EL-17-1660Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
P
Permit NO. EL-6-17-1660
Permit Type: Electrical - Residential
Work Classification: Pool - Private
Permit Status: APPROVED
oate..7/12/2017
Expiration: 01/08/2018
Parcel Number
Applicant
9879 NE 13 Avenue
Miami Shores, FL
1132050090490
Block: Lot:
JACQUELINE BARRANTES
Owner Information
Address
Phone
Cell
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
Cell Phone
Valuation:
Total Sq Feet:
$ 2,500.00
0
Type of Work: ELECTRIC FOR POOL AND SPA
Additional Info:
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$4.50
$4.50
$0.60
$300.00
$3.00
$2.40
$316.80
Pay Date Pay Type
Invoice # EL-6-17-64402
06/26/2017 Check #: 301618
07/12/2017 Check #: 301652
Amt Paid Amt Due
$ 50.00 $ 266.80
$ 266.80 $ 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 res•onsibility for all world done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTR)L, P/ M �/ G, MECHANICAL, INDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFID�1/IT: ! rtify" all the rego' ormation is accurate and that all work will be done in compliance with all applicable laws regulating
construction and honing. I thj� I autt}6r�ze thleq re -named contractor to do the work stated.
Authorized Si, ature: Owner / Applicant / Contractor / Agent
July 12, 2017
Date
Buildin
epartment Copy
July 12, 2017
1
BUILDING
PERMIT APPLICATION
❑BUILDING
❑ PLUMBING
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
ELECTRIC ❑ ROOFING
❑ MECHANICAL ❑ PUBLIC WORKS
JOB ADDRESS: 9I 0 W L.
City: Miami Shores
Folio/Parcel#: 1 ‘" 31 5 (y-D1 `
Occupancy Type: Load:
13 4v
County:
Dygo
Construction Type:
OWNER: Name (Fee Simple Titleholder):
Address: 9'114J (A%t;
City: VII c et..., � 4)k/utf-1..4
13
State:
CEOVED
JUN267017
FBC 20Iq
Master Permit No. I3PP- -/ / )170
Sub Permit No. E ( LI -14 (1° 0
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CO NTRACTO R
Miami Dade
DRAWINGS
Zip: 3 3/ 3�
Is the Building Historically Designated: Yes NO
Flood Zone: BFE: FFE:
))cc trc S
Phone#: ((3- - („ r- 2 -q
Tenant/Lessee Name:
Email:
Phone#:
zip: 33/3?'
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING
Address: 3876 NW 125 ST
Phone#: 305-688-2000
City: OPA-LOCKA State: FL
Qualifier Name: FRANCISCO SANTOS
Zip: 33025
Phone#: 305-688-2000
State Certification or Registration #: EC0001514 Certificate of Competency #:
DESIGNER: Architect/Engineer: tieklVC-Li ad Phone#: I (.— 23S -1' 4/35-
Address: Z4) C, 1- V\ City: 01 r Avvt I State: \P( Zip: 33/ k,
Value of Work for this Permit: $
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace n Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ Tepiew
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ G �� • SO
(Revised02/24/2014)
. 'it
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
WNER or AGENT
The foregoing instrument was acknowledged before me this
4 day of ✓ i 1 20 • by
J 1i� r� s
w o is personally known to
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
(4 day of f�� V i f , 20 17 , by
FRANCISCO SANTOS
, who is personally known to
me or who has produced as me or who has produced
Seal:
iden ification and who di. .ke an oath. identification and who did take an --th.
N oT -Y PUBLI' NOT . 411111hilii
LIC:
Sig wtat�Qmat■�s Si:
Prin . �,'' �.��• ��
Print: 4r�r- m-
Seal: i
(i I, 1�t�
I� c�Pg EXPIRES: September 27, 2017
''•:'g ; ;:•'�� Bonded Thru Notary Public Underwriters
Y COMMISSION # FF
as
= ••�°'�'''=. YORLENY M. HE D Z
9 -` EXPIRE tSSION # FF 022108
EXPIRE
Fro;. S: September 27, 2017 •
Bonded Thru Notary Pudic Ufenwiters
***********************************************************************************************
APPROVED BY
3m,tCi,� 4 Plans Examiner.
Structural Review
Zoning
Clerk
(Revised02/24/2014)