El-18-3548Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
_ Permit mo.: L-11-18-3548
Permit Type: Electrical - Residential
f� Addition/
Alteration
Classification: Addition Alteration
Permit status: Approved
Issue Date: 01/02/2019 Expiration: 07/01/2019
Location Address Parcel Number
74 NW 108TH ST, Miami Shores, FL 33168 1121360110150
Contacts
Cory Mullinare Owner ATLANTIS ELECTRICAL CORP Contractor
74 108 FRANCISCO PEREZ
12803 SW 20 TER, MIAMI, FL 33175
Business: 3055514043
Description: REMOVE AND REPLACE REMODEL OF HALLWAY Valuation: $ 925.00 Inspection Requests:
BATHROOM 305-762-4949
Total Scl Feet: 80.00
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
11/28/2018 $50.00
Credit Card
01/02/2019 $60.30
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 FIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating c#struAion and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized ggnature: Owner / Applicant / Contractor / Agent Date
January 02, 2019 Page 2 of 2
Miami Shores Village RECEDED
Building Department artment Nov 2.s 2o�a
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 20Ai
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
�v^
❑BUILDING '• M ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 74 NW 108 Street
City: - r Miami Shores y a , + County:. Miami.Dade Zip: 33l 101
Folio/Parcel#1,1-2136-011-0150, , Is the Building Historically Designated: Yes t NO
Occupancy Type: i Load: Construction Type: , Flood Zone: " BFE: , FFE:, ,
OWNER: Name (Fee Simple Titleholder): Cory R Mulinare & Leigh Mulinare . phone#: 786-683-4365
Address: 74 NW 108 Street
City: Miami Shares State: FL Zip: 33168
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Atlanti8 Electrical Corp
Phone#: 786-395-6790
Address: 12803- SW 20 Terrace °
City: Miami State: FL
Zip: 33175
Qualifier Name: Francisco Perez i
Phone#: ,
State Certification or Registration #: EC13001914
Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
r
Address:
City: State: Zip:
Value of Work for this Permit: S %%�. ^�
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
(
Description of work: l
C2 14
+�.r -''l+ ;` ��-:,�,-
Specify of tyle a
ri�eirHa 'n r��t,.rr^• f
`
color co%r W& y
`.'1
�,
Submittal Fee $ . • Permit Fee $ r .�' I�df
ry.f��{ T+rtrJt t+i�ft ��'11i,A (+li.n�r<:
CCF $ ..CO/CCS .
Scanning Fee $ Radon Fee $
DBPR $ Notary $
Technology Fee $ Training/Education Fee
$ Double Fee $
Structural Reviews $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
,Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) �' `� yr
Mortgage Lender's Address
Fcity '' ' I ,+� State '�A Zip +� `
.ti
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.
t
"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 exceedin4,$2500, the applicant must
promise in good faith, that a copy of the notice of commencement and construction lien low 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
I5 dayof NOVe-M er! 201 :by
1"1v��► ✓�aV� nn who is personally known to
me or who has produced 1182 n4l Q as
identification and who did take an oath.
NOTARY PUBLIC'' _
Sign
Print:
The'foregoing instrument was acknowledged before me this
t $ - day of �N OV{mb&e_ , 20 l ?( by
1�oiY�GlSco 1'�,rLZ who is personally known to
0 w
me or who has produced - D L or) as
.A
identification and who did take an oath. -
NOTARY PUBLIC:
-s
_ 'Sign: L
Print: SIS 1/i D
Seal: COmmiSSOn # FF942611 Seal
Expires: December 9, 2019 - - — - �-
�•a�
Rill. , Bonded thru Aaron Notary°-%
APPROVED BY�%�%g �ma�loh/ __ Plans Examiner -11
Structural Review
(Revised02/24/2014)
r0- -2- -
*apa t Vasquez
Commission # FF942611
Expires: December 9, 2019'
Bonded thru Aaron Notary
I -
Zoning
Clerk