EL-18-3007Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: L-10-18-3007
-O-� - Permit Type: Electrical - Residential
ft _ 0 work Classification: Addition/Alteration
Issue Date:
Permit Status: Approved
Expiration: 04/01/2019
Location Address Parcel Number Project
9632 NE 5 AVE, Miami Shores, FL 33138 1132060170140 <NONE>
Contacts
DAVID ELIAS HALABU Owner DAVID ELIAS HALABU Applicant
9632 NE 5 AVE, MIAMI SHORES, FL 33138 9632 NE 5 AVE, MIAMI SHORES, FL 33138
(305)213-7625 (305)213-7625
RTC ELECTRIC CORP. Contractor
3321 SW 92 AVE, MIAMI, FL 33165
(786)227-4180
Inspection Requests:
Description: CIRCUITS HR FOR KITCHEN, LIVING ROOM, Valuation: $ 25,500.00 305 762 4949
GARAGE, RECEPTACLES AND LIGHTS, ROUGH, TEMP FOR TEST
,FINAL Total Sq Feet: 2,250.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$15.60
DBPR Fee
$13.39
DCA Fee
$8.93
Education Surcharge
$5.20
Notary Fee
$5.00
Permit Fee
$842.50
Scanning Fee
$3.00
Technology Fee
$22.31
Total:
$965.93
Payments Amt Paid
Inspections:
Total Fees
$965.93
Inspection Type
Credit Card
$965.93
Electrical Final
Amount Due:
$0.00
Permit Received By Date
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 inf mation is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I a above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
October 02, 2018 Page 2 of 4
Miami Shores Village 'SEP
2 2 18
Building Department _L
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
BUILDING
PERMIT APPLICATION
❑BUILDING M ELECTRIC ❑ ROOFING
Master Permit No. - I v .r3-;�
Sub Permit No. EL. Is 3W--�
REVISION EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS 0 CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: l v� Nr/ 3-1, A& m)
Folio/Parcel#: 11- 32.p� rot 7 -ol Y0 Is the Building Historically Designated: Yes NO 4z
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: NameC (Fee Simple Titleholder): •rq A�jU Phone#: 3oS-a 13 /-
Address: 65Z AIC 54 �ll
city: 9W1WA
Tenant/Lessee N
Email: alli
State: VL Zip: 'S 5 13
Phone#:
CONTRACTOR: Company Name: _� ��0 1 Ip Phone#: i
Address: 531A e- J `12 At)t
City:
Qualifier Name:
t
Phone#:
State Certification or Registration #: . ��� i3U 15"Z 3s Certificate of Competency #: L 1=oao 110 2-
DESIGNER: Architect/Engineer:
ne#:
Address: ZS> 1 ��02� City: State
Value of Work for this Permit: $71 m, Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration Q New [Repair/Rep ce
Description of Work: L (.r0 l tC-Qc . AID
Zip:
❑ Demolition
1bl,s 1 A-td
Specify color of color thru tile:q�
Submittal Fee $ Permit Fee $-, CCF $ a -Y - - ~- eO/CC $F
Scanning Fee $
Technology Fee
Structural Reviews $
Radon Fee $ 1 • DBPR $
Training/Education Fee $
Notary $.
Double Fee $
Bond $
TOTAL FEE NOW DUE $ ! (4f?t--
(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.
cy t~ C.
"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 faith4that 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 ap f and a reinspection fee will be charged.
Signature Signature _
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
0 , day of zn(� 20 by
/511 pirl who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
The foregoing instrument was acknowledged before me this
ZU day of 50�K: 20 (8 by
t 051=-6 TOt-ON C!k: VR 2personally known to
me or who has produced F,—'VQUEIe- Lk0t;;:NJS-E;as
identification and who did take an oath.
NOTARY P IC:
Sign:
Print: NDJ P U1�P�
�o:►�•,,, KAITLYN M ORTAGGS
Seal: Seal:
State of Florids•NotsrY PuD1iC =P&
Commission 0 GG 201315 ate of FloridaMy Commission Expires Marcn 2t1, 2022z
FF 156750
ti.A..R
APPROVED BY i �i��lo i ���� Plans Examiner Zoning
Structural Review
Clerk
(Revised02/24/2014)
Local Business Tax Receipt
Miami —Dade County, State of Florida
-THIS IS NOT A BILL -DO NOT PAY
7204080
� 11
BUSINESS NAME/LOCATION
RECEIPT NO.
EXPIRES
RTC ELECTRIC CORP
RENEWAL
SEPTEMBER 30, 2019
3321 SW 92ND AVE
7487000
MIAMI, FL 33165
Must be displayed at place of business
Pursuant to County Code
Chapter RA - Art. 9 & 10
OWNER
SEC. TYPE OF BUSINESS
RTC ELECTRIC CORP
196 SPEC ELECTRICAL
PAYMENT RECEIVED
BY TAX COLLECTOR
C/O ROBERTO TOLON, PRIES
CONTRACTOR
75.00 09/24/2018
Worker(s) 1
16E000282
0208-18-007884
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license,
permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276.
Ma For more information, visit www.miamidade.ggv/toxcollector
e