EL07-721 Permit NO. EL-4-07-721
Miami Shores Village
Permit Type:Electrical -Residential
„oRFs
Permmit
Y 10050 N.E.2nd Avenue Work Classification:POOI-Private
Miami Shores,FL 33138-0000 Permit status:APPROVED
Phone: (305)795-2204
�CORtui* Issue Date:4/26/2007 Expiration: 1 /23/2007
Project Address Parcel Number Applicant
1190 NE 103 Street 1132050190030 DEVAND SUKHDEO
Miami Shores Village, FL Block: Lot:
Owner Information
Address Phone Cell
DEVAND SUKHDEO 1190 NE 103 ST
MIAMI SHORES FL 33138-2652
Contractor(s) Phone Cell Phone Valuation: $ 2,000.00
JACQUES ELECTRIC (954)214-8711 Total Sq Feet: 0
Available Inspections:
Type of Work:pool
AInspection Type:
Additional Info:
Classification:Residential Final
Bonding
Alarms
Light Niche
i
I
Fees Due Amount Total Amt Paid Amt Due
CCF $1.20
Education Surcharge $0.40 $0.00 $0.00 $ 0.00
Permit Fee-Additions/Aiterations $225.00
Scanning Fee $3.00 Payment Type:
Technology Fee $5.63
Total: $236.23
.APR
2 7 PAI®
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting
q d
ptenforthis
ELECTRICAL,PLUMBING,responsibility
MECHANICAL,WINDOWS,either DOORS RIf, my agent, servants, or OOFING and SWIMMING POOLywork.l understand that separate permits are
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhenmore,I authorize the above-named contractor to do the work stated 2007
April 26,
Authorized Signature:Owner / Applicant / Contractor / Agent
Date
Building Department Copy
Thursday,April 26,2007
04InI�' Miami Shores Village CEIV
�. C Building Department APR 1 2 2007
Ull
' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY•
Tel:(305)795.2204 Fax:(305)756.8972
BUILDING Permit No. ���.�
PERMIT APPLICATION Master Permit Nola l I
FBC 2004
Permit Type: Electrical
L
Owner's Name(Fee Simple Titleholder) 5Ok4Phone# �? •�(/
A�
Owner' Ad-dress 1 0
City State > Zip
Tenant/Lessee Name Phone#
E-MAIL:
Job Address(where the work is being done) CU
City Miami Shores Village County Miami-Dade Zip
FOLIO/PARCEL#
Is Building Historically Designated YES NO
A
Contractor's Company Name _ Phone} l% •.G 4-8111
Contractor's Address
City_�OnYn,) S ate Zip
Qualifier Name Phone#
State Certificate or Registration No.fj�2�2 554 nQ Certificate of Competency NoM 0490� S,X
E-MAIL:
Architect/Engineer's Name(if applicable) Phone#
11
Value of Work For this Permit$ off'am Square/Linear Footage Of Work:
Type of Work: EI.Addition ❑Alteration ❑New ❑ Repair/Replace
❑ Demolition
Describe Work:
e4a4tY##drde�raYar4nSYJraYdrdr&sexa4sY.Y+Y9r4rdr4ru+h+trYoti�a droY*fir FeeS�`o6dedex4a4eu4roYsaxaasr4edeaYateSrYaY,r4e�ie4ru7&xe�,trsY&drar4+tsY4r4caYYsR
Submittal Fee$ Permit Fee$ ,�a.�i ^0 CCF$ I ,CJ`s CO/CC
Notary$ Training/Education Fee$ 1(40 Technology Fee$ 540
Scanning$ Radon$ DPBR$ Zoning$
Bond$ Code Enforcement$ Double Fee$
Structural Review.$ Total Fee Now Due$
See Reverse side—002 ►y PAID
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS and 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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ,20_,by day of ,20_,by ,
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires: My Commission Expires:
�dr�,�ax,�x,t&eY aYWx�r k�dr kaY,uuaY�sYwxxnY��r4xtdr�aY��exsF 4 er stux&Ywx�e��r,r,r�• xxsY�xYdr����r�s�,�za dr$Qe tr�ettxtYYsY tYde sYa4r�ruxxf,t,t,�xxsr�&+nr�
APPLICATION APPROVED BY: C /l �f- Plans Examiner
Engineer
Zoning
(Revised 02/08/06)
Miami Shores Village APR 12 2007
Building Department -
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:'(305)756.8972
BUILDING Permit No. C 101—-7 2
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type(circle): BuildingElectrical Plumbing Mechanical Roofing
Owner's Name(Fee Simple Titleholder) o� Sjd lea Phone# p Q,S ?14 &rV 6
Owner's Address /1?O f t--a e.-A
City /flbuti Owe;, State Zip
Tenant/Lessee Name Phone#
Job Address(where the work is being done) 1/w 4/6 /VJ?
City Miami Shores Vill a County Miami-Dade Zip
FOLIO/PARCEL# 1/ —1 L Or-Of f
Is Building Historically Designated YES NO
Contractor's Company Name...7q gg v,Pa e(ec h t r Phone# 19S-f 2-d >!/
Contractor's Address �'�Sd �®r�asd• ff�C6f
City h6A/i✓yzxw State Zip a 2—
Qualifier Name Phone# 114'Y 1/4- 8 7//
State Certificate or Registration No.94 00/0 Q 7 t Certificate of Competency No. o ODD 17 2.3 y'
Architect(Engineer's Name(if applicable) ✓Q/� �� Phone# ? b ~f f d" 71 y
Value of Work For this Permit$ 0 001 I Square/Linear Footage Of Work:
Type of Work- ❑Addition tern'on ❑New. ❑ Repair/Replace ❑Demolition
Describe Work: AAW
Submittal Fee$ Permit Fee$ CCF$ CO/CC
Notary$ Training/Education Fee$ Technology Fee$
Scanning$ Radon$ DPBR$ Zoning$
Bond$ Code Enforcement$ Double Fee$
Structural Review.$ Total Fee Now Due$
See Reverse side-�
r_
bonding Company's Name(if applicable) r
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 meetthe standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLOMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 as subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the fust inspection which occurs seven (7) days after the building permit a issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
( �
Signature Si .
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this /t The foregoing instrument was acknowledgedbefore me this /7-
day
Zday of 20?Z ,by J)eL,,a �9.JW 419 C, day of /r' 20;p�,by rao(w /tl�a O Y/
who is personally known to me or who has produced who is personally known to me or who has.produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
iry Kilgore
Sign: Gary Kilgore ° * Commission#Mi 8327
gn: Sign: a Expires Awl a go,o
Print: : • Ctun On Print-
T,
rint• �� rm.Fes+. ,ir� eoo- ro+e
My Commission Expires: "`�' as t`0a Fes'" t0*3M*5-70Wi9 My Commission Expires:
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
(Revised 02/08/0