EL-19-2482Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
'71 K .�
Issue Date:
Location Address Parcel Number
9342 NE 9TH AVE, Miami Shores, FL 33138 1132060020050
Contacts
Permit No.: EL-10-19-2482
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit Status: Approved
Expiration: 04/21/2020
FRANCES PEAKE Owner
9342 NE 9 AVE, MIAMI SHORES, FL 331382904
MV ELECTRICAL SERVICES Contractor
MARIO VALDES
Business: 3052160677
ti
Description: REPLACE 2 HIGH HATS ANBD GFI IN BATHROOM Valuation: $ 500.00 Requests:
Ins 305-ection Re Re
Total Sq Feet: 25.00 _j I
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
Check # 976
10/24/2019 $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 AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
r lating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. I
Authorized Signature: Owner / Applicant / Contractor / Agent
October 24, 2019 Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (30S) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑■ ELECTRIC ❑ ROOFING
ENTERED
C'CT21;1
19
SY:
�jIn
FBC 20 1-1
Master Permit No. P C�""061_ 1
Sub Permit No.LL.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9342 NE 9th Ave
City: Miami Shores County: Miami Dade ZiD:
Folio/Parcel#: 11-320"02-0050 Is the Building Historically Designated: Yes NO X
Occupancy Type: single Load: Construction Type: Flood Zone: RFE: FFE:
OWNER: Name (Fee Simple Titleholder): Frances Peake Phone#: 305-318-8994
Address: same as job address C4 Z.`-
City: State: Zip:
Tenant/Lessee Name: n/a Phone#:
Email: fances@prodorandpeake.com
CONTRACTOR: Company Name: MT E10CLi e CO Phone#: -? S '5
Address:1g �I W1 CAI 91 -11 C� Gf'
City: A'\\,C>A&C>l State: FL Zip: 3-aa
Qualifier Name:
State Certification or Registration M
3 �o �o
of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip: _
Value of Work for this Permit: $ 500 Square/Linear Footage of Work: 25 sq ft bathroom
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑■ Repair/Replace ❑ Demolition
Description of Work: Replace 2 high -hats and GFI in bathroom
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ ` 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
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 on 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 Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
3 I day of 3-6 20 / 4-7 by
T424j4 0U Mn2=1:' " who is personally known to
me or who has producedIF iF.iL CalNas
who did take an oath.
NOTARY
Sign:_
Print:
The foregoing instrument was acknowledged before me this
1 day of ® 20 �� by
I)ACLYLA-O who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: `--
as
Sealmber3,222
EXPIRES: Septe ISeal:
Bonded Thru Notary Public Underwriters t
Ct1+RISSA A. RODRIGUEZ
ply COMMISSION # GG 041316
—mml � � wl`� !#!!!!!!!#
APPROVED BY e�6 ( Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)