EL-01-21-153 Application 10674 NE 11 AveMiami Shores Village
RECEIVED
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel- (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PRONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING Q ELECTRIC ❑ ROOFING
7.BY:
FBC 20
Master Permit No. BPP-1 0-20-2451
Sub Permit No I ` 2J j �E33
❑ REVISION [] EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBUC WORKS ❑ CHANGE OF [:]CANCELLATION [:]SHOP
CONTRACTOR DRAWINGS
4 A97A fJF 11 A\/F
JOB ADDRESS:
CrtV Miami Shores County Miami Dade _ Zip*
Folio/Parcel#:11-2232-028-0700 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):• OSEPH LUIS VARGAS 8 VANESA SANTANA VARGAS Phone#:
.. 1nRRA NF 11 AVF
City, Miami Shores
Tenant/Lessee Name: _
Email:
State: FL
CONTRACTOR: Company Name: Caraballo Electrical Industries, Inc
Address: 5810 SW 113 CT
Miami
FL
3313t1
7867156056
331/3
City: - -
Qualifier Name: George Cando Phone#: 7867156056
State Certification or Registration #: EC13008168 Certificate of competency #:
DESIGNER: Architect/Engineer.
Value of Work for this Permit: 5
' a
Square/I.inear Footage of Work:
90 L `-T-T
Type of Work: ❑ Addition
❑ Alteration
New ❑ Repair/Replace
❑ Demolition
Description of Work:
olc rfiriral fnr swimmino Dool
Specify color of color thru
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Revievrs $
Radon Fee S
Training/Education Fee $
CCF $ CO/cc S
DBPR $ Notary
Double Fee $
Bond $ Q
TOTAL FEE NOW DUE S ICJ �3 - I O
IReviseW2/24/20141
Bonding Companys Name (if applicable)
Bonding Company's Address
City State
Mortgage Lenders Name (if applicable) _
Mortgage Lender's Address
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. In the absence of such pasted notice, the
inspection wilt not be approved and a reinspection fee will be charged.
e
Signature�—
OWNER or AGENT
The foregoing instrument was acknowledged before me this
2-, day of a vU,-O (' 20 '2, by
SS'l kJQ (c �: wh is personalty known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
V
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
20th day of January
George Cando
as me or who has produced
2021 . by
who is personally known to
as
identification and who did take an oath.
NOTARY
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Reoised02/24/2014)