EL-19-431Location Address
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
550 NE 102ND ST, Miami Shores, FL 33138
Contacts
Issue Dater 03/06/2019
Parcel Number
1132060171041
Permit NO.: L-02-19-431
Permit Type: Electrkal - Residential
Work Classification: Pool
Permit Status: Approved
Expiration: 09/03/2019
IRENE HEGEDUS Owner ALES GROUP ELECTRICAL CONTRACTORS Contractor
550 NE 102 ST, MIAMI SHORES, FL 331382455 RAMON LORENTE
Other: 3057250672 896 SW 70 AVE, MIAMI, FL 33144
Business: 7862236096
Description: ELECTRICAL FOR NEW SWIMMING POOL Valuation: $ 1,000.00 Inspection Requests:
4949
Total Sq Feet: 160.00
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
$9.00
Technology Fee
$2.50
Total:
$116.30
Payments
Date Paid Amt Paid
Total Fees
$116.30
Credit Card
03/06/2019 $66.30
Check # 1538
02/26/2019 $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.
AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Signature: Owner / Applicant / Contractor / Agent
Date
March 06, 2019 Page 2 of 2
Miami Shores Village IV ID
'-, ;
Building Department 2620
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ; —
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBpC 20 C�
BUILDING Master Permit No. �r 0'
PERMIT APPLICATION Sub Permit No. t ' 2 11 -31
❑ BUILDING dELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
S 5-0 o 6 /U-2 sT
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): y"� UJ Phone#: �' `
Address:5N5 /OZ '57 -
City:
TCity: 01 6" ( C State: f7— Zip:
Tenant/Lessee NNna.�me:: Phone#:
Email: "�i"i l Z��-( lIU'ri��� Co�-1
CONTRACTOR: Company Name: .
Z.�s 0,rc)t)Q �i(-L� - LON7?Zf��-,-6 o e#: 3 21 q . `'��Q
Address: (6ft '��LJ
City: 1 ftt-A ( State: Zip: 3 J )
Qualifier Name: ftHaVv &0(? -r Phone#:
State Certification or Registration #: EC ox 1 Z S S Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address: /100o
Value of Work for this Permit: $ /
Type of Work: ❑ Addition ❑ Alteration
Phone#:
City:
Square/Linear Footage of Work:
❑ New ❑ Repair/Replace
Description of Work:
6LE--L"Ce C—
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Radon Fee $
Training/Education Fee $
Zip:
❑ Demolition
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $' ?
TOTAL FEE NOW DUE $ I 3�
Bonding' ompany'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. 1 -
"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."
r•
•4
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 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 a proved and a reinspection fee will be charged.
Signature Signature~
OWNER or AGENT CONTRACT
The foregoii g instrument was acknowledged before me this
�Z day of�6ey� 20 by
' 1*0E5D VS who is personally known to
me or who has produced t)L—as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: D(.1!
Print: C/`�—�7 6U!� li -Z
Seal:
;;t;RY'P�'••,, CRISTINARODRIGUEZ
Notary Public - State of Florida
Commission = GG 105164
My Comm. Expires May 16, 2021
APPROVED BY
The foregoing instrument was acknowledged before me this
nl day of RN� 20 , by
/Le70Aj toPuw-re who is rsonally kno to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: &WIL.
Print: cp—/-S71ii
Seal:
Plans Examiner
Structural Review
(Revisedo2/24/2014)
CRISTINA RODRIGUEZ
-;
'
Notary Public - State of Florida
•
S
Commission 9 GG 105164
My Comm. Expires May 16, 2021
I***
f`o,:
###"Aug
Borded temugh. Naticnal Nctary Assn.
to—
Zoning
Clerk
r �� 1