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EL-18-899Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. EL-4-18-899 Permit Type: Electrical - Residential Work Classification: Alteration Issue Date.-4/9/2018 Permit Status: APPROVED Expiration: 10/06/2018 Parcel Number Applicant 825 NE 97 Street Miami Shores, FL 33138- 1132060142600 Block: Lot: DIANNE & MARC STEAD Owner Information Address Phone Cell DIANNE & MARC STEAD 825 NE 97 Street MIAMI SHORES FL 33138-2527 Contractor(s) LONGMAN ELECTRIC INC Phone (305) 758-1211 Cell Phone Valuation: Total Sq Feet: $ 500.00 0 Type of Work: REMODEL EXISTING BATHROOMS ALL ELEC Additional Info: REMODEL EXISTING BATHROOMS ALL ELEC 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 $2.25 $2.00 $0.20 $150.00 $3.00 $0.80 $158.85 Pay Date Pay Type Invoice # EL-4-18-67063 04/09/2018 Credit Card $ 108.85 $ 50.00 04/06/2018 Credit Card $ 50.00 $ 0.00 Amt Paid Amt Due 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 ce construction and zonin that all t - •. • r'1brntation is accurate and that all work will be done in compliance with all applicable laws regulating horize the above -named contractor to do the work stated. April 09, 2018 , AutM on ed : ignature: Owner / Applicant / Building Department Copy Contractor / Agent Date April 09, 2018 1 BUILDING PERMIT APPLICATION 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 REC T�.., APR 0 6 7U18 BY: FBC 2011 Master Permit No. Re l$ —2 Sub Permit No. EL 18 - sq q ❑BUILDING XELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ['PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 8ZS /U• L r. City: 97 sr. Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO %C wc cd Occupancy Type: fif.fri / Load: Construction Type: CeZr Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): /0944.0 Address: Bay N, ci S 7 sr: p/4,142.7 phone.:(.... 77J- - /002, City: %i7/a•r,t SAO(Zelf State: JAL • Zip: 3313 Tenant/Lessee Name: 4//4 Phone#.OS) 'S 7 - /0.2y Email: `i1'-,4P !lea... ' ou rid . f CONTRACTOR: Company Name: r5-1 v 7i✓ r �4-ex - Address: r L r"V L '1 /5 5 94 Phone#: 3cQ S- 25 l °/T City: /1/.1/ 4-/ 54Gbh S/ I State: ! " Zip: "3 7- Qualifier Name: Ail i / G,fri q, .e' �/ ` `— ./) ,4?4.�- Phone#: — 7.S.,". J / i i_ ) ,7w�/� State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: / 5 .D /' (.-\ivPise IX i igil:-. Phone#: Address: 7p /U t Q � �City: /A-/)7 I State: � Zip: 33 3g Value of Work for this Permit: $ 5-0© . 67-6 Square/Linear Footage of Work: Type of Work: ❑ Addition jEr Alteration E New ❑ Repair/Replace ❑ Demolition Description of Work:_ A.7 /rlDDC�L 6-,if/.Til/16 ,54 j/jc/Qd047 41 CLCIc1iE/L , Pain gitI . A,D f hi,74.edo wiz c > en/z/N 1 J.4 01,r LO C47,0,J.r . Specify color of color thru tile: Submittal Fee $ 50 al Permit Fee $ '5 ' CCF $ CO/CC $ Scanning Fee $ Radon Fee $ a- DBPR $ •'aS Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ I 09 • R J (Revised02/24/2014) �c�s 41e.._ Bonding Company's Name (if applicable) /A 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 / Osc-- �. OWNER or AGENT The foregoing instrument was cknowledged before me this The fore oing instrumentwas cknowledged before me this day of , 20 �� , by day of 20 // , by who is personally known to /clQP/20,oz'x?410 is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ( G �� tt�`r pie DRI O I '4O Commission # GG 104094 m '' uls,l , t Expires July 12, 2021 No, OhA Bonded Thru Budget Notary Service, Signature CONTRACTOR as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Seal: * Commission # GG 104094 `o7. Expires July 12, 2021 FOF F4er Bonded Thnr Budget Notary Services o:`: AOBo„ GLORIA COTO APPROVED BY !vA-972-4 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)