EL-16-3011 Permit NO. EL-11-16-3011
RFs Miami Shores Village Permit Type:Electrical -Residential
't
10050 N.E.2nd Avenue NW ' Work Classification:Alteration Miami Shores,FL 33138-0000
Per Phone: (305)795-2204 Permit Status:APPROVED
F�ORLD4`
Issue Date: 2121/2017Expiration: 08/2012017
Project Address Parcel Number Applicant
102 NW 93 Street 1131010330900
Miami Shores, FL 33150- Block: Lot: JONI HARRIS
Owner Information Address Phone Cell
JONI HARRIS 102 NW 93 ST
MIAMI FL 33150-2235
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 '
PRO ELECTRICAL SOLUTIONS INC (954)274-7465
ti,M -_--- . __.. Total Sq Feet: 100
Type of Work:GFI BATHROOM WALL AND CEILING FOYER Available Inspections:
Additional Info:
Inspection Type:
Classification:Residential
Review Electrical
Scanning: 1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
Invoice# EL-11-16-61909
DBPR Fee $2.25
DCA Fee 02/21/2017 Credit Card $ 159.10 $0.00
$2.25
Education Surcharge $0.20
Permit Fee-Additions/Alterations $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $159.10
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFI VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
conZing
ing. Futhermore,I thorize th aby-.aaa;@dm^*-actor to do the work stated.
February 21, 2017
ature:Owner pplicant ontractor / Agent Date
BDepaftmeAt Copy
February 21, 2017 1
Miami Shores Village
Building Department ,
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 NOV 0 3 X016
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201'($
BUILDING Master Permit No. BGI6 ^tea.
PERMIT APPLICATION Sub Permit No. E(, NO 30 11
❑BUILDING V ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores CountV: Miami Dade Zip: 3�
Folio/Parcel#: i —?J I ( �"—�Q 0 Is the Building Historically Designated:Yes NO ✓✓
Occupancy Type: SP Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name(Fee Simple Titleholder): Phone#:
Address:
City: State: Zip: 33� rr
Tenant/Lessee Name: Phone#:
Email: ,, '
CONTRACTOR:897,1
Company Name: �le��el�U� ��f/���� �N�� Phone#:
7
Address: f 1S Z1 M2 2,�"k
City: G el7ls State: Zip:
Qualifier Name: ,S / Phone#: t `'-
State Certification or Registration#: / 6 5 Certificate of Competency#: 116 0 090$'1 Z
DESIGNER:Architect/Engineer: \ �� Phone#:
Address: Z Q • /`" City: te:t7LZip3—Ina,0
Value of Work for this Permit:$ oc Sq are/linear Footage of Work: CK=�
Type of Work: ❑ Addition Alteration ❑ New ❑r -Repair(/�R,eplace ❑ Demolition
Description of Work: r -- C Uv`�-'� atnI\
4t,-A 4=!!2 f
Specify color of c9lor thru tile:
Submittal Fee$ Permit Fee$ 4-4 0/ b O CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ n
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.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before/me this
e2 7 day of 6�P.Ctii�n, 20 �'L by �, day of IV oU&144 6,r 20 / 61 by
bix /fi�,��t-� ,who is personally known to fV44d #l.tiu1-1i5 ,who ispersonally known to
me me or who has produced as
ideR44ea4exrand who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
g d1. Sign:_.
Print: a ' Y pn. Print: v o 1,D r l�
A.TWWSM
Seal: * MY COMMISSION#FF1670M Seal: �;•••.°�% BETTYHOLDER
s,9t o� EXPIRES:January 24,2019 * * MY COMMISSION#FF 159690
"OF F��Q' Borded Thru Budget Notary Smka �f EXPIRES:September 25,2018
'���oa'a Bonded mru Budget Notary Serft
APPROVED BY ly;r/4'.� /�' Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)