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EL-17-831 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 671 NE 105 Street Miami Shores, FL 33138-2053 Owner Information trical .- Residenl Lou Volta APPROVED Parcel Number 201 Expiration: 07/22/2017 Applicant Address 1122310120100 Block: Lot: ROBERT MORENO CIO SASHA E Phone CeII ROBERT MORENO CIO SASHA 1 NE 2 Avenue MIAMI FL 33132- 1 NE 2 Avenue MIAMI FL 33132- Contractor(s) Phone TRANSFORMERS ELECTRIC LLC (305)300-0462 CeII Phone Valuation: Total Sq Feet: $ 2,500.00 0 Type of Work: LOW VOLTAGE PERMIT REQUESTED BY INS Additional Info: LOW VOLTAGE PERMIT REQUESTED BY INS Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.60 $2.00 $2.00 $0.60 $100.00 $3.00 $2.40 $111.80 Pay Date Pay Type Invoice # EL -1-17-62594 01/23/2017 Check* 1669 01/12/2017' Check #: 1644 Amt Paid Amt Due $ 61.80 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Review Electrical 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 t oregoing informatii'is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,r,:�'ze the above -nor' ed contractor to do the work stated. "71► January 23, 2017 Authorized Signature: Owner / Applicant / ractor / Agent Building Department Copy Date January 23, 2017 1 BUILDING 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 7 T- , D JAN 1 2 2017 FBC2019i' Master Permit No. PC - 8 - b -2310 PERMIT APPLICATION Sub Permit No. € L - 1- 1 �7 183 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR1DRAWINGS JOB ADDRESS: 6 / �£ fog S h4C 7 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): PoQG#-1 %nO/Cno Phone#:( /G) 3vY - ?903 Address: (07-/ A/£ 105 5//tc4 City: (7, A M i S ho /L S State: cL Zip: '33 / 3 2 Tenant/Lessee Name: Phone#: Email: rte, o r c n o /41/ JMaif. tom CONTRACTOR: Company Name: 7iaAS IOg ra e / S itecifl'e 11 C Phone#: Address: /NZ 0 igit // BAS/ Da / W yo ? - City: MAi State: 1" Zip: 3 3 / 3 / Qualifier Name: ,/OSe CAAo Phone#: State Certification or Registration #: gi 1301521/f. Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Z SOO . OO Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace n Demolition Description of Work: 1O4, %/./lq f4 /[['ami l ALT 6.4d /.../ 6 /4S1occio" C dem L4.4 Vis lc oro , 4.4. A.-4, cin./ c t6/e . Specify color of color thru tile: Submittal Fee $ 'O 9C:1 d Permit Fee $ / (5,00. 624-• CCF $ 1 ' a © co/cc $ Scanning Fee $ 1 ,, Radon Fee $ L. DBPR $ 2.. Notary $ Technology Fee $ Z 'Lit 0 Training/Education Fee $ c (0 0 Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE$ C1, ( o .*g- (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 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-aujl be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this 0444 day of v`r , 20 14 ' okie4 ry or c.o by , ho is personally known to me or who has produced as identification and who did take an oath. NOTARY P BLI Sign: Print: Seal: 1S6 l c vt4rj to .40:2;;•,, Marisol Quintana :°•',:, ' Commission#FF172378 .., <'Expires: OCT 28, 2018 BONDED THRU *************4#4 ***1*S**********T***i*L* APPROVED BY (Revised02/24/2014) Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of—1, 20 1 , by T1i5Q, &Lax , who is personally known to me or who has produced c' dV1VQt Lt -02 -AZ as identification and who did take an oath. NOTARY PU IC: 1 Sign: Print: Seal: IlU V�.A..vl'egscck Marisol Quintana =° 4. ';1Cemmission#FF172378 Expires: OCT 28, 2018 'F •••• BONDED THRU .'•" 1ST FLORIDA NOTARY, LLC *********************************************************************** f� v -Al /Y Plans Examiner Structural Review Zoning Clerk