EL-19-623Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date:
Location Address Parcel Number
970 NE 94TH ST, Miami Shores, FL 33138 1132060350030
Contacts
Permit NO.: EL-03-19-623
Permit Type: Electrical -Residential
Work Classification: Pool
Permit status: Applied
Expiration: 09/18/2019
DAVID & MELINA ROBINSON Owner
970 NE 94 ST, MIAMI SHORES, FL 33138
Other: 3052130319
STATE ELECTRICAL CONTRACTOR LLC Contractor
ARMANDO CATO
1100 SW 97 AVE, MIAMI, FL 33174
Business: 7862567068
Description: ELECTRICAL HOOK UP FOR NEW POOL Valuation: $ 2,000.00 Inspection Requests:
305-762-4949
Total Scl Feet: 648.00
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
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.10
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$111.10
Check # 15220
04/15/2019 $61.10
Credit Card
03/22/2019 $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 A ID IT: I certi tall the foregoing information is accurate and that all work will be done in compliance with all applicable laws
re�yi�tin c0'rst ction a zo ;Futhefer�nore, I authorize the above named contractor to do the work stated.
Signature:'Owner'— // ' Applicant / Xontractay' / Agent Date
April 15, 2019 - Page 2 of 2
Miami Shores Village ..CEIVED
Building Department MAR 22 2019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 BY:_W10
INSPECTION LINE PHONE NUMBER: (305) 762-4949 kA
BUILDING
PERMIT APPLIC ION
F-IBUILDING LECTRIC ROOFING
FBC 201-4
Master Permit No.Q"�
Sub Permit No.
REVISION EXTENSION RENEWAL
F-IPLUMBING MECHANICAL PUBLIC WORKS 0 CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: _-) 1'y dt " -
City: Miami Shores County: Miami Dade Zip: �3130
Folio/Parcel#: 1I - 30-%Qu ` 35"C�0-.'Iyo Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): l0 F-00 i11:71W Phone#:3 ' -a'%:�' 0319
Address: -IN N .-C ,
City: rAtGlflik %—JOres State: �1.. Zip: a6139
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
Addrpw / /
/ „v , 1 G C phone#:
City: �� % Li !�� State: Zip: 3!' 3 I /
Qualifier Name: �Q�(/i9 !�C/� �'�' ,LC ' - Phone#: - S - d G
State Certification or RegistrationA1f#: 4!F(! l 3U®/ S 40 3 Certificate,I of Competency #: /' " t
DESIGNER: Architect/Engineer:.1ti .� 110 asC � IL� Phone#. WARI'd24�i `
Wk) CaW o'-• '56t 11 .NLCifrStaIte: Zip:J� 'Address: ty
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑. Allt�te''ratio1n_,,�.�' New-(1,, ❑ Repair/Replace ❑ Demolition
Description of Work: � 10-W 11 X� \7� r -' 0 14nu •�0 l
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
_. . A ...-L-..tY.v e�a.tCfP..-0`a M„�.....I•. .. ,..'1 ..-....-....s a a .
Permit Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF - •� CO/CC •$
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Addre/�
City r `' State
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. + •,►� r ° .
"WARNING TO' -OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR "PRtOPERTY. r-IF'YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE, OF COMMENCEMENT." f ,41
r .
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 - su /ect to attachment. Also, a certified copy of thetr'ecorded notice of commencement must be posted at the job site
k c
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�� �--- L �, Signature �� — /
OWNER or AGENT
The foregoing instrument was acknowledged before me this
_day of �0110arA 20 11 by
h is;personally known to,
me or who.has produced��/J as
identification and who did take an oath.
NOTARY PUB
Sign:
'
/•
a`
Print:
Seal:
_�, ,
DORIS AN, MARTINE2
y"• T P
Notary Public State of Florida
�� �`�;•
Commission # GG 250751
My Comm. Expires Feb 14, 2021
*************
APPROVED BY
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of °R"f 1"' 20/ 2 by
who i ersonally know to
me or -who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Print:
A. DIANA
Seal: c' U
My Commission GG112857
' Comm. Expires Dec 15. 2019
•''.FcP'�:•' BcrdedthrcughhatioralNotary Assr.
***************************************************************
I) It I Plans Examiner
Structural Review
Zoning
Clerk
(Revised02/24/2014)