EL-09-22-2231Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
f<ORIDP
Location Address
636 NE 105TH ST, Miami Shores, FL 33138
Contacts
CESAR BORJA Owner ORONI INC Applicant
636 NE 105 ST, MIAMI SHORES, FL 33138 ORLANDO IGLESIAS
14040 NW 6 COURT, MIAMI, FL 33168
Business: 3056850412 ORONI4545@GMAIL.COM
Permit NO.: EL-09-22-2231
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit Status: Approved
Issue Date:12/02/2022 Expiration:06/02/2023
ATLANTIS ELECTRICAL CORP Contractor
FRANCISCO PEREZ
12803 SW 20 TER, MIAMI, FL 33175
Business: 3055514043
Parcel Number
1122310120150
)estription: BATHROOM AND KITCHEN REMODEL Valuation
Fees
Amount
Application Fee - Other
$50.00
CCF
$5.40
DBPR Fee
$4.54
DCA Fee
$3.03
Education Surcharge
$2.70
Permit Fee
$252.75
Scanning Fee
$12.00
Technology Fee
$30.28
Total:
$360.70
Total Sq Feet:
Ins ection Requests:
$ 8,650.00 305-762-4949
0.00
Payments
Date Paid Amt Paid
Total Fees
$360.70
Credit Card
09/01/2022 $50.00
Credit Card
12/02/2022 $310.70
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. Futhennore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor I Agent Date
December 02, 2022 Page 2 of 2
Miami Shores Village ENTERED
Building Department SFP 01 2022
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel: (305)795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
BUILDING Master Permit No. lee -6q-22--2Z3o
PERMIT APPLICATION Sub Permit No. I:L 6J - 2 2 - 2,231
BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 636 NE 105 STREET
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-2231-012-0150 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): CESAR & KEN DRA BORJA Phone#: 703-945-3172
Address: 636 NE 105 STREET
City: MIAMI SHORES State: FLORIDA Zip: 33138
Tenant/Lessee Name: Phone#:
Email: kendra.boda@gmail.com
CONTRACTOR: Company Name: ATLANTIS ELECTRIC Phone#: 305-685-0412
Address: 12803 SW 20 TERRACE
Email: ORONIOFFICE@GMAIL.COM
Qualifier Name: FRANCISCO PEREZ phone#: _305-685-0412
State Certification or Registration #: EC13001914 Certificate of Competency#: _
DESIGNER: Architect/Engineer: N/A Phone#:
Address: City: State: _Zip:
Value of Work for this Permit: $ ?4 i7 � t Square/Linear Footage of Work: (=ao
Type of Work: ❑ Addition 1 Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of work: BATHROOM AND KITCHEN REMODEL
Specify color of color tbru tile:
Submittal Fee
Scanning Fee $
Technology Fee
Structural Reviews $
Permit Fee $
DCA Fee $
Training/Education Fee $
CCF $_
DBPR $
CO/CC $
Notary $
Double Fee $
P&Z Review $ Bond $
TOTAL FEE NOW DUE $ -
(Revised04/05/2022)
Bonding Company s Name (if applicable) NIA
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 $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 Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 2022 byday of LC4 201by
01c,^who is personally known to who is personally known to
me or who has produced I— o A 9 as me ortwo-tes roduced as
identification and widentification and who did tak
=MMANUEL ORDAZ NOTARY PUBLIC: �"J"a'•. EMMANUEL ORDAZ
NOTARY PUBLIC:=ry Public -State of Florida Fi( �t�p \Te Notary Publlo•5tate of Florida
mm is sion s HH 42811 '�y' Commission 0 HH 42811
I "'Y L�•mmission Expires 'n��_Y My Commiselon Expires
Sign: Sign:
�cptrmber 15, September 15, 2024
Print: Print:
Seal: Seal:
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APPROVED BPlans Examiner Zoning
Structural Review Clerk
(Revised(14/05/2022)
Ron DeSantis. Governor Melanie S. Griffin, Secretary
dopr
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS' LICENSING BOARD
THE ELECTRICAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE
PROVISIONS OF CHAPTER 489, FLORIDA STATUTES
PEREZ, €RANaSCO JULIO
ATLANTIS ELECTRICAL CORP
12803 SW 2( R
MIAMI FL: = 5
LICENSE NUMBER: EC13001914
EXPIRATION DATE: AUGUST 31, 2024
Always verify licenses online at MyFloridaUcense.com
Do not alter this document in any form.
This is your license. it is unlawful for anyone other than the licensee to use this document.
Local Business Tax Receipt
Miami -Dade County, State of Florida
-THIS IS NOT A BILL- DO NOT PAY
3726750
BUSINESS ItANIKOCATION RECEIPT No.
ATLANTIS ELECTRICAL CORP RENEWAL
12803 SW 20TH TER 3891646
MIAMI FL 33175
EXPIRES
SEPTEMBER 30, 2022
Must be displayed at place at business
Pursuant to County Code
Chapter 8A - Art 9 & 10
OWNER SEC. TYPE OF BUSINESS
ATLANTIS ELECrRKAL CORP 196 ELECTRICAL CONTRACTOR PAYNENTRECENE6
EC13001914 OTTutCOUEMg
$75.00 07/14/2021
Worker(s) i CHECK21-21--052512
This Local Business Tax Receipt only confirms poymentof the Local Business Tax. The Receipt is note Iicom
ponok or a carlificafion of the holders qualifications, to do business. Holder must comply with any ti rnmoetal
or nongovernmental foplatory laws and regnlromeata which apply to the business.
The RECEIPT NO. above most he displayed on all commercial vehicles -Miami -Dade Code Sec 0a-.276.
For more information, visit wwwmiamidade oovhaxcollector
ATLAELE-01 0
CERTIFICATE OF LIABILITY INSURANCE DA1Qa►rYYYj
3131131/2022
1 I W—c CERTFICATE IS ISSUED AS A MATTER OF WOAIMTION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS t'
CERTIFICATE DOES NOT AFFUtMAT1VELY OR NEGATIVELY AMEND, EXTENT) OR ALTER THE COVERAGE AFFORDED BY THE POLICIES �
BELOW. THIS CERTMCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). ALiMRIZED
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PROCUCIR ACT MARIANA GONZALEZ
Buftr, Buckley, Deets. Inc. Wc._ f.q (305) 262-0086 209 FAX wl (305) M-0187
6505 aim Lagoon or Sate 250 f•� MGONZALEZ SDtNS.COM
M4 ftl. FL 33iN aaa�t55.
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ATLANTIS ELECTRICAL CORP. INSURER C
12803 SW 20TH TERRACE INSURER o
WAAMI. FL 33175
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SHOULD ANY OF THE AWW QED POUCIES BE CANCELLED IiEFURE
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