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EL-18-30 Permit No. EL-1-18-30 3 �sN°"Es rMiami Shores Villaget -PennitType:EleetriCei-Residential 10050 N.E.2nd Avenue NE ' Work Classification:Addition/Alteration Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 r " LOitiDY' Issue Date: 111212018 Expiration: 07/112018 Project Address Parcel Number Applicant 113 NE 105 Street 1121360050100 ANNIKA ASHTON ERIC HERNAh Miami Shores, FL 33138-2032 Block: Lot: x Owner Information Address Phone Cell ANNIKA ASHTON ERIC HERNANDEZ 113 NE 105 Street (954)554-0418 MIAMI SHORES FL 33138-2032 Contractor(s) Phone Cell Phone Valuation: $ 2,200.00 MV ELECTRICAL SERVICES (305)216-0677 Total Sq Feet: 0 Type of Work: INSTALLATION OF GARAGE CONVERSION I Available Inspections: Additional Info: INSTALLATION OF GARAGE CONVERSION I Inspection Type: Classification:Residential Final I. Scanning: 1 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical W.W. Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# EL-1-18-66049 DBPR Fee $2'25 01/12/2018 Check* 1097 $ 112.05 $50.00 DCA Fee $2.00 Education Surcharge $0.60 01/04/2018 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $162.05 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 ELECTRICA ,PLUMBING,ME ANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. I OWNERS AFFI AV 1 ce i that all e f egoi in rmation is accurate and that all work will be done in compliance with all applicable laws regulating construction an zo i F In r or , I ut ze t a ve-named contractor to do the work stated. January 12, 2018 AutlhorYzeSignature;:Owne / App scant / Contractor / Agent Date' Building Department Copy January 12, 2018 1 Miami Shores Village RECEIVED Building Department JAN 04 2018 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 r FBC 20r7t BUILDING Master Permit No. Qc ( —1 — PERMIT APPLICATION Sub Permit NO.Ek 16—_3o ❑BUILDING I'ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Z/ 3 /(/4c �O City: Miami Shores County: Miami Dade Zip: I Folio/Parcel#:�/T/ _)4 :3�7 00 �� iol 00 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Tt�/l /�//L/IGj/i�'7 Phone#: Address: 1.13 1Z /O S� City: #4/ State: '�/� Zip: 3�/3 Tenant/Lessee Name: Phone#: I Email: CONTRACTOR:Company Name: I"I V t i ecj+r l goof Pfione#: /2-2 6 '—a-2 7 `4-1 'S 7 Address:_ � � `� V l,(,-) City: i ro k ao.h state: L Zip: 3 3 a 1A Qualifier Name: I►v` y[.A`�eS Phone#: State Certification or Registration#: tG i 3©� �� Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: rValue of Work for this Permit."'$ 'r J.2 Square/Linear Footage of Work: ,iType of Work �Additlon D Alteration ❑ New ❑ Repair/Replace ❑ Demolition Descr+ption of Work ' �G+ ti✓ p" Ir 4 42201=g ' I Specify color of color thru tile: .Submittal Fee$ Permit Fee$ �S'O�OD CCF$ CO/CC$ Scanning Fee$ Radon Fee$ ' C-10 DBPR$ 2 ZS Notary$ Technology Fee$ Training/Education Fee$ ~y Double Fee$ w Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (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..... a OWNER'S AFFIDAVIT:J 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 beforemethis The foregoing instrument was acknowledged before me this _day of :S�rO 20 �'6 by day of J)i(—(— • 20 by � rUA who is personally known to 1Ma��Q �)d��_ who is personally known to me or who has produced as me or who has produced as identification and who died tak '�r5'oah:' ntification and who did - _�" " "R"'• "( E n`> Or R '_ A' ��k�nrn—A DE' +r UZ ": r NOTAR PUBLIC: _4i` 3 Notaryrubllc Sta! rlcrida TARY PUBLIC: Y �''e No F-Public=State of Florida, :Eommission #F FF 204543 m :�« �� Ission# mm. Expires Apr 7,20.35 ' , FF 20454 Sz i�� F« .Explrei A' " G-••min'„ii��,. throw Y p2�}. ,9 on hrou h ii • Sign: 9 oral Notar�Ass 9h Notional Assn. }u4 Print: Print: ,!• Z Seal: Seal: ' *******r**s**rr**�*****■**************sr***s*ss**r***s**s*s******rs**s*�***�.***r�****�.******ssss*.******** APPROVED BY h 5-rAP > Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)