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EL-17-2278Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Issue A Permit NO. EL-9-17-2278 Permit Type: Electrical - Residential Work Classification: Service Change PermitStatus: APPROVED : 9/21/2017 Expiration: 03/20/2018 Applicant 9300 BISCAYNE Boulevard Miami Shores, FL 33138- 1132060141640 Block: Lot: GABRIEL COSENTINO Owner Information Address Phone Cell GABRIEL COSENTINO 9300 BISCAYNE Boulevard MAIMI SHORES FL 33138- (305)962-1893 9300 BISCAYNE Boulevard MAIMI SHORES FL 33138- Contractor(s) Phone NODAL CONSTRUCTION & ELECTRIC (786)586-3020 Cell Phone Valuation: Total Sq Feet: $ 1,200.00 0 Type of Work: CHANGE OF SERVICE Additional Info: Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $2.25 $2.25 $0.40 $150.00 $9.00 $1.60 $166.70 Pay Date Invoice # 09/21/2017 Pay Type EL-9-17-65129 Credit Card Amt Paid Amt Due $ 166.70 $ 0.00 Available Inspections: Inspection Type: 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 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. September 21, 2017 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date September 21, 2017 1 Address: / o 3 W(n) / g ilk Te/r4'CP City: (-a lea 1, Qualifier Name: JaSc, NodaI BUILDING PERMIT APPLICATION ❑ BUILDING ELECTRIC ❑PLUMBING ❑ MECHANICAL 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 RECEIVED SEP 21 7n/ t FBC 20N Master Permit No. - CI Cc, — of S OS Sub Permit No. l--k p 2i r ❑ ROOFING ❑ REVISION ❑ EXTENSION Li RENEWAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: /3o "8/ S(4/n/& PLOD City: Miami Shores / County: Miami Dade Zip: 33 /aI Folio/Parcel#: r' 1 — / 10 v/ y."'/ (2 Y Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 64bnel exsiewl-, a Phone#: Address: ?300 iscAy tW,E) City: WAM ( CIS State: ePc Tenant/Lessee Name: Phone#: Email: i Zip: 33) 3g CONTRACTOR: Company Name: hood / Gytcjwc40.1I rsic / $c,t Phone#01g10 3020 State: Ft_ Zip: 33a/8 Phone#:. State Certification or Registration #: ECI 3OO LSO Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: n Value of Work for this Permit: $ ! O Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Description of Work: ❑ New 64-14sice © F . ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ CCF $ CO/CC $ Radon Fee $ DBPR $ : Notary $ Technology Fee $ Training/Education Fee $ Structural Reviews $ Double Fee $ Bond $ ! l_� 7� TOTAL FEE NOW DUE $ 1 I��A, "3 v (Revised02/24/2014) 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. t t% "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 an a yeinspection fee will be charged. Signature Signature 1 a OWNER or AGENT ( / CONTRACTOR The foregoing instru ent was acknowledged before me this er-` ,..�� _ , by ,2J 5� dayof.Se/ , 20 /' , by Pi/ Ceh 6461n[� , who is •e�sonall kn. to ( tc ( , who i ersonall know to The foregoing instrument was acknowledged before me this g% S-7-- day of 5--P7"_ , 20 I 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 PU r1 IC: Sign: Print: Seal: *************************** **************************ssss 2--7/ 16 % .// Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014)