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EL-16-1594 j cy jr� �jjj� Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 his fAR Phone: (305)795-2204 Pem*StaW.AP ntpp• . E " 161016 Expiration: 01/14/2017 Project Address Parcel Number Applicant 10433 NE 6 Avenue 1122310120180 Miami Shores, FL Block: Lot: CAROL INVEST USA INC Owner Information Address Phone Cell CAROL INVEST USA INC 990 BISCAYNE Boulevard MIAMI FL 33132- 990 BISCAYNE Boulevard MIAMI FL 33132- Contractor(s) Phone Cell Phone Valuation: $ 7,000.00 CASSIA ELECTRICAL CONTRACTOR' (954)650-5840 (954)274-6277 _.. - _.._..... _ ,.,_._.. ...... Total Sq Feet: 500 Type of Work:INSTALL LIGHTING,SWITCHES,OUTLETS Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $4.20 Invoice# EL-6-16-60116 DBPR Fee $3.68 06/08/2016 Credit Card $50.00 $216.56 DCA Fee $3.68 Education Surcharge $1.40 07/18/2016 Credit Card $216.56 $0.00 Permit Fee-Additions/Alterations $245.00 Scanning Fee $3.00 Technology Fee $5.60 Total: $266.56 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 1 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 and zoning. F ore,1 authorize the above-named contractor to do the work stated. July 18, 2016 Aut Signaturs:Owner / Applicant / Contractor / Agent Date Bu 'ng Department Copy July 18,2016 1 Miami nores Village J N 08 2016 Building apartment By: . 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-49449 FC 2® 04 BUILDING Master Permit No.yoK-2 ( I PERMIT APPLICATION Sub Permit 1401�7'L.., I(_ 15 ❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION [—] EXTENSION [-]RENEWAL PLUMBING F-I MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10433 NE 6 Ave City Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 11-2231-012-0180 Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Carol Invest USA Phone#: Address: 990 Biscayne Blvd City: Miami State: Florida zip: 33132 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Cassia Electrical Contractors, Inc Phone#: (954)650-5840 Address: 8261 NW 48 St. City; Lauderhill State: Florida Zip: 33351 Qualifier Name: Glenworth Walker Phone#: (954)650-5840 State Certification or Registration#: EC13005907 Certificate of Competency#: DESIGNER:Architect/Engineer: Victor Bruce Phone#: (305)310-5030 Address: 370 N.E. 101 St. City:Miami Shores State: FI, zip: 33138 Value of Work for this Permit:$ 7,000.00 Square/Linear Footage of Work: 500 Sq. Ft. Type of Work: ❑ Addition ❑ Alteration ❑ New © Repair/Replace ❑ Demolition Description of Work: Install lighting,switches outlets as per plan inclutlinanr nnarting new A/C unit Specify color of color thru tile: ff✓ Submittal Fee$ �� • � ?L/c�Permit Fee$ i eO CCF$ ®JQ CO/CC$ Scanning Fee$ 0 Radon Fee$ DBPR$ �`' Notary$ Technology Fee$_ -5` 60 Training/Education Fee$ 1' �0 Double Fee$ Structural Reviews$ Bond$ ' TOTAL FEE NOW DUE$ ( � (Revised02/24/2014) Bonding Company's Name(if applicable) N/A Bonding Company's Address — city State Zip Mortgage Lender's Name(if applicable) N/A 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. Carol Inv st A, Inc. Glenw Walker Signature Signature G c� `O ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this —]'}'1'N day of 120 IC0 by day of N__414AA0 .20 .., by ` A.Qfionia 1nt,A who is D=saaally down to � is personally known t 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: Sign: Sign: Print: L(Jr4,Ca ' 15Q'Sl Print: TERRI L FLAHERTY ' Seal: Seal: ( MY COMMISSION#FFo78761 {' LUCIA ,� oP�a� EXPIRES January 28,2018 G ISASI •9- �i• _. MYCOM #FF1 �p ((407) 8a1� FIorldallota Service. y N u"�KO;9;0'.�8:kxs9a**,,.ku3c*,,*i,x k:e's --ember 10,2018 (�7)398-01s3 Flbor Not Serwce.wm APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)