EL-08-22-1945Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: EL-08-22-1945
Permit Type: Electrical - Residential
Work Cfassificatfon: Alteration
Permit Status: Approved
Issue Date:08/04/2022 Expiration:02/06/2023
Location Address
Parcel Number
333 NE 91ST ST Miami Shores, FL 33138
1132060136510
Contacts
MX SHORES LLC Owner OWNER Contractor
33391
Mobile: 3053329596 afridmanl8@yahoo.com
Description: COURTESY INSPECTION TO VERIFY THAT Valuation $ 0.00 Inspection Requests:
ELECTRICAL SERVICE CAN BE REINSTATED 305-762-4949
Total Sq Feet 0.00
Fees Amount Payments Date Paid Amt Paid
$85 Re -inspection Fee $85.00 Total Fees $85.00
Total: $85.00 Credit Card 08/04/2022 $85.00
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.
h
Authorized Signature: Owner / Applicant / Contractor I Agent
Date
August 04, 2022 Page 2 of 2
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: EL-08-22-1945
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit Status: Approved
Issue Date:08/04/2022 Expiration: 02/06/2023
Location Address Parcel Number
333 NE 91ST ST, Miami Shores, FL 33138 1132060136510
Contacts
MIX SHORES LLC Owner OWNER Contractor
33391
Mobile: 305332%96 afridmanl8@yahoo.com
Description: COURTESY INSPECTION TO VERIFY THAT Valuation: $ 0.00 Inspection Requests:
ELECTRICAL SERVICE CAN BE REINSTATED
305-762-4949
Total Sq Feet: 0.00
Fees Amount
Payments
Date Paid Amt Paid
$85 Re -inspection Fee $85.00
Total Fees
$85.00
Total: $85.00
Credit Card
08/04/2022 $85.00
Amount Due:
$0.00
Applicant Copy
For Inspections, Call (305) 762-4949 or Log on at https://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 maybe found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,
public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES.
August 04, 2022 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
BUILDING
PERMIT APPLICATION
ES�EIUILDING ELECTRIC ❑ ROOFING
ENTERED
AUG 0 1 ZUZZ
BY:
FBC 2020 " -J,+k
Master Permit No.
Sub Permit No
❑ REVISION ❑ EXTENSION [-]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 3-53 Nt: 011 `.mot-.
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11— _2i-7_C)A— (o 13 — 651 D Is the Building Historically Designated: Yes NOy
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): O-A f2k)are5 LC-..ITr;(Img"Phone#: 3fti5"33Z�gSQIp.
City: M.ckw t State: V'L . Zip: S3 I,:J G ,
Tenant/Lessee Name: Phone#:
Email: Afo;otw�AV11 gK) 616ki-tm, tovvN
CONTRACTOR: Company Name:
Phone#:
Address:
City: State:
Zip:
Qualifier Name:
Phone#:
State Certification or Registration #:
Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address:
City: State: Zip:
Value of Work for this Permit: $
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: CDW-IieSu
�o V.p�4�u +jl�ckl'
e\ec--A r -.CA `j2r U'�CP_ C&N I102_
CPGk.
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 $
(Revised02/24/2014)
Bonding Com9ny's Name (if applicable)
Bonding Company's Address
City
State
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, 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 $1500, 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
1_nA day of ALLv 4 , 20 2'Z , , by
AA, �Ylalivt�,vi who is personally known to
me or who has produced
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of . 20 by
as me or who has produced
who is personally known to
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
as
Sign: ( ) `'"' ``r"/" Sign:
Print: V r ✓C �V1 � Y a-t, Print:
��"011 p�°�� YNienne ao
Seal: c= * " • °ram Comm.:HH222410 Seal:
y.''= Explres:Jan. 31,2026
'74... Notary Public- SWO of Florida
APPROVED B` g�7--44- yPlans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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