EL-07-20-1554, 830 NE 92 St�E,CEI�TE�
Miami Shores Village pt. 2 9 Z'213
Building Department BY. GAP --
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
F BC 20
BUILDING Master Permit No. BP-12-19-2980
PERMIT APPLICATION sub Permit No.tL-T1-2C)- �
❑BUILDING ® ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION, ❑RENEWAL
❑PLUMBING ❑ MECHANICAL nPUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 830 N E 92 ST
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 11-3206-005-0160 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): CAPITAL INTERNATIONAL FINANCIAL FUND LLC Phone#:
Address: 170 SE 14 ST iS1002
City: MIAMI State: FL Zip: 33131
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name-4failaY -' c��l i [y_ 5 Phone#:
Address:
City: Yf-sc-.s State: Zip:` IkA '
Qualifier Name: mAg ANC) SATIF..;sjr;; iN Phone#:
State Certifications or Registration #: F-CI3005807 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ $3•000•00 Square/Linear Footage of Work:
Type of Wank: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work-, POOL ELECTRICAL
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 $
(Revised02/2412024)
ionding Company's Name (if applicable)
Bonding Company's Address,
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State 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, BOfLERS, HEATERS, TANKS, AIR CONDITIONERS, ETC....."
OWNER'S AFEIDAVtT; l 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien lave brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded, notice of commencement must be. posted at the jab site
for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
2.Q_ day of -At I 20 �. _ by { ' - day of t .t 20 by
O r. tCt'> who i ersonally know ' LC� c7 iJ 'Lti : i r who 's ersonally known to
me or who has produced a$ me or who has produced as
identification and who did take an oath. identification and who did a e ci
NOTARY PUBLIC: � NOTARY PUBLIC: ay�Os ?rotary Public State of Florida
R IN
Sign:.
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�< tarty Commission GG 962853
,� Expires 0312W2024
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seat: = (ammissiontGG103%q Seal;
Comm, Expires May 10, 2 ,Y°
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APPROVED BY Plans Examiner Zoning
Structural Review _ _ Clerk
Sunshine Electrical Contractor Corp
EC13005807
1300 sw 85 ct
Miami FI 33144
Phone 7862736194 / 7864439590
Date:07/16/2020
State of FLORIDA
County of MIAMI-DADS
Before me this day personally appeared MARIANO SATIESTEBAN who, being dulysworn,
deposes and says:
That he or she will be the only person working on the project located at:
830 NE 92 ST, MIAMI SHORES, FL 33138
Contractor Signature
Sworn to (or affirmed) and subscribed before me this _day of .20
213
Bv
Personally Know
Or Produced Identification
Type of Identification Produced
;cuis7rnt'
53
'0'gon3tti FiVSsrt
MzY
RAUL NAVARRO