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EL-17-2234Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. EL -9-17-2234 Permit Type: Electrical - Residential Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 911512017 Expiration: 03/14/2018 Parcel Number Applicant 955 NE 95 Street Miami Shores, FL 1132060143120 Block: Lot: JOENIRUTH FRIEDMAN Owner Information Address 955 NE 95 ST MIAMI SHORES FL 33138-2517 Phone Cell Contractor(s) LANGER ELECTRIC COMPANY Phone Cell Phone (786)251-8585 (305)759-5777 Valuation: Total Sq Feet: $ 2,000.00 0 Type of Work: EMERGENCY METER REPAIR Additional Info: EMERGENCY METER REPAIR Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $2.25 $2.25 $0.40 $150.00 $3.00 $1.60 $160.70 Pay Date Pay Type Invoice # EL -9-17-65082 09/15/2017 Check #: 8405 $ 110.70 $ 50.00 09/14/2017 Check #: 8403 $ 50.00 $ 0.00 Amt Paid Amt Due Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical W. W. Underground 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 certi / all the _ • • g information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning rize the above-named contractor to do the work stated. Authorized S:ai. • •wner / Applicant / Contractor / Agent Building Department Copy September 15, 2017 Date September 15, 2017 1 4 - BUILDING PERMIT APPLICATION Sub Permit No. ❑BUILDING Ei ELECTRIC ❑ ROOFING U REVISION ❑ EXTENSION DRENEWAL 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 5'h F BC 20i1 Master Permit No. €I `2 " 223' RECEIVED SEP 4 7P17 ©PLUMBING [] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONI RAC 1 OR DRAWINGS Jos ADDRESS: 955 NE 95 Street City: Miami Shores county! Miami rmde: Zip: Folio/Parcet t;11-3206-014-3120 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: rlood Zone: BFE: FFE; OWNER: Name (Fee Simple Titleholder): Jaen Friedman Phone#: 305-354-2233 Address:955 NE 95 Street City: Miami Shores State: Florida zip: 33138 Tenant/Lessee Name; Phone#: Email: CONTRACTOR: Company Name: Langer Electric Address: 955 NE 95th Street Phones: 954-984-8489 City. Fort Lauderdale State: ("I''`i`i'l Zip: 33138 Qualifier Name: Roger Langer Phone#: 954-984-8489 State Certification or Registration #: EC#0000099 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#; =Address: City: State: Zip: Value of Work for this Permit: $ 2000.00 Type of Work: ❑ Addition ❑ Alteration Description of Work: Emergency Meter Repair CRrsirr/t;,...:,r rootage of Work: ❑ New i.- Repair/Replace 0 Demolition Specify color of color thru tile: Submittal Fee $ �lr ermit Fee $ `gym r !a ' CCF < li2• 0 CO/CC $ Scanning Fee $ Radon Fee $ 2`Z5 Dish c al. . 2.5 Notary $ Technology Fee $ 1A.W v Training,/Educat;n» Ff.., : a �_eb)-- Double Fee $ Structural Reviews $ (Revised0Z/24/2014) Bond $ TOTAL FEE NOW DUE $ r Y Q •moo 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. ! understand that a separate permit mutt 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 YOl1R LEN Di i' flit AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." - Notice to Applicant: As a condition to the Issuance of a building permit with on estimated value exceeding $2500, the applicant mut promise in good faith that a copy of the notice of cwnntenccincttt and Cnrwruction lien low brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy cif 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. I absence of such posted notice, the inspection will not be approved and a reinspection fee will be c!Irtrrtrrl. Signature OWNER or AGENT The foregoing instrument was acknowledged before me t!ti,. I `\ day of C eQ t( 20 11 by Q.D-e.t't Fins Ga ilia ,i , who i persoallyo me or who has produced at, identification and wlak,.: > fnath. "alsa Leon Commission 1 FF96634f NOTARY PUBLIC: . • - ; ' , s. March 1, 2021, „t��' t ' Aaron Notary �/ Sign: Print: Seal: R- QL\s APPROVED BY (Revlsed02/24/2014) Signature CONtRACTOR The fnreori;ne instrument was acknowledged before me this riay p( September Roger Langer 20 17 by is per • nally kno me or who has produced as irlentlfirm:nn and who did take an oath. rir.)!'.R ,' sonic: a�ltllt . f rItr t 1 • s Commission 0 FF966348 Expires: March 1, 2020 s' Aaron Notary ' Sturded dint /.1-5' e/ Plans, Examiner $true Itiral I?'•vit' v ...r,11,,44...*4*4 Zoning. Clerk