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EL-19-648Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue gate: 04/11/2019 Location Address Parcel Number 136 NE 91ST ST, Miami Shores, FL 33138 1131010190040 Contacts Permit NO.: EL -03-19--M Permit Type: Electrical - Residential Work Classift on: Pool Permit status: Approved Expiration: 10/08/2019 Re Description: RENOVATION OF EXISTING SWIMMING POOL Valuation: $ 2,500.00 Requests: 305-762 Inspection n Re Total Sq Feet: 0.00 Fees TO MAS GAVIRIA JTRS CHRISTIAN AND Owner MICHELLE GAVIRIA 136 NE 91 ST, MIAMI SHORES, FL 331382810 SHINE ELECTRICAL ENGINEERING Contractor FRANCISCO SANTOS 3876 NW 125 STREET 125 Street, OPA LOCKA, FL 33054 Business: 3056882000 $50.00 CCF $1.80 DBPR Fee Re Description: RENOVATION OF EXISTING SWIMMING POOL Valuation: $ 2,500.00 Requests: 305-762 Inspection n Re Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $111.90 Payments Date Paid Amt Paid Total Fees $111.90 Check # 2965 04/11/2019 $61.90 Check # 2944 03/26/2019 $50.00 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 AFFIDAVIT: I certify Ahat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating cOns ucti an zoning Futhermore, I authorize the above named contractor to do the work stated. nature: Omer / Applicant / Contractor / Agent Date April 11, 2019 Page 2 of 2 Tenant/Lessee Name: �. PhoneH; �^ Email: CONTRACTOR: Company Name: 5�n(�2 L ItciV � &r;n.�Ftphsoneff: 305-x=0000 Address: City: MRAMAR 0A LoZA State: FL Z10:4" -S-3 32T ra_e_su�t Gecin Qualifier Name: 610 S4^4V5 PhoneH: State Certification or Registration H: 47'8eG o061,S14 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: � City: State Zip: Value of Work for this Permit; $, P,�] r 7yVb _ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑y �Alteration '` ^ ❑ /New F—� Repair/Replace ❑ Demolition 1/ Description of Work: -e'1\ CA llCk , a ` l L x % 0 Specify color of color thru tile; Submittal Fee $_ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revisedo2/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ �L RECEIVED Miami Shores Village MAR 2610i9 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: 762.4949 (305) FBC 201 BUILDING Master Permit No.iC ?Pp - 0S- ICI—U( PERMIT APPLICATION Sub Permit No. I - 0 �- 1�-o4 ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION QRENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF [] CANCELLATION SHOP CONTRACTOR DRAWINGS ii JOB ADDRESS: i City: Miami Shores County: Miami Dade zip: r Folio/Parcel#: —Is �the Building His� a, 1 Designated: Yes NO V'e 1 BFE: FFE: Occupancy Type: Load: Construction Type: one: OWNER: Name (Fee Simple Titleholder): \,�%, c I Phone#; Tenant/Lessee Name: �. PhoneH; �^ Email: CONTRACTOR: Company Name: 5�n(�2 L ItciV � &r;n.�Ftphsoneff: 305-x=0000 Address: City: MRAMAR 0A LoZA State: FL Z10:4" -S-3 32T ra_e_su�t Gecin Qualifier Name: 610 S4^4V5 PhoneH: State Certification or Registration H: 47'8eG o061,S14 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: � City: State Zip: Value of Work for this Permit; $, P,�] r 7yVb _ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑y �Alteration '` ^ ❑ /New F—� Repair/Replace ❑ Demolition 1/ Description of Work: -e'1\ CA llCk , a ` l L x % 0 Specify color of color thru tile; Submittal Fee $_ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revisedo2/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ �L Bonding Company's ame (If applicable) Bonding Company's jj�ddress City State Mortgage Lender's IN (if applicable) Mortgage Lender's /address City Zip State I 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 t the Issuance of a permit arid that all work will be performed to inept 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 T OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN TO R PAYING TWICE FOR IMPROUFMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITKYOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT" r Notice to Applicant; jAs a condition to the lssuancel'of a building permit with an estimated value exceeding $2500, the applicant must promise In good fait . that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is su ject to attachment. Also, a certifled copy of the recorded notice of commencement must be posted at the job site for the first Inspecti`m which occurs seven (7) days after the building permit Is issued. In the absence of such posted notice, the Inspection will not be a oved and a reinspection fee will be charged. Signature �S C"�Ira� Signature 74 OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before mUhis The fo egoing instrument was ackn wledged before me this CA NOTARY Seal: ;a;Frwye ,• _��"�Gr;`. KAREN RODRIti�t} o lorida Notary Public • Stat"4 » GG 304504 a�,•-y�,�c; Commission Expires Feb 21, 2023 My Comm. Bonded through National Notary Assn. APPROVED BY (Reylsed02/24/2014) CF 1Y tl day of r / I2 1.../'' 1 '20 by Iti hFRANCISCO SANTOS who is personally known to me or who has produced PERSONALLY KNOWN as Identification and who did take an oath. NOTARY PUBLIC: Sign: -41 Print: Seal: ###################### 31 2-1119 Plans Examiner Structural Review r►F" °� KAREN RODRIC Notary Public - State ' Commission = GG My Comm. Expires Fe KAREN RJ�RIGUEZ Notary Public State o` =iorida .7e' Commission , GG 304504 My Comm. E,::ues Fe, 21; 2023 Bonded through National Notary Assn. Zoning Clerk