EL-19-1020Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
60 NE 99TH ST, Miami Shores, FL 33138
rnntartc
Issue Date: OS/17/2019
Parcel Number
1132060131060
Permit'No.: EL-05-18-1020
Permit Type: Electrical - Residential
Work Closss cadw: Alteration
Permit Status: Approved
Expiration: 11/13/2019
NEY COLLAZOS
60 NE 99 ST, MIAMI SHORES, FL 33138
Home: 3057983987
Owner INDUSTRIAL ELECTRICAL SYSTEM CORP Contractor
NESTOR I CORVEA
NEYC@BELLSOUTH.NET 10257 NW 9 ST 205, MIAMI, FL 33172
Description: REPLACE CHAIN LINK BY NEW SLIDING GATE AND Valuation: $ 1,500.00 Inspection Requests:
762
ALUMINUM FENCE -46
Total Sq Feet: 0.00
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
$9.00
Technology Fee
$2.50
Total:
$117.10
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$117.10
Check # 305
05/17/2019 $117.10
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 AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
ng construction nd zoning. Futhermore, I authorize the above named contractor to do the work stated.
• "V
Authorized Signature: Owner
/ Contractor / Agent
Date
May 17, 2019 Page 2 of 2
r
BUILDING
PERMIT APPLICATION
❑BUILDING Q ELECTRIC
Miami Shores Village RFc
Building Department V
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 MA 10�
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 'i'�►
FBC 20 r7
Master Permit No.1�N OS -t I —F)I I
Sub Permit No. FA _ OS- cl — L O -0
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 60 NE 99 St
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-013-1060 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Ney COIIazos Phone#: 305-798-3987
Address: 60 NE 99 St
City: Miami Shore
State: FL
Tenant/Lessee Name: N/A Phone#:
Email.. neyc@bellsouth.net
33138
CONTRACTOR: Company Name: INDUSTRIAL ELECTRICAL SYSTEMS, CORP phone#: 305-388-4648
Address: 14050 SW 84 ST SUITE 206
City: MIAMI State: FL Zip: 33183
Qualifier Name: NESTOR I CORVEA Phone#: 305-388-4648
State Certification or Registration #: EC 13002182
DESIGNER: Architect/Engineer:
Certificate of Competency #:
Phone#:
Address: City: State:
Value of Work for this Permit: $ 1,500.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work: Motor Installation.
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
Zip:
❑ Demolition
CCF $ CO/CC $ -
DBPR $ Notary $
Double Fee $
Bond $ _
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company's Name (if ap
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
OWNER or AGENT
The for oing instrument was acknowledged before me this
day o �n 20 _)—, by
c0 `�� o ,� who is personally known t
�e r who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Signature W✓ X .L'
CONTRACTOR
The foregoing instrument was acknowledged before me this
0& day of �"I `Y , 20 IT by
jqany- 1 •co21! cA ,who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
as
Sign:tBY
Sign:Print
6
4lVctJFRANCISCO
1'Print:
P. MORALES
Seal:
Public $fate of FloridaCommission
rdo Tanghedini
mmission
Seal:
Notary Public — State of Florida
# GG ?58509
-1 :: My Comm. Expires Nov 17. 2021
GG 8814 77;Eonded:hrojoh
s 01/31/2022AP
Namna No:ar; Assn.
S I
Plans Examiner
Zoning
Structural Review
(Revised02/24/2014)
Clerk