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EL-16-3491 Miami Shores Village PerWTIdentlaly 10050 N.E.2nd Avenue NE c W6rk Ga °:Acj,0n/Alteraltion Miami Shores,FL 33138-0000 h m Phone: (305)795 2204 P"rift Stas,AP PROVED, I , 7 Expiration: 07/02/2017 .3y 'hitt Project Address Parcel Number Applicant 1192 NE 91 Terrace 1132050010480 NICHOLAS PATON �. Miami Shores, FL Block: Lot: I Owner Information Address Phone Cell NICHOLAS PATON 1192 NE 91 Terrace (786)301-9433 j MIAMI SHORES FL 33138- f 1192 NE 91 Terrace MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 800.00 INDUSTRIAL ELECTRICAL SYSTEM C 305/228-1384 Total Sq Feet: 0 f Type of Work:garage convertions:install 6 outl Available Inspections: Additional Info:garage convertions:install 6 out[ Inspection Type: Classification:Residential Final Scanning:1 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical W.W. Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# EL-12-16-62498 $2.25 01/03/2017 Credit Card $ 109.10 $50.00 DCA Fee $2.25 Education Surcharge $0.20 12/29/2016 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I ce ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio an oning. F e ore,I authorize the above-named contractor to do the work stated. • January 03, 2017 Authoriz d Signature:Ow r / Applicant / Contractor / Agent Date Bu11din Department Copy January 03,2017 1 Miami Shores Village Building Department 4BY: QA 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 rf BUILDING Permit No.E L PERMIT APPLICATION AQ 13 Master Permit No. RC1016-2784 FBC 20 Permit Type: Electrical OWNER:Name(Fee Simple Titleholder): NICHOLAS D PATON Phone#: Address: 1192 NE 91 TER City: Miami Shores State: Florida Zip: 33138 Tenant/Ussee Name: Phone#: Email: JOB ADDRESS: 1192 NE 91 TER City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 11-3205-001-0480 Is the Building Historically Designated:Yes NO x Flood Zone: CONTRACTOR:Company Name: Industrial Electrical Systems Cora Phone#: 305 388-4648 Address: 14050 SW 84 ST 206 City: Miami State: FL Zip'33183 Qualifier Name: Nestor 1. Corvea Phone#:305 388-4648 State Certification or Registration#: EC13 002182 Certificate of Competency#: Contact Phone#: 305 3884648 Email Address: iedodda@comcast.net DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ 800'00 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration LIN ❑Repair/Replace ❑Demolition Description of Work: garage convertions: Install 6 outlets, 1 fan imoke detectors °m�� Submittal Fee$ t?i o Permit Fee$ /�©�®� CCF$ t9 b CO/CC$ Scanning Fee$ Radon Fee$ 2 . Z S DBPR$ 2 ZS Bond$ Notary$ Training/Education Fee$ _Technology Fee$ () . so Double Fee$ Structural Review$ _ TOTAL FEE NOW DUE$ BoUding Company's Name(if applicable) A 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 ELECTRICAL WORK,PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 a ved and a reinspection fee will be charged. Signature Signature v/ 17T : Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 13th day of ,20/G,by 5i:;1/97T7A1 day of December ,20 16,by Nestor I Corvea who is ersonay snow o me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY P LIC• -0 NOTARY PUBLIC: Sign: Sign: `' FRANCISCO P. MORALES Print: k Print: _ 4 Notary Public-State of Florida tlLBERTOCABALLERO Francisco P.M e C' My Commissio EXPIRES:Match 29.2= My Commission Exp- QP �� My Comm.Exp.November 17,2017 ' �� 8cnd8dTlu ftgPuft UMOM7itere tiffigWThru National Assocation-Florida ��))k�k�B#��k�k�R��k�kS�aB�IaiksS�A��'3�sRakaksR�&sk�kik�sh�k��k��ksRKs�&�sk�k��k�k��R��h�3�R��RA��&�B��skak��ak�k��k� APPROVED BY ?9'�/ 4/*fans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)