EL-17-1958Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
897 NE 91 Terrace
Miami Shores, FL 33138-
Parcel Number
Date: 81212017
Residenitia
ow Voltage
APPROVED
Expiration: 01/29/2018
Applicant
1132060050300
Block: Lot:
TIMOTHY JAMES MARSH JAME
Owner Information
Address
Phone
CeII
TIMOTHY JAMES MARSH JAMES
3250 NE 1 Avenue
MIAMI FL 33137-
3250 NE 1 Avenue
MIAMI FL 33137-
Contractor(s) Phone
DADE COUNTY ELECTRICAL CONTRA
CeII Phone
Valuation:
Total Sq Feet:
Type of Work: TV AND PHONE WIRE
Additional Info:
Classification: Residential
Scanning: 3
Fees Due
CCF
DEPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.25
$2.25
$0.20
$150.00
$9.00
$0.80
$165.10
Pay Date Pay Type
Invoice # EL -8-17-64745
08/01/2017 Check #: 1489 $ 50.00 $ 115.10
08/02/2017 Check #: 262 $ 115.10 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Review Electrical
1
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 fore
construction and zoning. Futhermor uthorizth
ng information is accurate and that all work will be done in compliance with all applicable laws regulating
above-named contractor to do the work stated.
August 02, 2017
Authorized Signature: 0 / Applicant / Contractor / Agent
Building Department Copy
Date
August 02, 2017 1
BUILDING
PERMIT APPLICATION
❑ BUILDING )4 ELECTRIC
❑ PLUMBING ❑ MECHANICAL
JOB ADDRESS:
City:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
Master Permit No.
Sub Permit No.
❑ ROOFING ❑ REVISION
❑ PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
S ct -1 NNE. 1 A.e.N l Com.
RECEIVED
AUG 0 1 .,f„
FBC2O
11-111 I
EXTENSION ❑RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
Miami Shores
County:
Miami Dade
Zip:
Folio/Parcel#:
V-52- oc.0., S
Occupancy Type: Load: Construction Type:
Is the Building Historically Designated: Yes NO
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder))::��7";),M074.).. //,./G IS ecti r% Phone#:
Address: /f �er fe Ln/ /tel/40: /& ar 4 c/ . 3 3 /3g
City: -imam; NGie State: P1 Zip: 3 3 / 3 9
Tenant/Lessee Name: Phone#: 305 T 70%36
Email:
CONTRACTOR: Company Name:c��.c.o:1\ �,n� Phone#: 7,3G, ^ 519 C9 ^t2- c/ �•
-Poe-. " Co -12S
Address:
City:
Qualifier Name:
-76 pi
State: V(
State Certification or Registration #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Phone#:
Zip: : O
Certificate of Competency #:
Value of Work for this Permit: $
Type of Work: ❑ Addition
Square/Linear Footage of Work:
❑ Alteration ❑ New
Description of Work:�- C� 144: --e.,\
Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ 56,eiat30 Permit Fee $ Ar2/Op CCF $
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
CO/CC $
Notary $
Training/Education Fee $ Double Fee $
Bond $
TOTAL FEE NOW DUE $`•`®
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.
.tPg
OWNER or AGENT
Signature Signature
CONTRACTO
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
52 day,,��� � /
of � G4,:. Al 20 /7-- , by 31 day of l , 20 /1- by
�_ , i//,,•/=,,j Al i% who is personally known to .JeSU.S_ 'rias , who is//personally known to
as me or who has produced X. ' AL- as
identification and who did take an oath.
NOTARY PUBLIC:
me or who ha
ed
et, 1071
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Sign: %
Print: Ale
Seal:
************************************************************************************************************
APPROVED BY
(Revised02/24/2014)
/ 9i 4- 1), Plans Examiner Zoning
Structural Review Clerk
JP At-
'0ttE e 4