EL-19-2233Permit No.: EL-09-19-2233
Miami Shores Village D Permit Type: Electrical - Residential
10050 NE 2 Ave
Miami Shores FL 33138 Work Classification: Addition/Alteration
305-795-2204 Permit Status. Approved
issue DaWA-,Q/02/2019 Expiration: 03/30/2020
Location Address Parcel Number
1292 NE 95TH ST, Miami Shores, FL 33138 1132060144040
Contacts
MARIA DELLATORRES Owner
1292 NE 95 ST, MIAMI SHORES, FL 33138
CARIBE S ELECTRIC INC Contractor
HENRY HERNANDEZ
7812 NW 72 AVE, MEDLEY, FL 33166
Business: 7862556212 caribeselectric@gmail.com
Description: GARAGE STORAGE RENOVATION Valuation: $ 1,000.00 Inspection Requests:
305-762 4949
Total Scl Feet: 165.00 11
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$116.30
Payments
Date Paid Amt Paid
Total Fees
$116.30
Credit Card
10/02/2019 $66.30
Credit Card
09/24/2019 $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 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. 1 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 zon�iA Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner
/ Applicant /Z Contractor / Agent
Date
October 02, 2019 Page 2 of 2
Miami Shores Village c Iv�I
T
E P 4 2 9CBuilding Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 BY:-
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
BUILDING Master Permit No. jR�'C-11-18-3434
PERMIT APPLICATION Sub Permit No. �CA -• 6 1-l1 - 22-33
BUILDING FE-1 ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1292 NE 95 STREET
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-014-4040 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): MARIA PAOLA DELLA TORRE Phone#:
Address: 1292 NE 95 STREET
City: MIAMI SHORES State: FL Zip: 33138
Tenant/Lessee Name:
Email:
Phone#:
CONTRACTOR: Company Name: (qQ J• �(Q G C -- ;r c Phone#: 3�S- T/Z2 • ���
Address: 40 Gi- Pad
City: I State:
Qualifier Name:
State Certification or Registration #: EC ( V S-L(W
ne#:
Certificate of Competency #:
p: 330 / 2
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 1,000.00 Square/Linear Footage of Work: 165 SF
Type of Work: ❑ Addition ❑■ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of work: NEW RECEPTACLES AND LIGHTING (GARAGE STARGE RENOVATION)
• t �"
Specify color of color fhru tile: r.
f 1i M •tom
Submittal Fee $ Sd 1 Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ /_
TOTAL FEE NOW DUE $ 2(2 D
(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 n be ppr and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of %,oFJe, , 20 '19N by
IMAM R D�44 TO o i rsona y nown
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal:
,
The foregoing instrument was acknowledged before me this
day'' off� Id f 20 �J by
tie
U y who i ona y nown
me or who has produced as
identification and who did take an oath.
NOTARY
Sign:_
Print:
..ZM . - MY COMMISSION # GG i32472
Eou Namb 22, 2023 Seal:
e: EXPIRES: August 7, 202f
,,OOF F� `.
Bonded Thru Newry Put,Nl U derwdten
BMW ft A = NO"
APPROVED BY 2S Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)