Name: �- �'v C
% �%
#: ? ��'� �� ! ��
�` ��ho
en
Address:� 10(/01 &V 0c '�Ctf� 13� i2 �
City: fT' State: �
—7
Zip: ��I `�
jlClr��'l,[�
Qualifier Name: F �` AT,v 1 S CO �� �'�r� Z
Phone#:
State Certification or Registration #: 6z� / 3 W Z? -7
Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address:
City: State: Zip:
Value of Work for this Permit: $ o GZ) Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New
❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
CCF $ CO/CC $
Scanning Fee $ Radon Fee $
DBPR $ Notary $
Technology Fee $ Training/Education Fee $
Double Fee $
Structural Reviews $
Bond $
TOTAL FEE NOW DUE
(Revised02/24/2014)
L 3 tA14
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.
Signatu
ER or AGE
The fgr g ng instrument was acknowledged before me this
/ day of dCfO%3vP— 20 +C ,by
M,gR'A ~Al61*4 A444U.�z
o is personally known to
me or who has produced bL" as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
— CRISTINA 400RIGUEZ
;oa'' °fie "'•.
Notary Public - State of Florida
U • Commission s GG 105164
ss*ss:sss*sssss
Bondedthrcurh.
APPROVED BY
Signature
CONTRACT
The
eefoljg�oing instrument was acknowledged befor his
lv " A �- day of 6M13 '20 y , by
13C0 75-1 r"�-o is personally known to
me or who has produced
A L
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
_awv&�
Print:
Seal:
Plans Examiner
Structural Review
as
CRISTINA R0041 JU"
°�s •'•. of Florida
ia'�
Notary Public - State
2°.
�• ;
Commission GG 105162
.
Exp Tres May 16, 2021
X. A Q -'
'- FOFF
My Comm.
Bonded thro4NationalNotaryAssn'
Zoning
Clerk
(Revised02/24/2014)
VICTOR REEVE P.E.
February 28, 2019
Job Information:
Mustad Residence
1260 NE 94 Street
Miami Shores, FL.
Swimming Pool Master Permit: ..................... BPP-10-18-3196
Electrical Permit: ............................................... EL-10-18-3197
Swimming Pool Bonding Inspection Report
This is a letter to notify you that an electrical continuity test was completed on 2-28-19 by Victor
Reeve. Continuity was measured with a Fluke T150 Voltage & Continuity Electrical Tester. The
perimeter equal potential bonding grid meets all code requirements. Bonding is tied into (4)
bonding points around pool. Pool light niches and Interior Grounding are connected to the pool
structure was tested for continuity and was ok. Epoxy inside niche was also visually inspected
and in place on the grounding lug. I am attesting to the pool bonding is complete and meets the
NEC code requirements.
Holes were opened at 3 points of the deck so I can visually inspect perimeter #8 wires.
Bond Wire is run back to the pool equipment location and connected to the existing pool pump.
If you have any questions, feel free to contact me at any time.
If you may have any questions regardin�,tNq �inye, please feel free to contact me at
305-378-6925 \\\�;`OR G.
r
Sincerely, JAG'' 6CENS+F •.�L
12324
Victor Reeve, ,G
P.E. No.12324
,� '• STATE OFF
STATE OF FLORIDA •',`"
I hereby acknowledge that the s'{a�ildmed in the letter are true and correct. The
affiant is personally known to me and'li s'Iifo "ced valid identification.
SWORN TO AND SUBSCRIBED BEFORE ME THIS a- DAY OF
Mruvc�, 2019
MY COMMISSION EXPIRES CRISTINA RODRIGUEZ
03�"
ra °u ••%Notary Public -State of Florida
CommissionGG105164o : M Comm. Ex -res May 16, 2021
NOTARY PUBLIC V
eondedmrou; nar �zin�r �A55�.
13832 SW 156 Street, Miami, Florida 33177 Phone 305-378-6925