EL-19-1450Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
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U 'MJJ�
V
Issue Date: 08/13/2019
Parcel Number
92 NW 100TH TER, Miami Shores, FL 33150 1131010180370
Contacts
Permit NO.: EL-06-19-1450
Permit Type: Electrical - Residential
Work Classification: Pool
Permit Status: Approved
Expiration: 02/ 11/2019
JORGE AND FELISA PADILLA Owner
92 NW 100 TERR, MIAMI, FL 331501208
Other: 3057568523
STATE ELECTRICAL CONTRACTOR LLC Contractor
ARMANDO CATO
1100 SW 97 AVE, MIAMI, FL 33174
Business: 7862567068
Description: NEW POOL Valuation: $ 2,000.00 Inspection Re uests:
305-762-4949
Total Scl Feet: 0.00
mi
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
Payments
Date Paid Amt Paid
Total Fees
$111.10
Check # 15277
08/13/2019 $111.10
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 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulatinkc6n—spAion and zoning. Futhermore, I authorize the above named contractor to do the work stated.
/ Applicant / Contractor / Agent
13, 2019
Date
Page 2 of 2
Miami Shores Village I ECE; VEn
Building Department JUN242019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 4
4�
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING •
PERMIT APPLICATION
❑BUILDING ELECTRIC ❑ ROOFING
FBC 2011
Master Permit No.yp cb -n -
Sub Permit No. 1�.- L'"L%- -�C� — ILi-so
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS [-]CHANGE OF ❑ CANCELLATION ❑ SHOP
.I �y� CONTRACTOR DRAWINGS
JOB ADDRESS: GIB_ 1V . U� W ler.
City: Miami Shores County: Miami Dade zip: 3a 16
Folio/Parcel#: 03 - 0'670 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): I,I SGt C IIG Phone#:
Address: qa' L 9 - 1co i
City: Mtarnl cS. �-Qre`V State: - zip: J3150
Tenant/Lessee Name:
Email
A
ne#:
CONTRACTOR: Company Name: S7`t4 /y C1 (�ot/�. LLC Phone#: 7,ZL-2f-10-7d6;
Address: l / O a S. u,-1- �F % �l/l�- 2 'L
City: State: z--c.. Zip:
Qualifier Name: �7�%'L(!/' �Jti/ / / T� Phone#: ��G -Z, 76 G
State Certification or Registration ##�:-- I1^-0 / 3/G�Y>l �K� Z- 3 Certificate of Competency #:S�-
DESIGNER: Architect/Engineer: �TY( f o t_'.(.ayjci , PC . Phone#:
Address: _M'O' cJ-W , !?4 co�- -City:'_ micu-11l State: Zip:
0�
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition• r ❑ Alteration New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
,
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 11 1
(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
A AYM
Zip
/VLA I
State A-1 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 gxceeding $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'musfbe 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 /
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of "71100 20 16 by
�ISrit who is personally known to
me or who has produced uw-! as
identification and who did take an oath. r �'
NOTARY PUBLIC:
Signature t7 Z4��
CONTRACTOR
The foregoing instrument was acknowledged before me this Niw
day of a%�, • 201 1 by
1.%IGlsh�i� C f f ��i7 who is personally known to
^pgpr who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: j� Sign:_
Print: 5 s Gii Print:
Seal: 'i►►YPii4; DORIS ANAYS MARTINEZ Seal:
Notary Public •State of Florid
Commission # GG 250751
My Comm. Expires Feb 14, 2021
************
APPROVED BY
Notary Public -State of Florida
• - Commission # GG 112857
My Comm. Expires Dec 15, 2019•
Bondedthraugh NationalNotaryhsn.
**********************************************************
Plans Examiner
Structural Review
Zoning
Clerk
(Revised02/24/2014)