ELC-19-2323 (2)gMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
D `U
Issue Date:10/07/2019
Location Address Parcel Number
9723 NE 2ND AVE, Miami Shores, FL 33138 1132060134230
Contacts
Permit NO.: ELC-10-19-2323
Permit Type: Electrical - Commercial
Work Classification: Alteration
Permit Status: Approved
Expiration: 03/30/2020
Gator 9723 NE 2 Avenue, LLC Owner AABAA ELECTRICAL SERVICES CORP Contractor
9723 NE 2 AVE, Miami Shores, FL JOAQUIN RIVERO
5951 NW 201 LN, MIAMI, FL 33015
Business: 3057859392
Description: REPLACE CEILING LIGHTS Valuation: $ 7,000.00 Inspection Requests:
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$4.20
DBPR Fee
$3.15
DCA Fee
$2.10
Education Surcharge
$1.40
Permit Fee
$160.00
Scanning Fee
$3.00
Technology Fee
$5.25
Tota I :
$229.10
Payments
Date Paid Amt Paid
Total Fees
$229.10
Credit Card
10/07/2019 $179.10
Credit Card
10/02/2019 $50.00
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 onformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In cepting this permi I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits arequired for ELECT ICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
DAVIITJI rjfy that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
.ucti d o dipq. Futhermore, I authorize the above named contractor to do the work stated.
/ Applicant / Contractor / Agent
October 07, 2019
Date
Page 2 of 2
Miami Shores Villager��
Building Department F f 01,31
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 (100
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20T"+ W_�V)
BUILDING Master Permit No. I Cl "55 5
PERMIT APPLICATION Sub Permit No.LL.C— )0—J9l a3a3
❑BUILDING
j� ELECTRIC
/`❑
❑ ROOFING
❑ REVISION
❑ EXTENSION
[:]RENEWAL
❑PLUMBING
MECHANICAL
❑PUBLIC WORKS
❑ CHANGE OF
❑ CANCELLATION
❑ SHOP
Q 'j 1� �r -o CONTRACTOR DRAWINGS
JOB ADDRESS: _ ` v- M1/ 1�-- ezy j &Ue"
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: nFlb-od,Z,(o�ne: �,Q BFE: FFE:
OWNER: Name (Fee Simple Titleholder):&,, - l�[Z� L C/�(i� 1&x)f one#:
Address: Qc
/+ 2 .C�
City: &A '~ t �jAcy-ec�:> State: V L Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: &LJ F1� Phone#: ,34
Address:
City: State: 1114� Zip: —:04511ci
Qualifier Name: 7'i%4Ql� �Y. �/%�i Phone#:
State Certification or Registration #: 2!2 "IgAlto_A5 Certificate of Competency #:
DESIGNER: Architect/Engineer:
hone#:
Address: n City:
Value of Work for this Permit: Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work:
Specify color of color thru tile:
Submittal Fee $ O Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
(Revised02/24/2014)
CCF $_
DBPR $
Zip:
❑ Demolition
CO/CC $
Notary
Double Fee $
Bond $
TOTAL FEE NOW DUE $ O
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 sev+7) days after the building permit is issued. in the absence of such posted notice, the
inspection will not be a roved and a reins ction fee will be charged.
Signatu
The foregtirnig instrument was acknowledged -before me this
Z day of �� � 20 1 i by
rJ+��« Sac CL , wh personally known
me or who has produced
identification and who did take an oath.
NOTARY PU
as
Signature . /�—
CONTRACTOR
The foregoing instrument was acknowledged before me this
2 day of 20 N by
.'*un82.^. .�e�c'U w s personally known
me or who has produced as
identification and who did take an oath.
NOTARY
Sign: �%o'-
Sign:_
Print:
41, -� Print:
Seal: .�`°e•..
JAVIER PEREZ Seal:
/* ��
'Att: : o`;
Notary Public - State of Florida
Commission
x FF 958026
My Comm. Expires Feb 7, 2020.
********* *** ***y********************
APPROVED BY �L��/i/ l Plans Examiner
Structural Review
(Revised02/24/2014)
JAVIER PEREZ
Notary Public - State of Florida
Commission z FF 958026
My Comm. Expires Feb 7, 2020
*********
Zoning
Clerk