EL-17-1235Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. EL -5-47-1235
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit Status: APPROVED
Issue Date: 5/26/2017
Expiration: 11/22/2017
Parcel Number
Applicant
665 NE 97 Street
Miami Shores, FL
1132060171910
Block: Lot:
RAMIN & BETHANEY VEJDANI
Owner Information
Address
Phone
Cell
RAMIN & BETHANEY VEJDANI
665 NE 97 Street
MIAMI SHORES FL 33138
305/758-9375
Contractor(s) Phone
SHINE ELECTRICAL ENGINEERING (305)688-2000
Cell Phone
Valuation:
Total Sq Feet:
$ 1,000.00
0
Type of Work:
Additional Info:
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$4.50
$4.50
$0.20
$300.00
$3.00
$0.80
$313.60
Pay Date Pay Type
Invoice # EL -5-17-63913
05/26/2017 Check #: 301514
05/05/2017 Check #: 301515
Amt Paid Amt Due
$ 263.60 $ 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 AFFID : I ce ify the t all th oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and ' on' F arm. e, I size the above-named contractor to do the work stated.
May 26, 2017
Aut • riz • Signatur : Owner / Applicant / Contractor / Agent Date
Building Department Copy
May 26, 2017
1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION UNE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑ BUILDING 0 ELECTRIC ❑ ROOFING
❑ PLUMBING ❑MECHANICAL ❑ PUBLIC WORKS
JOB ADDRESS: to l.o S N E CI ST
FB -C 201`��
Master Permit No.WP P /23 y
Sub Permit No.(-.- ( 3 S
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County:
Folio/Parcel#: 11 3Z—l. - b (9- - Iy(0
Occupancy Type: Load: Construction Type:
OWNER: Name (Fee Simple Titleholder):
Address: (Q (Q� k)E
ST
Miami Dade Zip: 3 3 ( ?$'
Is the Building Historically Designated: Yes NO •
Flood Zone:
BFE: FFE:
Phone#:
City: IA -
4 C(,.n nG )
State: I>CI
Tenant/Lessee Name:
Email:
Phone#:
Zip: 33 )3 a'
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING
Address: 3876 NW 125 ST
Phone#: 305-688-2000
City: OPA-LOCKA State: FL
Qualifier Name: FRANCISCO SANTOS
State Certification or Registration #: EC0001514
Phone#:
Zip: 33025
305-688-2000
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City:
Value of Work for this Permit: $ 100 , OJ Square/Linear Foota a of Work:
Type of Work: ❑ Addition ❑ Alteration ❑New �. tepair/Replace n Demolition
{rte•11--,- (2 c 4-'j r.....\ e.,A(2,,,,.c.„...,..,\__, C `, nA s t� ` 6.0._ tr..,
State: Zip:
Description of Work:
Specify color of color thru tile:
Submittal Fee $ /33 '03
Scanning Fee $ 3. 4�
Technology Fee $ 6 ` 8
Permit Fee $ 7o Pie, 0
Radon Fee $ 4• 5)
Structural Reviews $
(Revised02/24/2014)
Training/Education Fee $
CCF $0 ' 60
CO/CC $ 0
DBPR $'4 • 50 Notary $ O
h. 23
Double Fee $ 0
Bond $
TOTAL FEE NOW DUE $ 2C3 • b(j
tr
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
ay off -)Y1
me or who has produced
, 20 r1 , by
, who is personally known to
as
identification and who did take an oat
N'T RYPUBUC:
Sig
Pr
Seal:
- - - - Vai Iiiiii
`,[ IfI • �' �temb 017 I
Jot •
APPROVED BY
(Revised02/24/2014)
CONTRACTOR
The foregoing instrument was acknowledged before me this
1 day of Ma %—zi , 20 1-1 , by
15 46I P�Yc$ -i .0 o
, who is personally known to
me or who has produced
identification and who did take an
ARV PUB C•
laLf,.:1
....
Sig
Print:
Seal:
'2L I }' Plans Examiner
Structural Review
MY COMMISSION #FF 022108
EXPIRES: September 27, 2017
Bonded 0 r ge
ThNNotary Pubic UnC'etwritr,: .
as
Zoning
Clerk