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EL-17-1745Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. EL -7-17-1745 Permit Type: Electrical - Residential Work Classification: Pool - Private Permit Status: APPROVED Issue Date: 8/1412017 Expiration: 02/10/2018 Parcel Number Applicant 53 NE 102 Street Miami Shores, FL 33138- 1132060131660 Block: Lot: LYDIA AMADOR Owner Information Address Phone CeII LYDIA AMADOR 53 NE 102 Street MIAMI SHORES FL 33138-2322 Contractor(s) MESA BROTHERS INC Phone (305)345-1974 CeII Phone Valuation: Total Sq Feet: $ 2,000.00 0 Type of Work: POOL ELECTRIC 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 $1.20 $4.50 $4.50 $0.40 $300.00 $3.00 $1.60 $315.20 Pay Date Pay Type Invoice # EL -7-17-64504 08/14/2017 Check* 14582 07/06/2017 Check #: 14643 Amt Paid Amt Due $ 265.20 $ 50.00 $ 50.00 $ 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 AF AV' I construc a z i oregoing for ion is accurate and that all work will be done in compliance with all applicable laws regulating prize the o amed contractor to do the work stated. Autffori d Signatu pplicant / Contractor / Agent Buildi - g Department Copy August 14, 2017 August 14, 2017 Date 1 BUILDING PERMIT APPLICATION El BUILDING Q'ELECTRIC ['PLUMBING MECHANICAL JOB ADDRESS: J ✓ 1\1 , E. 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 ❑ ROOFING PUBLIC WORKS I • PY` .LVED JO 062017 FBC 2015 Master Permit No.r17:19 " 1602, Sub Permit No *F -t . 1 «46 ❑ EXTENSION RENEWAL CANCELLATION ❑ SHOP DRAWINGS tt ❑ REVISION ❑ CHANGE OF CONTRACTOR City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): Vy CYC) t4c r I G Address: 5°6 jl�•t - �O.•/ .v✓iGoiOr NO BFE: FFE: Phone#: 3©S0`7 —V5Z City: MI -COI -4 c -Es State: zip: 33/3.g Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: AA/�/ Address: So2IS cS'u) /03 fire - City: -City: hi(rw<.I'i State: a_ Qualifier Name: A( td Phone#:305--410--02-5 419 Zip: 33/4-S Phone#: State Certification or Registration #: Ed -MOO /2? O Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 2;0 8 0 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Description of Work: J. ❑ New ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ BO : 00 Permit Fee $ 5©41,1 e' 0 CCF $ L • 'Z0 CO/CC $ - Scanning Fee $ S Radon Fee $ 61. 50 DBPR $ C . �0 Technology Fee $ 1. COCO Training/Education Fee $ • C-10 Structural Reviews $ (Revised02/24/2014) Notary$, �K Double Fee $ Bond $ TOTAL FEE NOW DUE $ 2(0:T. 2 U ir Bonding Company's Name (if applicable) Bonding Company's Address City.. - • a< 1-11 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 th'e' 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. Signature tOWNER or. AGENT The foregoing instrument was acknowledged before me this 8 day of 1-j ,20 (1 ,by who is personally known to me or who has produced identification and who did take an oath. NOTARY•PUBLIC: Sign: Print: Seal: CONTRACTOR The foregoing instrument was acknowledged before me this 47 day of , 20 /7 , by Roc /`I'.e4j) , who is personally known to as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: -.b. — — ,s--- — — .•oR`'o ., DORIS ANAYS MARTINEZ ?h = Notary Public - Stated Florida ••= Commission # GG 072917 7 iyy Comm. Expires Feb 14, 2021 *�fiMOrtr8tIM4 'IAa3i*y'itt.* APPROVED BY '�� )t.4'/ (Revised02/24/2014) Sign: Print: Seal: VeltalrZtalltfrairfPAIII MY.. �0 ISSION #FF08458 EXPIRES: JAN 21, 2018 Bcsdsd through 1M State Memento ******************************************************************* Plans Examiner Structural Review Zoning Clerk