EL-19-1619Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Contacts
Permit NO.: EL-07-19-1619
Permit Type: Electrical - Residential
Work Classification: New
Permit Status: Approved'
issue Date: 07/18/2019 Expiration: 01/14/2020
Parcel Number
1132060133940
MTNEZ INVESTMENT GROUP II LLC Owner AMERICAN POWER ELECTRIC CORP Contractor j
4500 NW 37 AVE, MIAMI, FL 33142 RAMON LORENTE
1540 E 7 CT, HIALEAH, ME 33010
Business: 3052167491 APELECTRICCORP@MSN.COM
w„...... __ __ _ _ __w . ..� ...... P q
Inspection Re uests:
Description: NEW CONSTRUCTION OF SINGLE FAMILY HOME Valuation: $ 14,320.00 305 762 4949
Total Sq Feet: 2,500.00
s
Fees
Amount
Application Fee - Other
$50.00
CCF
$9.00
DBPR Fee
$6.44
DCA Fee
$4.30
Education Surcharge
$3.00
Permit Fee
$379.60
Scanning Fee
$3.00
Technology Fee
$10.74
Tota I :
$466.08
Payments
Date Paid Amt Paid
Total Fees
$466.08
Cash
07/18/2019 $416.08
Check# 6281
07/15/2019 $50.00
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, 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 and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
July 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
c
JUL 5 P19
BY: t i -
c
F�B/C 20/ (�`
Master Permit No.fl —�0% 3/_/�` 30
Sub Permit No.�
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
_ CONTRACTOR DRAWINGS
JOB ADDRESS: o `•C /
City: Miami Shores 7 (� County: &� Miami Dade Zip:
%��
D Folio/Parcel#: �I ��-060 J" �/ Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: fiAeW Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): W one#: / d 6- 39,E
Add
City: a,;=A pv. -L State: Zip: -7! Kz
Tenant/Lessee Name: Phone#:
Email: '7 (�
CONTRACTOR: Company Name: �I%��%/� ��ly-er_''��i� Phone#: / �a/
Address:
City: � A,6e— State:
/r'j Qualifier Name: 1��� 6� rl ag�
State Certification or Registration #: � /J a
DESIGNER: Architect/Engineer:
Zip: 330/ D
Phone#: 3fld- 2-��v /
of Competency #: Q e-4ecfd7CCDt-op C
Phone#: 1W b /9
Address: City: State:
Value of Work for this Permit: $ O . Square/Linear Footage of Work:
Type of Work: ❑ Addition A❑ / Alteration New� /� ❑ Repair/Replace
Description of Work: N�e�.!> 61eC `�U as, q�o
Specify color of color,``thru tile:
Submittal Fee $� �1 Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $
DBPR $
Zip:
❑ Demolition
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 1
ri7'!,s' .
(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
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
OWNER or AGENT
The foregoing instrument/was acknowledged before me this
day of !/k IL4 20 / C( , by
fg0bC1--k-' /`�ur �inc� , who is personally known to
me or who has produced kri0i") rl as
identification and who did take an oath.
NOTARY PUBLIC:
Sign
Signature 0",32,
CONTRACTOR
The foregoing instrument was acknowledged before me this
1� day of 20 q by
4 49Wpw Lp arii i•�T�, who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: r--" 1wN /}'"-CA rc;,`I Print:
e-0-fA
Seal: NAHARAYIM AMARAL Seal:
;:o<wy,a,U,
OSCARPEREZ
MY COMMISSION # GG7415
r�
Notary Public - State of Florida4,
FJPIRFS: June 29, 2020
m _
Commission k GG 147411
••' ac :
r
My Comm. Expires Oct 2021
*************************************Y
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APPROVED/ - ✓LI/-Y—Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)