EL-19-873Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 05/24/2019
Location Address Parcel Number
1225 NE 93RD ST, Miami Shores, FL 33138 1132050270030
Contacts
Permit NO.: EL-04-19-873
Permit Type: Electrical - Residential
Work Classification: Pool
Permit Status: Approved
Expiration: 11/20/2019
MARK & DARLENE HUTCHINSON Owner STATE ELECTRICAL CONTRACTOR LLC Contractor
9125 N BAYSHORE DR, MIAMI SHORES, FL 33138 ARMANDO OJITO
Other: 7867122347 1100 SW 97 AVE, MIAMI, FL 33174
Business: 7862567068
inspection Description: POOL EQUIPMENT HOOK-UP Valuation: $ 2,000.00 inspection Requests:
4949
Total Sq Feet: 0.00
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
05/24/2019 $61.10
Check # 15150
04/22/2019 $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 AFFID V : I certify that ale -foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating con tru do and zoning. ermore, I authorize the above named contractor to do the work stated.
�_Z C j
Authorized Sign ner / Applicant / Contractor / Agent (Date
May 24, 2019
Page 2 of 2
0
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 �LECTRIC ❑ ROOFING
APR 2 019
BY
4 -A
. ' FpBC 20 �]
Master Permit No.B I P— 4" 11 - `Z
Sub Permit No. EL 4- 11 $73
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: � � �� 5� • t
City: Miami Shores County: Miami Dade Zip: SbOIR
Folio/Parcel#: it— J"CO20 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Phone#:%9(Q'•-7 La oA54-7
Address: �.�'•� ' zi3
City: State:`, Zip: 3313$
Tenant/Lessee Name: Al Phone#:
Email: N
14
CONTRACTOR: Company Name: 5 �- L �c ')'/1rL(���. [EPfene#:
Address: / ! e�'-o & - �-C/ C% % �7L1//2 r
City: T� 1� t�l / State: Zip: 3
Qualifier Name: /2/ ft AZ-2 a� �// �/'� Phone#:. - f26 l�Q
State Certification or Registration #: dff �V--Z .300< �; !o Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Iteration New ❑ R pair/R lace' ❑Demolition
Description of Work: /''I 1:f^/ d•< a
Specify color of color tthru tile:
Submittal Fee $ f Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
DBPR $
r
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Comp4�cl'dress
City I State
Mortgage Lenders Name (if applicable)
Mortgage Lender's Address
City
State
PIP
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. • t
• '1 f ,
"WARNING Td� OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR'PhOPERTY."IF' *OU 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 $25b0,' titled pjicant must
promise in good fpith that a copy of the notice of commencement and construction lien law brochure will be delivq' ted ed�t.t'Ape person
whose property is subject to attachment. Also, a certified copy of the 'recorded notice of commencement must be posat 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. .`.o �
Signature
OWNER or AGENT
The foregoing instrum nt was acknowledged before me this
day of . 0 ��r 20 L% by
( �� who is personally known to
me or who has produced �y k4p� as
identification and who did take an oath.
NOTARY PUBLIC
Sign:
Print:
Seal:
***************
APPROVED BY
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
� day of n &,t-e-EE , 20 l ? by
lrt 2Q-(R-d Dc� 0�•� , who is ersonally known t
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Print:
A. DIANA
as
DORIS ANAYS MARTIh_2 = \
�¢ •, Commission = GG 112857
Notary Public State o` FloriCa ,' Seal:
r Y ,%' My Comm. Expires Dec 15, 2019
Commission : GG 25075' f.. '• Foc., g�d�thmuyhNational Notary Assr.
My Comm. Expires Feb 14. 202'
...• !
************************************************************************************
13 1 I Plans Examiner
Structural Review
Zoning
Clerk
(Revised02/24/2014)