EL-19-1964Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 09/13/2019
Location Address Parcel Number
38 NE 110TH ST, Miami Shores, FL 33161 1121360040350
Contacts
Permit No.: EL-08-19-1964
Permit Type: Electrical - Residential
Work Classification: Pool
Permit Status: Approved
Expiration: 03/11/2020
ROCCO AND JESSICA RIGGIO Owner
38 NE 110 ST, MIAMI SHORES, FL 33161
Other: 3055345051
STATE ELECTRICAL CONTRACTOR LLC Contractor
ARMANDO OJITO
1100 SW 97 AVE, MIAMI, FL 33174
Business: 7862567068
Description: NEW POOL & DECK ROUGH ELECTRICAL -HOOK UP Valuation: $ 2,000.00 Inspection Requests:
ELECTRIC 305-762-4949
TotalSq Feet: 498.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.10
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$111.10
Check # 15286
09/13/2019 $61.10
Check # 15281
08/26/2019 $50.00
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
regulatin s ru n an ning. Futhermore, I authorize the above named contractor to do the work stated.
AuthorizefiKS-ignature: Oy/her / Applicant / Contractor / Agent
September 13,
Date
Page 2 of 2
Miami Shores Village Z�S z°
Building Department f
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (30S) 756-8972
INSPECTION LINE PHONE NUMBER: (30S) 762-4949
FBC 20 t� Both
BUILDING Master Permit No.b?p- CB- / -19 61
PERMIT APPLICATION Sub Permit No. �(; 08- n -1964
❑BUILDING ® ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING - ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 3 SNE -t -/o 9
City: Miami Shores County: Miami Dade Zip: -7 fd -f
Folio/Parcel#: 74-2-13(p•D04 - 0.3.5'0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): .,Q 6C G a R i.G 13' f 0 Phone#: -Y94- 320- d2a l
Address:-IRAI-' "0 9 T
City: A i 14 i S HOR 6:j State:
p:-.13-&--r
Tenant/Lessee Name: Al, Phone#: 4/1A
Email: A 11A
CONTRACTOR: Company Name: l� C C +' \ `j �Vf 1�-Rhone#:�a _e /y
Address: �� G �� 7 7�
City: / �' �State: /C__ C Zip: a a� I %
Qualifier Name: /T)el" A -'U7--�d (/ L r � Phone#:
State Certification or Registration #: 54�-/ 3 �gy, 3 Certificate of Competency #:
DESIGNER: Architect/Engineer: A NrQA1I 0 G AN6' LA S _Phone#:
Address: ys f L,/ 2 Y S J- City: A i Q M State: _ Zip: J-9
Value of Work for this Permit: $ 22 . 000 . DO Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ® New ❑ Repair/ReplacE
Description of Work:
Specify color of color t hru tile:
Submittal Fee $ 'CJ Gq>0 1 J Permit Fee $
Scanning Fee $ .
Technology Fee
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
❑ Demolition
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ V
(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." r ,
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value &xceedin'g $,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 nf 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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
If day of X6Z Y 20 -fq by
ROCCO RiGG! 6 who is personally known to
me or'who has produced rl kfpJJ i as
identification and who'did take an oath. "
NOTARY PUBLIC:
Sign:
Print:
Seal:
Commission .r GG 250751
My Comm. Expires Feb 14, 2021
r
Signature
CO RACTOR
The foregoing instrument was acknowledged before me this
l day of t—Ll `f 201 �' by
Q'l, who is personally known to
!for -who -has produced ` r as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
MANUEL A. DIANA
u'••"
Print:Tin
,,, r� ihlir - Sty teofFlorida
ommission # GG 112857
Seal:e,
My Comm. Expires Dec 15, 2019
Assr.
,•
Bonded through National Notary
************************************************************************************************************
APPROVED BY 40tz4/�l 62 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)