EL-19-2420Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date:10/16/2,019
Location Address Parcel Number
62 NE 108TH ST, Miami Shores, FL 33161 1121360110030
Contacts
Permit tio.: EL-1
Permit Type: Eleclirh:al - Residential
Work Cassif ication: Afterltiart
Permit Status: Approved
Expiration: 04/13/2020
MARIO ENRIQUEZ Owner ATLANTIS ELECTRICAL CORP Contractor
62 NE 108 ST FRANCISCO PEREZ
Business: 7862825996 mario.l.enriquez@gmail.com 12803 SW 20 TER, MIAMI, FL 33175
Business: 3055514043
Description: KITCHEN AND BATHROOM REMODEL Valuation: $ 1Ins section Requests:
,900.00 305 762-4949
Total Sq Feet: 654.00
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
Payments
Date Paid Amt Paid
Total Fees
$111.10
Credit Card
10/16/2019 $61.10
Credit Card
10/11/2019 $50.00
Amount Due:
$0.00
Applicant Copy
For Inspections, Call (305) 762-4949 or Log on at hops://bidg.miamishoresvillage.com/cap/.
Requests must be received by 3pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that maybe found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,
public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES.
October 16, 2019 Page 1 of 2
Miami Shores Village RECISIVED
BUILDING
PERMIT APPLICATION
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (30S) 762-4949
FBC ZO Imo- ��►
Master Permit No. \ 9 — 1 9
Sub Permit No.
T
❑BUILDING aELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: �'n2 tj 6 M6 S p'
City: Miami Shores County: Miami Dade Zia:
Folio/Parcel#: [ I - Z43G - b < < , 003O Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 1l��cu t Cb � (f Z%Je�� � Od'� %- ?1 one#: r � � kY
Address: bZ tic- (CJK i
City: „ !2r . Ala �`es State:
Tenant/Lessee Name: Phone#:
Email: t 1, /'
CONTRACTOR: Company Name: ��-� S /C�Cr'ii tC-- Phone#: 124ico
Address: I290 20 2LI-
City: F\Ar
Qualifier Name:
State Certification or Registration #: �� ��% Ili' Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
3? 13T
Address: City: State: t Zip:
Value of Work for this Permit: $ fJ c Square/Linear Footage of Work:
Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: lc= �Le4li %Q-1W'C3
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ ' ( 0
(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 ) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approvgfiPand a r . , p'ectiyn fee will be charged.
Signature Signature a,
OWNE o AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
l day of CC-.f- 20 (11 by I day of , �( 20 n by
kcl�,o C-Ac ✓e-`L-- 4who is personally known to �s!>C0 pem-C.._ ho is perso ally known to
me or who has produced L as me or who has produced A as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:OA
Chri I JUWS
Print: zx M.
196350661
Seal: T1
identification and who did take an oath.
NOTARY PUBLIC:
Sign: ftwiUlm
Print:
Seal: B= 20
TINUNOY
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)