RC-19-584Miami Shores Village
10050 NE 2 Ave
Miami Shores Fl. 33138
305-795-2204
Location Address
Issue Date: 04/12/2019
Parcel Number
330 NE 97TH ST, Miami Shores, FL 33138 1132060135850
Contacts
Permit No.: RC-03-19-W
Permit Type: Building (Residential)
Work Classification. Scalar
Permit Status: Approved
Expiration: 09/16/2019
JAMES & VICTORIA NOVACK Owner CUTLER BAY SOLAR SOLUTIONS Contractor
330 NE 97 ST, MIAMI SHORES, FL 33138 RAUL VERGARA
Business: 7864575958
Inspection Requests:
Description: INSTALLATION OD ROOFTOP PHOTOVOLTAIC Valuation: $ 7,500.00 Inspection
n Re
PANELS
Total Sq Feet: 0.00
Fees
Amount
CCF
$4.80
DBPR Fee
$3.38
DCA Fee
$2.25
Total:
$10.43
Payments
Date Paid Amt Paid
Total Fees
$10.43
Credit Card
04/12/2019 $10.43
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 construction and zonigg._,Futl1armore, 14iluthorize the above named contractor to do the work stated.
Authorized Signatur w r /
icant / Contractor / Agent
Date
April 12, 2019 Page 2 of 2
Miami Shores Village RECEIVED
Building Department MAR 132019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
OBUILDING ❑ ELECTRIC ❑ ROOFING
FBC 200 cp
Master Permit No. �U��� ^Jo
Sub Permit No
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 330 NE 97 ST
M
Folio/Parcel#: 1 I — 3 Z 17 � — 0 3 — S -p S a Is the Building Historically Designated: Yes NO _
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): VICTORIA W NOVACK Phone#:
Address: 330 NE 97 ST
City: Miami Shores State: FL
Tenant/Lessee Name:
Email:
Zip: 33138
CONTRACTOR: Company Name: Cutler Bay Solar Solutions Phone#: 786-457-5958
Address: 8301 SW 184 LANE
City: Cutler Bay State: FL Zip: 33157
Qualifier Name: Raul Vergara Phone#: 786-457-5958
State Certification or Registration #: CVC 56957 Certificate of Competency #: _
DESIGNER: Architect/Engineer: Phone#:
Address: City: Stat
Value of Work for this Permit: $ / SGO Square/Linear Footage of Work: _
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of work: Installation of Rooftop Photovoltaic Panels
Zip:
❑ Demolition
Specify color of for thru tile:
P
Submittal Fee $ Permit Fee $ Cf CO/CC $
Scanning Fee $ ad Fe i6sFR3ti Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 10 • 4 "
(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
Zip
City State 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 $1500, 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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
3 day of C1 trp 20 l by
G 1 P'i ClVA who is
personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
3 d of 1 /�'�i � � 20 A� by
L-1V-/y /`(/; ""' , who is personally known to
me or who has produced ��� as
identification and who did take an oath.
NOTARY PUBLIC:
�v- note of Prin'r J [
My Commission GG 268617 M Y
Je# D 9p
nde
S ?a Expires 12/04/2022 Seal: My Commission GG 268617
a , Expires 12/04/2022
APPROVED BY Plans Examiner 2� Zoning
A
Structural Review
Clerk
(Revised02/24/2014)