EL-19-1213Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
P ffl=�I_mflj 0
Issue Date: 05/30/2019
Parcel Number
910 NE 99 ST, Miami Shores, FL 33138 1132060143410
Contacts
Permit NO.: EL-05-19-1213
Permit Type: Electrical - Residential
Work Classification: Low Voltage
Permit Status: Approved
Expiration: 11/26/2019
HANS & URSULA KRAUSE Owner HANS & URSULA KRAUSE Applicant
910 N 99 ST, MIAMI SHORES, FL 33138 910 N 99 ST, MIAMI SHORES, FL 33138
Mobile: 3057516529 Mobile: 3057516529
AR ELECTRIC SERVICES INC Contractor
RENEBARACALDO
8605 SW 2 ST, MIAMI, FL 33144
Business: 7863023705
Description: NEW 1 STORY SINGLE FAMILY RESIDENCE, 3 BED, Valuation: $ 2,500.00 Inspection Requests:
31/2 BATH TWO -CAR GARAGE, REAR PORCH. 305-762-4949
Total 5q Feet: 3,433.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.90
Payments
Date Paid Amt Paid
Total Fees
$111.90
Credit Card
05/30/2019 $61.90
Credit Card
05/28/2019 $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 con*uction 0 zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Sig
/ Applicant / Contractor / Agent
Date
May 30, 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 APPLI ATION
—BUILDING ELECTRIC ❑ ROOFING
a
F BC 20
Master Permit No.�190
Sub Permit No. �� os
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
[] CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
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I O N c S��
JOB ADDRESS: I 1 l iu zs
City: Miami Shores County
Miami Dade zip: 18
Folio/Parcel#
Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Type:
Flood Zone: BFE: FFE:
{�. _Construction
OWNER: Name (Fee Simple Titleholder):C 1 80A j —10 dAn
1V%_ &uu Phone#:
Address: 110 K) I !n X
City: i_A1rn ` �W 1s') State:
Zip: �3 � ,I 3
Tenant/Lessee Name:
Phone#:
Email:
(
CONTRACTOR: Company Name: �I �( L. J Q-
/ _ ]
j"V1 U_ L Phone#: -'b `� 3DZ
Address: � 0-� � W
City: State: T
Zip:33)� j
Qualifier Name: L A t.« D
Phone#:
State Certification or Registration M o O D
Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address:
City: State: Zip:
Value of Work for this Permit: $ 'Li V0
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration New
�A e+r' a
Re
?[� .pai/F(&place ❑Demolition
Description of Work: CEO Cr,.O
•,,y..,�.a,
Specif y M or f S1Ur- 1iljru tile:
Submittal Fee $ I Permit Fee $
CCF $ �' w P ^"'#• CO/CC $
Scanning Fee $ Radon Fee $
DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $
Bond $
TOTAL FEE NOW DUE $ 6 '
(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 co nt must be posted at the job site
for the first inspection which curs seven (7) days after the building permit is issued. In"ence of such posted notice, the
inspection will not be approved[And a reinspection fee will be charged.
�►u''[I� 11161�
R or AGENT
The foregoing lnstrumpqt was acknowledged before me this
day of 112 20 —LCLt
0 ho i ersonally known t
me or who has produced a
identification and who did take an oath.
NOTARY PUBLIC:
Signatu
CONTRACTOR
The foregoing instrument was acknowledged before me this
me or who has produced
identification -and who did take an oath.
NOTARY
i •� ss - LESLIE LOPEZ
Sig �` i� Sign: rP,y�.,, Florida
/ .
Print. =* J� N; = priryt; ^ ' ' Commission N FF 947383
iGr y 020
Seal: Z� % OFF I MS2 Q Seal: '�''%F,Q; ; ti``',,` Bonded through National Notary Assn.
a`
It, STATED
APPROVED BY Z� I� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)