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EL-17-796Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. EL -3-17-796 Permit Type: Electrical - Residential Work Classification: Pool - Private Permit Status: APPROVED Issue Date: 3131/2017 Expiration: 09/27/2017 Parcel Number Applicant 960 NE 97 Street Miami Shores, FL 33138- 1132060143160 Block: Lot: UCHENNA UKAZIM Owner Information Address 960 NE 97 Street MIAMI SHORES FL 33138- 960 NE 97 Street MIAMI SHORES FL 33138- Phone Cell Contractor(s) Phone SHINE ELECTRICAL ENGINEERING (305)688-2000 Cell Phone Valuation: Total Sq Feet: $ 1,500.00 0 Type of Work: PERMIT RENEWAL FOR POOL RENOVATION Additional Info: PERMIT RENEWAL FOR POOL RENOVATION 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 $4.50 $4.50 $0.40 $300.00 $3.00 $1.60 $315.20 Pay Date Pay Type Invoice # EL -3-17-63425 03/22/2017 Check #: 301381 03/31/2017 Check #: 301423 Amt Paid Amt Due $ 50.00 $ 265.20 $ 265.20 $ 0.00 Available Inspections: Inspection Type: Final Light Niche Bonding Review Electrical Alarms 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, serve ts, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING an. SWIM ING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate construction and zoning. Futhermore, I authorize the above-named contractor Authorized Signature: Owner / Applicant / Contractor Building Department Copy March 31, 2017 at all ork wi be done in compliance with all applicable laws regulating he wo state• March 31, 2017 Date 1 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 BUILDING PERMIT APPLICATION BUILDING Q ELECTRIC ❑ ROOFING PLUMBING ❑ MECHANICAL 0PUBLIC WORKS JOB ADDRESS: City: q(00 sJ c/ 5T Miami Shores y F V D M 2 2017 S FBC20(1 Master Permit No.: ?ADP 11—'793 Sub Permit No. EL 17-7% ❑ REVISION ❑ EXTENSION 'ENEWAL ❑ CHANGE OF ❑ CANCELLATION 0 SHOP CONTRACTOR DRAWINGS County: Miami Dade Zip: 33)3p Folio/Parcel#: 1k ,3' -CSI' - 316c. Is the Building Historicaiiy Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): vr/-Th Address: Cf(a.0. T- City: AA(C'-'fit State: BFE: FFE: Phone#:�(a�-jl�l- 34171 Zip: 33I3k Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING Address: 3876 NW 125 ST Phone#: 305-688-2000 City: OPA-LOCKA State: FL Qualifier Name: FRANCISCO SANTOS Zip: 33025 Phone#: 305-688-2000 State Certification or Registration #: P6 EC00001514� PP,�_ Certificate of Competency #: DESIGNER: Architect/Engineer: 1 AMAtV1 L-� r Phone#: -751"- Z7$ Address: ¶1 Sc -0 20 (0 L.-) City: (ll t&w, 1 State: Ill Zip: 3311'1 Value of Work for this Permit: $ ►5 CO Square/Linear Footage of Worlc: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Pu'm (4. ,-.4..., I Pb r kOcs A tie 117 Vo&Tj.,1 (f. k( -1-f1 CAk) EL 16 –lgo2 • Specify color of color thru Submittal Fee $ 50 Scanning Fee $ Technology Fee $ 1 ° GO tile: Permit Fee $ t e'di o0 CCF $ 1 ' 2-0 Radon Fee $ `► ' GO DBPR $ Sp Notary $ (Z2 Lie, CO/CC $ 99 Structural Reviews $ (Revised02/24/2014) )2) Training/Education Fee $ Double Fee $ Bond $ 0 TOTAL FEE NOW DUE $ 2 F>> • 20 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 b: • p. roved and a reinspection fee will be charged. KSignature (/ OWNER or AGENT The foregoing instrument was acknowledged before me this t4 day of, 20 I —I, by �1 le -1---k- , who is personally known to me or who has produced as identification and who did take an oat NOTARY • UBLIC: Sign: Print: Seal: .HERNANDEZ 108 ;-��-P EX • RES: September 27, 2017 '•FOF ;).0 Bonded