EL-06-22-1408, 304 NE 93rd StMiami Shores Village
Building Department
artment
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 SUN 0 3 [022
Tel: (305) 795-2204 Fax: (305) 756-8972�y,
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
BUILDING
Master Permit No. RC-12-20-2945
PERMIT APPLICATION
Sub Permit No. EL:%—ZZ 140'
BUILDING ❑ ELECTRIC
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
Text
PLUMBING ❑ MECHANICAL
PUBLIC WORKS CHANGE OF ❑ CANCELLATION SHOP
�,/�emporary Power
CONTRACTOR DRAWINGS
jJO—B' ADDRESS: 304 NE 93Rd
ST.
City: Miami Shores
County: Miami Dade Zip: 33138
Folio/Parcel#: 1132060136350
is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Bradley Johnson Phone#:
Address: 304 NE 93Rd ST.
City: Miami Shores State: FI Zip: 33108
Tenant/Lessee Name: Phone#:
Email
AMPE ARRIVED ELECTRIC LLC. (q541 S-�� CONTRACTOR: Company Name: Phone#:
Address: 12550 Biscayne Blvd.
City: Miami State: FI Zip: 33181
Qualifier Name: Andres Cordero. LFi7C,�o7 ?C?�rj ( �L( Se-/9 -
Phone#: (
State Certification or Registration #:
EC: 13007721
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
500
Value of Work for this Permit: $ 1,Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Word: em
.<,T.. _ wporary Poer Application Requested by the Electrical inspector.
Specify coror`af c676r'thfii tile:
Submittal Fee $
Scanning Fee $
Technology Fee $_
0
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. 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 w.ill�e delivered to -the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posystevnffice,
hjob site
for the first inspection which occurs seven (7) days after the building permit is issued. In the.-dbsence of,,such the
inspection will not be appfol;ed and a reinspection fee will be charged.
Signatu
OWNER or
The foregoing instrument was acknowledged before me this
23 day of April , 20 22 by
Bradley Johnson
me or who has produced
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
as
Signatu
The foregoing instrument was a'ckn
23 day of April
Cordero Andres I r N
ed before me this
20 22 by
personally known
me or who has produced at
identification and who did take an oath.
NOTARY PUBLIC:
Sign: — ,,,, ign:
,moo
ems' Nec°;'�' P�'`•'iC-State of Florida tint: �'�' .t � ' Zjyte of Florid
Print: Yudith ilc ez ._ .
i'tf OF f��P� n��Y Commission Expires9 `'f'o►n,,..,' My Comm. Expires Aug 22, 2023
"'" " Seal:
Seal: kpril 29, 2023 Bonded through National Notary bsn.
************************************************************************************************************
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Permit NO.: EL-06-22-1408
i
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit Type: Electrical - Residential
Work Classification: Temp for Construction
Permit status: Approved
Issue Date: 06/08/2022 ( Expiration: 12/08/2022
Location Address Parcel Number
304 NE 93RD ST, Miami Shores, FL 33138 1132060136350
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Contacts
BRADLEY JOHNSON Owner Yudith Vilchez Applicant
304 NE 93 ST, MIAMI SHORES, FL 33108 18601 Northeast 14th Avenue, 306 18601 Northeast 14th Avenue, 306,
meryudvil80@gmail.com Et
AMPE ARRIVED ELECTRIC, LLC Contractor
ALFREDO ARRUFAT
1361 NE 103 ST, MIAMI SHORES, FL 33138
Description: TEMPORARY POWER APPLICATION REQUESTED BY Valuation: $ 1,500.00 Inspection Requests:
ELECTRICAL INSPECTOR
Total Sq Feet: 681.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$50.00
Scanning Fee
$15.00
Technology Fee
$2.50
Total:
$123.10
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$123.10
Credit Card
06/08/2022 $73.10
Credit Card
06/03/2022 $50.00
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 AFF VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulrating const ion and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant /
Contractor / Agent
Date
June 08, 2022 Page 2 of 2
J U N 0 3 2022
BY: (\,b
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on
,v0 0) Tz-p "Si
R; A � ; (FL 13 3�
CITY
COP It ff
IV
4 � T
:Miami Shores Village Building Department
AU^ D Zoning Dept. Date
2� Building Dept L c� Date d z�
Ci C� Subject to compliance with all Federal,
State and County rules and regulations.
Permit#
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