ELC-19-2413Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
issue Date: 01/21/2020
Parcel Number
9835 NE 2ND AVE, Miami Shores, FL 33138 1132060134380
Contacts
Permit NO.: ELC-10-19-2413
Permit Type: Electrical - Commercial
Work Classification: Alteration
Permit Status: Approved
Expiration: 07/20/2020
9801 NE 2 AVENUE Owner
98352
UNITED RESTAURANT EQUIPMENT & Contractor
SERVICES CORP
REINALDO LOPEZ
509 W 27 ST, HIALEAH, FL 33010
Home: 3052190427
ti
Description: PROVIDE ELECTRICAL WORK FOR A WALK IN Valuation: $ 7,500.00 on Requests:
Inspection
4949
COOLER IN RESTAURANT SD PER SHOP DRAWINGS
TotalSq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$4.80
DBPR Fee
$3.38
DCA Fee
$2.25
Education Surcharge
$1.60
Permit Fee
$175.00
Scanning Fee
$3.00
Technology Fee
$5.63
Total:
$245.66
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$245.66
Credit Card
01/21/2020 $245.66
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, DOOM, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate ah that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above named 96060or t9 Atthe work stated.
Authorized Signature: Owner / Applicant / Contractor
Date
January 21, 2020 Page 2 of 2
Miami Shores Village RZ13
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 R
FBC 2019
BUILDING
PERMIT APPLICATION
❑ BUILDING ❑■ ELECTRIC ❑ ROOFING
PLUMBING ❑ MECHANICAL PUBLIC WORKS
JOB ADDRESS: 9835 NE 2nd Ave
Master Permit No. M o_C 2-1�
Sub Permit NoAIL lo_ ( I - 24 3
❑ REVISION ❑ EXTENSION ❑ RENEWAL
CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-013-4380 Is the Building Historically Designated: Yes NO X
Occupancy Type: A-2 Load: 150 Construction Type: III Flood Zone: X BFE: FFE: 10.35'
OWNER: Name (Fee Simple Titleholder): 9801 Park LLC
Address: 4141 NE 2nd Ave. Suite #204A
City: Miami State: FL
Tenant/Lessee Name. SINS GASTROBAR
Email: sins@sinsgastrobar.com
CONTRACTOR: Company Name: Same & Q Electric Inc
Address: 950 SW 104 Court C301
City: Miami State: FL
Qualifier Name: Manuel E. Quesada
State Certification or Registration #: EC13007128
Y M
one#: 305 455 1800
Zip: 33137
hone#: 786 863 7798
Phone#: 305 219 0427
Zip: 33174
hone#:
Certificate of Competency #:
DESIGNER: Architect/Engineer: C Englneering Phone#: 305 484 5596
Address: 14245 SW 21 Terr City: Miami State: FL Zip: 33175
Ov i i
Value of Work for this Permit: $ !15vt9 — Square/Linear Footage of Work: -7 Y- % /
Type of Work: ❑ Addition 0 Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Provide a walk in,cooler in Restaurant as per Shop drawings.
y
�..ks..A9...!` Qe�✓1- pe.•4..reL 1,-,v1..£:...aWW.. _-- 'ti w� 19. a. +... a'.. 7+. .65. •. .., ,♦-• .. ._a+�,..
Specify dolor of color thru tile:
t
Submittal Fle.-$... �-,v v -Permit Fee'$ CCF $ «'_� Y'"' - y CO/CCU$
Scanning Fee $
Technology Fee
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $ _
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ 2 zf S; ` Gto
Bonding Company's Name (if applicable) N/A
Bonding Company's Address N/A
City State
Mortgage Lender's Name (if applicable) N/A
Mortgage Lender's Address N/A
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 epd a reinVection fee will be charged.
OWNER or AGENT
7 The fore ding instrum t was acknowledged before a this
day of0—,CW—+0 20 by
who is personally known to
me or who has produc d as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
r
Seal:
ANAYT LAGO
?'.
Notary Public - State o`=.orici
YtC -o
n�
Commission c GG 2.4553
o
My Comm. Expires Oct 26. 202:
Bonded through National Notary Assr.
***********
APPROVED BY
Signature
_ &,/ S -
CONTRACTOR
The foregoing instrument w s acknowledged before me this
day of 06 (/+ P4V"' 20 , by
l7ry)Ue—`t—, Q.—,L6SC-42(( Who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal: `,!.►".. • ANAYS LAGO
• ...�' Notary Public - State o` .oric,t
Commission x GG 246553
My Comm. Expires Oct 26. 2022
Bonded through National Notar Assr
Plans Examiner
Structural Review
n-1
Zoning
Clerk
(Revised02/24/2014)