EL-16-1998BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION
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 Permit
RECEIVED
MAR 10 2017
FBC 20145
NokG— CiCt
Sub Permit No.
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
J'OBADD—RESS� WE 93 ST.
City:
❑ EXTENSION ❑ RENEWAL
¶ CANCELLATION ❑ SHOP
DRAWINGS
Miami Shores
County: Miami Dade
Zip: .S'3 /35'
Folio/Parcel#: Is the Building Historically Designated: Yes 'NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: . FFE:
OWNER: Name (Fee Simple Titleholder): \/C)H�! ZE ""sk 1
l A 'r : 33 ,V E93 .ems
dd ess .
City: A- / St/Ct..�S State: ,:-I Zip: 33 /S Sr
E Tenant/Lessee Name: Phone#:
Phone#: 2/2 -G()
Email: V (0%n Zi7p- ('On"
� CT
ONTRACTOR:CompanyName 3 Gu,y5 —CD LA L
Address:
C --
Z-7/ o0 Nf / L.L EA / 109 /,L VD , S TF / 73
Phone#: zio?-f‘$" -93.3r
iCity: 0' _ ' -e7�s State: j X. Zip: 3 7, .c-.399 �!
I Qualifier Name: AMD/?. J / / r/ -/q^/ Ail-// TE' Phone#: �/U 9 3i/
��6�5 3
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
City: State: Zip:
Square/Linear Footage of Work:
❑ Alteration ❑ New ❑ Repair/Replace r n Demolition
1 C. Acs C. -t. (-- Of -r,17 44 El Li ( - (9e't
Address:
Value of Work for this Permit: $
Type of Work: ❑ Addition
Description of Work:
el,ityn0 yrwtoq .
Specify color of color thru tile:
to
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
?x)��io !'Term's
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
Bonding CompanVilOme (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 reinspection fee will be charged.
(Signat� u�r� Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was /acknowledged before me this The foregoing instrument was acknowledged before me this
7 day of NCvr h , 20 / 77 , by day of , 20 , by
, who is personally known to , who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath.
CNOTARY PUBLIC:)
Sign's
Print: .714/11 7)4474/4, --
Penny utopian
Seal: . Y *1 NOTARY PUBUC
STATE OF FLORIDA
Carml FF236103
Expires 7/30/2019
APPROVED BY
(Revised02/24/2014)
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner
Zoning
Structural Review Clerk
February 13, 2017
Miami Shores Village
Building Department
10050 NE 2"d Avenue
Miami Shores Village, FL 33138
Dear Mr. Naranjo
I am writing to request the closing of the Electrical (Solar) Permit attached for 33 NE 93rd Street. + The
work will not be done. I decided not t� go this route.
The permit information from the Miami Shores Village website is attached.
Best regards,
John Zelinski
Permit Information
Online Citizen Access Portal
Permit#:EL-7-16-1998 Status:APPROVED
-„10
flew Perrntt
Permit Detail
Permit #:
EL -7-16-1998
Type:
Electrical - Residential
Parcel #:
r
1132060130380
Owner: JOHN ZELINSKI
1
Status:
APPROVED
Project Name: 1 +
Issued:
10/24/2016
Exp Date:
4/22/2017
Applicant:
Phone:
JOHN ZELINSKI
(786)515-5716
Company:
Contractor
Name:
Phone:
ANDREW NATHAN WHITE
(407)865-9338
Company: 3 GUYS SOLAR, LLC
Address
33 93 • Street
Miami Shores FL 33138-
114° - k- si Vco Ava4A.A.64.
124-40
33 NE q3 (P S►
p -(,A"►, SHo2es, Fi_ 33/ 33
12-4
` a ax i y. F L, . . .
Hilton i
SHa2e.5 LLAcsE
D EPA e -T rilF
17 �,IL17r� � 2 N� , v'E
IOC ,P L 33 34/
1111'11111.11'11'1''1111111111 hi n1"11111111'1'1111111111'11i1'1
1
o„\,,- 0,,V
o8\1Q\tb b 1o\r\ •
BUILDING
PERMIT APPLICATION
EBUILDING
PLUMBING
• ELECTRIC
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
E ROOFING
❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: 33 NE 93 Street
7
City: Miami Shores
Folio/Parcel#:
Occupancy Type: Load: Construction Ty
i s
County:
RECEIVED
JILL 1 8 2016
s
FBC 20N
Master Permit No.jP
Sub Permit 16 - 19g8
❑ REVISION qiw❑ EXTENSION ❑RENEWAL
s—
❑ CANCELLATION ❑ SHOP
DRAWINGS
irDade Zia:
Niwi
Tiding Historically Designated: Yes NO
OWNER: Name,(Fee Simple Titleholder): John Zelinsjci
Address':33 NE 93 Street
City: Miami Shores
Tenant/Lessee Name:
Email:..
*'r
Flood Zone: BFE: FFE:
Phone#: 212-604-9998
fZip: 33132
Phone#:
CONTRACTOR: Company Name::3 Guys SOlar 1/
Address: 4700 Millenia Blvd, Ste175.
Phone#: 407-865-9338
City: Orlando;
Qualifier Name: Andrew White
State: FL , Zip: 32839
State Certification or Registration #:
t
Address:
Value of Work for this Permit: $(6/4 0 _
Type of Work: El Addition ir"' gyration ❑
Description of Work: Install solar electric pool pump
DESIGNER: Architect/Engineer:
Phone#: 407-865-9338
Certificate of Competency #:
Phone#:
City: State: Zip:
Square/Linear Footage of Work:
New
❑ Repair/Replace ❑ Demolition
Specify color of color-thrutile:.
Submittal Fee $5-r• Permit Fee $ 2. ,kg fda
Scanning Fee $ • e • 00 Radon Fee $
Technology Fee. $ • 5 • (00 Training/Education Fee $
Structural Reviews $ 1 2,0 8 0
(Revised02/24/2014)
CCF $ y . 2V co/as .�
DBPR $ 3 • 5-4 Notary $
• L.1 0 Double Fee $
Bond$ 699p /06/71
TOTAL FEE NOW DUE $ 115.314 • 1
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 o 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 lawbrochure 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 reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
a0 dayofMay 20 16 , by
1-619,1SIA is k' / , who is personally known to
me or who has produced 2 I/62)2 U6'V-65-_ dna as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:.
«s*tss+s*
l'\ICHERYL WHITE
Notary Public, State of Florida
My comm. explm Sept. 11, 2017
No. FF 31826
Bonded Um Ashton Aq n y Ine_(60Qel1. 54„
APPROVED BY
(Revised02/24/2014)
Signature
CONTRACTOR
The; foregoing instrument was; acknowledged before me this
ao day of/ SNA , 20 l� , by
A/ 2644) (/VV—QJ , who i ersonaily known
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: L l..tll \
Print:
Seal:
Plans Examiner
Structural Review
CHERYL WHITE
Notary Pebile, State of Florida
le
My comm. expires Sept. 11, 2017
6jwhidiltrritt8led R No. FF 31826,
itSL 611(__
*****
Zoning
Clerk