The URL can be used to link to this page

EL-07-20-1433, 77 NE 106th StMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 01/12/2021 Location Address Parcel Number 77 NE 106TH ST, Miami Shores, FL 33138 1121360060310 Contacts Permit No.: EL-07-20-1433 Permit Type., Electrical - Residential Work Clossificatron: Alteration Permit status: Approved Expiration: 07/ 12/2021 Tomas Castellanos Owner PARDIME ELECTRIC INC Contractor 77 NE 106 ST OLEY JACKSON SMITH tomas_e_castellanos@gmail.com 2629 SW 31 CT, MIAMI, FL 33133 Description: NEW TANKLESS WATER HEATER, NEW LIGHTING Valuation: $ 2,800.00 Inspection Requests: AS SHOWN, NEW OUTLETS RECEPTACLES REMOVE EXISTING 305 762-4949 ELECTRICAL PANEL AND INSTALL AND NEW ONE AT NEW Total Sq Feet: 0.00 LOCATION Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $111.90 Payments Date Paid Amt Paid Total Fees $111.90 Credit Card 01/12/2021 $111.90 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 cons ruction and zonin . Futhermore, I authorize the above named contractor to do the work stated. Owner / Applicant / Contractor / Agent January 12, 2021 Page 2 of 2 P--ECEIVED 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 0 ELECTRIC ❑ ROOFING J!JI- it 8 21,120 044 FBC 20 ti Master Permit No.(2- c s 16- Sub Permit No. _ o _) 433 ❑ REVISION ❑ EXTENSION ❑ RENEWAL [] PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CONTRACTOR JOB ADDRESS: 77 NE 106 STREET ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2136-006-0310 Is the Building Historically Designated: Yes NO NO Occupancy Type: RES Load: Construction Type: CBS Flood Zone: X BFE: =FE: OWNER: Name (Fee Simple Titleholder):TOMAS CASTELLANOS Phone#:305-323-0481 Address:640 NE 72 TER City: M[AM I State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: tomas.e.castellanos@gmail.com CONTRACTOR: Company Name: PARDIME ELECTRIC INC Phone#: 305-476-8080 Address: 24625 SW 127 AVE City: HOMESTEAD State: FLO Zip: 33032 Qualifier Name: O.J SMITH Phone#: 7864939086 State Certification or Registration #: EC13008012 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 2800 Square/Linear Footage of Work: Type of Work: ❑ Addition 0 Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: NEW TANKLESS WATER HEATER, NEW LIGHTING AS SHOWN,NEW OUTLETS RECEPTACLES REMOVE EXISTING ELECTRICAL PANEL AND INSTALL AND NEW ONE AT NEW LOCATION Specify color of color thru tile: . Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ 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 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 reinspectio1. fee will be charged Signature OWNER or AGENT The foregoing instrument was acknowledged before me this T day of J lJ DLL 20 20 by l ama-c- "11 &r►Q5 who is personally known to as identification and who did take an oath. NOTARY PUBLIC: Sig U Print: L Ae . Adoj Seal: sr*rrrrsr tii� u APPROVED BY (Revised02/24/2014) Signatu &�� CONTRACTOR The foregoing instrumIZ cknowledged before me this (_ day of 20 �, by QJ " who i Rersonally known to me or who has produced MnN 9+0 as identification and who did take an oath. NOTARY PUBLIC: Sign: �qva Print: cule Seal: JACQUELINE PORTAL N JOSE MIGUEL DE LACRUZ My COMMISSION # GG 064595 MY COMMISSION = GO 07701 EXPIRES1�a_� EXPIRES 8 1 ►'IACC�1d��i •tit••tiYrltttgSii�t•t�• �`t1�1��'�' iitWu •tt�i�tt�k4i�i Plans Examiner Structural Review Zoning Clerk PARDIME ELECTRIC INC Date: AugustA, 2020 State of Florida County of Miami -Dade Before me this day personally appeared ` V , who being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 77 NE 106 STREET, MIAMI SHORES, FLORIDA 33138 Contrac S nature -�*s d�>,- Sworn to (or affirmed) and subscribed before me this H day of , 2020 by AnAl IAWII,,aa JFt Personally known OR Produced Identification Type of Identification Produced Print, Type or Stamp of Notary Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Star. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this day oAVJCAU , 2026 t�who is personally known to me or has produced Tt-u Lr Lit de as identification. Notary: ;=ot"" U SANDRA GARDAsn. !• ' ^. Notary Public - Stat :G e`= Commission # GG SEAL: .` Oi `Lep' MY Comm. Expires J Bonded through National