EL-18-3598Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit No.: EL-12-18-3598
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit Status: Approved
issue Date:12/OS/2018 Expiration:06/03/2019
Parcel Number
1225 NE 93 ST, Miami Shores, FL 33138 1132050270030
Contacts
MARK & DARLENE HUTCHINSON Owner MARK & DARLENE HUTCHINSON Applicant
1225 NE 93 ST, MIAMI SHORES, FL 33138 1225 NE 93 ST, MIAMI SHORES, FL 33138
Other:9544459705 Other:9544459705
RTC ELECTRIC CORP. Contractor
ROBERTO TOLON CALDERON
3321 SW 92 AVE, MIAMI, FL 33165
Business: 7862274180
Description: CHANGE ALL RECEPTICLES CHANGE NEW PANEL
RUN NEW BRAND CIRCUIT LIGHTS KITHCNE AND INSTALL A/C
NEW
05-25-2018- I. Naranjo, BO
plans for the project were not provided. Stop all reviews
until plans and all required documents areprovded
Fees
Amount
Application Fee - Other
$50.00
CC F
$12.60
DBPR Fee
$10.79
DCA Fee
$7.19
Education Surcharge
$4.20
Notary Fee
$5.00
Permit Fee
$669.44
Scanning Fee
$3.00
Technology Fee
$17.99
Total:
$780.21
Building Department Copy
Valuation: $ 20,555.50 Inspection Re uests:
305-762-4949
Total Sq Feet: 2,700.00
Payments
Date Paid Amt Paid
Total Fees
$780.21
Credit Card
12/05/2018 $780.21
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 a d zoning. Futhermore,orize the above na ed`co�rXtY^actor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
December 05, 2018 Page 2 of 2
Miami Shores Village RECEIVEDDEC 05 2018
Building Department QV_14
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 CQ+1
BUILDING
PERMIT APPLICATION
❑BUILDING ELECTRIC ❑ ROOFING
FBC 201'4
Master Permit No. �� 5_- l f- 1 713
Sub Permit No. llrrl " z S�9b -
❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: /�P.7.5 fve 57'? r,,/ �% .
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: �' ��+ �!�% �U143� Is the Building Historically Designated: Yes NO _
Occupancy Type: _ Load: Construction Type: Flood Zone: _ BFE: __ FIFE:
OWNER: Name (Fee Simple Titleholder): O�2 A r Ic //UtCf. �. r c� h Phone#:
Address: /.)JC At 13t` .
City:. M i prn i 4 a .,e f State: f1. Zi p: , g3),3&
Tenant/Lsee Name: Phone#:
Email: ► 1 1- ..W"'Aj " ra)�'Z.L
CONTRACTOR: Company Name: \C' �-f f L�� Phone#: 7`6 Z Z� 41 a
Address: '332[ `�� Al;�
City: a ( i ` k
Qualifier Name: cf-? % 'A
State Certification or Registration #:
DESIGNER: Architect/Engineer:
te: Zip:
Phone#:
Certificate of Competency #: �f>OU Zq Z
Phone#:
Address: City:
Value of Work for this Permit: $ 1614Q, Od Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Rplace
nklA_ A n __ I- P I. C#L-.Jl— gg
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $_
DBPR $
State: Zip:
❑ Demolition
k-qj'1F_ �
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
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 certifie"py of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) d�fter the building permit is issued. In the absence of such posted notice, the
inspection will not be opproved\and a reinspectlon fee will be charged.
Sign
ENT
The foregoing instrument was acknowledged before me this
a (G day of OG f 0 ber 20 /,f by
�IClrlc wh ersonally know to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Print: /`7�i�/r✓I� /Yl //{'�G / u. i
Seal:
a�.x
APPROVED BY
(Revised02/24/2014)
KAITLYN M ORTAGUS
State of Florida -Notary Publi
Commission # GG 201315
My Commission Expires
2b
as
Signature_ cl�:�
CONTRACTOR
The foregoing instrument was acknowledged before me this
_ day of20_, by
��L(jJ �s personally known to
me or who has produced l'' 1 1 (21 _ as
identification and who did take an oath.
NOTARY PU
Print: 6 NIAHARA1 K. GONZALEZ
hY COMMISSION # G Z—
Seal: EKp{RES: November 2, 2020
'•' nonded Thru Notary Public Underwriters
Plans Examiner _ __Zoning
Structural Review Clerk