EL-19-1093Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 06/18/2019
Location Address Parcel Number
428 NE 91ST ST, Miami Shores, FL 33138 1132060190060
[ontacts
Permit NO.. EL-05-19-1093
Permit Type. Electrical - Residential
Work Classification: Pool
Permit status: Approved
Expiration: 12/16/2019
DAVID HOWARD Owner NOVOA ELECTRICAL CONTRACTOR Contractor
55 NE 97 ST, MIAMI SHORES, FL 331382330 OSVALDO MONIER
6625 SW 79 ST, S MIAMI, FL 33143
Business: 7862874220 NOVOAELECTRIC@YAHOO.COM
Other:3058242858
Description: ELECTRICAL FOR POOL Valuation: $ 1,100.00 Inspection Requests:
4949
Total Sq Feet: 500.00
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
Payments
Date Paid Amt Paid
Total Fees
$111.10
Check # 7336
05/15/2019 $50.00
Check # 7410
06/18/2019 $61.10
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
reg� la ing construction
Authorized S : Owr
certify at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
zonin . Futhermore, I authorize the above named contractor to do the work stated.
1A
/ Applicant / Contractor / Agent
Date
June 18, 2019 Page 2 of 2
Miami Shores Village
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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑E ELECTRIC ❑ ROOFING
C I ED
AY 5 20 9
BY:
FBC 20 q
Master Permit No.
Sub Permit No. l% OS"' I— 001 3
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS [:]CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 428 N E 41 ST
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:113-3206-019-0060 1 he Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type:_Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): SOPHIA HOWARD Phone#:
Address:428 NE 41 ST MIAMI SHORES
City: MIAMI State: FL
Tenant/Lessee Name: Phone#:.
Email:
CONTRACTOR: Company Name: NOVOA ELECTRICAL CONSTRACTOR
AddrP«. 1580 W 38 PL
City: HIALEAH State: FL
Qualifier Name: OSVALDO MONIER
State Certification or Registration #: EC3006771
DESIGNER: Architect/Engineer: ANTONIO CANELA
Address:7805 SW 24 ST SUITE 106
Value of Work for this Permit: $1100.00
Type of Work: ❑ Addition ❑ Alteration
Description of work: ELECTRIC FOR POOL
Specify color of color thru tile:
Submittal Fee $ S i Permit Fee $
Scanning Fee $ Radon Fee $
33138
e#: 305-597-3950
p: 33012
Phone#:
Certificate of Competency #:
Phone#:
City: MIAMI State: FL Zip: 33155
Square/Linear Footage of Work:
[-New ❑ Repair/Replace ❑ Demolition
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
CCF $ CO/CC $
DBPR $ Notary
Double Fee $ .
Bond $
TOTAL FEE NOW DUE $
(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 w " ccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be op ro and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
13 _day of ff�L/ � 20 �_, by
Sbl & %CZ al' e4ho is personally known to
me or who has produced �1l U r p as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: `
Print:
Seal:
**************
APPROVED BY
(Revised02/24/2014)
The foregoing instrument was acknowledged before me this
1 "dayof 120 19 , by
ni who is personally known to
me or who has produced -A 0 0 1- as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
AEI ELA Lz I n U F-ApsEs: Uc1 6,d tars
myC0MMISsIf'N;' 043212 Sea(:�ndedThNNotaryt��
r-XPIRES: October 30, 20%0 "°" ; �`'; �.,,...•
Fronded 1'hru laotar/ Public underwriters
Plans Examiner
Structural Review
Zoning
Clerk