EL-17-1947Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. EL -7-17-1947
Permit Type: Electrical - Residential
Work Classification:.Addition/Alteration
Permit Status: APPROVED
Issue Date: 8/16/2017
Expiration: 02/12/2018
Parcel Number
Applicant
1055 NE 105 Street
Miami Shores, FL
1122320280810
Block: Lot:
NAKUL JATHAR
Owner Information
Address
1055 NE 105 Street
MIAMI SHORES FL 33138-
Phone
Cell
Contractor(s) Phone
PRECISION POWER & CONTROL, COI (305)345-2161
Cell Phone
Valuation:
Total Sq Feet:
$ 2,750.00
0
Type of Work: REMOVE AND REPLACE LIGHT FIXTURES A
Additional Info: REMOVE AND REPLACE LIGHT FIXTURES A
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$2.25
$2.25
$0.60
$150.00
$3.00
$2.40
$162.30
Pay Date Pay Type
Invoice # EL -7-17-64733
08/16/2017 Credit Card $ 112.30 $ 50.00
07/31/2017 Credit Card $ 50.00 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Final
Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
W. W.
Underground
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 zoning. Futhermore, I authoriz the above-named contractor to do the work stated.
August 16, 2017
Authorized Signature: Owner / Applicant /
Building Department Copy
Contractor
/ Agent
Date
August 16, 2017
1
BUILDING
- -
PERMIT APPLICATION
BUILDING ELECTRIC
❑PLUMBING
JOB ADDRESS:
Miami Shores Village
=Building Department
10050 N.E.2nd Avenue; Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION UNE PHONE NUMBER: (305) 762-4949
RECEIVED
JUL.3 i 1117
FBC 2011
Master Permit No. G 1 �S 2S.
Sub Permit No. (A 1 q `i q Lf --+
❑ ROOFING' ❑ REVISION 0 EXTENSION •, , ,❑ RENEWAL
., .i
❑ MECHANICAL El PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION `❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores
1.14• s'o -` 4
Folio/Parcel#:
P2. r i.
Occupancy Type:. . Load:
County:. Miami Dade .Zip:
4.
Is the Building Historically Designated: Yes .4 —NO *
OWNER: Name (Fee Simple Titleholder):
Address: j! 5 H I D S
city: /V1 a4,11S4S
jtr/A-
Tenant/Lessee Name:
Email:
14
♦F
Construction Type: Flood Zone: BFE: i FFE: _•
-
il0kU l JG -A41 -
57'
Phone#: v 2-1 - / 70 (
State: F- C Zip: 39 I "'
Phone#: �,64
CONTRACTOR: Company Name:
lS)01-)
Address: , 0_..L 1 .01=::.•(--".(d
I
City: --0“ 1 Itt:41 kr., . State:` • Zip: � 1, b
Qualifier Name: Ad ---I. k �7 en) /1 (' VA r 7Z ' Phone#: 1 t
State Certification or Registration #:- Jt. -4::)-39'4\ Certificate of Competency #:
DESIGNER: Architect/Engineer: - Phone#'
I
Address: City: State: Zip:
Value of Work for this Permit:=
$''-� 2� G0'Square/Linear Footage of Work: r
Type of Work: ❑ Addition -*LI`` Alteration . ❑ New
Description of Work:
I1 /0/-(,
cis. — �P, V., Phone#: 33015- 3-41c 6
r��cti�� �r��r� ► ' �GcQ
/7A-,
t•f) . '?/ GPS
a
EP Repair/Replace 4 ❑ Dem/olition
GAY/
Ari CPS ONLY �il54
.. f ....Fah -4_..
Specify color of color thr"u
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
Radon Fee $
7 • \y
4‘.. i 1
/.3".'
!> !i CCF $ CO/CC
(Revised02/24/2014)
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE$ 1. 1
2.3
r
Bonding Company's Name (if applicable)
Bonding Company's Address
City { State Zip
Mortgage Lender's Name (if applicable)
i IT
Mortgage Lenders Address'
i
City ° • State Zip ..
4- I S . _ ' $ 1i = , ,' d' t.. r'4
,
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 t6 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. 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 $2566, 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.
Signature
OWNER or AGENT
Signature
CONTRACTO
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day jof iI , 20 f'7 , by A / 1r day of 6 1J _ A , 20 1 -7, by ,
tiU -`.1 v'.I is personally kno n to A t-M4►.,4c> A1V
o is personall own to .,
me or who has produced as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:-
V?illIF Ikr.SANCHF7
,r et.
s° ': Notary Public - State of Florida
1 Commission # FF 916917
T."r,.P�� My Comm. Expires Nov 7, 2019
�,, ° t ;, Bonded through National Notary Assn. '
{ v -.... via- — iv yr , '`
identification and w y(y;f1il lite oath.
NOTARY PUBLIC:,; •,•Qs,; PO
e1 'J. •I_
'
Sign:
Print:
Seal:
a
�
..:>"161;11*...e Una' •• ' ' �
��"llkffhiNl cfc
.0% e .
APPROVED BY
•
(Revised02/24/2014)
37 I v< V /Plans Examiner , - Zoning
Structural Review
Clerk