EL-03-22-603, 94 NW 95th StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
94 NW 95TH ST, Miami Shores, FL 33150 1131010340090
:ontacts
Permit NO.: EL-03-22-603
Permit Type., Electrical - Residential
Work Clossification: Addition/Alteration;
Expiration: 09/06/2022
IMMOBILIEN LLC Owner ELECTRICAL MASTERS INC Contractor
GARCIA OSVALDO RODRIGUEZ
7602 NW 2nd Court, Miami, FL 33150 8400 SW 14 ST, MIAMI, FL 33144
Home:9544106364 gnd2@msn.com Business:3052657996 ELECTRICAL.MASTERS@HOTMAIL.COM
Other: 7202975338 Mobile: 3058797029
Description: ADDITION, FLORIDA ROOM Valuation: $ 7,000.00 \ Inspection Requests: _
305-762419
Total Sq Feet: 224.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$4.20
DBPR Fee
$3.68
DCA Fee
$2.45
Education Surcharge
$1.40
Permit Fee
$195.00
Scanning Fee
$9.00
Technology Fee
$6.13
Total:
$271.86
Payments
Date Paid Amt Paid
Total Fees
$271.86
Credit Card
03/07/2022 $271.86
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 construction and zoning. FjAherrycFe \authorize the above named contractor to do the work stated.
Authorized Signature: Owner /
/ Contractor / Agent
Date
March 07, 2022 Page 2 of 2
Miami Shores Village
Building Department RF�CF:IVEL3
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 MAk 0 7 ZOO
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 13Y:
FBC 20
BUILDING Master Permit No. RC- 11-19-2844
PERMIT APPLICATION Sub Permit No. !�LO� o'D 1_00-�
❑BUILDING Q ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 94 NW 95TH ST
City: Miami Shores County: Miami Dade Zip: a. '-
Folio/Parcel#:11-3101-034-0090 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): NICK GARCIA - IMMOBILIEN LLC Phone#:720-297-5338
Address:7602 NW 2ND COURT
City: MIAMI State: FLORIDA Zip: 33150
Tenant/Lessee Name:
Email: gnd2@msn.com
Phone#:
CONTRACTOR: Company Name: ,e l - , tY I * til✓i r � Phone#:
Address: q2-2- .3 _' Lo 1-4 / A--) �"-
City: � { �`'l f State: 04- e Zip: J /�
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address:
I
Phone#: --s y2— Sao c
Certificate of Competency #: 1W
Phone#:gi _Y 4_/0'612
City:
MR
Value of Work for this Permit: $� Q U Square/Linear-Footage of Work: �_� &2
Type of Work: ❑ Addition ❑ Alteration ;❑ New ( J Repair/Replace ❑ Demolition
Description of Work: / i1t'. 4 � C'� CIE
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
(Revised02/24/2014)
Permit Fee $ CCF $_
Radon Fee $ DBPR $
_ Training/Education Fee $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
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. 1 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
dayof I�'C L"F 20 Z2 by
a6,L<= 6 ar-'—e ('q who is personally known to
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of %{}?/'-v/-� 20 Z� , by
�� 06 "- D PIIP�'ty Qaersonally,,k$aa *A-&
me or who has produced
as
me or who has produced
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identification and who did take an oath.
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identification and who did take an oath.
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APPROVED BY
Plans Examiner
Zoning
Structural Review
(Revised02/24/2014)
Clerk