EL-19-629Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 04/11/2019
Location Address Parcel Number
1300 NE 94TH ST, Miami Shores, FL 33138 1132050100120
Contacts
Permit NO.: EL-03-19-M
Permit Type: Electrical - Residential
Work Classification: Pool
Permit Status: Approved
Expiration: 10/08/2019
CHRISTIAN & EMMANUELLE BERNARD Owner NOVOA ELECTRICAL CONTRACTOR Contractor
1300 NE 94 ST, MIAMI SHORES, FL 33138 OSVALDO MONIER
Mobile: 7864913926 6625 SW 79 ST, S MIAMI, FL 33143
Business: 7862874220 NOVOAELECTRIC@YAHOO.COM
Other:3058242858
Inspection Requests:
Description: ALL ELECTRICAL CONNECTION FOR POOL
Valuation:
$ 1,200.00
305-762-4949
TO REPLACE EXPIRED PERMIT EL-11-17-2670
Total Sq Feet:
348.00
Amt Paid
Payments
Date Paid
Fees Amount
50% Renewal Fee $150.00
Total Fees
$153.00
Scanning Fee $3.00
Credit Card
04/11/2019
$153.00
Total: $153.00
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 AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construytion and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
April 11, 2019 Page 2 of 2
.10 \4
Miami Shores Village SCE
Building Department AR 22 201
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ELECTRIC ❑ ROOFING
FBC 20 �a
Master Permit No. E- � `C( 1� 628
Sub Permit No Et,-3 - � J " kZcT
❑ REVISION ❑ EXTENSION �2ENEWAL
❑PLUMBING ❑ MECHANICAL
❑PUBLIC WORKS
CHANGE OF CANCELLATION
❑ SHOP
CONTRACTOR
DRAWINGS
JOB ADDRESS: 1300 �U F q4
Street-
City: Miami Shores
County:
Miami Dade Zip:
3 313 pp
D
Folio/Parcel#: 11
J d 0 S' ( 00
1 01
Is the Building Historically Designated: Yes
NO
Occupancy Type: Load:
Construction Type:
Flood Zone: BFE:
FFE:
OWNER: Name (Fee Simple Titleholder): C h rl S 1 i arl 5m
ma h U e) le, V rnardPhone#:
Address: 1 300 N 5 q 4 Sf
City: Miami S h 0 res State: }' 10�1 d Q Zip: 3 3 13 $
Tenant/Lessee Name: Phone#:
Email: /�
CONTRACTOR: Company Name: M d V o A Fkatyiaxj Con-fra tiorS tWhone#: (1 b S) 6d,4 a 8 Sb
N14 qj Terracit Address: ID
1� G 7 I
City: 1A id IL q ( ^A ,S/t�ate: T lorI k Zip:_3 3 I p 6
Qualifier Name: %b S M p h(tlr Phone#:
State Certification or Registration #: EC 1300 677 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: hh City: State: Zip:
Value of Work for this Permit: $ I , a V Q .00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: All tlettrlojanneclion �or pool
4�0 If e P k e,,�_ -OP, 6R 8 -*>-e rm A- � 1:- 11- I --7- Z10 U
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee o $ R d n Fee $ DBPR $
Technology Fee $
Structural Reviews $
a
Training/Education Fee $
ry
Bond $
TOTAL FEE NOW DUE $ ` dO
(Revised02/24/2014)
`-4
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 not be approved and a reinspection fee will be charged.
Signature CA::�:
OWNER or AGENT
The foregoing instrument was acknowledged before me this
d 9f h day of RbrVAN20 1 J by
Ghri sf(an Bernard who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: IVI xQn VzCihQvi
o«A :` 6, NIXON J UZCA GUI
Seal: ° C-;nmission#GG127044
y
-ilk Expires July 23, 2021
Eafn 8MdWTftV Xbd* 8 & W
Signature,
The foregoing instrumeril was acknowledged before me this
-� 1 s+ day of March 20 I q by
Waldo s Aloniff , who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: IYIXd�i VZlK7LQUj
NIXON AZCATEGUI
Seal: '"' Commissk*nOGG127044
g��` Expires July 23, 2021
>,`o sOaNi11MINA"N"O
as
**********************************************************************************************************
APPROVED BY 3 z!r Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)