EL-18-946Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. E L-4-18-946
Permit Type: Electrical - Residential
Work Classification: Solar
Pe►mit Status: APPROVED
Issue Date: 4/26/2018
Expiration: 10/23/2018
Parcel Number
Applicant
149 NE 108 Street
Miami Shores, FL
1121360090210
Block: Lot:
PAUL SKRABUT
Owner Information
Address
Phone
Cell
PAUL SKRABUT
149 NE 108 ST
Miami Shores 33161
305-632-44869
Contractor(s) Phone Cell Phone
CASSIA ELECTRICAL CONTRACTOR: (954)650-5840 (954)274-6277
Valuation:
Total Sq Feet:
$ 500.00
0
Type of Work: PHOTO VOLTAIC SOLAR SYSTEM ELECTRIC
Additional Info: PHOTO VOLTAIC SOLAR SYSTEM ELECTRIC
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.00
$2.00
$0.00
$50.00
$0.00
$0.00
$54.60
Pay Date
Invoice #
04/26/2018
04/10/2018
Pay Type
EL-4-18-67124
Check #: 160
Check #: 187
Amt Paid Amt Due
$ 4.60 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Review Electrical
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 - e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. F %-r r authorize the above -named contractor to do the work stated.
April 26, 2018
Authorize , ignatur Owner (Applicant) / Contractor / Agent Date
Building Department Copy
April 26, 2018 1
BUILDING
PERMIT APPLICATION
❑BUILDING Q ELECTRIC
PLUMBING ❑ MECHANICAL
JOB ADDRESS: 149 NE 108th St
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
CP k
FBC 220 f
Master Permit No. 122L
REEEIVED
AP° 1 3
APR 10 1018
Ct(,
Sub Permit No. , V 9I (o
❑ ROOFING ❑ REVISION ❑ EXTENSION El RENEWAL
❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores
Folio/Parcel#: 11-2136-009-0210
Occupancy Type:
County:
Load: Construction Type:
Miami Dade Zip:
Is the Building Historically Designated: Yes NO
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Paul Skrabut Phone#: 954-608-9543
Address: 149 NE 108th St
City: Miami Shores State: FL
Tenant/Lessee Name:
Email: pskrabut@gmail.com
Phone#:
Zip: 33161
CONTRACTOR: Company Name: Cassia Electircal Contrators
Address: 8261 NW 48th ST
Phone#: 954-650-5840
City: Lauderhill State: FL Zip: 33021
Qualifier Name: Glenworth Walker
State Certification or Registration #: EC13005907
DESIGNER: Architect/Engineer: Manuel E. Siques, P.E
Phone#: 954-650-5840
Certificate of Competency #:
Address: 8331 SW 12th Terr, City: Miami
Value of Work for this Permit: $ 500.00
Phone#: 305-586-4776
Square/Linear Footage of Work:
State: FL Zip: 33144
Type of Work: ❑ Addition n Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Photo Voltaic Solar System t f ec rj Conneckt o.
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
Permit Fee $ ®,e940 CCF $ CO/CC $
Radon Fee $ DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 9- Go
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. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of
co
Signature
CONTRACTOR
'The foregoing instrument as acknowledged before me this
c 20 __ J by `� day of 3./ 1 , 20 by
4no is personal) wn to ( t.,.?.JOr`Tti l riA,I,Eel, who is personally known to
mom r who has produced as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign''
Print:
Seal:
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG119738
4'0E 19'O Expires 6/28/2021
APPROVED BY�
identification and who did take . - oath.
NOTARY PUBLIC:
Sign:
a
Print:
Seal: -•STE OF FLORIDA
Comm# GG119738
iti E 1eb Expires 6/28/2021
. / , _)7, , Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)