RC-08-20-1868, 137 NW 106th StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
137 NW 106TH ST, Miami Shores, FL 33150 1121360090290
Contacts
ESTEBAN BETANCOURT Owner MOMENTUM SOLAR Applicant
137 NW 106TH ST, Miami Shores, FL 33150 CAMERON CHRISTENSEN
6001 Hiatus RD 3, Tamarac, FL 33321
Business: 3212476073 hrose@momentumsolar.com
MOMENTUM SOLAR Contractor
CAMERON CHRISTENSEN
6001 Hiatus RD 3, Tamarac, FL 33321
Business: 3212476073 hrose@momentumsolar.com
Description: Installation of photo voltaic solar panels on Valuation: $0.00 Ins ection Re uests:
roof.
Total Sq Feet: 0.00
Fees
Amount
Payments
Date Paid Amt Paid
DBPR Fee
$2.00
Total Fees
$4.00
DCA Fee
$2.00
Credit Card
11/18/2020 $4.00
Total:
$4.00
Amount Due:
$0.00
Applicant Copy
For Inspections, Call (305) 762-4949 or Log on at hops://bidg.miamishoresvillage.com/cap/.
Requests must be received by 3pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that may be found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,
public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES.
November 18, 2020 Page 1 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
FBC 201-1�'�
BUILDING Master Permit No. FL_- X_?z 'ln--
PERMIT APPLICATION Sub Permit No. P.c-6Y ?Z- la_eY
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
10B ADDRESS: 137 NW 106 ST
City: Miami Shores County: Miami Dade Zip: 33150
Folio/Parcel#: 11-2136-008-0290 Is the Building Historically Designated: Yes NO X
Occupancy Type: RES Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): ESTEBAN MONTES BETANCOURT Phone#: 321.247.6043
Address: 137 NW 106 ST
City: MIAMI SHORES
Tenant/Lessee Name: _
State: FL Zip
Phone#:
CONTRACTOR: Company Name: MOMENTUM SOLAR
Address: 6001 HIATUS RD ST #3
33150
ne#: 321.247.6043
City: TAMARAC State: FL Zip: 33321
Qualifier Name: CAMERON CHRISTENSEN Phone#: 321.247.6043
State Certification or Registration #: CVC57036 Certificate of Competency #:
DESIGNER: Architect/Engineer: MINA MAKAR Phone#: 551.589.5068
Address: 61WINDLING WOOD DR APT 8B City: SAYREVILLE State: NJ Zip: 08872
Value of Work for this Permit: $ 22,215.38 Square/Linear Footage of Work:
Type of Work: ❑ Addition ® Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Installation of photo voltaic solar panels on roof.
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $_
DBPR $
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 _ Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address _,-
city State —
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, o 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.
J
Signatur Signature
OWNER or AGEN CONTRACTOR
The foregoing Instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of Auaust__.. 2d 20 m. by 17 day of August, 20 20 .�• by
Esteban Mantes who is personally known to Cameron Christensen , who is personally known to
me or who has produced _ DL
identification and who did take an oath.
NOTARY PUBILIQ
Sign:
Print: I (,A r1G G •r )
Seal: pypCHRISTINA FAIRLESS
_ ^ MY COMMISSION #GG975179
t EXPIRES: APR 01, 2024
««««s«« «io«sd+ *�1F9NG�i+isi+E4w
APPROVED BY
(aevisedo2/24/201.4)
as me or who has produced Known v� as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: O h(,L-3 ,, na
Seal:
Plans Examiner
Structural Review
CHRISTINA FAIRLESS
MY COMMISSION #GG975179
EXPIRES: APR 01, 2024
Zoning
Clerk