EL-19-2885Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
-Issue Date: 12/0 /2019
Parcel Number
1234 NE 94 ST, Miami Shores, FL 1132050100210
Contacts
Permit NO.: EL-1 2-1
Permit Type: Electrical - Residential
Work Classftcidom Temp for Test
Permit Status: Approued
Expiration: 06/02/2020
MARIA GABRIELA CONTRERAS Owner ELI BRAVO Owner
1200 NE 97 ST, MIAMI SHORES, FL 33138 1200 NE 97 ST, MIAMI SHORES, FL 33138
Other:3059492371 Other:3054942371
VOLT ELECTRIC CORP Contractor
ODONIS RODRIGUEZ
831 W 53 TER, HIALEAH, FL 33012
Business: 3052007967
Description: TEMP FOR TEST Valuation: $ 1,500.00 Inspection Requests:
r
5-762 949
Total Sq Feet: 1,500.00
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
Credit Card
12/05/2019 $61.10
Check # 2059
12/05/2019 $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 foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I aut orize t above med contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
December 05, 2019 Page 2 of 2
..!'CE1VED
BUILDING
PERMIT APPLICATION
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
DE' 05 19
BY:
��
FBC 20 1 '::)
Master Permit No. RC-12-17-2993
Sub Permit No. ( ` '2,�" ( 01 " rL) U G
❑BUILDING Q ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1234 NE 94th St
City: Miami Shores County' " Miami Dade Zip: 33 i 2r
Folio/Parcel#:1132050100210 Is the Building Historically'Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Marla Gabrlela Contreras , f. El ; 6MV0 Phone#:305-949-2371
Address:1200 NE 97th ST
City: Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Volt Electric Corp Phone#: 305-205-3420
Address: 831 W 53rd Terr
City: Hialeah State: FL. Zip: 33012
Qualifier Name: Odonis Rodriguez Phone#: 305-200-7967
State Certification or Registration #: EC13009377 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $__,Cr)c) o Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:. S (�
Specify color of color_ttiru file
SObmittal Fee $ ." 'Permit Fee $
.7
Scanning Fee $ Radon Fee $
Technology Fee
Structural Reviews S
Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
(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
E.
WE
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.
n
Signature Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this The foregoing instrument v4s acknowledged before me this
j� day of O t e-C 20 19 by day of ('1t0 66Y 120 �� by
(L 1?7 who is personally known to on' S ROC+►- f64rC2 who is personally knower �o
me or who has produced �as me or who has produced as
identification and who did take an oath.
NOTARY
identification and who did take an oath.
NOTARY PU
Sign:`
Sign:
y�
Print:
b Print:
�%( ✓�-a/7 U
Seal:i�r
Y MAR!of
Notary Public • Statlorida
Seal:
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r° Notary PublcY State oNOFlorida
Commission # GG353
Commission # GG 044353
My Comm. Expires N, 2020
=;�, e'.-' My Comm. Expires Nov 2, 2020
`'�9�
Bonded through National Assn.
y
�d'�'` Bonded through National Notar A sn
******** ** * *
* *
**********************************
APPROVED BY
Plans Examiner
Zoning
Structural Review Clerk
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
AFFIDAVIT FOR 30 DAY TEMPORARY -ELECTRIC SERVICE
NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY
TERMINATION UNLESS APPLICATION IS RENEWED.
It is understood that the temporary -electrical approval by the Miami Shores Village, Building Department given
in connection with the building being constructed under:
Building Permit N: I ox 1 J b�qclElectrical Permit N:
At Address: 54 Miami Shores, FL
For Owners: Wtri a Cot1�,fe11�,; EI`, L,)c () , and is being given only for
construction purpose or for testing t e following equipment in said
structure:
The owner does herby agree to assume the responsibility of maintaining the installation in such manner that
there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said
structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further
inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of
Occupancy or Completion is obtained.
The undersigned also understands that the temporary electric approval is subject to rescission and
r.ancellation and electric power can be cut off at the discretion of the building official and will be disconcerted of
ie building concerned is occupied before final inspections are approved and/or obtained a Certificate of
'Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your
be" able to obtain future Temporary for Test permits.
I,?,u
t3,Q l) , being first duly sworn, depose and say that I am the owner of the
ab ve described property, and that I agree that the structure covered in this agreement shall not be occupied
until the building contractor has obtained approval of final inspections and/or obtained a Certificate of
Occupancy of Completion. N e: Failur rna4tureof'Notary
id ill esult in your
being unable to tain ure Tempo r P ,Test hlfii#� DISLA
NotaryPublic-St of Florida
*= Commission # GG 9281 S
Signature caner=';�oF„:� My Commission Expires
���i�+"� October 31, 2023
I, ucionq 1 Z , being duly sworn, depose and say that I am the Electrical Contractor for
the above-descri d p operty and that t - 1 1 installations as no xisting will not c e afety hazard
if temporary se nnected. ;o;;��P&DANIELLq ' +
�:Notar i DISLA
Y ublk-State of FtoriAQ
Signatu7nl'
ctrical Contractor Commission # GG 928159 nature of Notary
MY Commission Ex
October 312023ires
6 i' , being first u y s d say that I am the Building Contractor
of ih& above described property and that I will not permit occupancy of this building until final inspections have
been called for by the contractors and sub -contractors concerned and final approval by the inspection division
obtained and that I have the authority insofar as the owner of said property is concer d to p ohibi ccupancy
until such fi nspections re obtained and/or a Certificate of Occur Com i n We
, DANIELLA DISLA
gnat ur e1 Bui din _ r _ :Notary Public -Stets of F -ri
Commission # GG 9"<t �'3W ature o Notary
lt0P My Commission Explr®s
" October 31, 2C13
Signature of Inspector Signature of Notary