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EL-15-2606 ti esu°� Miami Shores Village 3z 10050 N.E.2nd Avenue Miami Shores,FL 33138-0000 -- Phone: (305)795-2204 \ y Fx y � £R :- �ioxttvA r s Expiration: 04/12/2016 Project Address Parcel Number Applicant 9300 BISCAYNE Boulevard 1132060141640 GABRIEL COSENTINO Miami Shores, FL 33138- Block: Lot: Owner information Address Phone Cell GABRIEL COSENTINO 9300 BISCAYNE Boulevard (305)962-1893 MAIMI SHORES FL 33138- 9300 BISCAYNE Boulevard MAIMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 NODAL CONSTRUCTION&ELECTRIC (786)586-3020 Total Sq Feet: 0 Type of Work:ELECTRICAL WORK FOR MOTOR GATE. Available Inspections: Additional Info: Inspection Type: Classification:Residential Meter Box Scanning: 1 Alteration Relocation Fire Alarm Service Change Final W.W. Review Electrical Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# EL-10-15-57420 $2.00 10/15/2015 Credit Card $ 108.60 $0.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee-Additions/Alterations $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 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 curate th all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named ntract o e work stated. October 15, 2015 Authorized Signature:Owner / Applicant (_!o tractor Agent Date Building Department Copy October 15,2015 1 Miami Shores Village OCT 1015 p BuildingDepartment 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 20r (4 BUILDING Master Permit No.-FW I`l ` PERMIT APPLICATION Sub Permit No. F-L., ! ❑BUILDING MIELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION 'RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: q 3b© f(SCSVit)E Q LV D City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:_ Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): tic.-- (4'Vhone#: Address: .Kj r^ City: M GP}M i SH LC State: Zip. 20)J 4 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: &D j L C0A)9TiWCjWN C i(- 4-SSbc hone#: Address: qko A4t A) :5ff-P•e, tj i` - z37- 2o:7 City: h( &M,I G4 k e'e State: L Zip: 336 t sf Qualifier Name: 02-- M(YA-I Phone#: State Certification or Registration t CEG 1.30O4 016Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ I�/�® �� Square/Linear Footage of Work: Type of Work: EJ Addition 2 Alteration New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ 02 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$ 1 Ge 6'b— (Revised02/24/2014) i Bonding Company's Name(if applicable) Bonding Company's Address City State Zip 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 ce-jl� SignatureJ1" ItteI�CUtfO.) OWNER or AGENT CONTRACTOR The fore oing instrume(n�t was acknowledged before me this 4fego g�inst ment was acknowledged before me this day of .� byd� of „2. .20 by 64�Vltjl I(�M4di.r� .who is personalty known toO who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Si n: g Sign: Print: i6ez Print: 114 Seal: MARIBEL MEDEROS Seal: M�ARIBEI iV1EtERl7S .... ` MY COMMISSION*F;:101525 ., a'�= MY COMMISSION*F010+525 EXPIRES March 13 2n�R EXPIRES March 13.2018 ••• ******** 1 �1»** ** ■*© ********f* ******** a07)3980153 Florl-- - - - Service.com. . . .. . . . . ** * APPROVED BY 1 /a � f Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)