EL-18-1034 Permit NO. EL-i4-18-1434
Lit Miami Shores Village � Permit Type:Electrical-Residential
F 10050 N.E.2nd Avenue N
'Per I
Work Ctassiftcafion:Addition/Alteration
" Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204
F�ORtOp`
Issue;Date:S/112018 r Expiration: 10/28/2018
Project Address Parcel Number Applicant
9275 N BAYSHORE Drive 1132050270570
Miami Shores, FL Block: Lot: POLOSHORES LLC
I
Owner Information Address Phone f Cell
POLOSHORES LLC 44 W FLAGLER Street (786)558-9512
MIAMI FL 33130-
44 W FLAGLER Street
MIAMI FL 33130-
f
Contractor(s) Phone Cell Phone Valuation: $ 600.00
AABAA ELECTRICAL SERVICES COR (305)785-9392
._.pm ------� _ _ Total Sq Feet: f 0
Type of Work:ELECTRICAL DOCK CONDUITS BROKEN-RE Available Inspections:
Additional Info:ELECTRICAL DOCK CONDUITS BROKEN-RE Inspection Type:
Classification:Residential Final
Scanning: 1 Meter Box
Alteration i
Relocation
Fire Alarm i
Service Change
Review Electrical
i W.W.
Underground
I
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 }
Invoice# EL-4-18-67219
DBPR Fee $2.25
DCA Fee $2.00 04/19/2018 Credit Card $50.00 $108.85
Education Surcharge $0.20 05/01/2018 Credit Card $ 108.85 $0.00
Permit Fee-Additions/Alterations $150.00
Scanning Fee $3.00 f
Technology Fee $0.80
Total: $158.85
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated.
May 01, 2018
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department°Copy
May 01, 2018 1
t
qoW)
Miami Shores Village R L;C E i v E D
Building Department APR 19 1018
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949 r
FBC 20(�
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
r Permit Type: Electrical
JOB ADDRESS: k)&fit, twl.&Ac), .c D(LLji5
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): Pa— S��r2GS L_L!'_ Phone#:
Address: L ►SES`' 7L A&(,11_��"
4 City:_q,A rC State: ;7L- Zip: 3^3C S o
Tenant/UsseeName:�;.»a {�� (�}.�11cr-� �J4�/4n�k Phone#:
Email: I.�J�,cN�.oa'Ar�A�a� G^♦1A�L ,
CONTRACTOR:Company Name: X A G AA FGC-CT/L/c A rrn ti/Ct Phone#:3 6-1 7 d'f` 9.3 9 2
Address: 9 s/ N•W Z e ) t A-4--f
City: /d/A(-E A / State: Zip:
Qualifier Name: /n avy E Ko Phone#:
State Certification or Registration#: CC 13 00 6 s'3.3 Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ 6',Pa, Oh Square/Linear Footage of Work:
Type of Work: DAddress OAlteration ❑New )&Repair/Replace ODemolition
Description of Work: F G c C 7`/L/co G d o CA� C n u+!'-r C3/2.0
a
Submittal Fee$ Permit Fee$ 1,4_4V/'!� p CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
7
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ 0 9'
BondinglCompany's Name(if applicable)
Bonding Company's Address
City State zip'
i
Mortgage Lender's Name(if applicable)
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 ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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
i 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 building permit is issued. In the absence of such(posted notice, the
inspection will not be approved and a reinspect' fee w' a charged.
Signature Signature o
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this o� The forego' instru t was acknowledged before me this
day of � _. ,2013—,by OUAIJ�} �41V� day of 20 l qby�D/t�tU�;� �7'/LivLc�a
� -
who is personally known to me or who has produced1A eT who is personally known to me or who has producedyr'siuEIf-J
( "q__A - ntif and who did take an oath. Z-1 c as identification and who did take an oath.
NOTARY PUB NOTARY P IC:
Sign: Sign:
Print: Print:
M,, LUIS FERN
My Commission Expires: ( b ��t:av a°°�c CARLOS GONZALF� Commission Expires: ��x!PUei3O GG 04116
( * * h4Y COMMISSION#FF 1201'11 2°' MY COMMISSION# , ��
UPIRES'.November
qr aP EXPIRES:May E,2018 '"r� opo ndedThN BudgelNotary Sem
APPROVED BY z°o/` 121)9 Plans Examiner Zoning
Structural Review Clerk
E
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)