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EL-19-2432Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 ? Issue Date:12/16/2019 Location Address Parcel Number 379 NE 100TH ST, Miami Shores, FL 33138 1132060135390 Contacts Permit NO.: L-10-19-2432 Permit Type: Electrical - Residential Work Classification: Alteration Permit Status: Approved Expiration: 06/15/2020 AARON FEUER Owner Business: 3057219179 KRISTENLHOLT@HOTMAIL.COM Mobile: 3057219179 TEAC ELECTRIC Contractor CARLOS MARTINEZ 1900 NW 16 TERR, MIAMI, FL 33125 Home: 7864262094 Description: RELOCATE RANGE AND REF AT KITCHEN. Valuation: $ 2,400.00 Ins ection Requests: BATHROOM REMODELING AND PLACE NEW SMOKE DETECTORS AN COMBINATION SD. Total Sq Feet: 200.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Notary Fee $5.00 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $116.90 Payments Date Paid Amt Paid Total Fees $116.90 Credit Card 12/16/2019 $116.90 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 regylatAgrponstruction and zoning. Futhermore, I authorize the above named contractor to do the work stated. ©1"AN / Applicant / Contractor / Agent Date December 16, 2019 Page 2 of 2 Miami Shores Village RECEIVED ' 0 T1 5 2019 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795-2204 Fax: (305) 756-8972 �I INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201 � BUILDING Master Permit No.—X" o"(-jj- 2201. PERMIT APPLICATION Sub Permit No� b- � cl - Z� 3 2— ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [::]CANCELLATION [:]SHOP CONTRACTOR DRAWINGS JOB ADDRESS: .j - ° �� City: Miami Shores C p County: Miami Dade Zip: 33130 Folio/Parcel#: l k - JLQ � —10 1 3 - J 5 ) 4, Is the Building Historically Designated: Yes NO Occupancy Type: —C-5 Load: Construction Type: At-vi 'ffy Flood Zone: 2- BFE: FFE: C` OWNER: Name (Fee Simple Titleholder): Aa yoi% r1 Y..F 1e -4 7 e.lA ez r Phone�� Addressn3 -`q /00 S % City: l_ I r, M► r State: El Zip: 3l i 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: 1-6'4C J`Phone#: / 2j6- % Address: I C; 0 o /V Ice-, City: I �� 1 State: f Zip: 1 42— S_ Qualifier Name: 611'/ 0, x2 !"/ 0 `e� Phone#: 6" Zf �'' LQ 9�'C% State Certification or Registration #: F¢ 4-41 rot) �� j j Certificate of Competency #: DESIGNER: Architect/Engineer: Address: f City: State: Zip: Value of Work for this Permit: 00 Q C} Square/Linear Footage of Work: Z j Type of Work: ❑ Addition �� Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description y� of Work: ' /0 �- /~ -lL� c LaA 4! �� 1 Z X k-'oo Y,� / Specify color of color thru tile: Submittal Fee $ 4Fb ' M Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (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. 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. Signatur Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this �,VL_ day of, 20 by I -S day of ��--��(� 20 by AAao" fc-:k, 4- who is o 04S-JILC MAN 11EL MP'C ho iNpesoo rnaIly known to me or who has produced as me or who has produced e identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY P LIC: 9Sign: I 1 / / Sign: Print: Print: N 24 Seal: ' :� Seal: ;=o:�`'?qe< SINDiA ALVARE? ` * j MY COhity! ssilo Fr aG 3$2 I •.�*� ^' _ : � •o= EXPIRES: 5epternber ?j, 2022 ` MS rFg FyYP' Bonded 7hru Notary Public underwriters APPROVE70yr Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)