EL-16-1173Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. EL-4-16-1173
Permit Type: Electrical - Residential
Work Classification: Pool - Private
PermitStatus: APPROVED
Issue Date: 7/14/2016
Expiration: 01/10/2017
Parcel Number
Applicant
9879 NE 13 Avenue.
Miami Shores, FL
1132050090490
Block: Lot:
JACQUELINE BARRANTES
Owner Information
Address
Phone
CeII
JACQUELINE BARRANTES
9879 NE 13 Avenue
MIAMI SHORES FL 33138-
(917)698-2863
9879 NE 13 Avenue
MIAMI SHORES FL 33138-
Contractor(s) Phone
SHINE ELECTRICAL ENGINEERING (305)688-2000
CeII Phone
Valuation:
Total Sq Feet:
$ 2,500.00
0
•
Type of Work: ELECTRIC FOR POOL AND SPA
Additional Info:
Classification: Residential
Scanning: 1
CANCELLED
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Amount
$1.80
$4.50
$4 50
$0.60
$300.00
$3.00
$2.40
Total: $316.80
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL-4-16-59605
07/14/2016 Check #: 300733 $ 316.80 $ 0.00
Available Inspections:
Inspection Type:
Final
Light Niche
Bonding
Review Electrical
Alarms
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 a urate ,�-A/hat all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -named c tra5t6F',r,' . the work stated.
i
Authorized Signature: Owner / Applicant / ontractor / Agent
July 14, 2016
Date
Building Department Copy
July 14, 2016
1
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
BUILDING
PERMIT APPLICATION
BUILDING 0 ELECTRIC ROOFING
APR292018
3Y:
FBC�20 ►y
Master Permit No. )? r l
Sub Permit No. J 1 `P-' 1 1-
❑ REVISION EXTENSION RENEWAL
rat
PLUMBING MECHANICAL DPUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: e7'9 NE
City: Miami Shores /County:
r
Folio/Parcel#:1 � �� C� ` 1 • 9
Occupancy Type: Load:
OWNER: Name (Fee Simpl
Address: 832_ `es41
City: N' t I g==2i''—lei 1
Construction Type:
Miami Dade
Zipf�� 3�
Is the Building Historically Designated: Yes NO
Flood Zone: V E_ BFE: FFE:
�In,G&==41 r e#: 41 i 6'112" 3
---► _ 3
tate: 'T
Tenant/Lessee Name:
Phone#:
Zip: 138
Email:
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING
Address: 3876 NW 125 ST
City: OPA-LOCKA State: FL
Qualifier Name: FRANCISCO SANTOS
State Certification or Registration #: EC0001514
Phone#: 305-688-2000
Zip: 33025
Phone#: 305-688-2000
Certificate of Competency #:
DESIGNER: Architect/Engineer: 1 3= =� l�j' q nz-C (-I cm-
r
Address: •off City:
Value of Work for this'Permit: $ 2 , Square/Linear Footage of Work:
Type of Work:
Description of Work: E-
❑ Addition ❑ Alteration
New ❑ Repair/Replace
oc=,,,=2. 1
2 .�S
Zip:
Specify color of color thru•tile:
Submittal Fee $ Pefmit Fee $ _7,e9 9e de7 CCF $ 1 •l O CO/CC $
C ,
Scanning Fee $ Radon Fee $ 't ` 5 v DBPR $ "7 ' glo Notary $
�0 Training/Education Fee $ 6 - 6o Double Fee $
Technology Fee $ � ' g/
Structural Reviews $ ? Bond $ n
TOTAL FEE NOW DUE $ 3 (e • C'
(Revised02/24/2014)
Bonding Company's Name (if applicable)
•
t
Bonding Company's, Address '
City State Zip
Mortgage Lender's Name (if applicable)
3;
Mortgage Lender's Address City `� t�t State Zip
i •j i •
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 est(ated value exceeding $2500, the applicant must
promise in good faith thafa 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.
The foregoing instrument was acknowledged before me this
1 C--J^"day of M v�rGl� , 20 l , by
Q
�IY6(WEE'tlersonally known to
me or who has produced ,11.,
identification and whoidid.ytakg•an oath.
Sig
Pri t:
Seal:
7;,ru Nct7y
i.,_: .t: �swsr..�s+a.+c�.r<r»-sn r._:•i+..t.
*****************************************************************
as
CONTRACTOR
The foregoing instrument was acknowledged before me this
��� day of ✓ i l , 20 1C-e•P , by
FRANCISCO SANTOS
who is personally known to
me or who has produced . as
identification and who did take an
NO11R PU = I
5
Print:
APPROVED BY
riz 3/4•'y Z' Plans Examiner
YORLENY M. HERNANDEZ
MY COMMISSION # FF 022108
Bonded Thru Notary FubUM Undsrwriters
wre�^stlss.?['TJ�tlYeYFa�.Y`av 4o:tK
* * * * * * * * * *
Zoning
(Revised02/24/2014)
Structural Review
Clerk