RC-15-1113Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number Applicant
29 NW 105 Street 1121360050300
STEVEN RITTER
Miami Shores, FL 33150-1241 Block: Lot:
Owner Information Address Phone Cell
STEVEN RITTER 29 NW 105 ST
MIAMI SHORES FL 33150-1241
Contractor(s) Phone Cell Phone
CUTLER BAY SOLAR SOLUTIONS (786)457-5958
In Review
Approved:: In Review
Denied:
of Construction: INSTALLATION OF 4 KW PHOTOVC Occupancy: Single Family
ac Exterior:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted: Yes
Certificate Date:
Fees Due
Amount
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$100.00
Scanning Fee
$3.00
Technology Fee
$0.80
Total:
$108.60
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info:
Classification: Commercial
Valuation: $ 300.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due I
Invoice # RC -5-15-55513
06/08/2015 Credit Card $ 108.60 $ 0.00
Available Inspections:
Inspection Type:
Final
Solar
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, Df1QRS,, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing informatioWVaurt ar d t oat ali work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-namto o he arork stated.
June 08, 2015
Authorized Signature: Owner / Applicant /
Building Department Copy
June 08, 2015 1
Oft
I.
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
OBUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS
JOB ADDRESS: 29 NW 105 ST
MAY 12 015
FBC 20 U
Master Permit No. F_ 0 1 � I
Sub Permit No. 's' Q � t-3
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-2136-005-0300 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): STEVEN RITTER LIVING TRS Phone#: 305-237-8086
Address: 29 NW 105 ST
City: MIAMI SHORES State: FL Zip: 33150
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Cutler Bay Solar Solutions Phone#: 786-457-5958
Address: 8301 SW 184 LANE
City: Cutler Bay State: FL Zip: 33157
Qualifier Name: Raul Vergara Phone#: 786-457-5958
State Certification or Registration #: CVC 56957 Certificate of Competency #:
DESIGNER: Architect/Engineer: JUAN A. RODRIGUEZ-JOMOLCA R.A. Phone#:
Address: 625 SW 82ND AVE City: MIAMI state: FL Zip: 33144
Value of Work for this Permit: $ 500 Square/Linear Footage of Work:
Type of Work: ❑ Addition K Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: INSTALLATION OF 4KW PHOTOVOLTAIC AND DHW SYSTEMS
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 $ _ I� ' 6 o
(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
Zi
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 YO1JR�LE,IRER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT. b ��f� C�1v1V-50 k�m v,( bty
Notice to Applicant: As a condition to the issuance of a building permit with an esti ated 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.
r
Signature
OWNER or AGENT
Th_ foregoing instrum nt wa acknowledged before me this
day of V'` 20 Is by
y�`
r e� .who is personally known to
me or who has produced eUL�- as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
11;
Seal:
COMMISSION 1 1 81160
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Signature
CONTRACTOR
The foregoing instrument waacknowledged before me this
day of I .20 �S by
✓`� r /who is personally known to
me or who has produced T" V as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: ,�j'�r
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COM IISSI Diego FFIM160
www.AARoNNoTARY.com
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)