Thru Notary Public Underwriters The foregoing instrument was acknowledged before me this -2.4=> day of 1�/G>t , 20 ( 7 , by DANIEL ESSIG , who is personally known to me or who has produced do identifica NOTARY Sign: Print: Seal: Ilan: who L4.1 itk„.2.7/411, ri''`1" M. ear:4-- `' •'•P eptember 27, 2017 4 IF R rt"• 3..rdcd Thn, Notary Public Underwriters as ************************************************************************************************************ APPROVED BY r Ravi carirl2 /24/2n141 84-72 /Plans Examiner Structural Review Zoning Clerk 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 BUILDING PERMIT APPLICATION El BUILDING Q ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL 0PUBLIC WORKS RE OEIVED MAY 202016 13Y: FBC l l j 2- 014(��"ED Master Permit NO'T (0-- ` t Sub Permit No. `t `-1'O _ I T ❑ EXTENSION ❑RENEWAL ❑ REVISION ❑ CHANGE OF CONTRACTOR JOB ADDRESS: e=1 (o C D NE- (9�r City: Miami Shores ❑ CANCELLATION ❑ SHOP DRAWINGS County: Miami Dade Folio/Parcel#: 1 1-3 Zc - O(4 - 31 Is the Building Historically Design Occupancy Type: Load: Construction Type It. 4 ` ,Flood Zone: OWNER: Name (Fee Simple Titleholder):v Gl'=-4--)c''1—► `-uie" X21 r-+--) Address: '1(.... N-- -1-7..--1- City: N T City:' v $L , k—v I7--CZ=.1ZS State: Tenant/Lessee Name: Email:> _ ? l�� Zip: Phone#: j CONTRACTOR: Company Name: SHINE -ELECTRICAL ENGINEERING Address: 3876 NW 125 ST Phone#: 305-688-2000 City: OPA-LOCKA State: F Qualifier Name: FRANCISCO SANTOS zip: 33025 Phone#: 305-688-2000 State Certification or Registration #: EC0001514 �r� i.;..«. Competency #: DESIGNER: Architect/Engineer: (/\..)•=tH+i_- 1✓4 o w k_► -1 Phone#: RSA- ea •e 3 z Zf‘.1J �ts S c.:=34 1 Hiq ►-,�• fL 344-1 Address: '.J ( City: 'c-' State: Zip: Value of Work for this Permit: $ I Type of Work: ❑ Addition Description of Work: E. 1 ----- 1 Square/LinearFootage of Work: ❑ Alteration ❑ New epair/Replace PI Demolition Specify color of color thru tile: Submittal Fee $ G. sCs CCF $ l f 8a coicc $ 00 Scanning Fee $ Technology Fee $ Permit Fee $ ' ' & G,'l� Radon Fee $ -/ ..-V DBPR $ . �® * Notary $ x% Structural Reviews $ (Revised02/24/2014) Training/Education Fee $ d • 4 D Double Fee $ Bond $ QQ^� TOTAL FEE NOW DUE $ 65's Ito. 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 l'UR FAILURE TO RECORD ; QQU�� TICE OF COMMENCEMENT MAY RESULT IN YOUR PAVIiIG A ICE FOR IMPRO ~ ; cITZUR PROPERTY. IF YOU INTEND TO OBTAIN FINI NICING CONSULT WITH YOet R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE4F 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 a • proved and a rei • • ection fee will be charged. _p Signature OWNER or AGENT The foregoing instrument was acknowledged before me this- - 1`-r day of 1 r i P✓=— ) , 20 -/ Co , IA, t- )i V )Q V 1(-.1eZ_tnavho is personally known to 10,116 as * ••• *S78.1;407,..4/ identification and who did take an oatf21. • ,)' :��Q�O �l4Wip�J'•. NOTARY PUB IC:0 p.iio �c- -.••�: I 2 • o��'d iii` • �' I) NI me or who has produced Sign: Print: Seal: APPROVED BY (Revised02/24/2014) Signature 0, 'Pt, " Th foYegoingg instrument was acknowledged before me this ' �2 day of M a� , 20 l `= , by .14 AFRANCISCO SANTOS , who is personally known to me or who has produced identification and who did take an NO f PUBLIC: Sig Print: Seal: as �,:; "'''••. YORLENY M. HERNANDEZ = MY COMMISSION # FF 022108 c r kTin; EXPIRES: September 27, 2017 eat,•-•- Bonded TNotary Public Underwriters Plans Examiner Structural Review Zoning Clerk