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EL-19-827Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 04/30/2019 Location Address Parcel Number 68 NE 91ST ST, Miami Shores, FL 33138 1131010200020 Contacts Perm O.: L-04-19-827 Permit Type: E1ectrieal - Residential Work Classification: Pool Permit Status: Approved Expiration: 10/28/2019 Floyd Gonzales Owner STATE ELECTRICAL CONTRACTOR LLC Contractor 68 NE 91 ST, MIAMI SHORES, FL 331382808 ARMANDO OJITO gonzalesf@aol.com 1100 SW 97 AVE, MIAMI, FL 33174 Business: 7862567068 Description: ROUGH AND EQUIPMENT HOOK UP Valuation: $ 2,000.00 Ins ection Requests:uests: Total Sq Feet: 0.00 R 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 $18.00 Technology Fee $2.50 Total: $126.10 Building Department Copy Payments Date Paid Amt Paid Total Fees $126.10 Check # 15213 04/30/2019 $126.10 Amount Due: $0.00 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. all work will be done in compliance with all applicable laws In tha wnrk entad April 30, 2019 Page 2 of 2 Miami Sh.ores Village Building Department RECC, ° °=n 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 APR 15 /6ij Tel: (305) 795-2204 Fax: (305) 756-8972 �4 INSPECTION LINE PHONE NUMBER: (305) 762-4949 .4v F BC201'1 BUILDING Master Permit No.6f9 (H--I9—pp,, 2-j PERMIT APPLI TION Sub Permit No. �L-04 - I q-�571 [-]BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR JOB ADDRESS: �-QD 0'-P, . a t 5- - DRAWINGS City: Miami Shores County: Miami Dade Zip: .33166 Folio/Parcel#: A- -5l0S -Q?©W,-)o Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction /Ty_p�(e,:,, Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): �b CJ ALJ w !� Phone#: �5' Address: O% ►` ,C' 011 S� City: M l4rvi I �-es State: Zip: 33 I& Tenant/Lessee Name: Email M /t:, hone#: CONTRACTOR: Company Name: 'c-'e-ee / ( 'G�[i %� L G G Phone#:O Address: // le -15 4�y ✓ < [.rte. Q % /19-� City: %u l f4 ay"- State: A, L Zip: r, 3 3 l Z7 - Qualifier Name: Phone#: State Certification or Registration #: F/J' d C [ 6! Jr� Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Value of Work for this Permit: $ ��% Square/Linear Footage of Work: Type of Work: ❑ AdditiAn ❑ Alteration _ ❑ New , / V] ReJaair/Replace Description of Work: (� Zip: ❑ Demolition Specify color of color thru tile: ,. Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ DBPR $ Notary Double Fee $ Structural Reviews $ Bond $ i TOTAL FEE NOW DUE $ (Revised02/24/2014) + Bonding Company's Name (if applicable) Bonding Company's Address City r State Mortgage Lender's Name (if applicable) Mortgage Lender's A41ress 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 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 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 approved and a reinspection fee will be charged. Signature fora OWNER or AGENT The foregoing instrument was acknowledged beforemee this day of _ !A"L0W-&t7 20 by who isers n p o ally known to me or who has produce as identification and who did take an oath. NOTARY PUBY(a: /I Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of �J A -11L Ca 20 % *J , by RK-&Ie 0,7 ;JSP who ispersonally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: " �� ✓ Sign: �• Print: 'RY MARTINEZ Print: NUELA.DIANA Seal: In;. �<_ Notary Public - State of Florida = ' ' ' : ic- a eo Florida :�� Commission # GG 250751 Seal: or ' �, ; =' Commission # GG 112857 n , M MY Comm. Expires Feb 14, 2021 Y. My Comm. Expires Dec 15, 2019 Bonded throuch Natioral Notary Assr. APPR VED BY « l _ Plans Examiner Zoning Structural Review (Revised02/24/2014) Clerk