EL-16-1821 Permit NO. EL-6-16-1821
RES Miami Shores Village Permit Type:Electrical-Residential
10050 N.E.2nd Avenue NE MLJR
rPIA Work Classification:Addition
Miami Shores,FL 33138-0000 Permit Status:APPROVED
Phone: (305)795-2204
fiCOR'lDA
Issue Date: 12/15/2016 Expiration: 06113/2017
Project Address Parcel Number Applicant
138 NE 106 Street 1121360050050
Miami Shores, FL 33138- Block: Lot: COREY MANION JTRS
Owner Information Address Phone Cell
COREY MANION JTRS 138 NW 106 Street
MIAMI SHORES FL 33138-
138 NW 106 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 5,000.00
TRUE POWER ELECTRIC INC
Total Sq Feet: 0
Type of Work:ELECTRICAL WORK FOR NEW ADDITION MA Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Review Electrical
Scanning: 1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.00
DBPR Fee Invoke# EL-6-16-60401
$3.38 12/15/2016 Check#: 130 $242.76 $0.00
DCA Fee $3.38
Education Surcharge $1.00
Permit Fee-Additions/Alterations $225.00
Scanning Fee $3.00
Technology Fee $4.00
Total: $242.76
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 z in Futhermore,I authorize the above-named contractor to do the work stated.
December 15, 2016
AutWorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
December 15,2016 1
Miami Shores Village 71J _3F0620116
'V
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Building DepartmentT10050 N.E.2nd Avenue,Miami Shores,Florida 33138 ]BYaL
4 Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 ST
FBC 20 !�
BUILDING Master Permit No. 2,
PERMIT APPLI ATION Sub Permit No. �-- [ Qo' I C9
❑BUILDINGLECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING AL []PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ��f3 ' 5
City: Miami Shores, County: Miami Dade. Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: //Construction Type':: Flood Zone: BFE: (,►FFE:
OWNER:Name(Fee Simple Titleholder): (-a'-Y,P r 1���°, J Phone#:
Address: co S-
City k State: �"— Zip: 3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: % y �t t/�% a:L�e-7' G Phone#: `79; 3 j q 1 542 Z
Address: �`� )v LV xis-
City:
isCity: M p• <o A T E State: F L- _ Zip: 3306 3
(Qualifier Name: f0� �vv Phone#• --7K> ���
State Certification or Regi tion#: EC /3 Qd 2 8 3/ Certificate of Competency#:
DESIGNER:Architect/Engineer: _ Phone#: �j
Address: 4-2.5 V h/Wit. /n G s7' City: .i tf��M41 � A'i< State: rL Zip:s
Valve-of Work for this Permit:$ -61000 00 Sgttare/Linear FootWo$Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: A D I STE/Z 13 t;pIZO Oiy A-tyl
D A-F44--.
Specify color of color thru tile:
Submittal Fee$ Permit Fe 1���0 CCF$ CO/CC$
Scanning Fee$ on Fee$ D $ Notary$
Technology Fee-$. Training/Education Double Fee,$,
Structural Revie� Bond$ !,,
TOTAL FEE NOW DUE$ Z U Z �
(Revised02/24/2014)
6ondi g Company's Name(if applicable)
Bonding Company's Address
City State Zip-
Mortgage Lender's Name(if applic
Mortgage Lender's Add
City State Zip
Application is hereby made to obtain a permit to �workand allations 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 OBTi tN FINANCING, CONSULT WITH-YOUR LENDER•OR AN-ATTORN€Y•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 ich curs seven(7)-days after the building permit is issued. in the absence of such posted notice, the
inspection will not b approve and a reinspection fee will be charged.
Signature Signature
/OWNERorAGENT v 4�Q�� a n�l�/� CO RACTOR
The foregoing instrument was acknowledged'before/me this The foregoing iastrunwnt was acknowledged berme me this
02 day of V1�_ 20 5v by 27- day of � _ by
who is personally known to .F6 6— w o is personally known
me or who has produced /�Z as me or who has produced as
identif+cation-and who did,take-an oath. identificat`"" T an h.
NOTARY PUBLIC: NOTARY P b
p9A�;.% Ii uneT1DA
ar �- of Florida
6124
j� 10 11.2019
Sign: v�" Sign: ondedlhtou II
Print: } J /JQ Print:
Notary Public,State of Florida Seals
Sea} Commission#FF 987414
MY comm.expires May 14.2=
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APPROVED BY Jrd�L/lv Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)