REV-12-21-3281Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
1097 NE 98TH ST, Miami Shores, FL 33138 1132050180250
Contacts
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MAMOPE LLC Owner CPS ELECTRIC, INC. Contractor
4000 TOWERSIDE TER 2503, MIAM1, FL 33138 ANGEL ROMERO
1315 NW 30 AVE, MIAMI, FL 33125
Business:3056078221 efcontractor@hotmail.com
Mobile: 9542492145
_.............................................
._.
Description: PLAN REVISION Valuation: $ 0.00 Inspection Requests:
r��
E Total Sq Feet: 0.00
Fees
Amount
Payments
Date Paid Amt Paid
Revision: Major Change of Plans
$90.00
Total Fees
$93.00
Scanning Fee (Manual)
$3.00
Credit Card
12/16/2021 $93.00
Total:
$93.00
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. Futhermore, I authorize the above named contractor to do the work stated.
C'X.0-� Lc"-" 12 b � z �
Authorized Signature: Owner / Applicant / Contractor / Agent Date
December 16, 2021 Page 2 of 2
Miami Shores Village y
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
BY:
INSPECTION LINE PHONE NUMBER: (305) 762-4949 —
FBC 20
BUILDING
PERMIT APPLICATION
❑BUILDING ELECTRIC ❑ ROOFING
Master Permit Nol C— A. 4 zo 2,3 2l"
Sub Permit NO.�IJ—
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: C3 ( IV L�
City: Miami Shores
22 County: Miami Dade Zip:
Folio/Parcel#: �7 .2 O Sy Q2A& Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): yyi(.xmw 9,, L t_C Phone#:
Address: Y04*0 (U u)
City: YYl I, a A16 State: !— Zip: 33 ) _3 �
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: (:�.
Address
Phone#:
Phone#:��Z-
City: mlelw I State: ��� Zip: ° � / )-
Qualifier Name: �i _rr t— Ex o c� Phone#:
State Certification or Registration #: e 1 �5 T (D I Certificate of Competency #: _
DESIGNER: Architect/Engineer:
ne#:
Address: City: State: Zip:
Value of Work for this Permit: n Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair %Rep'lace Demolition
n ..
Description of Work: / Y VI _N% (r)I— ' , , - :•.
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
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
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'
OWNER or AGENT
The foregoing instrument was acknowledged before me this
IL� day of� 20 2 1 by
v >u n.a who i personally know to
me or who has produced as
identificatio d who did taan oath.
.1ke
' YOHENDRY DEL RIO
NOTARY BLICommission # GG 273199
8! ps.�ebruary 12, 2023
rtnki oallonsw*es
Print
Seal
APPROVED BY
Signature
CON ACTOR
The foregoing instrument was acknowledged before me this
of 20 by
»c�/�i, r �o who is personally known to
me or who has produced 0, O.- as
identification and who did take an oath.
seal:
Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review
Clerk