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EL-17-745 Permit NO. EL-3-17-745 1'. Miami Shores Village Permit Type:Electrical-Residential 10050 N.E.2nd Avenue NW ' Work Classification:Addition/Alteration Miami Shores,FL 33138-0000 Pen 't k� o� Permit Status:APPROVED Phone: (305)795-2204 Dal p Issue Date':411412017Expiration: 10/11/2017 Project Address Parcel Number Applicant 93 NW 97 Street 1131010330250 Miami Shores, FL 33150- Block: Lot: BARBARA DELGADO Owner Information Address Phone Cell L!ARBARA DELGADO 93 NW 97 Street (786)499-7389 MIAMI SHORES FL 33150- 93 NW 97 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 FOSTER&SON ELECTRICAL CONTR (305)644-5869 () Total Sq Feet: 0 Type of Work:INSTALL LIGHTS AND RECEPTACLES Available Inspections: Additional Info:INSTALL LIGHTS AND RECEPTACLES Inspection Type: Classification:Residential Final Scanning: 1 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical Underground W.W. Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-3-17-63371 DBPR Fee $3.38 DCA Fee $3.38 04/14/2017 Credit Card $ 187.96 $50.00 Education Surcharge $0.40 03/20/2017 Credit Card $ 50.00 $0.00 Permit Fee-Additions/Alterations $225.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $237.96 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 a oni . Futhermore, I thorize the above-named contractor to do the work stated. April:14, 2017 Author ed Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy April 14, 2017 1 i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-279023 Permit Number: EL-3-17-745 Scheduled Inspection Date: October 13, 2017 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: DELGADO, BARBARA Work Classification: Addition/Alteration Job Address:93 NW 97 Street Miami Shores, FL 33150- Phone Number (786)499-7389 Parcel Number 1131010330250 Project: <NONE> Contractor: FOSTER&SON ELECTRICAL CONTRACTORS, INC. Phone: (305)644-5869 Building Department Comments INSTALL LIGHTS AND RECEPTACLES Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed S� Failed F Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 12,2017 For Inspections please call: (305)762-4949 Page 8 of 27 Miami Shores Village Building Departments d 1'ED 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 MAR 2'0 2017 Tel:(305)795-2204 Fax:(305)756-897.2 INSPECTION LINE PHONE NUMBER:(305)762-4949 , - FBC 20 BUILDING Master Permit No. R�—�'1-33 PERMIT APPLICATION Sub Permit No. 1 r-]BUILDING [2(ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP A /r CONTRACTOR DRAWINGS JOB ADDRESS: t V IA/ 9-7 S� City: Miami Shores County: Miami Dade Zip: 33150 Folio/Parcel#: f I— yi 16 1 — (133 -of 50 Is the Building Historically Designated:Yes r NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): L13c,irLnEn De la4 ! Phone#:(3) 915 M22 Address: fn/ City: IVB t 'N f Sy1C+Y�$ State: r1 Zip: : S� Tenant/Lessee`N_ame: Phone#: Email: Ci'.�r (.i/i? CONTRACTOR:Company Name:FVS:[er -TO%`Phone#: 6) 3413 '31.3V 2q4� �w �� sl• - Address: /— _a City: M I�ClM; J �•- State: ' Pori da Zip:l Qualifier Name: Phone#: State Certification or Registration#: E��LS"1 Certificate of Competency#: d 1-:C Mg—(r1 1 -P DESIGNER:Architect/Engineer: b QA ill i C;1- Phone#: 3oS (034.. k(tO(o Address: �?z� ax) 1.C'l. UC City: f ticm,j State: VL Zip: 3.3t.T5— Value of Work for this Permit:$ ZT0<�, Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: VFVl,k-t l'h'i 2S':�(}h7 7iliiSJJ •' r Si.nt^A VICK4 4f-MiNil ti•s,LY.M!bStAre - 1 it �f' • i Specify color of color thru tile: -1.11 ;;1,p ')•: 3 r'�S>; 4 Submittal Fee$ 53" (3�3 Permit Fee$ —leo CCF$ 2.0- CO/CC Scanning Fee$ '0z) Radon Fee$ DBCP'R$ 3.3L(? Notary$ Technology Fee$ 60 Training/Education Fee$ C" O Double Fee$ Structural Reviews$ yo 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 ' 1 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 OWNER or AGENT R---- The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this � II day of �,f� 20 n by day of 12017 by }(Yj(�(G� who is personally known to a who is personally known to i 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 PUBLIC: i V P ii LESTER J MIRANDA Sign: r Sign: =t0+ `�'- Notary Public-State of Florida mmission Ar FF 191135 Print: Print: M.EXPI , VALERIE ANN HAW INS '�n,,,,,,.� 80fldedtllf0UalNatlOnafNotaryASSn Seal: ,o;,aY p"B�;' i rte= ; Notary Public -State of Florida Seal: _ •_ Commission #GG 014064 o�� Expires ..O � Bonded though National Notary Assn.. � ######## APPROVED BY 7y � 1/ Plans Examiner Zoning Structural Review Clerk (Revisedo2/24/2014)