EL-16-2937Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Parcel Number
Permit NO. EL-10-16-2937
Permit Type: Electrical - Residential
Work Classification: AdditionAlteration
hermit Status: APPROVED
issue Date.1112112016 1 Expiration: 05/20/2017
Applicant
94 NE 93 Street 1132060130150
Miami Shores, FL 33138- Block: Lot: CHARLES WALTER MARIA PAU
Owner Information Address Phone Cell
CHARLES WALTER MARIA PAULA 838 SALZEDO Street
- - - CORAL GABLES FL 33134-
838 SALZEDO Street
CORAL GABLES FL 33134-
Contractor(s) Phone Cell Phone
ATLANTIS ELECTRICAL CORP (305) 551-4043
/pe of Work: ELECTRICAL WORK FOR NEW ADDITION AS
dditional Info:
lassification: Residential
-annincr 1
Fees Due
Amount
CCF
$4.20
DBPR Fee
$3.54
DCA Fee
$3.54
Education Surcharge
$1.40
Permit Fee - Additions/Alterations
$236.25
Scanning Fee
$3.00
Technology Fee
$5.60
Total:
$257.53
Valuation: $ 6,750.00
Total Sq Feet: 1200
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL-10-16-61817
11/21/2016 Credit Card $ 257.53 $ 0.00
Avanawe
Inspection Type:
Final
Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
Underground
W. W.
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, PLUMBIt4G, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify hat all tJae foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futh re, uthorize the above -named contractor to do the work stated.
November 21, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
November 21, 2016
1
Miami Shores Village RECEIVED
Building Department OCT 2 1016
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20y
BUILDING Master Permit No. �C(Co — (to 23 3
PERMIT APPLICATION Sub Permit No Lt6-2G3-4
BUILDING dELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 94 NE 93 Street
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-013-0150 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Charles Walter Phone#.347-281-0407
a.,___94 NE 93 Street
City: Miami Shores
Tenant/Lessee Name: _
Email:
State: FL Zip: 33138
CONTRACTOR: Company Name: FVL-W ►GG1 CwY D Phone#: -1'8&- 995• y7-10
Address: 12_103 SW 2Q T.e✓✓
City: M 4rfr % State: FL zip: 331-15
Qualifier Name: Fy4r%4:L.%scn, PGYCZ Phone#:-j2&-3g5- V770
State Certification or Registration #: t6 j3o019 jy Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ �Q�� Square/Linear Footage of Work:
Type of Work: 50 Addition ❑ Alteration ❑ New ❑ Repair/Replace Demolition
Description Description of Work: 46Y1094L A jQ/71U.AJ IM.
..r �
Specify color" of color"th?6' tile:
,.:7,
$ `yam S - CCF $ : • ., Z� i t ` , Co/c 5�,
Submittal Fee C:" .:r', h 9 �0SPermit Fee 3fo 2 c I ' . ' J 3. ; rni '
Scanning Fee $ Radon Fee $ DBPR $ �c� Notary $
Technology Fee $ LO �0 Training/Education Fee $ _ L4 o Double Fee $ may(
Structural Reviews $ _ _ Bond $ QCJ
TOTAL FEE NOW DUE $ 1— :+ ' 52
(Revised02/24/2014)
Bonding Company's Name (if applicable)
*1lI4 , ,
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
r
Mortgage Lender's Address
City
State
E.
Zi
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.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
r
4 day -of 'Jurit 20 �by
V4r' Jt S W41,�er, , who is personally known to
me or wh as produ ILDL nr Tl ��, as
identification and who did take an oath.
NOTARY PUBLIC: e
Print: V UV
Seal:
****************
APPROVED BY
(Revised02/24/2014)
Signature .. e
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of Ju, V 20 It* by
1!1'G► ,z&ca Ftrcz who ersonally known o
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC. -
Sign: 1
i
Print:
$UYap91 T. VasquezSeal:
Commission # FF942611
' Expires: December 9, 2019
****%n*d*tN*n Nola'**********************
�,vGy�6 Plans Examiner
Structural Review
Suyapa T. Vasquez
'= Commission I FF942611
` Expires: December 9, 2019
** Boned Dy Aar2n Notary**********
Zoning
Clerk