EL-17-937 Pefmit No. EL-4-17-937
I-'.i Miami Shores Villageo Permit Type:Electrical-Residential
10050 N.E.2nd Avenue NE
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Work C/eS5C8tiiC3t?: +bol-Private
Pm
Miami Shores,FL 33138-0000
Phone: (305)795-2204 Pem7it'Statta5:APPROVED
F�ORIDII'
Issue Date.6112/2017 Expiration: 12/09/2017
Project Address Parcel Number Applicant
90 NE 96 Street 1132060130600
Miami Shores, FL 33138- Block: Lot: VERO HOMES LLC
Owner Information Address Phone Cell
LVERO HOMES LLC 701 BRIECKELL AVE (305)902-4660
MIAMI FL 33131-
701 BRIECKELL AVE
MIAMI FL 33131-
Contractor(s) Phone Cell Phone
METRO ELECTRIC SERVICE, INC 305 945-1991 Valuation: $ 3,500.00
( ) (305)945-1991
Total Sq Feet: 0
Type of Work:ELECTRICAL WORK FOR NEW POOL AS PER Available Inspections:
Additional Info:ELECTRICAL WORK FOR NEW POOL AS PER Inspection Type:
Classification:Residential
Final
Scanning: 1
Light Niche
Bonding
Review Electrical
Alarms {
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $2.40
DBPR Fee Invoice# EL-4-17-63580
$4.50 06/12/2017 Credit Card $618.40 $0.00
DCA Fee $4.50
Educatiori Surcharge $0.80
Permit Fee--Additions/Alterations $300.00
Scanning Fee $3.00
Technology Fee $3.20 5
Work without Permit Fee $300.00
Total: $618.40
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.
f June 12, 2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 12,2017 1
Miami Shores Villager
Building Department AP 052017
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:_ pN� '
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBc 2o14 s+-"
BUILDING Master Permit No. PP 1-1- Q36
PERMIT APPLIC TION Sub Permit No. E,L I I - 93`1
F-IBUILDING LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
C� 41C-
City:
/ CONTRACTOR DRAWINGS
JOB ADDRESS: { 1/�
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City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: (�
4 OWNER:Name(Fee Simple Titleholder): c Phone#:3a r
Address: L 6 /�( . � ((?'-.)_o(?'-.)_o/ ,
City: M�l l/"'I I State: C— Zip: 3-31
Tenant/Lessee Name: Phone#:
Email: A
CONTRACTOR:Company Name: Phone#:
Address: IPso
City: M (6f 011'
1 State: Zip: p
?3(d l
Qualifier Name: WK r-1G1 2 Phone#: 32M/ ��
State Certification or Registration#: et3oq573;-� Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
(Value of_Work_for.this.Permit:_$7 .35M Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace p ❑ `Demolition
Description,of.Work:-. �O_JT UA w61r`� S f I,L�GT U ret )Pto.
Specify color of color thru tile: br�DDo
oOv
Submittal Fee$ �� ;d Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ I
(Revised02/24/2014)
Y
•
Bonding Company's Name(if applicable)
Bonding Company's Address I _
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
1
City I State Zip
1
ApplicaMtion 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,
N
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.
"WkRNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
d
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."
Noticelto Applicant: As a condition to the issuance of a building permit with an estimated ue exceeding$2500, the plicant must
promise in good faith that a copy of the notice of commencement and construction li 1 w brochure will be delive d to the person
whose°property is subject to attachment. Also,a certified copy of the recorded noti of o. mencement must pe p sted at the job site
for the first inspection which occurs seven (7) days after the building permit ' iss d. In the absen f s h posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Sign I ture Signature
— g
WNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoLrument acknow edged before me this
3 day of 20 1 by day of 20 by
personally known to2—who' personally know
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.
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NOTARY PUBLIC: NOTARY PUB I
Sign:: Sign: -
Iy
Print: Print:
C,�r: JORGE OSEAU ' j =+* y�= of
Sea�l:,•�✓ g Seal: � - a y._ Notary Public -State of Florida
p AAY CO S N#FF119046 Commission# FF 989121
tl _ EXP AY 4,2018 (1 �� / fl ,off ,, ° My Comm. Expires May 4,2020
iMN 3 FI r allotary.com t.r rW�
APPROVED BY 2 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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