EL-05-19-1107, 1234 NE 94th StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
t
1234 NE 94TH ST, Miami Shores, FL 33138 1132050100210
Contacts
ELI BRAVO Owner CPS ELECTRIC, INC. Contractor
1200 NE 97 ST, MIAMI SHORES, FL 33138 ANGEL ROMERO
Other: 3054942371 1315 NW 30 AVE, MIAMI, FL 33125
Business: 3056078221
Description: NEW POOL Valuation: $ 1, 000.00 Inspection
6 Requests:
360.00TotaI S4 Feet: n
2,,
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
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$110.30
Credit Card
08/12/2019 $110.30
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
regulatin �constru ion and zon' Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature. wner P Applicant / Contractor / Agent Date
August 12, 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
M' 5 019
BY:
FBC 20
BUILDING Master Permit No._;� P1 -0, tq- 1 (6)�;
PERMIT APPLICATION Sub Permit No. ' 0'-7 - 19 -11 04
❑BUILDING jNrECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
,�
CONTRACTOR DRAWINGS
JOB ADDRESS: + 23 `(� 7 A/ �/ 6� f 7 S 1
City: Miami Shores County: • Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: RGO Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
.t6s-_4'014Phone#��T0 14 7 2598
Address: U-1 14 � �4 E_ Q S+
City: M %cx . Q. 1are a State: Zc. Zip: 330 3-4
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: C'�S�.J�L(/[ .. Phone#:
Address: 6b �-0 LAA) d Q"��"
City:knl4mState: V4_1_4L..--
Qualifier Name: Phone#: 3 JS L b 21ci %yL
State Certification or Registration M en, P-An Certificate of Competency M
DESIGNER: Architect/Engineer:
Address: City: State: Zip:
Value of Work for this Permit: $ 0"Xa Square/Linear Footage of Work: 60 S V-
Type of Work: ❑ Addition ❑ Alteration_ New ❑ Repair/Replace ❑Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Permit Fee $ CCF $_
Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $,
CO/CC $
Notary $
Double Fee $
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 reinspection fee will be charged.
Signature /��yY�1 �I l j L Signature
OWNER or AGENT N Ins 79
CTOR
The foregoing instrum n as ac ow edg d before rhe this The f regoing instrum t was ackno I dged before me )s
day of 20 by of 20 by
rP ✓�/_�fc, P who is personally known to J who is personally known to
me or who has produced "P91 ' as me or who has produced J-00)-. as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
=! I Y ARO VIN
Sig Y
MY OMMISSION F 1623
1 K Pri Y • u.ti' EXPIRES April 12. 2020
i ":N (407) M-0153 Flor4allotarySer x".Com
:)P4)153 F1orid8N0tsrySra ".eom Seal
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)