EL-18-1293Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. EL-5-18-1293
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit Status: APPROVED
Issue Date: 81812018
Expiration: 12/05/2018
Parcel Number
Applicant
1700 NE 105 Street Number: 204
Miami Shores, FL
1122300500230
Block: Lot:
MARGARET JENKINS
Owner Information
Address
Phone
Cell
MARGARET JENKINS
1700 NE 105 ST #204
MIAMI FL 33138-2139
Contractor(s) Phone Cell Phone
FOSTER & SON ELECTRICAL CONTR (305)644-5869 Q=
Valuation:
Total Sq Feet:
$ 600.00
0
Type of Work: REPLACE KITCHEN CABINETS & COUNTER
Additional Info: REPLACE KITCHEN CABINETS & COUNTER
Classification: Residential
Scanning: 1
Fees Due'
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total: $158.85
Amount
$0.60
$2.25
$2.00
$0.20
$150.00
$3.00
$0.80
Pay Date Pay Type
Invoice # EL-5-18-67544
05/16/2018 Credit Card
06/08/2018 Credit Card
Amt Paid Amt Due
$ 50.00 $ 108.85
$ 108.85 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
i
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 ELEt iTfiI -PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AF AyIT: l I certif that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructs d zo in Futhe more, I authorizQtttle above -named contractor to do the work stated.
zed Signature: Owner / Applicant / Contractor / Agent
June 08, 2018
Date
Building Department Copy
June 08, 2018 1
BUILDING
PERMIT APPLI ATION
❑BUILDING ELECTRIC
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BC 20
Master Permit No. — ( Z°I 2
Sub Permit No.Q06 . Il )3
❑ ROOFING ❑ REVISION
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
❑ EXTENSION ❑RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
JOB ADDRESS: rICO° N I. oS 5st 44 L0K
Load: ConstructionstTIN: Flood Zone: BFE:� r �/ 'j
OWNER: Name (Fee Simple Titleholder): AA4Q.3 d t E' .. C NK `LJ Phone#:,/ / S 5 - 3e (^ 3 3 a
Address: f C7k �) ' C I '-' s\ 44 2 d`►
City: Miami Shores County: Miami Dade
Folio/Parcel#: Is the Building Historically Designated: Yes
Occupancy Type:
Zip: 33 t 3 $
_. -
City:
5Ko ram.
NO
FFE:
State: Zip: 33 (.38
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
Address: 2 tl 6 ,.) ' w` 3 k2.-J• j 1
City: State: ` ' Zip: ` 1— S
Qualifier Name: r eQ �� Phone#: `105 •3`{S• 313 q
State Certification or Registration #: Certificate of Competency #: co
DESIGNER: Architect/Engineer: Phone#:
Address:
veer - —2 S oti
•
Value of Work for this Permit: $
boo
Phone#: 305 ." -(5
000ZS°1
City: State: Zip:
Square/Linear Footage of Work:
Type of Work: ❑ Addition Alteration 1❑ New epair/Reeppllace (❑ Demolition
Description of Work: Qce 1� `A. (' '0 R: \iC- K0 1. , CA i`3 f YUQ`\ S
CO u ),..iAQ ( --\-1::,e
Specify color of color thru tile:
yyy
Submittal Fee $ 1 Permit Fee $ %i�,vf/ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Bond $
Structural Reviews $
TOTAL FEE NOW DUE $
(Revised02/24/2014) '
\oe'
\TED
M� 621�18
c
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
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 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. the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
SignatureY 01/>-4 Gi./Le.*-4L
tOWNER or AGENT
The foregoingrinstrument was acknowledged before
me this
t t' 'ay of l' ..e..7 , 20 1 [J , by
QioG4 Q�,y
.* ' ' Z 0/...VOoiVirkpgrsonaIIy known to
Signature
The forego instrument was acknowledged before me this
`/T day of ��/ , 20 � by
personally known to
me or who has produced as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
identification and who did take an oath.
NOTARY PUBLIC:
as
Sign: \ ' Sign://!/(�K/'�K/
Print: 4.(` JMY COMMISSION Si GG 005528
G.'1�2. Irrv'�' Print: � AWT'QpUOCU��s
*
ott1� Pa MARYJANE SMITH * MY COMMISSION # FF 174698
Seal: • o Seal:
`n EXPIRES: January 30, 2019
EXPIRES: September 5, 2020 '8ontlen WuBudget t�c��+ry Services
�fF / /� c4�`Bonded Thu Budget Notary Senior►►►►►►►►►►►****•►►J!lflil►►►*************►******►►►►►►►►►►►►►►******►*►***********►►►►:724
►►►►►►►►*********
APPROVED BY / )' Z'Q,V��dns Examiner Zoning
(Revised02/24/2014)
Structural Review Clerk