EL-19-1756Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
94 NW 95TH ST, Miami Shores, FL 33150
Contacts
Permit No.: EL-07-19-1756
�'► L Permit Type: Electrical - Residential
rjt�Wdrk Classification: Temp for Construction
Permit Status: Approved
Issue Date: 07/31/2019 1 Expiration: 01/27/2020
Parcel Number
1131010340090
IMMOBILIEN LLC Owner
94 NW 95 ST, MIAMI SHORES, 33150
Home: 9544106364
METRO ELECTRIC SERVICE, INC Contractor
OMAR R HERNANDEZ
15050 NE 20th Ave, North Miami, FL 33181
Business: 3059451991
Other:3059451991
Inspection Requests:
secc
Description: ELECTRIC TEMP FOR CONSTRUCTION Valuation: $ 1,000.00 Inspe4949
Total Sq Feet: 0.00
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
07/31/2019 $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 AFFIpAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulatin.gAnsAruction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized gmhre: Owner Applicant / Contractor / Agent
Date
July 31, 2019 Page 2 of 2
BUILDING
PERMIT APPLICATION
Miami Shores Village gECEIVED
Building Department JU 30 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 ( �
Master Permit No. E�L-b� " 10 `t: -
Sub Permit No.
❑BUILDING ELECTRIC ROOFING REVISION EXTENSION ❑RENEWAL
❑ PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: W CCJ 1 54-,
City: Miami Shores County: Miami Dade Zip: �� I
Folio/Parcel#: Is the Building Historically Designated: Yes y�NO )�
Occupancy Type: Load
OWNER: Name (Fee Simple Titleholde
Address: 7 4 0
1'2-
City:
Tenant/Lessee Name:
Email
Construction Type: Flood Zone: BFE: FFE:
CONTRACTOR: Company Name:
Address: UT 0 W, C 20 i
1 Z V\ L� Phone#: ! 2 1 �� 31
4 '
State: r, Zip: IS
Phone#:
":�;o S- --c�63 -.62. 2.
City: \-J,z'v, State: Zip:
Qualifier Name: cl-c 4 Phone#:
State Certification or Registration #: GQ- \300S 3 2 (,r-, Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address:
City:
Zip:
t �
Value of Work for this Permit: $ 1 , 0 (Do Square/Linear Footage of Work:
Type of Work: ❑ Addition El Alteration ❑ New Repair/Replaccee ❑ Demolition
tion of Work: y1� p Descri t— P' i pwoe l�
� � � r r`T 1 0
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ 110 - 30
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
Applicatiis 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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
Z 9 A_ day of �� 20 L-o by
!y i C �= C o. !' L c tN- , who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
CARLOS E CERRATO
, -JON N FF9072d2
Sign: v' =
Print:
Seal:
Signature 4�L
CONTRACTOR
The foregoing instrument was acknowledged before me this
da400100
J 20 2-0 by
Omar a who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
CARLOS E CERRATO
Sig .r v Ol f1�MISSION N FF907262
,,,,, , ugust 05. 2019
Print:
Seal:
as
:**:*****:s******:::**. *�:***�*.**********.*********sss*s**s*********rs**:r*****.**********:■**********
APPROVED BY r.Uirlans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Building
MIAMI•DADE 11805 SW 26th Street
Miami, Florida 33175-2474
786-315-2100
miamidade.gov
AFFIDAVIT FOR 30 DAY TEMPORARY ELECTRIC SERVICE
ELECTRICAL CATEGORY 26
ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION
UNLESS APPLICATION IS RENEWED OR CERTIFICATE OF OCCUPANCY OBTAINED.
It is understood that the temporary electrical approval by the Miami -Dade Building Department is given in connection
with the buildin bein constructed under the Building Permit # and Electrical
Permit# --t — 614 at addresses �1 `� NUJ �tS� ; arv,; t i4o,e� 1
for owner: rv� �� and 's ein iv onl for construction purposes or for v�
testing the following equipment in said structure: 1141 A,
The owner does hereby agree to assume the responsibility of friaintaining the installation in such manner that there v
is no hazard to life or property. Such approval is in no event to be considered - RELEASE of said structure for the
purposes of use and occupancy, and no occupancy shall be granted or permitted until final inspections have been
called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion
is obtained.
The undersigned also understands that the temporary electric approval is subject to rescission and cancellation
and electric power can be cut off at the discretion of the Building Official and will be disconnected if the building
concerned is occupied before final inspections are approved and/or a Certificate of Occupancy or Completion
is obtained.
I,- k ) " C _ col (C t cam, being first duly sworn, depose and say that I am the owner of the above
described property, and that I agree that the structure covered in this agreement shall not be occupied until the
building contractor has obtained approval of final inspections and/or obtained a Certificate of Occu anc or
Completion. Note: Failure to comply with the provisions of this affidavit will r n
future Tem orar for Test ermits. '
MY COMMISSION # GG 007879
EXPIRES: July 4, 2020
yfF'F,�c� I?onred Thru Notary Public Underwriters
Signature Owners it= n ary
j 'MyCommission Expires:
b
eduly sworn, depose and say tha i"
N�_that installations as now existini :elf,,
Signature f EI rical Contractor ig ature`of Nota
My Commi
I, ' nni- MOLunc:o �erctZ being first duly sworn, depose say t
of the above described property and that I will not permit occupan this
been called for by e contr ctors an sub -contractors concerned and final app
obta' ed and that I ave the uthority in ofar as the owner of said property is conce
final inspecti ns are btai70 and/ r a Certificate of Occupinqy or Compl
0 , /.__ __
V__
S gna of N
My Commissio
ignature of
i
MY COMMISSION # GG
plres:
it I am the Building Contractor
ng until final inspections have
vaJ by the inspection division
d to pr if occupancy until
f,SARf;. "'..;,,NARUIZ-GONZALEZ
MY i:0iv4AISSION # GG 007879
LXPIRES: July 4, 2020 i
E. :'=J Thru Notary Public Underwrite; s