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EL-17-2139 Permit No. EL-8-17-2139 sKO19s opt Miami Shores Village Permit Type:Electrical-Residential 10050 N.E.2nd Avenue NE ' WOft{ClaSS�Cation:Addition/Alteration Miami Shores,FL 33138-0000 Perill ' Permit Status:APPROVED b' c pll, Phone: (305)795-2204 F�ORiDA issueasto.,9114C2017 Expiration: 03/13/2018 Project Address Parcel Number Applicant 1075 NE 96 Street 1132060143690 Miami Shores, FL Block: Lot: NICOLAS TERZANI FRANZISKA Owner Information Address Phone Cell NICOLAS TERZANI FRANZISKA HINZE 1075 NE 96 Street (786)246-8759 MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 15,000.00 LONGMAN ELECTRIC INC (305)758-1211 ., .w...... �._... _ ._ Total Sq Feet: 0 Type of Work:REMODEL OF HOME REWIRE NEW SERVICE Available Inspections: Additional Info:REMODEL OF HOME REWIRE NEW SERVICE Inspection Type: Classification:Residential Final 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 $9.00 Invoice# EL-8-17-64975 DBPR Fee $7.88 09/14/2017 Credit Card $517.76 $50.00 DCA Fee $7.88 Education Surcharge $3.00 08/24/2017 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $525.00 Scanning Fee $3.00 Technology Fee $12.00 Total: $567.76 6 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. i 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 nd zoning. Futhermore I authorize the above-named contractor to do the work stated. September 14, 2017 1( Z441� Authorized 'gnature:Owner l Applicant / Contractor / Agent Date I Building Department Copy 1 September 14,2017 1 Miami Shores Village RECEIVED Building Department AUG 247017 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 F,rBC 20KA BUILDING Master Permit No. I,-C- 5- 1�--13( q. PERMIT APPLICATION Sub PermitNoc-!E( (:;� ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: IO�S I�) R c111[�t;t3 IT City: Miami Shores County: Miami Dade Zip: X31 . Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: nConstruction Type: Flood Zone: BFE: FIFE: �Q OWNER: Name(Fee Simple Titleholder):_ K�11 V �"��KN iG Phone#: I O6 Address: —790 ANN 691-4. I's-I's-11)1 City: r(�P �y�1 State: Tz' Zip: 3�I3 Tenant/Lessee Name: Phone#: Email:__- _ CONTRACTOR:Company Name: 0/1 C-,nj C?lt/ ( Gfi/ II)C, Phone#: e3Osi 711 ^'` 20 I Address: Al F,— �4 : City:_/)!3aAM n State: t(i ZiiD: Qualifier Name:_- &L'CA q P��4�/►') 9.�✓ Phone#: `A/v State Certification or Registration#: G L 2 d 3 7) 3 Certificate of Competency#: i DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip:{{ Value of Work for this Permit:$_� ©a d Square/Linear Footage of Work: l Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Dem oli tion Descripttiiion of Work: a/ 0 14a dtn& 21- Z� t `• SpecSMz';��Cirrtr*`;,'AF;S '�� d�44`•. .�4 �f : Permit Fee r�7�dd Submittal Fee$ z. $ r/ CCF$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City 1 State Zip Mortgage Lender's Name"(if.applicable) 4 4 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. 4Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before a this The foregoing instrument was acknowledged before me this day ofkmuy, 20 1 by _.day of 20 k 7 by who is ersonally kn to gLorlci,vvimlwho is personally known t0 me or who has produced as me or who has produc as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: ` Sign: t Print: I� f(�-�►a Print: Pg,r0?� Seal LESLIE FERNANDEZ Seal: Noe�ry Public Sfets) IFiOfkf"WNN� MY COMMISSION#FF097297 +► � MI""Perez ' GOrMribtlon GG 0940eD EXPIRES March 2, 2018 My. APPROVED BY O l!(r' Plans Examiner Zoning R Structural Review Clerk (Revised02/24/2014)