ELC-19-83Permit No.: ELC-01'-19-83
Miami Shores Village D Permit Type: Electrical - Commercial
10050 NE 2 Ave
Miami Shores FL 33138 Work Ciossification.- Addition/Alteration
305-795-2204 (' Permit status, Approved
ISSMDate: 04/05J20191 Expiration:10/02/2019
Location Address Parcel Number
9501 NE 2ND AVE, Miami Shores, FL 33138 1132060133920
Contacts
DVS LLC Owner AAA ON TIME ELECTRIC INC Contractor
201 NE 95 ST, MIAMI SHORES, FL 33138 ROBERT KATZMAN
Business: 7862951748
Inspection Requests:
Description: ELECTRICAL FEE FOR PUMP
STATION
Valuation:
$ 3,500.00
TO REPLACE ELC17-2066
3�5 762 4949
Total 5q Feet:
0.00
Amt Paid
Fees
Amount
Payments
Date Paid
Application Fee - Other
$50.00
Total Fees
$105.00
Permit Fee
$55.00
Cash
04/05/2019
$105.00
Total:
$105.00
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 AFF AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulat' talon and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Si§nature: Owner / Applicant / Contractor / Agent Date
April 05, 2019 Page 2 of 2
BUILDING
PERMIT APPLICATION
Miami Shores Village
RECEIVED
Building Department JAN142019
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 2014 E I la) 1'�
� � r a �� �nF;F;- —
Master Permit No. �Co� '
Sub Permit No.
BUILDING 0 ELECTRIC ❑ ROOFING Ej REVISION EXTENSION ORENEWAL
F-IPLUMBING MECHANICAL 0 PUBLIC WORKS CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9501 NE 2nd Avenue
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 1132060133920 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): DVS LLC Phone#:786-423-5959
Address: 201 NE 95th Street
City: Miami Shores State: FL zip: 33138
Tenant/Lessee Name:
Email
CONTRACTOR: Company Name: AAA On Time Electric Inc.
Address: 19710 NW 6 Place
City: Miami State: FL
Qualifier Name: Robert Katzman
State Certification or Registration #: EC13002896
786-236-4146
zip: 33169
Phone#: 786-236-4146
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Pump Station O Mo u—ia- IC 14 ` 2 re /C„p -o
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF $,
DBPR $
CO/CC $
Notary
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ 105, co
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 approv_edoftft reinspeCtion fee will be charged.
Signature /!mod
or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
! —clay of ' C-- 2 20 ti /- by
t/'Qg4L��(1`�� who is personally known to
nleQr who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Print: � r'
Seal:
44010 M4
**********
L
APPROVED BY
(Revised02/24/2014)
EL17-ASETH ELORRIAGA
My COMMISSION # FF953536
EXPIRES January 25. 2=
1
as
The foregoing instrument was acknowledged before me this
1 day of Decent be, 20 115 by
P,Aer� K4zr ian who i ersonally know
me or who has produced as
identification an o a c
Notary Public State of Florida
NOTARY PUBLIC: Paula A. Myland
+d+ My Commission GG 280492
arw Expires 11/18/2022
Sign:
Print: P LAQ M-► (and
Seal:
*****************************************************************
Plans Examiner Zoning
Structural Review Clerk