EL-19-2077Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit No.: EL-09-19-2077
D 2 MT
Permit Type: Electrical - Residential
Work Classification: Addition/Alteration
ljq
Permit Status: Approved
Issue Date: 09/18/2019 I Expiration: 03/16/2020
Parcel Number
130 NE 97TH ST, Miami Shores, FL 33138 1132060132530
Contacts
MIGUEL GARROCHO Owner
Other: 7863714974
ELECTRICAL MASTERS INC Contractor
OSVALDO RODRIGUEZ
8400 SW 14 ST, MIAMI, FL 33144
Business: 7863878296 ossierodial@hotmail.com
Inspection Description: LEGALIZATION 0 GARAGE CONVERSION TO Valuation: $ 850.00 Inspection Requests:
4949
STORAGE
LEGALIZATION OF STORAGE ELECTRICAL DEMOLITION Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Work Without Permit 1st Offense
$100.00
Work Without Permit 1st Offense
$100.00
Total:
$310.30
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$310.30
Check # 6017
09/18/2019 $310.30
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 �c urat and that all work will b done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above a d c ntractor to do the works ted/
Authorized Signature: Owner / Applicant / Contractor j/' Agent
Date
September 18, 2019 Page 2 of 2
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 (ELECTRIC ❑ ROOFING
`]PLUMBING [:]MECHANICAL [:]PUBLICWORKS
C 1r,IVF-D
SEP10 5P0119
10%.—
FBC 20 ,G
Master Permit No. y� C L T 70s
Sub Permit No. bl -'01— I q— a qv
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: l3 0 1 fr•
City___ Miami Shores County: Miami Dade Zip: 33/39
Folio/Parcel#: 1)'AZ0 (4 " G /3 .'2536 Is the Building Historically Designated: Yes NO I'C
Occupancy Type: Load: }C✓o�ns/tructtii�on Type:
,�,� n Flood Zone: BFE: FFE:
CAVN[:k: Name (Fee Simple Titleholder): r l l wel" &Muz bmfo Phone#:
Address: 130 NC Iry f?'
f ►ulA-
City. _ MA ki"tI QState: F=L Zip: '23 /3 s
Tenant/Lessee Narne: Phone#:
Entail:
1 CONTRACTOR: Company Name:
Abdress: k5l�lve Sq1:7
:s
City: _� p-�`'1 State:
(:4,ualifier Name: a �;;e,::k � �u
Mate Certification or Registration #:
DESIGN
Phone#:
of Competency #:
Kip: vr/
AddX�, s: City: 51attl Zip:
Value of Work for this Permit: $_ 8�54 •a% Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:. A-t-1 �1-� /e e Me .fD`i?-�C A E 7n. ri"—
-- - kP W z j'W1J
Specify color of color thru tile: ,,-
Submittal Fee $ Permit Fee $00 .y0 CCF $ CO/CC $
Scanning, Fee $
Technology Fee $
Structural Reviews $_
Radon Fee $ DBPR $ Notary $
_ Training/Education Fee $ Double Fee $ 1 d0 CZ
Bond $
TOTAL FEE NOW DUE $ _"R( d , SO
(Rcvised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if
Mortgage Lender's Ad
City
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
applicaole 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
p!omise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
i-.,hose 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 ( a after the building permit is issued. In the absence of such posted notice, the -
inspection will not be approved and a reins ectio fee will be charged.
OWNER or1AGENT
The foregoing instrument was ack wledged before me this
day of 4 J 20 % by
Iov-- 4� �/' who is personally known to
me or who has produced boas as
Signature6;11�& /� IJ �
CONTRACTOR
The forgoing instrument was acknowledged before �mse this
�c� .day of,� 20 1 / by
W-1 , K� lr, who is personally known to
me or who has produced XPCO/UO2 44 5!//4sy as
identification and who did take an oath. identification and who did take an oath.
,-Sr-• 20�.7
NOTARY P IC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:a_r QrL '� 4►
Seal: F44.
Notary Public State of Florida Seal:p��nnnrw Julio Granda BARHA(A L,ANDA' My Commission GG 292591 My COMMISSION # FF994157Expires 01/17/2023 OnO' EXPIRES. August 21, 2020ww wwww*wwwwwwwwwww wwwwwww wwwwwwwwwwwwwwwww
APPROVED B `t C�s�'l� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)