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EL-19-2949Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 ip��Im �� Issue Date: 02/28/2020 Location Address Parcel Number 149 NE 99TH ST, Miami Shores, FL 33138 1132060132200 Contacts Permit NO.: EL-12-19-2949 Permit Type: Electrical - Residential work Clossifrcotion: Alteration Permit Status: Approved Expiration: 06/10/2020 SAMUEL SORIERO Owner SOLIS ELECTRICAL INC Contractor 14999 IHOSVANY MORALES Home: 3054799857 sam@1011c.com 2319 W 60 ST D-211, HIALEAH, FL 33016 Business: 7863564964 hirosquimolina@gmail.com Description: REPAIR ALL INTERIOR AND INSTALLATION OF Valuation: $ 9,800.00 Requests: Inspection 305-4949 WINDOW, GARAGE TO ROOM ALL ELECTRICAL WORK TO BE REPAIR TO CODE. NEW Total Sq Feet: 1,800.00 Fees Amount Application Fee - Other $50.00 CCF $6.00 DBPR Fee $5.15 DCA Fee $3.43 Education Surcharge $2.00 Permit Fee $293.00 Scanning Fee $3.00 Technology Fee $8.57 Work Without Permit 1st Offense $343.00 Total: $714.15 Building Department Copy Payments Date Paid Amt Paid Total Fees $714.15 Credit Card 12/13/2019 $50.00 Credit Card 02/28/2020 $664.15 Amount Due: $0.00 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 be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to do th ork s ated. ` > 10 Authorized Signature: Owner / Applicant / Contractor / Agent / Date ° I February 28, 2020 Page 2 of 2 Miami Shores Village V1 Building Department of 1 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC� 20 BUILDING Master Permit No. 9l/- (( 12- PERMIT APPLI ATION Sub Permit No. �L-� IZ l I ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Folio/Parcel#: I I — 3 2-0�'/ 3 , ZZD 0 Is the Building Historically Designated: Yes NO C---'Occupancy Type: P",_ Load: Construction Type: M 0 Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): S'A r 4ti 12 LSD 6'C' 1 �-n Phone#: 35CgY / !? �zg s-7 Address: S% 3 1 S w 3 57 City: M 1 State: Tenant/Lessee Name: Email: '::�S a 1r1._ 0 k-L C . Cn v-1 CONTRACTOR: Company Name: I I / jJl (2,1 `C i e- (aJ Phone#: Address: "I La 9 Ck (j'I. l T d,- 2,11 City: &_L &,.o ., (A State: F L Zip: 8 © l & Qualifier Name: Z A.f)4yonfY g V'A j -t j Phone#: State Certification or Registration #: G C I A Ili 010 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ oC) Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: ,Qe-o ,a T g- of '4 1 f l7"I 4C / 1-0 Q XL V 1 ✓� (' � � � fi/6 � /. ,-A da ICJ / Z�r� �a� A"c' /%d � ni G ar TCA / L J O r l� :Z2 A? ro i) oL Specify color of colorjhru tile: Submittal Fee $ ) Permit Fee $ �� &� CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ &6 4� ' I-5 (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 (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 / Q U Yr% OWNER or AGENT The foregoing instrument was acknowledged before me this Signature •� CONTRACTOR The foregoing instrument was acknowledged before me this % 2 day of. 20 Z by day of tVQP—LA � e-e 20 % ! by c�flo� �D 1 ZQis person ly known to h�S�l q��BCGLI��yho is personally known to me or who has produced as me or who has produced (� (10—Vat >6"2-4s identification and who did take an oath. NOTARY PUBLIC: Sign: Print identification and who did take an oath. NOTARY PUBLIC: Print: Seal: Juan P Rodriguez Seal: =wee um # My Commission GG 254582 3 $xpires 09114I2022 gum J� �, eY *sss****ss*ss**sssss*ssss******sss**s*****s*ssss******ss***s**s********s*****sssss**ssss*s****sssssssss***** APPROVED BY fans Examiner Zoning Structural Review Clerk (Revised02/24/2014)