EL-19-1889Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date:
Location Address Parcel Number
175 NW 98TH ST, Miami Shores, FL 33150 1131010240120
Contacts
Permit NO.: EL-08-19-1899
Per; ft Type: Sectrical - Residential
Work Clossb1catfon, Alteration
Permit status: Approved
Expiration: 02/12/2020
David Foley Owner INDIRA RAD GUTIERREZ Owner
17598
Home: 3056080714
ALL SERVICE ELECTRIC OF FT. MEYERS Contractor
INC
JAMES WRIGHT
Business:2396036967 JORDANO@ALLSERVICEELECTRICFM.CO
Mobile: 3059513776 M
Description: INTERIOR RENOVATION, NEW KITCHEN, REPLACE Valuation: $ 2,000.002J
Inspection Requests:
WINDOWS AND DOORS, STRUCTURAL INTERIOR ALTERATION, 305-Y -4949
NEW LIGHT FIXTURES, REMOVE AND REPLACE PLUMBING Total Sq Feet: 1,896.00
FIXTURES.
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
Payments
Date Paid Amt Paid
Total Fees
$111.10
Credit Card
08/16/2019 $111.10
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 require_gor ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS �D/C VIT: 1 ceW that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regula � c s�ction-a.flt, o-mng. Futhermore, I authorize the above named contractor to do the work stated.
Signature: Owner / Applicant / Contractor / Agent
Date
16, 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
RECEIVEV
AUG 161019
FBC 201-1 o
BUILDING Master Permit No. Q&iDS- n--1D63
PERMIT APP ICATION Sub Permit No.L IFoy—t —
❑ BUILDING ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION [:]RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: t J IV W —�O SN G& 2? 1
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 1 \ —'J A (D I ''02, I -Q M Is the Building Historically Designated: Yes NO -
Occupancy Type: Load: Construction Type: C��Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): �✓/y�� I L� 1 ��� Phone#:�C7� y
Address:
City(-0 (' State: FL
Tenant/Lessee rName: Phone#:
L
Email: in d -4 rer—( cylc4c• CC) (yl
JJ e
CONTRACTOR: Company Name: t.� ��t L� G� ,�Y Z ()�.EC, �,uQ Phone#: �� (
City:
QualifierName: -W4zt(- -_-
State Certification or Registration #.
DESIGNER: Architect/Engineer:
Address:
Zip: 3350
Phone#:
Certificate of Competency #: CC 13,0 J (o I
Phone#:
City: State: Zip:
Value of Work for this Permit: $ �a Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteratiionn�- �% ❑ New �1 ❑ Repair/(Replace
Descripti of Work: -}-� r{ �' �L ��iY%C (, l , 4&_e%rd \ Gn5 . N� Jun
I �
Demolition
I(
Specifyplor.of color thru tile,.
Submittal Fee $ Per'mit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon fee $ DBPR $ e (" Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ r i
TOTAL FEE NOW DUE $ 1 1
(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
WE
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 $1500, 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 commengMent must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In t bsence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
WNER or AGENT
The foregoing instrument was acknowledged before me this
day of AL�00 20 / , by
�n viI •CL who is personally known to
me or who has produced F ( %&- as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: i�l, 7"l S�->tii V kW e,rolJ
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of S� 20, by
9rn Pl 1f�v`1 who is personally known to P
me or who has produced ( as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:'
Print: r, /,'?q �C7,4
a'
Seal: Seal:
DM
Eft** VaSM EWb0
t�#Vftw
lCG W TW AM Nola Z11 ICOn W ft Aron 1101APPROVED BY Plans Examiner oning
Structural Review Clerk
(Revised02/24/2014)