EL-18-2985Location Address
Permit NO.: EL -10-18-2985 Permit IVR Number. 100228
Miami Shores Village "I �.-� Permit Type: Electrical- Residential
10050 NE 2 Ave
Miami Shores FL 33138 Work Classification: Pool
305-795-2204 Permit Status: Approver!
9400 N BAYSHORE DR, Miami Shores, FL 33138
Contacts
Issue Date: 10/17/2018 1 Expiration: 04/01/2019
Parcel Number Project
1132050100110 <NONE>
AMINE DOUKKALI MARIELA B ROVITO Owner AMINE DOUKKALI MARIELA B ROVITO Applicant
JTRS JTRS
801 N VENETIAN DR 907, MIAMI BEACH, FL 33139 801 N VENETIAN DR 907, MIAMI BEACH, FL 33139
Other: 3059926776 Other: 3059926776
SUNSHINE ELECTRICAL CONTRACTORS Contractor
CORP
MARIANO SANTIESTEBAN
1300 SW 85 CT, MIAMI, FL 33144
Business: 3052654958
Other: 7862736194
Description: ELECTRICAL AS PER PLAN Valuation: $ 3,000.00 Inspection Requests:
305-762-4949
Total Sq Feet: 231.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.90
Building Department Copy
Payments Date Paid
Amt Paid
Total Fees
$111.90
Credit Card 10/12/2018
$111.90
Amount Due:
$0.00
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.
OWNER FFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulatirlg go zoning. Futhfirjnore, I authorize the above named contractor to do the work stated.
icant / Contractor , / ' Agent
Date
October 12, 2018 Page 2 of 4
Miami Shores Village
Building Department RECEIVED
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 OCT 01 2018
Tel: (305) 795-2204 Fax: (305) 756-8972 4,
INSPECTION LINE PHONE NUMBER: (305) 762-4949 1
BUILDING
PERMIT APrEITION❑BUILDING RIC ❑ ROOFING
SBC GV`�
Master Permit No. P ? 1 - 9
Sub Permit No. QA -
❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: cT -t-j 0 0 y T�A 7S'40 (OF b 4
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11— 32, O.S'V P! o-" CYID Is the Building Historically Designated: Yes NO Y
Occupancy Type:S�-WLoad: Construction Type: 61lt Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Title/holder): f7'L//� /V ®1.1 � ''1}� Phone#: 3o, 6 D� O/')
Address: e0f � V ` eAR,�=l 4 /Z . q.
City: ' V4 - A &6 r &IM _ State: F( Zip: !3
Tenant/Lessee Name: Phone#:
Email: ,/ n
CONTRACTOR: Company Name: �w� t C� � vC_ "hone#: %96 C/Y 3 (FP7 0
Address: 13�/b'� I� I�) s w /
City: �l w' , State: ( Zip: Ll
,n
Qualifier Name: 'V ((X V ('OV -7C S��-e_ EAe_n )C) _Phone#:
State Certification or Registration #: G `� 0 0 -7
-1 b D / Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 310 00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑o Alteration ❑ /New pair/Replace ❑ Demolition
Description of Work: £�-eQ.-T� (L/¢L ��' /�� �✓�
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 $
(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
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first in ection whi ccurs seve 7) d s after the building permit is issued. In the absence of such posted notice, the
inspection will of I approveck nd a rgins e tiol e will be charged.
Signatu
OWNER or AGENT
The foregoing instr ent was acknowledged before me this
day of 0, by
u UA, who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: U \
Print:
Seal::q�fl�':+yfi CLARISSA A. RODRIGUEZ
MY COMMISSION # GG 041376
EXPIRES: December 30 2020
%:Eo. fro".•••` Bonded Thru Notary Public Underwriters
*******
APPROVED BY
(Revised02/24/2014)
as
Signature
CONTRACTOR
The foregoing instrument was cknowleclgecl before me this
— day of 20 1 by
r�A—
f
o i's personally known to
me or who has produced �aAsc ( as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
t
Print:
Seal:
Plans Examiner
Structural Review
AN7OW E GOMEZ
9Ay OOM1111S$ION 8811115
EXPIRES: AUG 25, 2019
Bonded through 1st Stale Insurance
Zoning
Clerk