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EL-16-2331 �aKO1 S y,� Miami Shores Village F raja/ 7�B i le �I II-Res ential P e �S. 10050 N.E.2nd Avenue NE ad6w Solar Miami Shores,FL 33138-0000 t7x7jl BUS: ED by@ � Phone: (305)795-2204 �'tOR'lD4' a�. Ise date•912212016 . Expiration: 03/21/2017 Project Address Parcel Number Applicant 10518 NE 3 Avenue 1122310130410 Miami Shores, FL Block: Lot: TONY BENNETT Owner Information Address Phone Cell ----------------------------------------------------------------- TONY BENNETT 10518 NE 3 AVE 305-751-8865 MIAMI SHORES FL 33138-0000 Contractor(s) Phone Cell Phone Valuation: $ 20,000.00 CUTLER BAY SOLAR SOLUTIONS (786)457-5958 Total Sq Feet: 0 Type of Work:INSTALLATION OF 10 KW PHOTOVOLTAIC Available Inspections: Additional Info:INSTALLATION OF 10 KW PHOTOVOLTAIC Inspection Type: Classification:Residential Final Scanning:1 Review Electrical Fees DLAddifions/Alterabons Amount Pay Date Pay Type Amt Paid Amt Due CCF $12.00 DBPR Fee Invoice# EL-8-16-61038 $10.50 09/22/2016 Credit Card $706.00 $50.00 DCA Fee $10.50 Education $4.00 08/18/2016 Credit Card $50.00 $0.00 Permit Fee $700.00 Scanning $3.00Technolog $16.00Total: $756.00 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. 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 a oni thermore, I authorize the above-named contractor to do the work stated. September 22, 2016 Kufhorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy September 22,2016 1 } Miami Shores Village Building Department AUG 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 u Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20I� BUILDING Master Permit Nol�c I ® —���® PERMIT APPLICATION Sub Permit No. C,L lb- 2-3S I ❑BUILDING Q ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10518 NE 3 AVE City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 11-2231-013-0410 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee simple Titleholder):RONI BENNETT Phone#:954-644-2534 Address: 10518 NE 3 AVE City: MIAMI SHORES state: FL zip: 33138 Tenant/Lessee Name: Phone#: Email: RBENNETT@BENSTONEGROUP.COM 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 M CVC 56957 Certificate of Competency M DESIGNER:Architect/Engineer: JUAN A RODRIGUEZ-JOMOLCA Phone#: Address:625 SW 82 AVE city: MIAMI state: FL zip: 33144 Value of Work for this Permit:$20,000.00 Square/Linear Footage of Work: Type of Work: ❑ Addition 0 Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: INSTALLATION OF 10 KW PHOTOVOLTAIC SYSTEM Specify color of color thru tile: Submittal Fee$ Q i 8 Permit Fee$ ';� 6'&>d� CCF$ 19, r,, CO/CC$ Scanning Fee$ , Radon Fee$ a 5 Q DBPR$ b ✓O Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$` (Revised02/24/2014) a � d ; 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 wh' h occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not be ap ved and a reinspection fee be charged. Signature �, Signature OWNER or AGENT CONTRACTOR The foregoing instrumentw /acknowledged before me this The foregoing instrument was acknowledged before me this Irl day of A 20��J by day of ��/ 20�� .by �'E; giAo who is personally known to a e alb who is personally known to me or who has produced as me or who has produced Z_ as identification and who d* W 11� oath. Jeff Diego identification and who did take Jeff Diego NOTARY PUBLIC: 9-0c COMMISSION # FF181160 NOTARY PUBLIC: �� �= COMMISSION # FF181160 aQ EXPIRES:December 4,2018 . EXPIRES:December 4,2018 /' I ` WWW.AARoNNOTARY.COM ii e,,' WWW.AARONNOTARY.COM �mma� Sign: Sign: Print: Vift Print: fto Seal: Seal: � e APPROVED BY ! � � Z�//�U�i� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)