EL-17-21121
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
F445 NE 94 Street
7-21
Eletwtrlcal Residential
)cation Service Change=
Parcel Number
Miami Shores, FL
Owner Information
Darren Ockert
1132060140520
Block: Lot:
Address
445 NE 94th Street
Miami Shores FL 33138
Phone
Expiration: 0 28/2018
Darren Ockert
917 573-9022
Cell
Contractor(s)
DANTO ELECTRIC INC
Phone
(954)856-4740
Cell Phone
I Valuation:
I Total Sq Feet:
Type of Work: UNDERGROUND FPL CONVERSION
Additional Info: UNDERGROUND FPL CONVERSION
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.25
$2.25
$0.40
$5.00
$150.00
$9.00
$1.60
$171.70
Pay Date Pay Type
Invoice # EL -8-17-64943
09/01/2017 Credit Card
08/21/2017 Credit Card
Amt Paid Amt Due
$ 121.70 $ 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 AFFIDAV : I9rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zo ing. ermore, I authoriz'fhegbove-named contractor to do the work stated.
September 01, 2017
Authorize • ignature:Owner / Applicanntractor / Agent
Building Department Copy
Date
September 01, 2017 1
BUILDING
PERMIT APPLICATION
II
BUILDING 1 1 ELECTRIC
❑ PLUMBING
JOB ADDRESS:
City:
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
FBC 20
Master Permit No. C \(o-
Sub Permit No. I� -Z1 ) 2 --
RECEIVED
AUG 212017
ROOFING
ROOFING ❑ REVISION
MECHANICAL ❑ PUBLIC WORKS
14- S N E X14 -'r'1 ST
CHANGE OF
CONTRACTOR
II
EXTENSION RENEWAL
CANCELLATION 1 1 SHOP
DRAWINGS
Miami Shores
County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes
Flood Zone: BFE:
Occupancy Type:
Load: Construction Type:
OWNER: Name (Fee Simple Titleholder): '
ic,c tZ (
Address: e `lr-4-T.4
2)313$
NO
FFE:
Phone#: � r - Sq3 — 9n 2:7 -
City:-
City: M .14-0-1 s SI [v vLEJ State: Zip:
Tenant/Lessee Name:
Email:
Phone#:
CONTRACTOR: Company Name: (7A --6) l7- I cc_ 7 re C.
Address: 8 3 O 3 A/
Phone#: j Se(- r3 76- L-( ?Cc)
City: Pitt PGA a c-q4is State: %`
Qualifier Name: T" d S 0 4- n i o�
State Certification or Registration #: ( 3 v rS 3 9 l 1 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address:
Zip: 34 ) /
Phone#: 9.7-q - 5` C -117 yd-
City:
G
City: State: Zip:
Value of Work for this Permit: $ j6-Ov Square/Linear Footage of Work:
Type of Work: 1 I Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work: ( F13 L Cc:N \.) e.rsiCl\
Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ . `5-m,e3
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ ' I `] t
CCF $
DBPR $
CO/CC $
Notary $ i[_. 20
(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 reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
2a day of (jU\L{ ,20 (_ ,by
r)Ccry 61'i OC I A e...,(41-0 is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sig
Print:
Seal:
APPROVED BY
(Revised02/24/2014)
MAHARAI K. GONZALEZ
's MY COMMISSION # GG 044602
'}'
v, EXPIRES: November 2, 2020
'
''•.c oi. F0 Bonded 'Wu Notary Public Underwriters
11111
as
4 _,o.
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day ofAv5 �� ,20 / ( ,by
—7751% Y \ `�t ` 4i tj b who is personallyrsQcknown to
me or who has produced. tl �53()8oS'42I2/4s
identification and who did take an oath.
NOTARY PUBLIC:
Sig
Print:
Seal:
l t/ Plans Examiner
Structural Review
•' MY COMMISSION #FF187751
S. ,.!^ 7 EXPIRES January 7, 2019
4415?).
007)' 3 FInridallotaryService.com
Zoning
Clerk