EL-17-1715Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. EL -7-17-1715
Permit Type: Electrical - Residential
Work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 7/17/2017
Expiration: 01/13/2018
Parcel Number
Applicant
401 NE 94 Street
Miami Shores, FL 33138-
1132060140480
Block: Lot:
JACQUELINE BECERRA
Owner Information
Address
Phone
Cell
JACQUELINE BECERRA
401 NE 94 Street
MIAMI SHORES FL 33138-2845
(786)201-4321
Contractor(s)
DAW ELECTRIC INC
Phone Cell Phone
(786)877-3500
Valuation:
Total Sq Feet:
$ 1,000.00
0
Type of Work: ELECTRICAL HOOK UP FOR POOL AND SPA
Additional Info: ELECTRICAL HOOK UP FOR POOL AND SPA
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 -7-17-64470
07/03/2017 Check #: 41791
07/17/2017 Check* 41829
Amt Paid Amt Due
$ 50.00 $ 263.60
$ 263.60 $ 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, 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 foregoing information is accurate and th• all work be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named contractor to do ;t work std
Authorized Signature: Owner / Applicant /
Building Department Copy
Contractor //Agent
July 17, 2017
Date
July 17, 2017 1
BUILDING
PERMIT APPLICATION
❑BUILDING 10 ELECTRIC
E. SVS Gat��I
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
❑ ROOFING ❑ REVISION
RECEIVED
JUL 03 2017 q
01-4
BC20 I` -i _
Permit No. P P (0 171 ('4 S
Sub Permit No. 17----1*— 15
❑ EXTENSION RENEWAL
EI PLUMBING ❑ MECHANICAL El PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
( CONTRACTOR DRAWINGS
JOB ADDRESS: 1U Vr ([ 33
i3 Y
City:
Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3).&--014- 04 8 Is the Building Historically Designated: Yes NO ?C‘•
Occupancy Type:
Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Siimplee Titleholder):��a(ALi rl.p e Q.,1rrx Phone#:
/
Address: '46 ( Mi 44
4
City: .64'szS
State: '1
Tenant/Lessee Name:
Phone#:
Zip:
13
Email:
CONTRACTOR: Company Name: D.A.W. Electric Inc.
Address: 20421 NW 22th Ave.
City: Miami
Qualifier Name: Derrick Williams Phone#: 786-877-3500
Phone#: 786-877-3500
State: Florida
zip: 33056
State Certification or Registration #:
DESIGNER: Architect/Engineer:
.Address: City
S uare Linear. Footage of Work:
) r Value of, 00C) Work for this Permit: $ 00C)q , _ / � g
Type of Work: ❑ Addition ❑ Alteration ❑ New ; ❑ Repair/Replace
Description of Work: E. -.) L-=-.
EC -13005443 Certificate of Competency #:
i = Phone#:
State: Zip:
❑ Demolition
:t +"
Seci
p fy, color of color thru
Submittal Fee $
Scanning Fee $
Technology Fee $
tile:
Permit Fee $ 5Pd eO CCF $ CO/CC $
Radon Fee $ DBPR $ Notary $
Training/Education Fee $ Double Fee $
Structural Reviews $
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $ 2.6.3•60
Bonding Company's Name (if applicable) N/A
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 s eject o attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first ins! •ction ich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection wil not be a • • r. d and a reinspection fee will be charged.
OWNER or AGENT
The1foregoin: instru nnt,`was acknowledged before me this
a"� ay of rr ��V`�._ 2
acq(t A"�_/L
6tai.', who is perso
me or who has produced h' L -
identification and who did take an oath.
NOTARY PUBLIC:
Sign
Print:
Seal:
CONTRACTOR
The foregoing instrument was acknowledged before me this
,20 b ! ',by
023 day of
ho is • onally know to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
***************************************************************************************************
APPROVED B�
(Revised02/24/2014)
?Y2.' V ! ) Plans Examiner
Structural Review
Zoning
Clerk