RC-05-22-1362Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 3313E
305-795-2204
Permit NO.: RC-05-22-1362
Permit Type: Building (Residential)
Work Classification: Alteration
Permit Status: Approved
Issue Date:05/27/2022 Expiration: 11/28/2022
Location Address Parcel Number
i 55 NE 94TH ST, Miami Shores, FL 33138 1132060130560
Contacts
FREDERIC SNITZER Owner ALEX ELECTRIC SERVICES Contractor
55 NE 94 ST, MIAMI SHORES, FL 33138 ALEXANDER VARELA
2245 W 10 CT, HIALEAH, FL 33010
Business: 058888830 services@alexelectric.ne[
Description: PRECAST CONCRETE SLAB FOR 22K GENERATOR Valuation: $ 1,000.00 Inspection Requests:
305-762-4949
Total Sq Feet: 0.00
Fees
Amount
Application Fee- Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Scanning Fee
$6.00
Technology Fee
52.50
Total:
$113.30
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$113.30
Credit Card
05/27/2022 $113.30
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.
I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
d[goni9g-7fiutliermore, I authorize the above named contractor to do the work stated.
/ Applicant /
May 27, 2022
Date
Page 2 of 2
Miami Shores Village
BUILDING
PERMIT APPLICATION
(BUILDING ❑ ELECTRIC
/❑P\PLUMBING ❑ MECHANICAL
JOB ADDRESS:
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
F B C 2(�F>^ IR)3�
Master Permit No.
Sub Permit No. RC -OS-2-2 - 13(.P2
❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
._-y /'1 it _
City: Miami Shores County: Miami Dade ZiD:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple
City:
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name:
Address:
Email:
Qualifier Name: &_2i
State Certification or Registration #:
DESIGNER: Architect/Engineer: _
Value of Work for this Permit:
Type of Work: ❑ Addition ❑ Alteration
onAl
Description of Work: na l
Specify color of color thru tile:
Submittal Fee
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
State: Zip:
ri�
- / J CiU I `TeriifYcate/6f Competency #:
City: State: Zip:
Square/Linear Footage of Work:
❑ New 0 Repair/Replace ❑q Demolition
`/
DCA Fee $
Training/Education Fee $
CCF $ CO/CC $
DBPR $
P&Z Review $
Notary 5
Double Fee $
Bond $
TOTAL FEE NOW DUE$ `1_-'�0
(Revised04/05/2022)
Bonding Company's Name (if applicable)
Bonding Company's
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 on 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 ii ifsued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged. r
Signature / Signature
WNER or AGENT CONTRACTOR
Tim foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 0 by _ day of 20 by
wh rsona y inn to ho is personall own to
me or who has prod ced =- as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
identification and who did take an oath.
NOTARY PUBLIC:
+++++»*»++*»»»»»es**+****++++++»»»s»ssssssss*s******++***+»+s»»s»s*ssssssss*****+*********»»s»»s*»»»ss»»s»ss
APPROVED BY
Plans Examiner
Zoning
(Revised04/05/2022)
Structural Review
Clerk