EL-19-427Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
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Issue Date: 02/25/2019
Location Address Parcel Number
1460 NE 103RD ST, Miami Shores, FL 33138 1132050310060
Contacts
Permit NO.: EL-02-19-427
Permit Type: Electrical - Residential
Work Classification: Repair
Permit Status: Approved
Expiration: 08/26/2019
MONICA SAVITS Owner NOVOA ELECTRICAL CONTRACTOR Contractor
1460 103 OSVALDO MONIER
6625 SW 79 ST, S MIAMI, FL 33143
Business: 7862874220 NOVOAELECTRIC@YAHOO.COM
Other:3058242858
__._.. Description: WORK WITH PERMIT REQUESTED BY FPL & MIAMI Valuation: $ 100.00 Requests:
Inspection 305-4949
SHORES FOR METER REPAIR.
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
Total:
$110.30
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$110.30
Credit Card
02/25/2019 $110.30
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 accurate and that all work will be done in compliance with all applicable laws
regulating constru n and zoning. thermore, I authorize the above named contractor to do the work stated.
Signature: Owner / Applicant / Contractor / Agent Date
February 25, 2019 Page 2 of 2
Miami Shores Village RE L2019!
Building Department FE 10050 N.E.2nd Avenue, Miami Shores, Florida 33138BY:
Tel: (30S) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 (j
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[--]PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
//���r CONTRACTOR DRAWINGS
JOB ADDRESS: j l7 d ' (�� v E I D-3 S+ City: Miami Shores County: Miami Dade Zip: :3 3 139
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):rt k61 t 16 1(LC',A !SGnV i t S' Phone#:
Address:
� "S Q (�
City: I V1 j mr i S pV-k S State: Zip: J O
Tenant/Lessee Name: Phone#:
Email: t
t c �%
CONTRACTOR: Company Name: �C- �l Phone#:
Address:
City: State,-) Zip:
Qualifier Name: g a Phone#: S
State Certification or Registration #: CC (3W 6 -7 1 f Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $�j 0 boo Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
oy
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ 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 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 Signature
NER or AGENT CONTRACTOR
The foregoing instrume was acknowledged before me this
�h day of `Q f Vaf 20 I by
(n V i S wh s pe�ra known to
me or who has produced ►V r \ as
identificati a whot take
NOTARY P BLIC:
Sign:_
Print:
Seal:
- YANADYPRUO
MY COMMISSION # FF 214031
EXPIRU: March 25, 2019
***********
APPROVED BY ]ft 1 LI LS
C�7
The foregoing instrument was acknowledged beforemethis
mot-%
day of o A01V��I 20 1 by
Mon►CSit 0uhc tz who is personally known to
.M or who has produced
identification and who did take an oath.
NOTARY BLIC:
Sign:
Print:
Seal:
Plans Examiner
as
LIZETTE LLORET
,•�"�►��xV%w,
_ State of Florida -Notary Public
�•c Commission # GG 118087
*****
My Commission Expires
June'22 1
******
Structural Review
**
Zoning
Clerk
(Revised02/24/2014)