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EL-19-2215Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 09/25/2019 Location Address Parcel Number 395 NE 100TH ST, Miami Shores, FL 33138 1132060135400 Contacts Permit NO.: EL-09-19-2215 Permit Type: Electrical - Residential Work Classification: Alteration Permit Status: Approved Expiration: 03/23/2020 Jose Herrera Owner 395 100 INDUSTRIAL ELECTRICAL SYSTEM CORP Contractor NESTOR I CORVEA 10257 NW 9 ST 205, MIAMI, FL 33172 Description: REMODELING MASTER BATHROOM Valuation: $ 750.00 Inspection Requests: 49 TotalSq Feet: 50.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $115.30 Building Department Copy Payments Date Paid Amt Paid Total Fees $115.30 Credit Card 09/25/2019 $65.30 Credit Card 09/23/2019 $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 constrVNon and zoning. Futhermore, I authorize the above named contractor to do the work stated. Signature:'Owner / Applicant / Contractor / Agent Date 25, 2019 Page 2 of 2 Miami Shores Village h Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 1 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING 0 ELECTRIC ❑ ROOFING SyP 2 3 1019 i- FBC 201--j- (A" Master Permit No. RC-07-19-1644 Sub Permit No.t L- DQ— l GI-0oZ%S ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 395 NE 100 St City: Miami Shores County: Miami Dade Zir): Folio/Parcel#: 11 -3206-013-5400 Is the Building Historically Designated: yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: �7/ r� OWNER: Name (Fee Simple Titleholder): JOSE HERRERA & KARL ERIC BACKMAN phone#: S - 3 �� - / O q Address: 395 NE 100 ST City: Miami Shore State: FL Zip: 33138 Tenant/Lessee Name: Email: N/A Phone#: CONTRACTOR: Company Name: INDUSTRIAL ELECTRICAL SYSTEMS, CORP Phone#: 305-388-4648 Address: 14050 SW 84 ST SUITE 206 City: MIAMI State: FL Qualifier Name: NESTOR I CORVEA Phone#: State Certification or Registration #: EC 13002182 Certificate of Competency M _ DESIGNER: Architect/Engineer: Phone#: ip: 33183 305-388-4648 Address: City: State: Value of Work for this Permit: $ 750.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Description of Work: Install 2 high hats. Zip: ❑ Demolition Specify color of color thru tile: 7� j� Submittal Fee $ _� '150 3 A� a Permit Fee $ l.^� CCF $ - U " CO/CC $ Scanning Fee $ 2.00 Radon Fee $ 00 DBPR $ � • o © Notary $ 0 D Technology Fee $ r . G J0 Training/Education Fee $ ��i c�� Double Fee $ Structural Reviews $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ 10S. 3D 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. "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. The foregoing instrument was acknowledged before me this 23 day of `D�'Ce � 20 11 by —JOS,, q r(-R r`i , who is personally known to me o o has produced as id tificati and o did take an oatl�Q�\-,\\\`spY NO ARY PU IC: a55t 5 ��M2S?�iQ,•, Sign: #GG 207268 Print: ct�ge. c+�:• Seal: ///i�.._• .•STAI�or Signature, �&//y 7 �A'111 CONTRACTOR The foregoing instrument was acknowledged before me this 16 day of September 20 19 by NESTOR i CORVEA , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: ' Print: -762 A C/.S LD Seal: as Notary Public - State or Florida � Commissior ;� GG 158509 cam`•:- My Comm. Expires Nov 17. 2021 6ordedthroighNaaona Now, Assn. #s#**#s*##s##sssss#s s##*##*#fjssss*####/#^#sssssrs�ssss#*##s##ss##sssss#sss##*####ss*ss##sss#sssisssss#s#sss#sss APPROVED BY S' ` 7�7f'/`T Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 001274 Local Business Tax Receipt Miami -Dade County, State of Florida —THIS IS NOT A Btll — DO NOT PAY 6115851 I - BUSINESS NAME/LOCATION RECEIPT N0. EXPIRES INDUSTRIAL ELECTRICAL SYSTEMS CORP RENEWAL SEPTEMBER 30, 2020 14050 SW 84TH ST 206 6378780 Must be displayed at place of business MIAMI FL 33183 Pursuant to County Code Chapter 8A — An. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED INDUSTRIAL ELECTRICAL SYSTEMS CORP 196 ELECTRICAL CONTRACTOR BY TAX COLLECTOR C/0 NESTOR I CORVEA, PRES EC13002182_ $75.00 07/02/2019 Worker(s) 1 CREDITCARD-19-049611 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 ea-276. For more information, visit www.miamidade.govttaxcollector LD 0