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EL-18-3333Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date:11/13/2018 Parcel Number 279 NW 111TH TER, Miami Shores, FL 33168 1121360010370 Contacts Permit NO.: EL-10-18-3333 Permit Type: Electrical - Residential Work Classification: Alteration Permit status: Approved Expiration: 04/29/2019 HECTOR VALDES Owner SAME & Q ELECTRIC INC Contractor 9120 NE 8TH AVE 3G, MIAMI SHORES, FL 33138 MANUEL E QUESADA 5310 SW 7 ST, CORAL GABLES, FL 33134 Business: 3052190427 Ins Description: REMOVE AND REPLACE EXISITNG KITCHEN Valuation: $ 1,200.00 Inspection Requests: 762 49A CABINETS AND COUNTER TOPS INCLUDE ADDITIONAL DISHWASHER MICROWAVE AND GARBAGE DISPOSAL Total Sq Feet: 13.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $50.00 Permit Fee (Manual) $100.00 Scanning Fee $3.00 Technology Fee $2.50 Work Without Permit 1st Offense $100.00 Total: $311.10 f Building Department Copy Payments Date Paid Amt Paid Total Fees $311.10 Credit Card 11/13/2018 $261.10 Credit Card 10/31/2018 $50.00 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 regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. -�CI� I3 -I-- . 1%Idof12-018 i�r Aut orized Signature: Owner / Applicant / Contractor / Agent Dafe November 13, 2018 Page 2 of 2 Miami Shores Village RECEIVED Building Department OCT 31 1018 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ' Tel: (305) 795-2204 Fax: (305) 756-8972 & -h INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201� BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No.� — �;,56 ❑ BUILDING �LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ PLUMBING ❑ MECHANICAL PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS / JOB ADDRESS: % ��J n / I 1 y—i I C e f_\ C (- City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: j 13 4y O d 1©3 % D Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type:: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): %��'� e V n L `J c5 Phone#: ��5�� -• �3Sly Address: • -79 Aj LJ / I r/1ice, City: M/am 'N/W-S State: FL- Zip: 32/68 Tenant/Lessee Name: AJ Phone#: • Email: �P_Cfc�a va�d�S �7roG�/•COWL n CONTRACTOR: Company Name: Address: /so 641 to. lL d7%ole_ . zye, WwWwafflas • City: V-0 4'"1-4 / State: 4LL, Zip: 33( / c`y Qualifier Name: r4AAjofE-f✓ E • elesAprT Phone#: c301- �'-I State Certification or Registration #: LCI f -�3 ©Q)YcZ � Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 1 0 O Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace Description of Work: /� /�/ © V� �J t2 j,% OA LC_ (:5 C C"-1 i tj r Ti A c 5!`r - r 'go A % / C I? ` 110 1^ 5i , t 1A G t v i•)E AP Specify color of color thru tile: Submittal Fee $ Permit Fee $ 1-3-221 00 CCF $_I Scanning Fee $ Radon Fee $ DBPR $ Technology Fee $ Structural Reviews $ Training/Education Fee $ ❑ Demolition s. A Q. A r. r, CO/CC $ Notary $ Double Fee $ 11 Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address s 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. /-) �P Signature OWNER or AGENT The foregoing instrument was acknowledged before me this � I day of 040Rr 20 by Pe-o-or n. VaWe-S. who is personally known to me or who has produced kJL,13 Z":5 ZJ a-s identification and who did take an oath. e The foregoing instrument was acknowledged before me this _`d,�a,,y of O(1%J}W 20 S0 by NOffi ►yl OWBOO13 who is personally known to me or who has produced P0dol 6 M _ as identification and who did take an oath. NOTARY PUBLIC: Sign: Sign: Print: Print: Seal: .�� ;.x� P a•.,, RAPHAELA ST. AUDE ` Seal: DA E YOUNG Illaka Notary Public, State of Florida Notary Public State of Florida Commission# FF 167345 �- Commission N GG 051820 Mycomm. expires Nov.6, 2018 Expires Nov 30, 2020 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)