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EL-17-1943 i Permit NCS. EL-7-17-1943 �e�O1tEs y� Miami Shores VillageM Permit Type:Electrical-Residential 10050 N.E.2nd Avenue NW Work Classification:Pool-Private Miami Shores,FL 33138-0000 Pen t Permtattrs:APPROVED F� ®„,• ° Phone: (305)795-2204 �ORIDp' issue©ate:8/31/2017 [71EXPira' tion: 02/27/2018 Project Address Parcel Number Applicant 195 NW 96 Street 1131010250160 Miami Shores, FL 33150- Block: Lot: RAFAEL ARANGO Owner Information Address Phone Cell RAFAEL ARANGO 195 NW 96 Street (954)937-5908 MIAMI SHORES FL 33150- 195 NW 96 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 800.00 INDUSTRIAL ELECTRICAL SYSTEM C 305/228-1384 Total Sq Feet: 0 Type of Work:NEW SWIMMING POOL Available Inspections: Additional Info:NEW SWIMMING POOL Inspection Type: Classification:Residential Scanning: 1 Final Light Niche Bonding Review Electrical Alarms Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# EL,7-17-64729 $4.50 07/31/2017 Credit Card $50.00 $263.60 DCA Fee $4.50 Education Surcharge $0.20 08/31/2017 Credit Card $263.60 $0.00 Permit Fee-Additions/Alterations $300.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $313.60 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 authorize the above-name n ractor to do'the work stated. August 31, 2017 I Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 31, 2017 1 Miami Shores Village IVED N°' JUL 31 2017 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 S+fin FBC 2014 BUILDING Master Permit No. e)PP (I-- C141 PERMIT APPLICATION Sub Permit No.EL11- lg43 ❑BUILDING [!VELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP G, CONTRACTOR DRAWINGS JOB ADDRESS: n5 �� ✓T' City: Miami Shores County: Miami Dade Zip: 351 b->(p Folio/Parcel#: (�— �J ` �/-J Is the Building Historically Designated:Yes NO Occupancy Type: Load: �Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): t-'��` Phone#: Address: City: r7n tom.� -54+0V-C-) State: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: n�IJJYYI Q C 1Y'y� "P Phone#: Address: !1ASD N t�o 0(A xt�l '2-D& City: I 1(�m �� State: _V7 Zip: Qualifier Name: r✓C 7 �¢ VzJ�fuY�l Phone#: State Certification or Registration#: �-j'25DO2192— Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: tt�� City: State: Zip: Value of Work for this Permit:$ BoO Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ElRepair/Replace ❑ Demolition Ly Description of Work: � k M n cc-,-VA +' 60 cc- PO 0 -Specify color ofcolorthru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ / TOTAL FEE NOW DUE$ Z-C F ° GCS (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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspe ' n fee will be charged. C�bvC�uuv--4 Signature Signature � [ - W ER or AGE T CONTRACTOR The foregoing instrument was acknowledged before a this The foregoing instrument was acknowledged before Mme this p "it day of 1 ,20 � by 2--1 day of o oil 120 7 / by C'V-CW0`')c- ,who is personally known to t�RY-RX Ce7VQ-A—r 01 who is personally known to me or who has produced ILI ca K-$-c— as me or who has produced UCQ.v4'*� as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: Seal: Seal: ,"""" ;: NADINE AGUAS NADINE AGUAS j' ;; MY COMMISSION#GG090407 MY COMMISSION#GG090407 APPROVED BY l Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)