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EL-19-1531Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Daft: 09/11/2019 Location Address Parcel Number 1079 NE 96TH ST, Miami Shores, FL 33138 1132060143670 Contacts Permit mo.: EL -07-19-1531 Permit Type: Electrkal - Residential Work Classification: Alteration Permit Status: Approved Expiration: 12/30/2019 JONATHAN FELDMAN Owner RTC ELECTRIC CORP. Contractor 1079 NE 96 ST, MIAMI SHORES, FL 33138 ROBERTO TOLON CALDERON Other: 7869720336 3321 SW 92 AVE, MIAMI, FL 33165 Business: 7862274180 Inspection Requests: Description: REPAIR KITCHEN OUTLETS GFI (12) RECEPTACLES 4, Valuation: $ 3,000.00 Inspection R9 SWITCH 7 TO REPLACE PERMIT#EL-9-18-2481 Total Sq Feet: 120.00 11 1 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $55.00 Scanning Fee $3.00 Technology Fee $2.63 Total: $117.03 Building Department Copy Payments Date Paid Amt Paid Total Fees $117.03 Credit Card 08/19/2019 $117.03 Amount Due: $0.00 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,iDAVIT.' I'coify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructid'n ao z nigg. Futhermore, I authorize the above named contractor to do the work stated. Owner - / Applicant / Contractor / Agent Date August 19, 2019 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 TSEP g 2 1g FBC 20 BUILDING Master Permit No. ikly' 1E66' PERMIT APPLICATION Sub Permit No. 7E 1,00 —1-48) ❑ BUILDING EKLECTRIC ❑ ROOFING REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL F-] PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION F-� SHOP I CONTRACTOR DRAWINGS JOB ADDRESS: 6 S 6 -p - City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1te3PC--r)14,'39Z6 Is the Building Historically Designated: Yes NO Occupancy Type: 1 Q , Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Sim/pll�/ITitleholder): Phone#: 0 —fi� V`� Address: '1) /d-1 V 5 v sKff City: I't oA< 56nel State: e Zip: Tenant/Lessee Name: Phone#: Email: Ips, �, �T r CONTRACTOR: Company Name: 7�� `W�'� L a C OA `� Phone#: Address: 32_i �+� ®12 A-lE City: State: —1 l_ Zip: f0� Qualifier Name: 2TO c A Phone#: �M ZZ3- 4E V`'! b •• State Certification or Registration #: Q 3� S2 Certificate of Competency #: Co JE Q 0 OZk Z DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 11 000. O Square/Linear Footage of Work: (Z 0 Type of Work: ❑ Addition ❑ Alterattiionj ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: � 1n40— K l I=F) 0 6t(t'`� j y o)�'>C� 2..1 �QSQ �C t _Tj Specify color of Submittal Fee $F {�"' Permit Fee $; Scanning Fee $ " _'eRadon Fee'$' Technology Fee $ Structural Reviews $ (Revised02/24/2014) is Training/Education Fee $ CCF $ # i CO/CC $ ... . s DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 112— 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 I % . 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 opplicant 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 " OWNE114<00ENT The foregoing instrument was acknowledged before me this A -L_ day of 20 I S by aleAA A f- rG I�rt fA— , who s personal known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: :oMr KAITLYN M O FAGUS =Stet© o! Florida-Nota(y Publi, = •i Commission # GG 201315 s,. s****:.: sf►iis**** $ lid* 8rA11, a� APPROVED BY CONTRACTOR The foregoing 'instrurr2nt was acknowledged before me this 1 day of 20 0 by © �0who ersoni ly know to me or who has produced ` as identification and who did take an oath. NOTARY PUBLIC: Seal: %! .� .— /A Plans Examiner KAITLYN M ORTAGUS State of Florida -Notary Publi Commilaion GG 201315 *********** Zoning Structural Review Clerk v � (Revised02/24/2014)