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EL-17-710 Permit No. EL-3-17-710 g V iR Miami Shores Village Permit Type:Electrical -Residential 'Per � 10050 N.E.2nd Avenue NE is_ .....- I Work Classification:Addition Miami Shores, FL 3313&0000 Permit Status:APPROVED Phone: (305)795 2204 E'MTF®,N 9 Ft0RW� Issue Date:4161201.7 Expiration: 10/03/2017 Project Address Parcel Number Applicant 841 NE 95 Street 1132060142940 Miami Shores, FL Block: Lot: ARTURO CADILLA Owner Information Address Phone Cell ARTURO CADILLA 841 NE 95 Street MIAMI SHORES FL 33318- 841 NE 95 Street MIAMI SHORES FL 33318- Contractor(s) Phone Cell Phone Valuation: $ 675.00 MB ELECTRIC SERVICE CORP (786)325-3383 Total Sq Feet: 961 Type of Work:2 CEILING FANS, 1 CEILING LIGHT AND Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-3-17-63331 DBPR Fee $2.25 DCA Fee $2.25 04/06/2017 Credit Card $ 115.10 $50.00 Education Surcharge $0.20 03/16/2017 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $165.10 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 andn g. F�thermore uthori �e ab e- amed contractor to do the work stated. April 06, 2017 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy April 06, 2017 1 7 Miami Shores Villagey &�� -- -� Building Department M�� 162417 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 _ Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 c FBCC 20`(A BUILDING Master Permit No. f••G _ 7: PERMIT APPLICATION Sub Permit No f,l BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF n❑ CANCELLATION ❑ SHOP � CONTRACTOR DRAWINGS JOB ADDRESS: 'l 1 IV l� b SIL City: Miami Shores County: Miami Dade Zip: O Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Fll000d Zone: BFE: /I FFE: C OWNER: Name(Fee Simple Titleholder): �` -V� 1�Iu Phone#: Address: O `'' I N b Q(,S S City: P'` 1 S o rko'J State: f ,< Zip: I 6 Tenant/Lessee Name: y Phone#: Email: "'IeAm,C ' CONTRACTOR:Company Name: e 1C _Phone#: 7�-G 325 33�-3 Address: 3°� SS`NW. City: rA t' l VAARm -3 State: Zip: 330 SS Qualifier Name: -7y 5-9—:C P H U iao Phone#: _qK0 3 25 33 State Certification or Registration#: Certificate of Competency#: /2 E 00n 47CO DESIGNER:Architect/Engineer: Phone#: Address: / c City: State: Zip: Value of Work for this Permit: S Square/Linear Footage of Work: 9 cg ( S Type of Work: ❑ Addition ❑ Alteration ❑ New - ❑ Repair/Replace ❑ Demolition Description of Work: 2 C`��, l l C e,c l ri 1- i Z ri� f t7I "!:��.� .y .. - iso 5C2?'Et+6&tk'SP.�a�1.o ar : S' •'�:y t .-.,-,:� +�s. �`i"fi'' � it it F•:i�"i'4RfJifc e�.ihB�,'!C3.7 t f� `:' �{, 1 Specify colorVf'color>rhru >r►le:"� ? rix ; : �: Submittal Fee$ �5 0 Permit Fee$ CCF$ V (_00 CO/CC$ ��— Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ ' O Training/Education Fee$ " �© Double Fee$ Structural Reviews$ Bond$ k TOTAL FEE NOW DUE$ 9 1 (Revised02/24/2014) R Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable)' Mortgage Lender's Addres" City State Zip t { 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. N-p"y/ Signature Signature ` 'OWNER or AGENT CONTRACTOR The foregoing instrume t was acknowledged before me this The foregoing instrumAe�was acknowledged before me this day of A y��,20 ( � by day of /"1 c�� C,1�. 20 _, by who is person known to w c +'✓�T ;P Md�t•2�,who is persona known to 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 PUBLIC: NOTARY PUBLI Sign: C Sign: �►'' YHOSVANY MARTINEZ Print: 4�`%: YH( Print: p. `' MY COMMISSION#FF211866 Seal: *I. Seal: ?a EXPIRES Aprd 04,2019 a...,,• EXPIRES Apel 04.2019 00/p 3W-0'53 FwxniNrYa sauce rcvr �iL`/)3!1P.-0'tr3 FFx�NPMta•YSa•.xc!;m• . ############################################################################################################ n APPROVED BY / S/L /�r�1/Ii-/L /`l Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) `