ELC-19-2475Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Datm 11/27/2019
Permit NO.: ELC-10-19-2475
Permit Type: Electrical - Commercial
Work Classification: Alteration
Expiration: 04/15/2020
Location Address Parcel Number Project
9501 NE 2ND AVE, Miami Shores, FL 33138 1132060133920 NEW BUSINESS
Contacts
DVS LLC Owner NODAL CONSTRUCTION & ELECTRIC Contractor
201 NE 95 ST, MIAMI SHORES, FL 33138 ASSOCIATES INC
JOSE A NODAL
9053 NW 189 TER, HIALEAH, FL 33018
Business: 7865863020
Description: EXISTING FLOOR WIRING TO HAVE TAMPER Valuation: $ 1,350.00 Inspection Requests:
RESISTANT ELECTRIC FLOOR BOX INSTALLED (EXISTING r-112-4949
EXPOSED WIRING ON WALL TO HAVE DUPLEX RECEPTACLE Total Sq Feet: 380.00
INSTALLED) (ELEVATION 8
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.10
Payments
Date Paid Amt Paid
Total Fees
$111.10
Credit Card
11/27/2019 $61.10
Credit Card
10/18/2019 $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 that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / A p' nt / Contractor / Agent 6ate
November 27, 2019 Page 2 of 2
i.
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
BUILDING
PERMIT APPLICATION
❑ BUILDING Ix ELECTRIC ❑ ROOFING
RFECEIVED
0 T x.$2019
BY:
FBC 201-
Master Permit No. Q -C IG -(1 _ 24f
Sub Permit No. LLC - (6- l q' 2�
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
S Z I fir') S3i CONTRACTOR DRAWINGS
JOB ADDRESS: 45vl-
S3
City: Miami Shores n� County: Miami Dade Zip: 3 r
Folio/Parcel#: �� - 1��6 Q (l 3� riy Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 1JVS LI.�C Phone#:
Address: [� k N Fi �� SV
City: i`t►Gm' State: Zip:
Tenant/Lessee Name:_UJ'" U,J� 11 LL � Phone#:
Email: ��a-A Q !P ��� o� kV sj C A!Ism
CONTRACTOR: Company Name: ��(�` 1 `0;1 ff o- eft% � ��r cc�(�C �l t Phone#: 706 30�,O2 d
Address::) a� 5 JI/ �✓ !t� `� j(crG r
City: C� (�^ r� State: Zip: • T 3°V
Qualifier Name
/( / U uJ"
State Certification or Registration #: J d
ne#: ?J6 3 P6 3 e l o
Certificate of Competency #:
DESIGNER: Architect/Engineer: ' L)LA A01 03C ` Phone#: �tt� 54, 6-3(3Address: `� City: \ State: TL- Zip: 3�1�
Value of Work for this Permit: $ � Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
ption of Work:
Sit
Am
Specify color of color thru,tile: ��'
Submittal Fee $ Permit Fee $ CCF $ `� CO/GC, $ '
Scanning Fee $ 'Radon Fee'$ DBPR $ Notary•$" .. "
Technology Fee $
Structural Reviews $.
(Revised02/24/2014)
Training/Education Fee $
Double Fee $
Bond $ p 1
TOTAL FEE NOW DUE $ P I ' `
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.
• .. '`rim • - . _ - _, - +� .
"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 estimateii value`exceeding $2500, the applicant must
promise in good-faith.thpt 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..-ln.tKi absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
+. `• ; .
Signature Signature 04 1760 Kfi f
OWNERorAGEWT NTRACTOR
The foregoing instrument was acknowledged before me this The for goi g i tr ent was acknowledged before me this
3O dayof 5fPTfn13V- ,20 i0 by 3o da SFPiT("PIZ% ,20 i by
An1c) goyw A who is personally known to who is personally known to
me or who has produced 6 La'r< <' as me or who has produced as
identification and who did take a
NOTARY PUBLIC:
identification and who did take an oath.
NOTARY PUBLIC:
Sign: Sign:_
Print: 4 to Print:
Seal:
APPROVF
(Revised02/24/2014)
C Al O /,?D->4
_ Seal:GAID _
R.
09 low M A I a�601Y
* * * ZOO* * * * **s*.**:.s******** :VIL s: ** *O nNe* UN 2%
_xaminer
Structural Review
Zoning
Clerk
',O{111/', TSO- W. N.:
October 16th, 2019
Miami Shores Village Building Dept.
10050 NE 2nd Ave
Miami Shores, FI 33138
Re: Elev8tion Miami Shores
Dear Ismael Naranjo & the wonderful support staff
Please allow this letter to serve as notification that I, Theresa Caccamise approve any permit
application and scope of work Angel Bajana with Elev8tion Miami Shores, LLC to be
done at 9521 -9531 NE 2nd Ave Miami Shores, FI 33138
If any questions, please feel free to reach out to me at 786-423-5959
incer
: +�L ELIZABETH ELORRIAGA
h sa acca Ise , '` 'e MY COMMISSION # FF953536
1wner/Manager Member EXPIRES January 25.2020
(40/1 W-0 b3 Fbndallota-v89rvtca oorr
"Downtown Village Square"
209 NE 95th Street I Miami Shores, FL 33138
Office 305.751.2220 1 Fax 305.751.2223