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EL-15-2133 Permit NO. EL-12-15-3133 `5D°Res i,� Miami Shores Village Permit Type: Electrical -Residential ,••„� 10050 N.E.2nd Avenue NEPerlill"t Work Classification;Addition/Alteration Miami Shores,FL 33138-0000 Permit status:APPROVED Phone: (305)795-2204 LORtDp` Issue Date: 1/5/2016 Expiration: 07/03/2016 Project Address Parcel Number Applicant 35 NE 91 Street 1132060130100 Miami Shores, FL 33138- Block: Lot: JEAN-BAPTISTE RAMET Owner Information Address Phone Cell JEAN-BAPTISTE RAMET 35 NE 91 Street (954)667-5242 MIAMI SHORES FL 33138- 35 NE 91 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 6,750.00 ELECPLUM ENTERPRISES iNC. (786)295-4004 _.._.., _ �_ _ ............._m.........�.._. ____.___. Total Sq Feet: 00 Type of Work:NEW OUTLETS SWITCH KITCHEN AND BATH Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning: 1 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical Underground W.W. Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $4.20 DBPR Fee Invoice# EL-12-15-58104 $3.55 01/05/2016 Check#: 128 $207.55 $50.00 DCA Fee $3.55 Education Surcharge $1.40 12/18/2015 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $236.25 Scanning Fee $3.00 Technology Fee $5.60 Total: $257.55 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 t II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. F re,I a horize the above-named contractor to do the work stated. January 05, 2016 Authorized Sig a ur wrier / Applicant / Contractor / Agent ate Building Dep rtment Copy January 05, 2016 1 Miami Shores Village 7BY: -FF--- 1,77 Building Department .C182015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 llrll- Tel: (305)795-2204 Fax: (305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2�1�� BUILDING Master Permit No.VZ' s-- 2 65' PERMIT APPLICATION Sub Permit No.2�f 33 ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP f c� CONTRACTOR DRAWINGS , JOB ADDRESS: � E �J� �� —­ 3 1 Z�9 Cit Miami Shores Count Miami Dade Zi L. Folio/Parcel#: Is the Building Historically Designated:Yes NO P.0of 19 Occupancy Type Load: Construction Type: Flood Zone: BFE: FFE: Y / OWNER: Name(Fee Simple Titleholder): V �� Phone#: iv � Address: �J Q4 �+`► City: I \ AA-1 State: ��1' Zip: 3 O Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Z�IgelPhone#:; 52 Address: W City: teaState: Zip:O����! �2- Qualifier Name: . Phone#:�0 :2 OQ State Certification or egistration#: e 0 0 n ificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ C) Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace 1❑ Demolition Description of orlC: A �. .,.ysc.~.4J:a�✓ .il Nk.1!' .} _ -.....- ,e.,. i i�,�.4'I ...,,7.+'.,r�`3 •dj'i�'+ e is (••'S�• «,h Y,{;".hi NV.I .S Specif_y,color.of color Mru;till: `°�_ ' ' f.w..:.,...w}!}w...+..r.R.w_ •l' J^.s -- r t.....-.J'..� / •�..�w..s�....t...,.a..•...:�+...r.y.....-w.r«x w.�! Submittal Fee$ C� Permit Fee$ iZ 3Y�ij CCF$ 4• Z-d CO/CC$ Scanning Fee$ a Radon Fee$ l DBPR$ 'Notary$ Tectology Fee$ •60 Training/Education Fee$ ' 440 Double Fee$ Structural Reviews$ Bond$ nn� TOTAL FEE NOW DUE$ (Revised02/24/2014) 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 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. t Signature Signature 6- erl ER rAGENT CONTRACTOR The foregoing instrument was acknowledged beforemethis The foregoing instrument was,acknowledged before me this day of ! 20 ��' by — day of 20 b by 1 L who is personally known tol "CToRtSo N who is personally known to me or who has produced as me or who has produced —L J , as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print:kLQXC-- Ile I LALWA UOINTO Seal: MY COMMISSLQN 0 FF241289 Seal: MY COMMI L EXPIRES Septen06,2019 SSt1aN 0 F F24t289 '• �er y, ., ,.• EXPIRES Seplenf)er OS,2019 (401)J96-0:�3. .can (401)sw-c:SJ sAm APPROVED BY /1 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)