EL-17-2949 1
Permit No. EL-12-17-2949
`sHO1iEs t1Z Miami Shores Village Permit Type:Electrical -Residential
10050 N.E.2nd Avenue NE
e rF� ' Work Classification:]Low Voltage
Miami Shores,FL 33138 0000 Permit Status:APPROVED
5- -
"s Phone: (305)795-2204
><ORIP
Issue mate: 12/28/2017 1 Expiration: 06/26/2018
Project Address Parcel Number Applicant
1450 NE 103 Street 1132050310040
Miami Shores, FL 33138-2626 Block: Lot: VIKTORINEX, LLC
Owner Information Address Phone Cell
VIKTORINEX, LLC 1931 CORDOVA RD Road (305)647-6486
FT. LAUDERDALE FL
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Contractor(s) Phone Cell Phone Valuation: $ 1,800.00
FUSE ELECTRIC INC (305)970-4379
_, _ _....... Total Sq Feet: 0
Type of Work:LOW VOLTAGE Available Inspections:
Additional Info: Inspection Type:
Classification:Residential r
Review Electrical
Scanning: 1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
Invoice# EL-12-17-65914
DBPR Fee $2.25
DCA Fee $2.00 12/28/2017 Credit Card $ 110.45 $50.00
Education Surcharge $0.40 12/14/2017 Credit Card $50.00 $0.00
Permit Fee-Additions/Alterations $150.00
Scanning Fee $3.00
Technology Fee $1.60
Total: $160.45
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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-named contractor to do the'work stated.
Dec er 28, 2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
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Building Department Copy
December 28,2017 1
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Miami Shores Village
Building Department REC 14 2017
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 1BY.
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(30S)762-4949 '
FBC 20 !t-4
BUILDING Master Permit No. M 6 9 31
PERMIT APPLICATION Sub Permit No.Ej--14-129 y
❑BUILDING [jfl ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING [--� MECHANICAL PUBLIC WORKS" CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 4 SO WE 10 2�4 <Jcreei—
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
*. OWNER: Name(Fee Simple Titleholder): ��� �'!S�� PZ i�) �.L.:C Phone#: �- !3C09
Address: Ce>eCibot/CG.. i T_e....
city: 1 - h' ��i,��rz 4 AA-41 State: zip: 33 3 (!o
Tenant/Lessee Name: t Phone#:
Email: U ; K jt52jk1es xxil- C 0%40,1-k— x60M '
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CONTRACTOR:Company Name: �t�yQ. E1491- -ri ci T-nee, t Phone#:WS -9110 -(4-6-19
Address: 1IGSO So►t•a.Zen S)r
City:%Il4,0061 State: L. zip:3�07-1
Qualifier Name: LIP-00 t-02-1CL-1 Phone#:
State Certification or Registration#: jEC.1300So")D Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: zip:
Value of Work for this Permit:$ I BOO " Square/Linear Footage of Work:
Type of Work: ❑ Addition Z teration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: !
Specify color sof color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ 2 ' DBPR$ 2 ' Z� Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ I O '
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
i
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 reinspection fee will be charged.
Signature Signature
_ T4 I 40A
OWNER or AGENT C NACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument wa acknowledged before me this
day of f Gc�� � 20 1 by _A day of E( Vtv(hbPX 20 \1 by
Ft
is personally known to U RO mn G0Z-t atm who is personally known to
me or who has produced ' v-6� as me or who has produced as
identification and who did ke an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: 4 Sign:
Print: 7 y �Y� Print: 7 YE
Seal: �olpar Peeo ?7, k."MISSION to GGW92+59
LIRIDA MIRABAL Seal: - „d' F' EXPIRES July 06,2020
* * MY COMMISSION#FF 159697
AM' EXPIRES;January 12,2019
FOF"dl Bonded Thru Budget Notary Services
APPROVED BY 1✓4— S`Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)