EL-19-3006Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
149 NE 99TH ST, Miami Shores, FL 33138
[ontacts
Issue Date: 01/24/2020
Parcel Number
1132060132200
Permit No.: EL-12-19-3006
Permit Type: Electrical - Residential
Work Classification.- Temp for Test
Permit Status: Approved
Expiration: 07/22/2020
SAMUEL SORIERO Owner
14999
Home: 3054799857 sam@101Ic.com
SOLIS ELECTRICAL INC Contractor
IHOSVANY MORALES
2319 W 60 ST D-211, HIALEAH, FL 33016
Business: 7863564964 hirosquimolina@gmail.com
on
Description: ELECTRICAL TEMPORARY Valuation: $ 500.00 InspectRequests:
305-762-4949
Total Sq Feet: 1,800.00
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
01/24/2020 $60.30
Credit Card
12/26/2019 $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 construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
/Q A--z- --
Signature Owner / Applicant / Contractor / Agent Date
January 24, 2020 Page 2 of 2
Miami Shores Village I TFF-]'�D
Building Department ug 2� 2019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 _
Tel: (305) 795-2204 Fax: (305) 756-8972 pyl _ _f
INSPECTION LINE PHONE NUMBER: (305) 762.49494---
FBC 20( �
BUILDING Master Permit No. _ 2_
PERMIT APPLI ATION Sub Permit No.f�— l -2- - JC)
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [-]RENEWAL
❑ PLUMBING [—]MECHANICAL ❑ PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
JOB ADDRESS:
DRAWINGS
Folio/Parcel#: I /T!5;;,Qr�l U 4 !P — c::2�Ct fA- > Is the Building Historically Designated: Yes IO
Occupancy Type:_ Load: Construction Type: _Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 5�M!%& Phone#:
Address: /!�/q 0&
City:r iln 15&0-faS State: L Zip:
Tenant/Lessee Name:
Email
CONTRACTOR: Company Name: J� (�11,4 F6 L G {r 1 da-1 2AJ ►, Phone#:.2
Address: P-3 % Y bO 60 $ + 00 4 d s ZU
city: /-/ff�i
Qualifier Name:
.—Zip:�30/
.30-,5 3 / 6•- 700-5
State Certification or Registration #: � F_ C t-,-; 0 i✓ 90(045 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ f M, D o Square/Linear F tage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace
Description of Work:
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
❑ Demolition
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 6n0 ,
(Revised02/24/2014)
i
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. 1 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: 1 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.
4
Signature Signature
_ 'i�— "0/--
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
�" day of
` D t° � b� , 20 '1 9 , by -3 day off 6 (,-� 20 J 9 by
rn�1�1"D'�u o is personally k own to who is personally known to
me or who has produced �-� _ as me or who as produced b L as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
.f %Notary Public StJte of Florida W&MMfth=N0Wy
WMMIi�RJI�) IESeal: � ; Juan P RodriguezSeal:ryp� mac.20 2MMy Commission GG 254582 Lllrl LAB GVLLW-4�_Expireso8114/2022_ _ _ _ _
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1
APPROVED BY _44�Plans`Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)