EL-18-2977Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
600 NE 97TH ST, Miami Shores, FL 33138
Contacts
Issue Date:
Parcel Number
1132060171680
Permit tva: L 09-18.2977
Permit Type: Electrical - Residential
Work Classification: Pool
Permit Status: Approved
Expiration: 03/27/2019
EDUARDO J GONZALEZ Owner
600 NE 97 ST, MIAMI SHORES, FL 33138
Mobile: 7864592356
INDUSTRIAL ELECTRICAL SYSTEM CORP Contractor
NESTOR I CORVEA
10257 NW 9 ST 205, MIAMI, FL 33172
Description: ELECTRICAL POOL Valuation: $ 650.00 Inspection Requests:
305-762-494
TotalSq Feet: 425.00
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
$3.00
Technology Fee
$2.50
Total:
$110.30
Payments Date Paid
Amt Paid
Total Fees
$110.30
Credit Card 11/06/2018
$110.30
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 tr lion and zoning. Futhermore, I authorize the
eepabove named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
November 06, 2018 Page 2 of 2
R Miami Shores Village RECEIVED
Building Department SEP282018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ��
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762 4949
F BC 20
BUILDING Master Permit No. ?>f;PP1A-Fq(06
PERMIT APPLICATION sub Permit No. 2
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ PLUMBING ❑ MECHANICAL 7 PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ('0Co 0 rAc C `J' Q
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): ey7)kj tvc�C�C�y�ct�eZ Phone#:
Address: C� �CtC7C7 I�� �� ST
City: ���� ✓�U�� State: 1 ` Zip: �> ( ✓��
Tenant/Lessee Name:
Email
CONTRACTOR: Company Name: J0dL)S1y12' CiI CP(AY1C�A` 6� E�� Phone#:
Address: I L10 5D W L') (?-)u -3-1 +1 10- ('n
City: M ( &ryl', State:
Qualifier Name: tilcST�CRvep- Phone#:
State Certification or Registration #: ti C I�(O21 �2 Certificate of Competency #: _
DESIGNER: Architect/Engineer:
Address
Value of Work for this Permit: $
(0 D
hone#:
Zip: JJ�JUW
Say —Ci0b-�"l2l
City: State:
Square/Linear Footage of Work:
Zip:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
-tti4--' ct-Y► CZ V00
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
Permit Fee $ mOi CCF $
Radon Fee $
Training/Education Fee $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 0�
(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 iss d. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Si nature Signature
k�'
g g
i
OWNER or ENT CONTRACTOR
The foregoing instrument was acknowledged before me this
1 —1 day o -JQ 20 1 2 , by
tdl)CJVCt 0 o1! 1 el who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: /�a�lvie IbU61s
The foregoing instrument was acknowledged before me this
day 20 /E , by
Z '� -0 who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: t'lQGit V x M?)Ct S
as
Seal: Seal:
NADINE AGUAS NADINE AGUAS
My COMMISSION N GG090407 =' `: MY COMMISSION M GG090407
APPROVED BY % ZB"�T7� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)