EL-17-2931Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. EL -12-17-2931
Permit Type: Electrical - Residential
Work Classification: Solar
Permit Status: APPROVED
Issue Date: 1/912018
Expiration: 07/08/2018
Parcel Number
Applicant
1305 NE 104 Street
Miami Shores, FL
1122320300050
Block: Lot:
MICHAEL AND RAYNETTE NICO
Owner Information
Address
MICHAEL AND RAYNETTE NICOLEAU 1305 N. E. 104 ST.
MIAMI SHORES FL 33138
Contractor(s) Phone
UNLIMITED SOLAR TECHNOLOGY CC (954)982-4761
CeII Phone
Phone
(786)277-3036
Cell
Valuation:
Total Sq Feet:
$ 500.00
0
Type of Work: CONNECT SOLAR PANEL SYSTEM TO MAIN
Additional Info: CONNECT SOLAR PANEL SYSTEM TO MAIN
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
$2.00
$2.00
$0.20
$100.00
$3.00
$0.80
$108.60
Pay Date Pay Type
Invoice # EL -12-17-65893
01/09/2018 Credit Card
Amt Paid Amt Due
$ 108.60 $ 0.00
Available Inspections:
Inspection Type:
Final
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 wofk will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named contractor •o ' rk static.
Authorized Signature: Owner / Applicant / Contractor
Building Department Copy
January 09, 2018
Date
January 09, 2018 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 0 ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: 1305 NE 104 ST
RECEIVED
DEC 132017
FBC 20Iq
Master Permit No. 1ZL I - 2g30 •
Sub Permit No. 6., (R - z. 3
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County:
Folio/Parcel#:
Occupancy Type: Load: Construction Type:
Miami Dade
Zip: 33138
Is the Building Historically Designated: Yes NO
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Michael & Raynette Nicoleau Phone#:
Address: 1305 NE 104 ST
City: Miami Shores
State: FL
Tenant/Lessee Name: Phone#:
Zip: 33138
Email:
CONTRACTOR: Company Name: Unlimited Solar Technology
Address: 4520 Hollywood Blvd
Phone#: 954-982-4761
City: Hollywood
Qualifier Name: Thomas Iglesias
State: FL
Zip: 33021
Phone#: 954-982-4761
State Certification or Registration #: EC13008127 Certificate of Competency #:
DESIGNER: Architect/Engineer Phone#:
Address. City: State: Zip:
Value of Work for this Permit. $ 500
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New
Description of Work: Connect Solar Panel System to main distribution panel
❑ Repair/Replace
n Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ /er,e'd CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE$ lO8 • GO
(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 approved and a reinspe1 tion fee will be charged.
.
Signature
WNER or AGENT
The foregping instru ent nwas acknowledged before me this
1 �t r, day of b.e ( , 20 n , by
‘s C_nA¢.\ \,‘CO\e0.v , who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
Commission #GG 134730
Commission Expires 08.15.2021
Bonded Through - Cynanotary
'FoF�°11 � Florida - Notary Public
*************
Signature
RACTOR
1
The foregoing instrument was acknowledged before me this
,14'
day of C.C.�iW71V>eif , 20 I , by
—Ch or' O . �-o\tStd'who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
***************************
APPROVED BY ��/cyi� `— 1>1 Plans Examiner
(Revised02/24/2014)
Structural Review
Commission #GG 134730
ca Commission Expires 08-15-2021
Bonded Through - Cynanotary
Florida - Notary Public
**** *****
**************
Zoning
Clerk