EL-19-1837Miami Shores Village
10050 NE 2 Ave
.Miami Shores FL 33138
305-795-2204
Issue Date: 08/20/2019
Location Address Parcel Number
9632 NE STH AVENUE RD, Miami Shores, FL 33138 1132060170140
Contacts
Permit NO.: EL-08-194,837
Permit Type: Electrical - Residential
Work Classification: 'Repair
Permit Status: Approved
Expiration: 02/17/2020
DAVID ELIAS HALABU Owner RTC ELECTRIC CORP. Contractor
9632 NE 5 AVE, MIAMI SHORES, FL 33138 ROBERTO TOLON CALDERON
Other: 3052137625 dhalabu@hotmail.com 3321 SW 92 AVE, MIAMI, FL 33165
Business: 7862274180
Description: SERVICE REPIAR (SAFETY INSPECTION) Valuation: $ 100.00 Inspection Requests:
305-762-4949
Total Sq Feet: 0.00
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
$3.00
Technology Fee
$2.50
Total:
$110.30
Payments
Date Paid Amt Paid
Total Fees
$110.30
Credit Card
08/08/2019 $50.00
Credit Card
08/20/2019 $60.30
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.
OWNERS AFFIDAVIT: I certiN that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction a ire uthermore, I authorize the above named contractor to do the work stated.
m
Authorized Signature: Owner / Applicant / Contractor / Agent Date
August 20, 2019 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 'ELECTRIC ❑ ROOFING
Master Permit No
FBC 2017 f'�*
`U- 08 - kci - (8,37
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING [—]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 5 tvf
City: Miami Shores County: Miami Dade Zip:
Folio/Pa
Occupancy Type: Load: Construction Type:
the Building Historically Designated: Yes NO
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):, 0RU (Cy 1—t(t (C �.6(„ Phone#:
Address: ��„ 3 2 Pe ��'�Ae
City: (a4M Skoyy State: �2 Zip:
33 t39'
Tenant/Lessee Name: Phone#:
Email: n�W lOc �t s �jj C Aet C[IiL.
CONTRACTOR: Company Name: INS �- , �Sl )1 p Phone#:
Address: .3;3 [ SW 5A'2= /A \
City:
Qualifier Name:
State Certification or Registration M
DESIGNER: Architect/Engineer:
ate: Zip: �3I 6S—
Phone#: ti`—)qb Z-r+ (�( ��
Certificate of Competency #: \ (015000 NZ
one#:
t 1,.�ntitF3a Y/f,
Address; '` :r„ City: State: Zip:
Value 6f.Wor0onthis Permit: $(� �0-0' Square/Linear Footage of Work:
Type pf•Work: 0 '''Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
„ .. .0 -.: 1
Description, of,Wor�C: YV I C' �� 1 e� (1 C-f-I O n
'Z�a
Specify coor of color thru tile:
Submittal Fee $� �� A Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
�>,.vc �.ratn.�:.•r+• wi s+. N� ta.'orr.x•.w •. y.t.,a:4,.sw'R✓.•
j «
CCF j't , t' CO/CC $'
DBPR $14 , ;;FTM, . •,.Notary:$...
Double Fee $
Bond $
TOTAL FEE NOW DUE $ w
(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
Zi
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 on 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 Fo ed and a reinspection fee will be charged.
SignatureJ Signature
WNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing inst
day of S+ 20 19 , by day of
(
who is personally known to U r I
me or who has produced
identification and who did take an oath.
as me or wo-has produced
was acknowledged before me this
t 112) 20 (2�7 by
identifidation andfwho'Wcl take an
NOTARY PUBLIC: N TA PU
ch)Sign: Sign:
Print: C� ►sem CQ bYera Print:
who is personally known to
)rf'�Lu- YLl,un—Ns
�` lr`" _Y PR jFl�
CP
*; •�� ;Ar
3c' e_
#GG 2872i8
Seal: Seal: ( V ql��/ 1111Ir--�10N,
ISELLE CABRERA �J
WIN MIMON 9 00 219372
'•?,: ,ee 9axkc Tlw Notary ta,bBc man
APPROVED BY gPlans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
PERMIT ADDRESS: 9632 NE 5TH AVENUE RD PARCEL: 1132060170140
Miami Shores, FL 33138
APPLICATION DATE: 08/08/2019 SQUARE FEET: 0.00 DESCRIPTION: SERVICE REPIAR (SAFETY INSPECTION)
EXPIRATION DATE: 02/04/2020 VALUATION: $100.00
CONTACTS NAME COMPANY ADDRESS
Contractor ROBERTO TOLON CALDERON RTC ELECTRIC CORP. 3321 SW 92 AVE
MIAMI, FL 33165
ROBERTO TOLON CALDERON RTC ELECTRIC CORP. 3321 SW 92 AVE
MIAMI, FL 33165
Owner DAVID ELIAS HALABU 9632 NE 5 AVE
MIAMI SHORES, FL 33138
REVIEW ITEM STATUS REVIEWER
Electrical 0 Requires Re -submit Michael Devaney email: nu119
Comments: NEED RISER DIAGRAM SHOWING WHAT IS BEING REPAIRED. NEW SERVICE EQUIPEMENT TO BE 22KA. I. C. ORA LETTER F
STATING MAX FAULT CURRENT WITH CALCULATIONS .
August 12, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1