EL-18-2021 (2)Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date:12/27/2018
Location Address Parcel Number
1201 NE 96 ST, Miami Shores, FL 33138-2553 1132060143830
Contacts
Permit NO.: EL-7-18-2021
Permit Type: Electrical - Residential
Work Classification: Pool
Permit status: Approved
Expiration: 06/25/2019
POL ZAZADZE Owner POL ZAZADZE Applicant
1201 NE 96 ST, MIAMI SHORES, FL 33138 1201 NE 96 ST, MIAMI SHORES, FL 33138
Other:3057902785 Other:3057902785
PRECISION POWER & CONTROL, CORP Contractor
ARMANDO ALVAREZ
241 E 10 ST, HIALEAH, FL 33010
Business: 3053452161 A.ALVAREZ959@AOL.COM
Description: NEW PUMP, FILTER, LIGHT, HEATER Valuation: $ 900.00 Requests:
Inspection 305-4949
WRONG OWNER SIGNATURE
TotalSq Feet: 0.00
Fees
Amount
CCF
$0.60
DBPR Fee
$4.50
DCA Fee
$3.00
Education Surcharge
$0.20
Permit Fee - Additions/Alterations
$300.00
Scanning Fee
$3.00
Technology Fee
$0.80
Total:
$312.10
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$312.10
Check# 5276
03/12/2019 $312.10
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
regulating coestruction ans
-"n t- 7
ify that all the foregoing information is accurate and that all work will be done in compliance
ing. Futhermore, I authorize the above named contractor to do the work stated.
69,E .
Applicant /
/,1)d0E3
Contractor / Agent
all applicable laws
March 12, 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: (305) 762-4949
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:40
BUILDING Master Permit No.-L-:2-')` 1 ); " l36I
PERMIT APPLI ATION Sub Permit No. a I F3- 2 �2,1
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
DRAWINGS
JOB ADDRESS: I I oU • G -
e-.-)/ ST
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#: Z i —2Ok
39 3 a
Is the Building Historically Designated: Yes
NO —_
Occupancy Type: Load:
Construction Type::
Flood Zone': BFE:
FFE:
OWNER: Name (Fee Simple Titleholder):
1' ✓�i GfilC1 �i�c
,I
?9l�ia �o� Phone#:
Address: IO Z� �(i l /✓cst
1I1�
City: A" AIV14 'S h j(Z- 3
State:
Zip:
3� l 3CJ
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company
CName-FA L(5-0&j Pnu)�� (n Phone#:`�)_���j�21�
Address: / �-1 C I 0 S�
City: A State: �i_ Zip:
Qualifier Name :AaMA A C-) ��(�/� �' Phone#: 3--) S 3 l� �
State Certification or Registration #:
Certificate of Competency #: ( a-U = Y a
DESIGNER: Architect/Engineer: Phone#:
Address: City: State
Value of Work for this Permit: $ Square/Linear Footage of Work: _
Type of Work: ❑ Addition
Description of Work:
❑ Alteration ❑ New ❑ Repair/Replace
Specify color of color thru tile:,
Submittal Fee $
Scanning Fee $
Permit Fee $ ,:?G ®i D o CCF $.
Zip:
❑ Demolition
CO/CC $
Radon Fee $ 6n DBPR $ 4- • � Notary $ -
Technology Fee $ Training/Education Fee $
Structural Reviews $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ � 1 2 ' Q
(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 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.
Signatur
OWNER or AGENT
The oregoing instrument was acknowledged before me this
day of 4U6 20 , by
7cos!"I 'ZOW-4 Zf,. who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Signature
NTRACTOR
The for gging instrument was acknowledged before
me this
�1 (`day of 20 a by
ho is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: ���\ �'••": ;'M� ���i Sign:
.'� T • �'.
Print: Alb AA La_ Print:
Seal: �'t ' �►• .0 Seal:
Z ••Z #GG006178
0
fic
s*******s************s********4STATE;ON
�y� 111
APPROVED BY r y T 1 G L8 Plans Examiner
Structural Review
7t o . s • yt _
.y
0 off'•' Q 2
i g '•;�yNded ltt� �� • 4 ti
STX
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as
Zoning
Clerk
(Revised02/24/2014)