EL-17-1411 Iva
Miami Shores Village M _ PermitType t tri�av-rm
�+ 10050 N.E.2nd Avenue NE ALM
'� INr�rlaftir;abotlltii1011
Miami Shores,FL 33138-0000
Phone: (305)795-2204 »�_
issue Bates 513112017, Expiration: 1/27/2017
Project Address Parcel Number Applicant
100 NE 92 Street 1132060133290
Miami Shores, FL 33138- Block: Lot: STEPHEN MCGUINNESS
Owner Information Address Phone Celt
STEPHEN MCGUINNESS 100 NE 92 Street (561)246-1021
MIAMI SHORES FL 33138-
100 NE 92 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 1,200.00
LONGMAN ELECTRIC INC (305)758-1211
_. .... Total Sq Feet: 0
Type of Work:CHANGE OUT EXISTING METER CAN BAD J Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Review Electrical
Scanning:3
Fees Due jAn �Date Pay Type Amt Paid Amt Due
CCF
Invoice# EL-5-17-64113
DBPR Fee 05/25/2017 Credit Card $50.00 $116.70
DCA FeeEducation Surcharge 05/31/2017 Credit Card $ 116.70 $0.00
Permit Fee-Additions/Alterations Scanning Fee Technology Fee Total:
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructio d zoning. Futhermo ,I authorize the above-named contractor to do the work stated.
May 31,2017
Autho ized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
May 31,2017 1
ITEC FT�r D
Miami Shores Village MA 2.5 2011
BY-
BuildingDepartment ��
p
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 _P
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC20114
BUILDING Master Permit No. �
PERMIT APPLICATION Sub Permit No.
❑BUILDING `ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
/7CONTRACTOR DRAWINGS
JOB ADDRESS: ®y Z�� See
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: // 300& — 'f/3 32t-�749 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: (FF/E:
OWNER: Name(Fee Simple Titleholder): �� � /14 LC? U/°r✓F$S phone#:'5G ( 4—�1
Address: /&V WF- 'l 2'4j"2N S'72-7—ee—l—
City: A1114 M" State: Z Zip: 7-31 3 4P
Tenant/Lessee Name: ' '� Phone#:
Email: 11/`4
CONTRACTOR:Company Name: 4'0A1 A4AJ A1 Phone#: ��✓� ����'/�//
Address: 4'& " lW711-11
City: W/,dWI State: dll:::�& Zip:
Qualifier Name: Al/�r L_ "Id4 mAltl Phone#:
State Certification or Registration#: 4�FG Certificate of Competency#:
DESIGNER:Architect/Engineer: //� Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 2 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: 6,65 07— eAl S tLAIA1�� e4AI AXP �_7X W_5,
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ /'`✓ o�� CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 1 �0
(Revised02/24/2014)
Y 111/4
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 fore ging instrument was acknowledged before me this
ZV4%. day of 2017 by r day of N14 20 J7 , by
ShiL- 1KcA�.ciAAtfS ,who is personally known to /1"/ �►G(,P l 0/1 12r —ho is personally known�to
—r
. g 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: /`0
Print: Print:
L�zj
Pubifc Stets ofSeal: .», ,. Seal:MIRTHASANCHEZ MY COMMISSION#GG 095384 rra�lzo2t
EXPIRES:May 3,2021
APPROVED BYri� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)