EL-18-3330Location Address
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Ly
Issue Date:
Parcel Number
371 NE 103RD ST, Miami Shores, FL 33138 1121360130270
ontacts
Permit iva:'EL-10-18-3330
Permit 'type: Electrical - Residential
Work Classification: Pool
Permit Status: Approved
Expiration: 04/29/2019
GONZALO & JOHANNA NOALES Owner STATE ELECTRICAL CONTRACTOR LLC Contractor
371 NE 103, MIAMI SHORES, FL 33138 ARMANDO OJITO
Mobile: 3056329753 GNOALES@GMAIL.COM 1100 SW 97 AVE, MIAMI, FL 33174
Business: 7862567068
Description: POOL WIRING Valuation: $ 2,000.00
Inspection Requests:
305-762-494§
Total Scl Feet: 29.00
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
Building Department Copy
Payments Date Paid Amt Paid
Total Fees 111.10
Check # 15157 11/20/2018 61.10
Check # 15151 10/31/2018 50.00
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.
OWNERS AFFIDAVIT: I certify that all the going information is accurate and Aat all work ill be done in compliance with all applicable laws
re'ng co r ti and zonin ut r I authorize a _ove name ¢ cogtra oto do the rk stat d.
Owner v / Date
November 20, 2018 Page 2 of 2
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 I ZJ ELECTRIC ROOFING
RECEIVE1
OOT 31 2010
1
n
FBC 20"
Master Permit No.
Sub Permit No.
REVISION EXTENSION RENEWAL
PLUMBING [:]MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
Folio/Parcel#: - (01 -'Y' 0270 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type:1 Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 40zl,,1 F<f L O /v 466--S . Phone#:,3p3ti 32 22
Address: 3 7 , L zIZ2
City: 5//E%%1 tS State: Zip: 7
Tenant/Lessee Name:
Email
CONTRACTOR: Company Name:Ig 6,4r C C. • L LC Phone#: O-,-/ —7d
Address: 'i 7 %9-r/ `
City: _ / d9- State: ^ Z-- Zip:
i
3 l
Qualifier Name: iV%4 (2) cra '-16 Phone#: 70 0sIb 70
State Certification or Registration #:z -=-C/ 36pc>1 S (- Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit:
uv Square/Linear Footage of Work:
State Zip:
Type of Work: Addi tio n Alteraltion,) New Repair/Replace Demolition
Description of Work: O b e— 7/V / l2 1 •/
r,
Specify color of. -color thru tile: p
Submittal Fee $ Permit Fee $ &0 CCF'$"1--• ,-1' "-CO/CC $
Scanning Fee $ Radon Fee $
Technology Fee $
Structural Reviews $
Revised02/24/20141
Training/Education Fee $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
861liv 2010d2
J ItV i Ib f 0 itU
City State . lip
Mortgage Lender's Name (if applicable) 7,',,A. t 3X ;itl,) -Ri.- N11JA WOW: 3.1t.i sic ,1' 1.'t•:i
fNc% ax`1MortgageLender's Address -
City _ tt41 ;t• , i -State Zip ,VA _' I L I A*.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify tha no work or installation has
commenced 'prior-
toA'
e the issuance -of a:permit and that.lall 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 ..... _a } )`y _ y p _ ty tJ I' c i 1 i 1 1,..-.1
1 41V rOWNER'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. ,7Bt j, l,ti
WARNING TO.OWNER: - YOUR--FAILURE'TO RECORD`A NOTICE -OF COMMENCEMENT MAY
RESULT IN YOUR PAYING4TWICE FORIIMPROVEMENTS_TO YOUR, PROPERTY. IF YOU_ INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER.OR.AN ATTORNEY -BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
c $ i i - -i1 h::l lid t
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 Zlelivered "to the person
whose firofierty 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, o curssseven (7) days after the building permit is issued In the absence of sucht posted notice, the
inspection will not be approve nd a reinspection fee will be charged.
d 3
Signature.
i ;n" ACT].',vsTVLJ
Signature '
CONTRACTOR--~•----- -- -
I
O N or AGENT
The foregoing instrument was acknowledged before~me this - The foregoing instrument was acknowledged before me this
i 7`W- -- -, 201•tb
day f %r - 20.. 19 by __ l% day of - '' Y
4 i ..:i.s 'fir
a 11
i A 1 F •'•
LQ7 l who is personally known fo—(¢ "//fit 757' . who is personally known to`
14?ZZVO - as '~" me or wtio has produced - - me or who has produced
identification and who did take an oath. ~ identification and'who did take -an oath. --L-----
NOTARY PUB I c NOTARY PUBLIC:
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06_ In2ZSigSgn: - - _ ;:
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Print: .
Seal Av °Yep-. - - DORIS ANAYS MARTINEZ
i i Notary Public - State of Florida
v Commission # GG 250751
My Comm. Expires rib 14, 20211
Print: -
Seal:-
MANUELA. DIANA
Notary Pubic - State o on a
Commipp'n s GG 112457MyComm. Expires Dec 15, 2019
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D, 3 Vin;^t.•-r
APPROVED BY t y~T a Plans Examiner Zoning
s ;'iur7cl\• Z !:q*1 i , ,''. ib ,ry;t1l6t — _ __
Structural Review
luo..i o.1m /n hm n 1
Clerk