RC-15-1757 ? Miami Shores Village a Peftwt R�entl��ona tir>n
10050 N.E.2nd Avenue NW
Miami Shores, FL 33138-0000
Permit"status:APP�RV
Phone: (305)795-2204
a .
Issieata< 7�/2415 Expiration:: 01/1312016
Project Address Parcel Number Applicant
F126 NW 101 Street 1131010220190
FEDERICO HAURI
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
FEDERICO HAURI 126 NW 101 Street (786)303-8985
MIAMI SHORES FL 33150-
126 NW 101 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone ValujSq
n: $ 750.00
SOLAR-RAY INC. (407)443-4404 TotaFeet: p
Approved: In Review Available Inspections:
Comments: Inspection Type:
Date Approved:: In Review Final
Date Denied: Solar
Type of Construction:ATTACH SOLAR MODULES TO RO Occupancy:
Stories: Exterior:
Front Setback: Rear Setback:
Left Setback: Right Setback:
Bedrooms: Bathrooms:
Plans Submitted: Certificate Status:
Certificate Date: Additional Info:
Bond Return: Classification:Residential
Fees Due Amo]$2.00
Pay Date Pay Type Amt Paid Amt Due
CCF Invoice# RC-7-15-56333
DBPR Fee
DCA Fee 07/17/2015 Check#: 1714 $ 108.60 $0.00
Education Surcharge Permit Fee $Scanning Fee Technology Fee Total: $10
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 zoorize the above-named contractor to do the work stated.
-,-*zJuly 17, 2015
orae ignat re: wner / Applicant / Contractor / Agent Date
Building Department Copy
July 17, 2015 1
Miami Shores Village
Building Department 14 2015
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 —
FBC Mt--j
BUILDING Master Permit No. EL15-1462
PERMIT APPLICATION Sub Permit Nolz ,15- 1 �
QBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 126 N. W. 101 St.
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-3101-022-0190 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): Frederico Hauri Phone#:786-303-8985
Address: 126 N. W. 101 St.
City: Miami Shores Village state: Florida Zip: 33150
Tenant/Lessee Name: Phone#:
Email: federicohauri@gmail.com
CONTRACTOR:Company Name: Solar-Ray Inc. Phone#: 407-443-4404
Address: 6007 Anno Ave.
City: Orlando state: Florida Zip: 32809
Qualifier Name: Carl Weirich Phone#: 407-680-9587
State Certification or Registration#: CVC56880 Certificate of Competency#: na
DESIGNER:Architect/Engineer: Davis & Cleaton Engineering, Inc. Phone#: 407-539-2353
Address:260 Wekiva Springs Rd. City. Longwood State: FL Zip: 32779
Value of Work for this Permit. -=tsg� • CZ) Square/Linear Footage of Work: na
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Attach solar modules to roof of home and inverter to electric service
Specify color of color thru tile: w
Submittal Fee$ Permit Fee$ (Sf)• W CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 'O Pi
(Revised02/24/2014)
Bonding Company's Name(if applicable) na
Bonding Company's Address _
City State Zip
Mortgage Lender's Name(if applicable) na
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 nature Signature 's
OW o ENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 (`) by 10 day of JUly 20 15 by
Frederico Haun who is personally known to Carl Weirich who is personally known to
me or who has produced DL# H600-240-79-143-0 as me or who has produced known as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
r
Sign: Sign:
Print NEY F Pri
.•'
^s -Com +ssion 142 24
5� __ Co issi n q FF 14252.4 9. .p
Seal: d° My o mission Expnes Se ,+; c'�° My ommission Expires
I�'�`oo�`••� July 16. 2018 %%o"`:�` July 16, 2018
.J
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)