EL-20-322Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date: 03/10/2020
Parcel Number
868 NE 100TH ST, Miami Shores, FL 33138 1132060340020
Contacts
Permit NO.: EL-02-20-322
Permit Type: Electrical - Residential
Work Classification: Pool
Permit Status: Approved
Expiration: 09/08/2020
Joseph Piperato Owner
84799
MESA BROTHERS INC Contractor
RAUL MESA
5215 SW 103rd Ave N/A, MIAMI, FL 33165
Business: 305-630-2549 M ESABROTH ERS@ATT. N ET
Mobile: 305-345-1974
Description: NEW SWIMMING POOL ELECTRICAL WORK Valuation: $ 600.00 Ins ection Requests:
05-762-4949
TotalSq Feet: 450.00
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
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$110.30
Credit Card
03/10/2020 $110.30
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 for ati is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorie tZ al o� a named contractor to do the work stated.
Authorized Signature: Owner / Applicant /
/ Agent
Date
March 10, 2020 Page 2 of 2
Miami Shores Village ENTEREDFEB 112020
Building Department BY:
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�
BUILDING Master Permit No. Z' - 323
PERMIT APPLICATION Sub Permit Not bz-2o• 327-
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 5?&e MC J 0 O ST -
Folio/Parcel#: 1 o,? (e [� 3`-f �� 2 Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone: BFE: _
NO
FFE:
OWNER: Name (Fee Simple Titleholder): j0.SeQf1 npef(-41A Phone#: 00 bl3 - /`7.;1-5
Address:R(00 nip— )DO
11
City: 1"1.(9(i(1'i SioyrPS State: FL, Zip: 13�
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Hega awlbfys Phone#: �oS l030 - 2.541
Address:.5SZ/.S 5w /o3 /57r,e
City: /�I 'Qi�'!�' n State: Zip: 33/GS
Qualifier Name: /`1eSQ Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
r
Value of Work for this Permit: $ <' e2. oo Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition
Description of Work: )/ M iil,l( I hLrctri c,&L ��fl
1 1
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Permit Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 110 ' 30
(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
Zip
City State 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. I e-afte�sr ce-of- uch posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signatur Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
1 day of Fe� 20 dQ by
p who is personally known to
me or w o has produced as
identification and who did take an oath.
NOTARY PUBLIC:
The foregoing instrument was acknowledged before me this
r
/ i day o �& r4r20 =�-O by
who is personally known-W
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
as
Sign: Sign: `--" "
Print: Print: Not py
., ;! GUILLERMOESGUIVEL " . W-LANE
* Commission N GG 289019
Seal:ExplresAugust 13, 2022 Seal:lw,
My Commission Expires
BondedThruBudgetNotaryServices January 06, 2023
************************************************************************************************************
APPROVED BYE`//C� 5 /l Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)