EL-16-2147 P �• -��-2'' 47
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Miami Shores Village fi1?CtPe,*,
10050 N.E.2nd Avenue NE
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Miami Shores,FL 33138 0000
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Phone: (305)795-2204
Exiration: 03/12/201
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Project Address Parcel Number Applicant
853 NE 96 Street 1132060142820
LUIS&IRENE HERNANDEZ
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
LUIS&IRENE HERNANDEZ 853 NE 93 Street (305)754-4811
MIAMI SHORES FL 33138-2521
Contractor(s) Phone Cell Phone $ 900.00
Valuation:
MAXIMO ELECTRIC (305)283-2418 (305)238-3755 Total Sq Feet: 0 ,,
Type of Work:REPLACE PIPI TO FPL AND SERVICE REP 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-7-16-60808
DBPR Fee $2'25 07/29/2016 Credit Card $50.00 $114.10
DCA Fee $2.25
Education Surcharge $0.20 09/13/2016 Credit Card $ 114.10 $0.00
Notary Fee $5.00
Permit Fee-Additions/Alterations $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $164.10
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,W OWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certi t th a oI ormation is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Fu e,I orize t bove-named contractor to do the work stated.
September 13, 2016
Authorized Signature:Owne / Applicant / Contractor / Agent Date
Building Department Copy
September 13,2016 1
Inspection Worksheet
Miami Shores Village Z,
10050 N.E.2nd Avenue Miami Shores, FL L
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-268390 Permit Number: EL-7-16-2147
Scheduled Inspection Date: October 05,2016 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: HERNANDEZ, LUIS& IRENE Work Classification: Service Change
Job Address:853 NE 96 Street
Miami Shores, FL 33138- Phone Number (305)754-4811
Parcel Number 1132060142820
Project: <NONE>
Contractor: MAXIMO ELECTRIC Phone: (305)283-2418
Building Department Comments
REPLACE PIPI TO FPL AND SERVICE REPAIR Infractio Passed Comments
TO CLOSE OUT PERMIT EL14-2699 INSPECTOR COMMENTS False
Inspector nt
Passed
Failed � -C
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 04,2016 For Inspections please call: (305)762-4949 Page 18 of 21
Miami Shores Village
'C.FIT "'W'D
Building Department JUL 2 9 2016
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 -�
Tel:(305)795-2204 Fax:(305)756-8972 °x,
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20�
BUILDING Master Permit No. 2
PERMIT APPLICATION sub Permit No. �
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: A4
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: / / -30 0&G /4 0 900 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction T pe: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): / � Phone#: 7(� 2
Address:
City: � I S12r9��S State: C- Zip: 3 /
Tenant/Lessee Name: Phone#:
Email: \
CONTRACTOR:Company Name: a-4 jCliat? �L�G? l a-�'aC�� Phone#: -3 7-67-6-
Address: 161-'7 --
City: �.� / State: Zip: 3 3/77
Qualifier Name:X,C Xr/?J U 'K 71,11 Phone#: --5-D 238 --3-76-5
State Certification or Registration#: Certificate of Competency M
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 6W,4r�D Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work:
Q E,* 2 17—
Specify color of color thru tile: d
Submittal Fee$ Permit Fee$ w�®r CCF$ CO/CC$
Scanning Fee$ Radon Fee$ 2 ' 25 DBPR$ 2 , Notary$ E2 a CQ
Technology Fee$ -80 Training/Education Fee$ 6 • 2D Double Fee$ l"
Structural Reviews$ Bond$
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
a
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 approv and a reinspection fee will be charged.
Signatur Signature
OWNER or AGENT "CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
a�_CA day of �:(J 20 J by 2 day of 7-Pisv�_ 20 !G by
ho is p s a kno neo who is personally known to
� ry_1Ty � ---5'
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: �Iphp,pP, B� NOTARY PUBLIC:
Sign: � g P Sign:
Print: t��: _ Print: °�� ELVR BAYONA
^i�Oed2Bo y1A,t� �*� Seal: cummib
o^�° My EXPIRES:Jllly 1,019
Seal: �a
�.G ..2:�dlhru �
iii TE of
APPROVED B /� Z�'y�6Y�/ Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)