REV-19-2087Miami 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
RECEIVED
SE 0 6 019
BY. r --
FBC 20
BUILDING Master Permit No. 6LOK- (g- If
PERMIT APPLICATION Sub PermitNoZ�EA7)- Q—a-7_6��
❑ BUILDING 'ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: (51 01 ."K 105 617 -
City: Miami Shores County: Miami Dade Zip: M68
Folio/Parcel#: 1(r 2Z.�Z_ -6? �_'( Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): (3 (GfD�(Lt+j [_`_(_ Phone#:
Address: (3q L&� WS 6T—
City: '04"1" V $4Dft State: !R- _ Zip: 3,3r3S
Tenant/Lessee Name: Phone#:
Email:
-.IIVIIUE _ _
CONTRACTOR: Company Name: Phone#: r �6 35 5 Z96
Address: 7.50
City: /V) rAAAr State: Zip: 3 �IQT
Qualifier Name: Qdly 'rp Ntly_kv Phone#:
State Certification or Registration #: G� 1,300 4-� Certificate of Competency #:iG'Z��
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Additionrte-'IJ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: _�"?�2Gt�WL.4l�,(�►Af� G9�CU1�1T1��fiDDK
Specify color of color thru tile: "
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $3 .
(Revised02/24/2014)
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 YOMPROPERTY.- 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 th"e 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.
I
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of 5 �,►" 20 c 41 by
AA i-ce who is pq<062y known to
me or who has produced
Signature
CONTRACTOR'
The foregoing instrument was acknowledged before me this
& day of A rIM-44V, 20 $ by
((`NCO /1i1r1V�'Lt�l D who is p So Ily known to
as me or who has produced
identification and who did take an oath. identification and who did take an oath.
as
NOTARY PUBLIC:
NOTARY PUBLIC:
Sign:
Sign:
AUb
Print: # FF 933876
Print:
September 10, 2019
Seal: 's?;• EXPIRES Sep
Seal:
;,aYo
CLAUS BEEN
ti:Y COMMISSION # FF 933876
EXPIRES September 10, 2019
�!
APPROVED BY ✓ P9ans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)
REFRIGRERATOR: 1,083 VA
SMALL APPLIANCES: 1,500 VA
WATER HEATER: 6,800 VA
DISH WASHER: 1,500 VA
A/C: 1,500 VA
KITCHEN HOOD: 1,500 VA
900 SQ FT @ 3 VA = 2,700 VA
RANGE = 5,800 VA
'ELECTRICAL LOAD CALCULATIONS
PERMIT: EL08-19-1959'
1319 NE 105 ST. MIAMI SHORES, FL 33138
Folio: 11-2232-027-0051
Ej--,o�G
0000••
•
•00.00
0000
• •
0000
••••••
• •
••••••
• • •
•• 0
{_.amu- o 9 -167- - A�--Jj
Miami Shores Village
APPROVED
BY
DATE
��� DEPT
BLDG DEPT
Cr)'Ji'I Af\ICF WITH Al I FFDFf1AI
IY1Il1IISAWI'1f(�'11AIir:,vI,
0000
0000
0000
0000
0000
0000
•• 0
•
0000..
•••
• • •
0000
0000..
•
0000.•
0000••
0000.
0000•
0000••
•
0000..
0000••
22,383/240 = 93.2625 AMP
Owner: 1319 APARTMENTS LLC X
Sworn and subscribed before me this Jo day of 2019
is —Wally known to me or provided following identificationhze., _
Notary Public State of Florida
My commission expires: P'`j"' CLAN WN
MY comm)w®b 0 (p Wi36
� ;• EXPIft§
CONTRACTOR: YORK ELECTRIC CORP Aft y
Elm
,:
2517 SW 13 ST. MIAMI, FL 33145 1, U�,,,
EC13004787
Qualifier: Roberto Moreno X 2
Sworn and subscribed before me this day of Agog4jw 2019
is Rrs y known to me or provided following identification
bjxz,d� Notary Public State of Florida
RECEIVED
My commission expires:^«N
,•�"•"'w4.: CLAUS BEEN '' .2019
SEP 6 00 9
,...:
- My COMMISSION t# FF 933876 BY:
EXPIRES September 10, 2019