EL-19-1745Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
10618 NE 11TH CT, Miami Shores, FL 33138
Contacts
f U U
Issue Date: 07/31/2019
Parcel Number
1122320280420
Permit No.: EL-07-19-1745
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit Status: Approved
Expiration: 01/27/2020
ARTURO RODRIGUEZ Owner
10618 NE 11 CT, MIAMI SHORES, FL 33138
Other: 3058770897
CARABALLO ELECTRICAL INDUSTRIES INC Contractor
GEORGE CANCIO
5810 SW 113 CT, MIAMI, FL 33173
Business: 7867156056
Inspection
Description: RELOCATE KITCHEN TO EXISTING DEN. BATHROOM Valuation: $ 3,105.0Requests:
0 4949
REMODELING, NEW SINK, NEW SHOWER, NEW TOILET 7
1/11 x11=82 1/2 sgft. Total Sq Feet: 425.00 305-762
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.80
Permit Fee
$58.68
Scanning Fee
$18.00
Technology Fee
$2.72
Total:
$136.60
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$136.60
Credit Card
07/31/2019 $136.60
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 construrt1on and zoning. guthermore, I authorize the above named contractor to do the work stated.
/ Applicant / Contractor / Agent
Date
July 31, 2019 Page 2 of 2
Miami Shores Village RECEIVED
Building Department JUL 26 -�
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 201'1
c�7
BUILDING Master Permit No PC—CS—I�'t I
PERMIT APPLICATION Sub Permit No.' (,-,0-7 —Ic1— F1I S
BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF [—]CANCELLATION [-]SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zia:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type:_ Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): dry- rO � Q, A1f1[)LAk Phone#:
Address: 106-18 op, d CC
City: Q;axxj�_ %D'Y?a State: TL Zip: 3313 i0u/
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Caraballo Electrical Industries Phone#: 7867156056
Address: 5810 SW 113 CT :91r-5-z7 —jo
City: Miami state: FL Zip: 33173
Qualifier Name: George Cancio Phone#: 7867156056
State Certification or Registration #: EC13008168 Certificate of Competency M
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
Value of Work for this Permit: $ 3' oft Square/Linear Footage of Work:
Zip:
Type of Work: ❑ Addition 0 Alteration ❑ New 4 Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
_ 6�,F'c/
CCF $ CO/CC S _
DBPR $ 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
Zip
City State 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.
Signature
O ER AGENT
The foregoing instrument was acknowledged before me this
eZ / day of `�� ( 20 by
who is �ersonally' no 0
me or who has produced as
identification and who did tak t .
qArP
NOTARY PUBLIC•7- �n �� Notary Public State of Flonds
Ana Maria Perez
My Commission GG 161o84
�' OM Expires 02/28/2o22
Sign:
Print: A gel U P
Signature
C CTOR
The foregoing instrument was acknowledged before me this
day of JUly , 20 1 5 by
George Cando who is personally known to
me or who has produced as
identification and who did take an oath.
JN,.ARY PUBLIC: tQ Pp44� Notary Public State of Florida
Ana Maria Perez
d;My Commission GG 191064
RExpires 02/28/2022
Print.
Seal: / Seal:
ss*******s*rssssss**s**s*ss*s*ssss*ss****s*ss***ss*s*****sr*sss*r*s*r**sss**sr*s**ss*rs*ssssssss**ss**sr*s**
APPROVED BY -Z�;-7( Q% l /`Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)