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EL-17-2604 ' Permit o. EL-11-17-2604 `5�°RFS L,t Miami Shores VillagePermit Type:Electrical -Residential 10050 N.E.2nd Avenue NE Perl 11Work=Classification:Low Voltage Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 F�ORiDQ' issue oate: 11/612017 Expiration- 05/05/2018 Project Address Parcel Number Applicant ' 373 NE 101 Street 1132060135230 Miami Shores, FL 33138-2424 Block: Lot: MELISSA&RICARDO MAZZITEI. 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: $ 150.00 MIKES ELECTRICAL CORPORATION (786)236-4826 . ...,, ._ _.....m Total Sq Feet: 0 i Type of Work:LOW VOLTAGE/OUTLET OF TV&PHONE Available Inspections: Additional Info:LOW VOLTAGE/OUTLET OF TV&PHONE Inspection Type: Classification:Residential Review Electrical Scanning: 1 Fees Due Amount Pay Date PayType Amt Paid Amt Due CCF $0.60 Invoice# EL-11-17-65526 DBPR Fee $2.00 11/06/2017 Credit Card $58.60 $50.00 DCA Fee $2.00 Education Surcharge $0.20 11/01/2017 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 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 ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a zo ' g. uthermore,I authorize the above-named contractor to do the work stated. November 06, 2017 A rized'Signature:Owner / Applicant / Contractor / Agent Date BuildingDepartment p Copy November 06,2017 1 Building Department ��,� 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 r NOV �.120 ] Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 Y"' _ aVL,' F,G b- ,3 46S FBC 201¢ss - BUILDING Master Permit No.C L I1 — Z G (�9' PERMIT APPLICATION Sub Permit No.G z - 117•- ❑BUILDING 0ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 3 73 /V E JO / 5 T. City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1 -12 Q L ,0 S 23 C7 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood AAZone: ►► MM BFE: FFE: OWNER:Name(Fee Simple Titleholder): ��SSS'. & F-i n Coad hone#: 3!s- 32[ - Address: 13n,1-?, /V G /O t ST City: Yyiia4m) Itn-es State: FZip: 3 Tenant/Lessee Name: Phone#: Email: t4 I YIin-i t-ra_t. mcc e2 Co-W CONTRACTOR:Company Name: V ' ' ' �J 2� Phone#: 2?7 Z 2,,-/ Address: <9 3 9,D City: awi '9 m. State: R_ Zip: 3 3 lo-6 Qualifier Name: fyTGd GG TOSiP/L Phone#: State Certification or Registration#:46F-^/3 40,7 7 18 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: Square/Linear Footage of Work: Type of Work: ❑ Addition t),914 99Alteration ElNe/w/ ElRepair/Replace ❑ Demolition Description of Work: 144,C)l� t),9//4 ©C)"el d-e- (/ aG PA O iA E L�; •PCS e h Specify color of color thru tile: Submittal Fee$ Permit Fee$ �04-51 cU CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ r=:,e TOTAL FEE NOW DUE S j A 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 low 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. Si natur g Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 3)S* day of CaQ be( ,20 1- a � by 7 day of �-/ - ,20 / 7 by 1•MfIiS5C1 CL . '��^IAZZ;+C JJ t who is personally known to 10r9yLl 70r-,o/ ,who isonally kno o me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY P NOTARY PUBLIC: Sign: .k J Sign: e C4" A,, Print: �f� Print: �lox��.er C �/rd Seal: 1777 PRIEro Seal: �►"" GLORIA C TRIANA SION li FF 214031 =' = MY COMMISSION#GG010165 March 25,2019tary Public Underwriters •'i!a EXPIRES July 10,2020 a,,.,�.nx... 007)398-0153 ",gg APPROVED BY / / Plans Examiner Zoning Structural Review Clerk