EL-18-2426Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: EL-9-18-2426 Permit IVR Number: 615204
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit Status: Approved
Issue Date:10/05/2018 Expiration: 03/18/2019
Parcel Number
Project
371 NE 103 ST, Miami Shores, FL 33138 1121360130270 <NONE>
Contacts
GONZALO & JOHANNA NOALES Owner GONZALO & JOHANNA NOALES Applicant
371 NE 103, MIAMI SHORES, FL 33138 371 NE 103, MIAMI SHORES, FL 33138
Mobile:3056329753 GNOALES@GMAIL.COM Mobile:3056329753 GNOALES@GMAIL.COM
STATE ELECTRICAL CONTRACTOR LLC Contractor
ARMANDO OJITO
1100 SW 97 AVE, MIAMI, FL 33174
Business: 7862567068
Description: SERVICE OVERHEAD & UNDEGROUND Valuation: $ 2,000.00 Inspection Requests:
Total Sq Feet: 0.00
Fees
Amount
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee - Additions/Alterations
$100.00
Scanning Fee
$3.00
Technology Fee
$1.60
Total:
$110.20
Payments
Amt Paid
Total Fees
$110.20
Credit Card
$50.00
Credit Card
$60.20
Amount Due:
$0.00
Building Department Copy
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, MECH AL, W DOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certi t or ng infor ion is accurate and that all work will be done in compliance with all applicable laws
regulating construction and n' g. or 2Gthpizg a aboy2 named contractor to do the work stated.
Authorized Signature: Owner � I/ Applicant / Contractor / Agent
Date
October 05, 2018 Page 2 of 4
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Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
v INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING u7 ELECTRIC ❑ ROOFING
SEP 112 P018
FBC 201)6%
Master Permit No. U (D - Z4Zb
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
F-IPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:, I�1:L- • IO3 �+•
City: Miami Shores County: Miami Dade Zip: 29sts S
Folio/Parcel#: 11"1P131p-015-0910 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): coCY mic t`1�QGl�ES Phone#:_PjC�5;L_ "_f153
Address:3-7l ',(.T-;. IQaJ 91A.
City: tN%ojY % 5no1'GS State: Zip: _36I3g
Tenant/Lessee Name: �fl�c Phone#: N�►
Email
CONTRACTOR: Company Name: �/ �/� / `-7 / �G 4/c��6 7
6 �
/-—Phone#: /e�� "�
Address: � 1�c-(/ 9 % / v Z C a rLos -7 8 6 ` S ? 6.SS8
City: _ _ / C .�, 7�� _� State: /7�-- Zip: 3 3 '7�
Qualifier Name: 4jegI�-,OL' 1� 6�-c Phone#: -2 S-6"767
State Certification or Registration #: r' JOo l .��3 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 ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ t8 Permit Fee / `✓ ���� y,~ $ CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
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
City
State
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.
"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 c
promise in good fgith chat
whose property is subjecti 6
for the first inspection w.
inspection will not bpp
Signatu
lition to the issuance of a building permit with an estimated value: exceeding $2506, the applicant must
spy of the notice of commencement.and construction lien law brochure will be delivered to the person
tachment. Also, a certified copy of the recorded notice of commencement must be posted at'the job site
occurs seven (7) days after the building per(7)jt -is issued. In the absence of such posted notice, the
1 a pd a reinspection fee will be charged. t
or AGENT
The foregoing instrument as acknowledged before me this
i / �,C day of 7 20,(t by
me or who has produced
who is personally knowrl,to
as
identification and who did take an oath.
NOTARY PUBLIC:
Print: MANUEt A. UTANA
? •`�• Notary Public - State of Florida
Seal: • : Commission rGG 712857
=N�
My Comm. Exoires Dec 15, 2019
fiord dthr�uONational NctaryAssn.
Signature ,- f, 11
CONTRACTOR
The foregoing instrument was acknowledged before me this
/112;e' day of s 7e—' 20 1 e by
//GPF( �t xi�rJ /1-2fi% , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Notary Public - State of Florida
Seal: Commission s GG 112857
My Comm. Expires Dec 15, 2019
Borded&ioucrnatiorallNctaryAssn.
APPROVED BY ����i�t' /� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)