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EL-17-1373
Permit No. EL-5-17-1373 �swO1S L,� Miami Shores Village Permit Type:Electrical-Residential 10050 N.E.2nd Avenue NE Work Classification:Addition/Alteration "•"""' Miami Shores,FL 33138-0000 PPermit tteS APPROVED(305)795-2204 FLORIDP` issue Date: 10/2012017 Expiration: 04/21/2018 Project Address Parcel Number Applicant t 373 NE 101 Street 1132060135230 Miami Shores, FL 33138-2424 Block: Lot: MELISSA&RICARDO MAZZITEL Owner Information Address Phone Cell MELISSA&RICARDO MAZZITELLI 373 NE 101 Street (319)321-1561 (319)321-1561 MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 100.00 MIKES ELECTRICAL CORPORATION (786)236-4826 Total Sq Feet: 0 Type of Work:INTERIOR RENOVATION WITH ADDITION A Available Inspections: t Additional Info:INTERIOR RENOVATION WITH ADDITION A Inspection Type: Classification:Residential Final Scanning: 1 Meter Box Alteration Relocation Fire Alarm Service Change Rough Underground Review Electrical W.W. t Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-5-17-64071 DBPR Fee $4.50 DCA Fee $3.00 11/06/2017 Credit Card $352.10 $0.00 Education Surcharge $0.20 Permit Fee-Additions/Alterations $300.00 Return Check Fee $40.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $352.10 i 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 zonfuthermore,I authorize the above-named contractor to do the work stated. November 06, 2017 ` Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy November 06,2017 1 Permit NO. EL-5-17-1373 �sKO1 s yf Miami Shores Village Permit Type:Electrical -Residential 10050 N.E.2nd Avenue NE P� [soal, Work Classification:Addition/Alteration Miami Shores,FL 33138-0000 Permit Status:APPROVED aFtw— cs I Phone: (305)795-2204 Issue Date: 10120/2017 Expiration: 04/1812018 Project Address Parcel Number Applicant 373 NE 101 Street 1132060135230 Miami Shores,FL 33138-2424 Block: Lot: MELISSA&RICARDO MAZZITEL Owner Information Address Phone Cell MELISSA&RICA RDO MAZZITELLI 373 NE 101 Street (319)321-1561 (319)321-1561 MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 100.00 MIKES ELECTRICAL CORPORATION ...._. � ...,.. .r. _. _. .__N_ Total Sq Feet: 0 a Type of Work:INTERIOR RENOVATION WITH ADDITION A Available Inspections: Additional Info: INTERIOR RENOVATION WITH ADDITION A Inspection Type: Classification:Residential Final Scanning: 1 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical 4 W.W. Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-5-17-64071 DBPR Fee $4.50 DCA Fee $3.00 10/20!2017 Check#:1820 $312.10 $0.00 Education Surcharge $0.20 Permit Fee-Additions/Alterations $300.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $312.10 f 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 Eonin Futhenbore,I authorize the above-named contractor to do the work stated. L ,L� October 20, 2017, Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy October 20,2017 1 Miami Shores Village RECEIVED Building Department n-MAY 19 201117 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 20 / BUILDING Master Permit No.�~/2—J6 3485 PERMIT APPLICATION Sub Permit No. ( (� - 3 -13 ❑BUILDING 'ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 373 NE 101 Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3206-013-5230 Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: I OWNER: Name(Fee Simple Titleholder): Ricardo & Melissa Mazzitelli Phone#:(319) 321-1561 Address: 373 NE 101 ST City. Miami Shores State, FL zip: 33138 Tenant/Lessee Name: N/A Phone#: Email: MAZZITELLI.MCL@gmaii.com CONTRACTOR:Company Name: �''4 � S � �` 2 C�fc Gd�/l 1 Phone#: Address: 0 3 7 0 `, 'tc cl l Tr r City: �a—' I T State: I Zip: 3 3 L f Vp Qualifier Name: < C/ �� / s a Phone#: State Certification or Registration#: 7 q 8 Certificate of Competency#: c. DESIGNER:Architect/Engin er: Ck f, `�,�.1�\ -�Pgh,.one#: Address: � VV "\ Ci �. ti'" /State:P Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition Altercation •New ❑ Repair/Replace ❑ Demolition Description of Work: xs�.. `\�0k W (� Go Specify color of color thru tile: V Submittal Fee$ Permit Fee$ ©dl CCF$ rnrn CO/CC$ Scanning Fee$ Radon Fee$ 3 DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 312 . ' /C V Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) PennyMac Mortgage Lender's Address P.O. Box 514387 city Los Angeles State CA ZiP90051-4387 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has PP Y P fY 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 notbeapproved and a reinspection fee will be charged. � Signature Jature !�'f NER I AGENT CONTRACTOR _7 The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this �day of M AA 20 1- by �/ 7 day of 1Q G L/ 20 / 7 by IUEuS6A gnl�rZ-�Gaaoc� iunZti Lu,who is personally known to !yl !q J 0TU Sal •,whV peg os nally� knowh)to me or who has produced IELM�Iuv E(IS UGC"C-(-as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: 616)/7Ln G '�r/ eo 1,io- Seal: CHARLENE ROSARIO Seal: ' GLORIA C TRIANA E-A Notary Public,State of Florida ''i •'"s MY CQMMISSION#GG010185 Commission#FF 977345 EXPIRES July 10,2020 11 comm.expires Apr.9,2020** * ******* *********************** ********* APPROVED BY 22-110V1 'Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)