EL-12-20-2903, 10151 NE 14th AveMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 06/02/2021
Location Address Parcel Number
10151 NE 14TH AVE, Miami Shores, FL 33138 1132050230130
Contacts
Permit NO.: EL-12-20-2903
Permit Type. Electrical - Residential
Work classification: Pool
Permit status. Approved
Expiration: 12/02/2021
Cristina Giral Juan Manuel Federico Owner CPS ELECTRIC, INC. Contractor
Fascetto ANGEL ROMERO
10151 NE 14 AVE 1315 NW 30 AVE, MIAMI, FL 33125
Business: 3056078221 efcontractor@hotmail.com
Mobile: 9542492145
Description: NEW SWIMMING POOL Valuation: $ 1,000.00 Inspection Requests:
305-762-4949
Total Sq Feet: 325.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$110.30
Payments
Date Paid Amt Paid
Total Fees
$110.30
Check # 2104
12/17/2020 $50.00
Check # 1348
06/02/2021 $60.30
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 AFFIDA I that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regi n and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Owner / Applicant / Contractor / Agent
Date
June 02, 2021 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 ELECTRIC ❑ ROOFING
BY
T+
FBC Lu l�
Master Permit No.
o l: l-
Sub Permit No.-tL I Z Ali �C1
❑ REVISION ❑ EXTENSION RENEWAL
❑F'LUMBINIb ❑ RALLHANILAL UF'UbLIL WUKKS Lf LHANbE OF ❑ L:ANLF-LLAI IUN ❑ SHUP
CONTRACTOR DRAWINGS
JOB ADDRESS:
Folio/Parcel#: .32IDS-f _ (Q1 W Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Tyne: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): �U0�170_sog�Phone#: 3_SSS 4a VJ3
CONTRACTOR//1�: Company Name: i` S A_ 4 e1 � �� Phone#:.; 24`y - �2—
Address: �b o.0 M 214" AZ,
City: h7I ( to I State: F t� Zip:
Qualifier Name: � it E L s yn t 0 o Phone#: �L—) Iq 7Y4,
State Certification or Registration #: if C-13 0o S�401 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ C),_'3p , Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration aNew ❑ Repair/Replace ❑ Demolition
Description of Work: & ® L_
Specify color of color thru the:
Submittal Fee $
Scanning Fcc $
Permit Fee $
Radon Fcc $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $ /- 2
TOTAL FEE NOW DUE $ 60 3®
(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
fa.. a..
.+aa ao
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
c
OWNER or AGENT
The foregoing inst ument was cknowledged before me this
da of 20 ZQ , by
who is ersonall k n to
me or who has produced cuf wec as
identification and who did take an oath.
NOTARY UBLIC: ��.�°��' ` , Jenifer D Albelo
JXA Comm.#GG960479
Expires: Feb. 20, 2024
Sign sq'f'x °Q``nlad Thal Aaron Notary
ONTRACTOR
The f regoing instru ent was a knowledged before me this
d 2 by
o is er onally kn n to
me or who as produced aC- as
identification and who did take a oath.
��vJ.t'�i',� Jena er D AJbelo
NOTARYPUBLICer� Comm.#GG960479
Expires: Feb. 20, 2024
Rost s d Tijrl.4 Aaron Notary
Sign: / �,
Prin . 1"lo YID
************************************************************************************************************
APPROVED BPlans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)