EL-17-26821
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
230 NE 102 Street
Miami Shores, FL 33138 -
Permit
Permit NO. EL -11-17-2682
Permit Type: Electrical - Residential
Work Classification: Service Change
Permit Status: APPROVED
Issue Date: 11/13/2017
Expiration: 05/12/2018
Parcel Number
1132060134750
Block: Lot:
Applicant
MICHELLE JAYME
Owner Information
Address
Phone
Cell
MICHELLE JAYME ,
308 PINEWOOD Road
GREENVILLE FL 27858-
(305)756-9100
Contractor(s)
LONGMAN ELECTRIC INC
Phone
(305)758-1211
CeII Phone
Valuation:
Total Sq Feet:
$ 2,400.00
0
Type of Work: REPLACE PANEL AND MOVE OH SERVICE
Additional Info: REPLACE PANEL AND MOVE OH SERVICE
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$2.25
$2.00
$0.60
$150.00
$9.00
$2.40
$168.05
Pay Date Pay Type
Invoice # EL -11-17-65622
11/13/2017 Credit Card
11/09/2017 Credit Card
Amt Paid Amt Due
$ 118.05 $ 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 AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructio and zonin . Fut-rmore, I authorize the above-named contractor to do the work stated.
Authorized S
nature: Owner ,f Applicant / Contractor / Agent
Building Department Copy
November 13, 2017
Date
November 13, 2017 1
CO \() -°1 Miami Shores Village
\\\° Building Department
BUILDING
PERMIT APPLICATION
❑ BUILDING
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
NOV 0 9 7017
FBC 201 uk
Master Permit No.6( — Z540O Z
Sub Permit No. l -
ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING MECHANICAL PUBLIC WORKS
JOB ADDRESS:
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
7 3 U NC /O drid
City: fvliami Shores County: Miami Dade Zip: J 28
Folio/Parcel#: I / ".3dav --1j/ 3 -(0-50 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
/ r f /f c -[ /C u�/ne Phone#: 5959 ��6647
Address: .5(3 c�!6 `0dn,/._-(/1" ci- Q
City: Jfli .( S/IUY?S State: �C Zip: 33/3 U
Tenant/Lessee Name: Phone#:
Email: i/ cJtakej& ( ,
CONTRACTOR: Company Name: LOA/6/14441 Ei( —i (1-
95 NC fe&F/'
Address:
Phone#:
3 - 7S8 -/g /(
City: R/4144 / 'I I State: Fl..-
4'
Qualifier Name: /11itte/ t / '7iil1 am
State Certification or Registration #: �C 7/ "3
DESIGNER: Architect/Engineer: A//1
Address:
Value of Work for this Permit: $
Type of Work: ❑ Addition ❑ Alteration
Description of Work: �z '`.
•
Phone#:
zip:
Certificate of Competency #:
Phone#:
City: State: Zip:
Square/Linear Footage of Work:
❑ New ❑ Repair/Replace ❑ Demolition
G%141% -e 4/Wile
Specify color of co/or.:thru:tile:) ,ki p ..,,:
1-i" ',r/,,,, v.' a,: 7 •°,!,.,' '�
Submittal Fee $ `"`x'‘t'' """Permit Fee '$ `/®� �� CCF $ CO/CC $
Scanning Fee $ Radon Fee $ Z - Cc)DBPR $ 02 • ZS Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE$ ( (9. O5
(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
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 approve. and a reinspection fee will be charged.
Signature It.'Al Signature 6772
0 ERorAVT
The foregoing instrument was acknowledged before me this The forR�oing instrumen was acknowledged before me this
by 7 day of / eVeilfribe, 20 / , by
I ` 1 i Ch el�'C I- .m t , who is personally known to
;�/ /01/74e/ D 9/ , who is personally known to
me or who has produced _, ,r; ‘PC) V I)(`Q `( as me or who has produced as
CONTRACTOR
1 day of 1 OV'eh)br , 20 `-7
identification and who did taite-ara.oath.
identification and who did take an oath.
NOTARY PUBflC 1 \ NOTARY PUBLIC:
/
Si:, 1 /I /moi SOI
Sign:
Print:
Seal:
YANAD 'RIETO
.; t :41 MY COMMISSI # FF 214031
EXPIRES: March 25, 2019
n .p ;1;°0 Bonded Thru Notary Public Underwriters
i Print:
***********************************************************************************************************
APPROVED B
(Revised02/24/2014)
�/V6V/ l y Plans Examiner
Zoning
Structural Review Clerk
STATE OF FLORRAL
COUNTY OF 0/%41((JJG The fore ing ins
61,pw, ledg b re me this L'L_'day of
Personally Known ^ OR Produced Identification
Type o en i ua ion roduced
RECEIVED
�.,� NOV 0
`IY�tin
N
C
Ex. House
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ELDG DEPT
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Longman Electric, Inc.
95 NE 166th Street
Miami, FL 33162
EC13003713
Jobsite Address:
Michelle Jayme
230 NE 102nd st.
Miami Shores FL
33138
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SUBJECT 1.0 CCIv:PIJPNCE WTTH ALL. FEDER
STATE ANL) CCIJhflY RULES AND REGULATIONS
t
STATE OF FLOR
COUNTY OF The fo gping instru entwas
wledge�b foreye this' will of Q(/, 20 % 7by
2.:. t eltlteiate
Personally Known /V OR Produced Identification
Type of Identification Produced
Grnd. Block
200 Amp Meter
Main Combo to
replace existing, and
moved to a new
location. Existing
circuits brought
from junction box.
200 Amp Main
Breaker, 8/16 ckt.
feed through lugs. 4
Wire, 120/240 Volt
Single Phase, Over
Head FPL service.
(2) 5/8" ground
rods, cold water
ground , grounding
block, #4 wire bare
for grounding
system.
Overhead riser to be new and
moved to a new pole, with all
grounding brought up to NEC
code.
CW Grnd.
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Longman Electric, Inc.
95 NE 166th Street
Miami, FL 33162
EC13003713
Jobsite Address:
Michelle Jayme
230 NE 102nd st.
Miami Shores FL
33138
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