EL-19-2112Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
L,
� 1
Issue Date:
Parcel Number
353 NE 94TH ST, Miami Shores, FL 33138 1132060136110
Contacts
Permit NO.. EL-09-19-2112
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit Status: Approved
Expiration: 04/07/2020
MYRNA GARCIA Owner
353 NE 94 ST, MIAMI SHORES, FL 33141
MYRNA.GARCIA@YAHOO.COM
CPS ELECTRIC, INC. Contractor
ANGEL ROMERO
1315 NW 30 AVE, MIAMI, FL 33125
Business: 3056078221 efcontractor@hotmail.com
Mobile: 9542492145
Description: REMODELING OF EXISTING KITCHEN AND
BATHRROM 1 AND 2, AC REPLACEMENT AS DESCRIBED
BELOW:
NEW ELECTRICAL DISTRIBUTION THROUGHOUT THE KITCHEN,
INSTALLATION OF NEW ELECTRICAL FIXTURES, LAMPS,
APPLACIANCES IN BATHROOMS AND KITCHEN. ELECTRICAL
CONNECTION FOR 220V4 30A SPLIT AC UNIT IN BEDROOM 4
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
Valuation: $ 2,000.00 Inspection Requests:
305-762-4949
Total Scl Feet: 750.00
Payments
Date Paid Amt Paid
Total Fees
$111.10
Check # 1090
09/12/2019 $50.00
Check # 1097
10/10/2019 $61.10
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 requireylZrfLECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
r/ I cerTify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
i and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Owner / pplicanf// Contractor / Agent Date
October 10, 2019 Page 2 of 2
c
Miami Shores Village REC�, �',' -i0
Building Department XT 12 20'
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 201-:1
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No. 6:1 0C1 ' i 9-al
�o?
❑BUILDING X ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING MECHANICAL PUBLIC WORKS [:]CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
353 NE 94th St.
City:
Miami Shores
County: Miami Dade Zip:
33138
Folio/Parcel#:
1132060136110
Is the Building Historically Designated: Yes
NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Cesar M Garcia Myrna I. Garcia Phone#: 818.518.6548
Address: 353 NE 94th St
City: Miami Shores State: FI. Zip: 33138
Tenant/Lessee Name: N/ A Phone#:
Email
CONTRACTOR:
Address: k
d' A
305- i L_')_q, -7 �'f Z
City: 1,17 lu W1.1 State: '��� Zip: ->I II
Qualifier Name: %"i I-- 4zM'l. Phone#:
State Certification or Registration #: I 0,!D O i Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ t� C�. �~ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition
Description of Work: Remodeling of existing kitchen and bathroom 1 and 2, AC replacement as described below:
New electrical distribution throughout the kitchen, installation of new electrical fixtures, lamps, appliances in
bathrooms and kitchen. Electrical connection for 220V / 30A split AC unit in bedroom 4.
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $.
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable) IBERIA BANK
Zip
Mortgage Lender's Address 1501 Alton Road
City Miami Beach State FL Zip 33139-2705
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 whit occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not bg apprIveft and a reinspection fee will be charged.
`t /
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of 20 by
etSbr <cI'//Li/i,, who is personally known to
me or who has produced t'c_ P9?1 ulkE as
identification and who did take an oath.
NOTARY PUBLIC: A
Sign:--2
�y
Print: ' � B
a
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t> ;
Seal:
�� a
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• s3��ai'
Signature
C TRACTOR
The foregoing instrument was acknowledged before me this
-� da of c / 20 / c y by
who is personally known to
me or who has produced 12D1 as
identification and who did take an oath.
NOTARY PUBLIC:
•**r****rr+rsss****sr*:*r«rs*s*ss*ss*r#***ssss*sssssrss�sss*«*sssss**s�*****s*srsrsrs*s****s*+e:ss*sx**sr*sass
APPROVED 4i;! 4;f Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)