EL-17-1698 Permit No. EL-6-17-1698
Miami Shores VillagePermit Type:Electrical -Residential-
10050 N.E.2nd Avenue NE Per, 1411 "t
Work Classification:Addition/Altelration
Miami Shores,FL 33138-0000
Phone: (305)795-2204 Permit Status;APPROVED
FCORID p'
Issue Date:711012017 Expiration: 01/06/2018
Project Address Parcel Number Applicant
1160 NE 98 Street 1132050180390
Miami Shores, FL 33138- Block: Lot: FRANCES P ALLEGRA&MARYI
Owner Information Address Phone Cell
FRANCES P ALLEGRA 8,MARYBELL 1160 NE 98 Street (305)609-0091
- - -- --- - --- - MIAMI SHORES FL 33138-
1160 NE 98 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,400.00
RING ELECTRIC INC (754)610-4534
Total Sq Feet: 0
Type of Work:TEN HIGH HATS RECESSED FOUR RECEPTA Available Inspections:
Additional Info:TEN HIGH HATS RECESSED FOUR RECEPTA 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 $1.80
Invoice# EL-6-17-64453
DBPR Fee $2.25 06/29/2017 Credit Card $50.00 $112.30
DCA Fee $2.25
Education Surcharge $0.60 07/10/2017 Check#: 14833 $ 112.30 $0.00 r
Permit Fee-Additions/Alterations $150.00
Scanning Fee $3.00
Technology Fee $2.40 +
Total: $162.30
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that a fore oin information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoni . Futh I th above-named contractor to do the work stated.
July 10, 20171
Author' � ignature:Own Applicant / Contractor / Agent Date
Buildi g Department Copy
July 10, 2017 1
�P Miami Shores Village RECEIVED
Building Department JUN 297017
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 ^ „�
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER.(305)762-4949
FBC 201U
BUILDING Master Permit No.XCI— ` 7— S
PERMIT APPLICATION sub Permit No.
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
/ ,(l CONTRACTOR DRAWINGS
JOB ADDRESS: / / 0 /I IE
City: Miami Shores County: Miami Dade zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: 4vBFFE: /FFE: p
OWNER:Name(Fee Simple Titleholder): v �`f '�"�-*� A�one#: O-5-6 d 0C) /
Address,) // Q
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: �'G TZ Phone#:-2 � � �3�
Address �� %�,/�LCA . 74-
City:
City: /t/f/q- ! State: Zip:
Qualifier Name: Phone#:
State Certification or Registration Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ �/ ' Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration i [_1 New ❑ Repair/Replace ❑ Demolition
Description of Work: �/y
Specify color of color thru t►le
Submittal Fee$ 01 'Permit Fee$I, ���IOD CCF$ ¢ CO/CCS$. •° =
Scanning Fee$ t''s_"?6 Radon Fee'$ " '' DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
f
t
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,I 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."
f
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 n Signature
OV No or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this '
C ,,b r/d�ay of t'l Gly Ltispers:on:ally
by 7" day of 20_ by
w kno to ,C/i' D
who is personally 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: NOTARePUBL :irSign: Sign•Print: Ca^rll f' n4 } (J Print• /k
DANELLE BARBARO
Seal: Seal: �
NOTARY PUBLIC My Patricia Gutierrez
STATE OF FLORIDA < NOTARY PUBLIC
Comm#FFl01601 0a a STATE OF FLORIDA
Expires 12/21/2019 f
APPROVED BY /Jkans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)