ELC-19-2569Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date:
Location Address Parcel Number
723 NE 91ST ST 1C, Miami Shores, FL 33138 1132060440090
Contacts
Permit No.: ELC-10-19-2569
Permit Type: Electrical - Commercial
work Class�}cation: Alteration
Permit Status: Approved
Expiration: 05/04/2020
Eduardo Caram Owner ARC ELECTRICAL CORP Contractor
850 NE 70 ST 1C ALEXANDER ROMANACH
Business: 3057963672
Description: SMOKE DETECTOR AND GFI KITCHEN Valuation: $ 500.00 Inspection Requests:
762-4949
TotalSq Feet: 16.00
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
Payments
Date Paid Amt Paid
Total Fees
$110.30
Credit Card
11/04/2019 $60.30
Credit Card
10/28/2019 $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,pghstrueti6n and zoning. Futhermore, I authorize the above named contractor to do the work stated.
/ Applicant / Contractor / Agent
Date
November 04, 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 IYELECTRIC ❑ ROOFING
OAT 21j%
BY: _
FBC 201'+ Lot"'
Master Permit No. - t -, " I T I k
Sub Permit NoLLC" M r 1 I - a156 !
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING [:]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: % Z 3 N dE / ( ST ':tvAc
City: Miami Shores County: Miami Dade Zip: �3 ► 3�
Folio/Parcel#: 0 - OL'-.q n Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): \)Q(U l'i CQ'r�m Phone#:
Address: 1 `2-?) �)E !3 1 City: 'A; I)n" `7hoC-G State: V\z�c ', A0, Zip: `37� I '3G
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: IBC, i (Z C A 1- Co 2 P Phone#: (3aS� -79 6 '3E'77-
Address: 5 S"-) i
City: M ,t,c I State: f: c._ Zip: 33 i-s 5
Qualifier Name: /a L E-Y- A"y) FE' M A , ru a Phone#: U-6 S) 7 1 6 - 3,6 ? 2—
State Certification or Registration #: Ec oh a/4, '? -/ Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City:
Value of Work for this Permit: $ 5DO Square/Linear Footage of Work:
State: Zip:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Szr ,, A 7�!_ r T� rf- AAln C .t ic"s TC,U t>�
Specify color of color thru tile:
Submittal Fee $ D �6 Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $.
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ %o
(Revise 02/24/2014)
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 (:
OWNER or AGENT
The foregoing instrument was acknowledged before me this
i
d CZ) day of '(�doe o- 20 101 by
.��rCk. who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 20 r' 7 by
9-m-N-�Nwho is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal:
Expires 01/01/2023
as
rJ / '
APPROVED BY S GPlans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)