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EL-18-436 Permit No. EL-2-18-436 `sHORes y Miami Shores VillageM Permit Type: Electrical-Residential 10050 N.E.2nd Avenue NE PermIt Work Classification:Temp for Test Miami Shores,FL 33138-0000 Permit Status:APPROVED ` Phone: (305)795-2204 Issue Date:212112018 Expiration: 08/20/2018 Project Address Parcel Number Applicant 1430 NE 102 Street 1132050240230 BROWSING 4 HOUSING LLC Miami Shores, FL Block: Lot: Owner Information Address Phone Cell BROWSING 4 HOUSING LLC 1430 NE 102 Street (917)703-6010 MIAMI SHORES FL 33138- 1430 NE 102 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone $ 800.00 Valuation: M.B. ELECTRIC SERVICE CORP (786)325-3383 Total Sq Feet: 0 Type of Work:ELECTRIC SERVICE RELOCATION TEMP FO Available Inspections: Additional Info:ELECTRIC SERVICE RELOCATION TEMP FO Inspection Type: Classification:Residential Final Scanning: 1 Review Electrical i a Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-2-18-66507 DBPR Fee $2.00 02/21/2018 Credit Card $58.60 $50.00 DCA Fee $2.00 Education Surcharge $0.20 02/20/2018 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $100.00 Scanning Fee $3.00 Technology Fee $0.80 i Total: $108.60 w 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 constru Futhermore,I authorize the above-named contractor to do the work stated. February 21, 2018 Authorized Signature:Owner / Applicant / Contractor ! Agent Date Building Department Copy February 21, 2018 1 k T , Miami Shores Village RECEIVED, Building Department ^FEB 20 208 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201Q BUILDING Master Permit No.'c1L—i?)--1---A -\��3 PERMIT APPLICATION Sub Permit No& 6—L13(,o ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 14­� uy=T %0?— City: 02City: Miami Shores County: Miami Dade Zip: _Z�\3� Folio/Parcel#: 1 V32OS©24O 230 Is the Building Historically Designated:Yes NO , Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): Phone#:Ca\-A) '40?S401 Q Address: 6,00 City: I&19N.\ State: 1_ Zip: 33\34� Tenant/Lessee Name: Phone#: Email: \ ��ny\L s�+ul7BJAC6�L�c,�Vt h CONTRACTOR:Company Name: N\CF AE1_! Z_A2Nr. Phone#: Address: S S 1-J w k,01S City: Mk0gA\ State: L "Zip: Qualifier Name: nk� Mkx70—a Phone#: State Certification or Registration#: (2_E-000 40 Certificate of Competency#: DESIGNER:.Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ `r'_�047 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 're!�5t , r:r2 ., '� a•{�' ; ;�`'.'��'.�' it Specify color of c:olornnirhru Submittal Fee 4` ','1(t??n�'� +"` "rein Permit`Fee 1 '/�O $ $ I DC7 CCF$ CO/CC$ r Scanning Fee$ Radon Fee$ '^L DBPR$ Z. ' .Notary$ z ++ ti Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 60 { (Revised02/24/2014) Bonding Company's Name(if applicable) i"th Bondi ng`Company's'Address City - State Zip Mortgage Lender's Name,(if applicable) Mortgage Lender's Address City State Zip i 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 reinspection fee will be charged. { Signature _ Signature NER or AGENT CONTRACTOR The foregoing in ent was acknowledged before me this The foregoing instrument was acknowledged before me this anzVv day of 20 Va by WtW day of r-5n"h- %14- 20 Q8 by {CtQ ���\!a►x�QJ�- ,who is personally known towho is personally known to me or who has produced as me or who has produced IM—>\yS� as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: _ NOTARY PUBLIC: { r Sign: Sign: Print: 2 Print: Seal. 401%, Ricardo Seal .IN, -,'' Ricardo Dominguez Commissir ^5186 Commission # FF958686 fcxpires{:{F�e'.i Wires:February 8,20= *** Qggd1 u AaMn N:" APPROVED B Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) i OR 193 y tt Miami Shores Village Building Department eggs 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 �ORiDp' Fax: (305) 756.8972 AFFIDAVIT FOR 30 DAY TEMPORARY-ELECTRIC SERVICE NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED. It is understood that the temporary-electrical approval by the Miami Shores Village, Building Department given in connection with the building being constructed under: Building Permit N: Electrical Permit N: �.LAZ27 2:4 At Address: N.,:r,; o7_ Miami Shores, FL For Owners: aaO.2f,4244 y , and is being given konly for construction purpose or for testing the following equipment in said structure: The owner does herby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and cancellation and electric power can be cut off at the discretion of the building official and will be disconcerted of ie building concerned is occupied before final inspections are approved and/or obtained a Certificate of ' Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your being unable to obtain future Temporary for Test permits. I, W,!:;NQACJoy\u.&a:)saQA- , being first duly sworn, depose and say that I am the owner of the above described property, and that I agree that the structure covered in this agreement shall not be occupied until the building contractor has obtained approval of final inspections and/or obtained a Certificateof Occupancy of 9gynpletion. Note: Failure to comply with the provision l ,affid11140wliq It in your being unable/0 obtain future Temporary for Test permits. - Commission I FF958686 rahenaru 8,2020 Signature o w r Sig `of RWMru Awn Notary I, being duly sworn, depose and say th , m the ec ri al:Co tractor for the ab - escribed property and that the electrical installations as no w�� fuvill � � gty hazard if temp ra e e is connected. = Feb6ary 8,2020 Signatur of Electrical Contractor Sig ri of N o ary ­*­,_­'_­ I, \zr wc> \agm , being first duly sworn, depose and say that I am the Building Contractor of,the above described property and that-I will not permit occupancy of this building until final inspections have been called for by the contractors and sub-contractors concerned and final approval by the inspection division obtained and that I have the authority insofar as the owner of said proper ,goncerned to prohibit occupancy until such fi inspe ion a obtained and/or a Certificate of Occupan pletiN* Commission# FF958686 8,2020 T gnr of BuiXin`g­Zd-Mtktor Siof Signature of Inspector Signature of Notary