RC-18-3689Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 04/25/2019
Location Address Parcel Number
10611 NE 10TH PL, Miami Shores, FL 33138 1122320280590
:ontacts
Permit NO.: RC-12-18-M9 '.
Permit Type: Building (Residential)
Work Classification: Solar
Permit Status: Approved
Expiration: 10/22/2019
Aranaldo Batista Owner LSCI INC Contractor
10611 NE 10 PL, MIAMI SHORES, FL 33138-2103 RAYMOND J MEAD
16502 HANNA RD, MIAMI SHORES, FL
Business: 7275714141
Inspection Requests:
Description: INSTALL SOLAR PHOTOVOLTAIC SYST49
EM . TO Valuation: $ 11,987.00 Ins ��2 4 Re
REPLACE PERMIT#RC16-2588
Total Sq Feet: 0.00
�j
Fees
Amount
CCF
$7.20
DBPR Fee
$5.39
DCA Fee
$3.60
Residential Application Fee
$50.00
Total:
$66.19
Payments
Date Paid Amt Paid
Total Fees
$66.19
Check # 8591
04/25/2019 $16.19
Check # 7259
12/13/2018 $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. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFID I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating cons ruction ing. Futhermore, I authorize the above named contractor to do the work stated.
Owner / Applicant / Contractor / Agent
Date
April 25, 2019 Page 2 of 2
Miami Shores Village
BUILDING
PE FAIT APP CATION
DING ELECTRIC
❑PLUMBING ❑ MECHANICAL
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
D C 1 3 2018
BY:
�T
FB 201�
Master Permit No. Ln ( P," 36 Bq
Sub Permit No.D- V) " 352 el
ROOFING REVISION 0 EXTENSION ❑RENEWAL
PUBLIC WORKS 0 CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOBADDRESS: 10611 NE 10 pl Miami Shores FI 33138
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-2232-028-0590 Is the Building Historically Designated: Yes NO XX
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Batista, Arnaldo & Eleide Phone#: 347-231-6731
Address:10611 NE PL
City: Miami Shores
Tenant/Lessee Name:
Email
State: Florida
Phone#:
p: 33138
CONTRACTOR: Company Name: LSCI Inc. Phone#: 727-571-4141
Address: 4625 E> Bay Dr # 305
City: Clearwater State: Florida Zip: 33764
Qualifier Name: Raymond Mead Phone#: 727-571-4141
State Certification or Registration #: CVC056656 Certificate of Competency #:
DESIGNER: Architect/Engineer: John Alger Phone#: 800-929-3919
Address: 4105 Saint Johns Pkwy city: Sanford State: FI Zip: 32771
Value of Work for this Permit: $ 11987.00 Square/Linear Footage of Work:
Type of Work: N Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Install Solar Photovoltaic System
1 O lf`C:� 'P� R—M l'f —C _) 6— 2 =,98
Specify color of color thru tile:
Submittal Fee $ Sb ' Q Permit Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF $ CO/CC $
DBPR $ Notary
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 6 .
(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 build
inspection will not be approved and a reinspection fee will be charge
Signature. 1 7 io sL--
WNER or AGENT
The foregoing instrument was acknowledged before me this
pp U day of ' 20 )t by
TqC A a 1JL0 8 *,JW o sonally known to
me or who has produced 1 J as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: 1
Prin'[:.
Seal:
************
APPROVED BY
(Revised02/24/2014)
o-W Notary Public, State of Florida
r Danielle N Rutledge,
My Commission GG 249046
t?«h ' Expires 0811512022 { "�
�.. _
ing permit is issued. In the absence of such posted notice, the
d.
Signature t
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of /�eCebt'✓ 20 /k by
Raymond Mead who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
as
Sign: uta-,C�-
Print: i
•,s
Seal: r va Notary Public State of Florida
4 N, WANDA CORTES
My Commission GG 136238
os a Expires 08/2012021
********************** ** ***********************************
Plans Examiner
Structural Review
Zoning
Clerk