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EL-17-920Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 mit Permit Na. EL -4-17-920 Permit Type: Electrical - Residential Work Classification: Alteration Permit Status: APPROVED Issue Date: 5/24/2017 Expiration: 11/20/2017 Parcel Number Applicant 1022 NE 91 Terrace Miami Shores, FL 1132050010300 Block: Lot: JENNIFER JORDAN Owner Information Address Phone Cell JENNIFER JORDAN 1022 NE 91 Terrace MIAMI SHORES FL 33138- (386)986-9440 Contractor(s) SKY ELECTRIC, INC. Phone 305-542-0060 CeII Phone Valuation: Total Sq Feet: $ 1,000.00 0 Type of Work: REPLACE KITCHEN OUTLETS Additional Info: Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $2.25 $2.25 $0.20 $150.00 $9.00 $0.80 $165.10 Pay Date Pay Type Invoice # EL -4-17-63561 04/04/2017 Check #: 397 05/24/2017 Check #: 345 Amt Paid Amt Due $ 50.00 $ 115.10 $ 115.10 $ 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 the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin. . - , .size the above-named contractor to do the work stated. May 24, 2017 Authorized Signature• Owner Applicant / Building Department Copy Contractor / Agent Date May 24, 2017 1 J A-K-AA-47 _ �aS sg3 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 RECEIVED S 1\ FBC 201 BUILDING Master Permit No. t 1 q PERMIT APPLI TION Sub Permit No. et -92d° BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION 0RENEWAL PLUMBING ❑ MECHANICAL 0PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 3.3 343 Folio/Parcel#: 11 - 3 2-O 0 - o 1 - 03cutp Is the Building Historically Designated: Yes NO / Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 3F N O I f ER.. Jbe X ' Phone#: 381 . ci tab r G 01)0 Address:. 10ZZ_ tsi ci i S` '-ea- City: 1A% f t4 1 SIA LES State: FL_ Zip: 33131E Tenant/Lessee Name: Phone#: Email: jb1.110JOCt k) @ 6MA iL , CO VA CONTRACTOR: Company Name: `C/ .,--c..--777/6— --AAC • 1 . Phone#: �O�S SyZ-GG &C Address: 90 NW / 3-6 S City: /�i0J State: G Zip: 33/67 Qualifier Name: T'ic_4n44/ a.. .7-4 Phone#: State Certification or Registration #: 6-e/300.)-762-- Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 219€)". Sq©r�Linneear Footage of Work: Type of Work: ❑ Addition ❑ Alteration n New ❑ Repair/Replace ❑ Demolition Description of Work: ?C^.P uAe_e 14'c'c t- E.+...i=E x c.i L SI s'-rC-►-1 ro rci91oc2 & 11.1- ISCPt I 4C11; - ' 44.', • F`'4'''' I' J.J.•,1):' ic.:; y.''.'4 Specifyolor of colorthru the:It { •' .,' 4 .•tiy ,• L.,•- ,., ,Ftp 1,;,,„c;,,....4 f r .. Submittal Fee $�------- t ��. ,.. - -- Permit Fee $ /✓A' ' b CCF $ - CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ j (� TOTAL FEE NOW DUE $' Ib. 1 0 (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 1 City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 'L_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 f OWNER'S AFFIDAVIT: I certify that all the foregoing informationis'� ccurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 1 "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 ection fee will be charged. Signatur OWN R or AGEN Signature CONTRACTOR The foregoing in trument was acknowledged before me this The foregoing instrument was acknowledged before me this `liay of r J � ecin ��2( ,�rr 'rt , who is personally known to ,20 ICP ,by me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: NAMARA LOSADA ? ¢ • �• I MY COMMISSION # FF 217549 'if EXPINES: April 25, 2019 • "!,•;,;a,, Bonded ihru Notary Public Underwriters ************************ APPROVED BY (Revised02/24/2014) Zj dayo-4,` ,20 \`F� , by \ prlr r who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ****************************** ry Plans Examiner as Structural Review OZOZ 'ZO tiwfuer S321IdX3 SZIOP6dd N NOISSIWWOD A 1 Hd38OP 30NVN213I Net' ' Zoning Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 323990783 WAY. RICHARD JR SKY ELECTRIC INC 90 NW 156 ST MIAMI GARDENS FL 33159 Congratulations! With this license you become one of the nearly one minion Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto wtnw.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE RICK SCOTT, GOVERNOR �• STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION EC13002762 ISSUED: 09/04/2014 CERTIFIED ELECTRICAL CONTRACTOR WAY, RICHARD JR SKY ELECTRIC INC IS CERTIFIED under the provisions of Ch.489 FS. Expiration date :AUG 31. 2016 U 409040002736 KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING HOARD EC13002762 The ELECTRICAL CONTRACTOR Named below 15 CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 WAY, RICHARD JR SKY ELECTRIC INC 90 NW 156 ST MIAMI GARDENS FL 33163 ISSUED: 09/04/2014 DlePLAV AS REQUIRED BY LAW SEQ L1409040002736 -Local B,usiness Tax Rec.eipt Miami-Dade;;County, State of Florida :THIS IS NOTA BILL - DO NOT PAY 5568721' BUSINESS NAME/LOCATION SKY, ELECTRIC`INC' •90 NW 156 ST' MIAMI, FL, 33169 OWNER SKY ELECTRIC INC Worker(s) MI® 2 CREDITCARD-14-042653 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276. For more information, visit www,miamidade.gov/taxcoltector RECEIPT NO. RENEWAL 5808671 SEC. TYPE OF BUSINESS 196 ELECTRICAL CONTRACTOR EC13002762 LBT . EXPIRES SEPTEMBER 30, 2015 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 PAYMENT RECEIVED BY TAX COLLECTOR 75.00 09/30/2014