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EL-17-315 Permit NO. EL-2-17-315 Miami Shores Village Permit Type: Electrical -Residential 10050 N.E.2nd NE 2d AWork Classification:Low Voltage Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795 Per 2204 F�OR1Op' Issue Date.3/7/2017Expiration: 09/03/2017 Project Address Parcel Number Applicant 925 NE 95 Street 1132060143100 Miami Shores, FL 33138- Block: Lot: 925 NE 95 LLC Owner Information Address Phone Cell 925 NE 95 LLC 925 NE 95 Street (917)703-6010 MIAMI SHORES FL 33138- 925 NE 95 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 700.00 MB ELECTRIC SERVICE CORP (786)325-3383 _� �...... �. n Total Sq Feet: 0 Type of Work:LOW VOLTAGE Available Inspections: Additional Info:LOW VOLTAGE Inspection Type: Classification:Residential Review Electrical Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# EL-2-17-62867 $2.00 02/07/2017 Credit Card $50.00 $58.60 DCA Fee $2.00 Education Surcharge $0.20 03/07/2017 Credit Card $58.60 $0.00 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 AFFIDAV : 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 K g. Futhermore,I authorize the above-named contractor to do the work stated. March 07, 2017 Au izeignature:Owner / Applicant / Contractor / Agent Date ,04 Building Department Copy March 07, 2017 1 i o . Miami Shores Village ' ' � ) Building Department artment 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)7S6-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No.nnrzL 1 o— l4, -LZ PERMIT APPLICATION Sub Permit No.1/� 'BUILDING ❑ELECTRIC ❑ ROOFING EfREVISION ❑EXTENSION ❑RENEWAL ❑PLUMBING [:]MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑SHOP CONTRACTOR DRAWINGS JOB ADDRESS: "i 2 S fJ 1= "\S SZ City: Miami Shores County: Miami Dade Zio: 33034 Folio/Parcel#:_ I - 14 - 3yz>0 IS the Building Historically Designated:Yes NO Y_ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 2-S A �lS a LLC Phone#: Address: &00 YsL#' City:_ +-kk r-VA% State: T--LoZip: 3313" Tenant/Lessee Name: Q44 Phone#:('Z't -03 01 O Email:_1� � Q •v���.cs�►✓� CONTRACTOR:Company Name: V 95Pt�r� one#:COCASa S�S6 Address: 1 l Qfd k JAs \—Njt,� -tsV4 City: 4:11 \c\�_) State: Zip: X3325 Qualifier Name: 'S�QL� Q� Phone#: State Certification or Registration M �G- 1 S2©3-9 8 Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 4110Q_arm Square/Linear Footage of Work: O Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 40k- i S�C�cc�o 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$ 12 . (Revisedo2/24/2014) 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 rp Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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$250,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. Si nature4 Signature g B OWNER or AGENT CONTRA OR The foregoing instrument was acknowledged before me this The foregoing)nrument was a nowledged before me this !o day of -4=]gMm2§&'r 20 1'4 by G day of 20 1-:� ,by %C-�Aanyg:i0 V k aAL� who is personally known to 22'�'EOy3=2-6.- .who is personally known to me or who has produced b¢y1Xc�� as me or who has produced p ►_� V-Lz'� as identification and who did take an oath. identification and who did take an oath. "'Y�P'''� Ricardo Dominguez 0��g�,,,, NOTARY PUBLIC: ,°oPP ��5� Commission ; FF958686 NOTARY PUBLIC: ;�`,��kP• �e% Ricardo Dominguez ? ' s•. " Expires:February 8,2020 _ = Commission # FF958686 -�` "= Expires:February 8,2020 Sign: B d thru Aaron Notary Sign: thr.,42ron Notary Print: "P—Xc-comt�m Print: mC-Qt 1' 1J Seal: Seal: •4t••S�ttt•ttt�t��i••i/•�tiS�t�tM t• • itrMrrkr•�YM!•+�/�tt�itR►e4taRt�iltRKltiliitiltftitiit�ttr����tiROMl4 APPROVED BY 1 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)