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EL-15-1515Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address 1017 NE 95 Street Miami Shores, FL Owner Information Address Permit Permit NO. EL-6- 5-1515 Permit Type: Electrical - Residential Work Classification: Alteration Pennit Status: APPROVED Issue Date: 7120/2015 Expiration: 01/16/2016 Parcel Number 1132060143580 Block: Lot: Phone Applicant MIAMI PROPERTY SOLUTIONS I Cell MIAMI PROPERTY SOLUTIONS LLC 142 NW 100 Street MIAMI SHORES FL 33150- (305)807-4045 190 NE 111 Street MIAMI SHORES FL 33161- Contractor(s) MESA BROTHERS INC Phone (305)345-1974 CeII Phone Valuation: Total Sq Feet: $ 10,000.00 00 Type of Work: RE WIRE WHOLE HOUSE REPLACE RECEPTA 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 $6.00 $5.25 $5.25 $2.00 $350.00 $9.00 $8.00 $385.50 Pay Date Pay Type Invoice # EL-6-15-56035 07/20/2015 Check #: 6814 $ 335.50 $ 50.00 06/19/2015 Check #: 6804 $ 50.00 $ 0.00 Amt Paid Amt Due Available Inspections: Inspection Type: Review Electrical i 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. "` \ July 20, 2015 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy July 20, 2015 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20 BUILDING Permit No. �7 PERMIT APPLICATION Master Permit Not / lS — 4-C/.- Permit Type: Electrical JOB ADDRESS: 1D/T2. /UG aZ$ S� City: Miami Shores County: Miami Dade Zip: 33 /3 c' Folio/Parcel#: /,/-32 06 -0/41_ 3Sc'O Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): M ` 5 Inv est 0 r s LLG Phone#: 05 - O' ,3-f0' Address: LtO ICE 2 ikve City: tit 1(A%A 9Aae Tenant/Lessee Name: State: 1 Zip: 3 3 1 3 g. Phone#: Email: ct e WteC.Nl e4' o r S. C,OW\ CONTRACTOR: Company Name: kt eori,to / / 2iz .. Phone#: Address: S2/5- c[.Q) /03 /r/E 305-63o"-Zsyq City: 1''1 i Q if) / D / State: P Zip: 3345 Qualifier Name: 120( 1 -e4a- Phone#: 30_s--3,0-Zs• 4y State Certification or Registration #: Ed. (300 i$ .�D Certificate of Competency ##: Contact Phone#: 305 63o-ZSy9 Email Address: /1Q4ct i9 �/> o2-L DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ ( 'tea' Square/Linear Footage of Work: Type of Work: UAddress UAlteration „<eti _` /❑New ;. _ Repair/Replace ❑Demolition �Q Q''! %7!' m e..c.) G� (% 5 �"ram«. � 3a P. Description of of Work: /Ll�CG ,�' S P ***************************************Fees******************************************** Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ _ TOTAL FEE NOW DUE $ �' s� . a Bonding Company's Name (if applicable) Bonding Company's Address City _ W.. - 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 Y 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 nzusi be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. 1 e a.sence uch posted notice, the inspection will not be approved and a reinspection fee will be charged. ^ti .® Signature 0 ,r r or Agent ing instrument was acknowledged before me trisl2- 20/5 , by / fwho is er�sonally known to me or who has produced SON41-4-)1 As identi NOTARY PUBLI Sign: Print: pp1�1 Gi .k V, p (,zs�-+-> ez My Commission Expires: Lion and who did take an oath. ********************* APPROVED BY Notary Public State of Florida Maxine Y Gomez My Commission EE 839239 po Expires 09/30/2016 44 9, 2f, 6� / f� / Plans Examiner Zoning Contractor The foregoing instrument was acknowledged beff re me this 1/4, day of , 20 /.s, by�C,l �who_is persona] ..known to me or who has produced Auso a!4. CC/ as,identification and who did take an oath. NOTARY PUBLIC: ************************************************ Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) i 4°\\6 BUILDING PERMIT APPLICATION ❑BUILDING VI ELECTRIC PLUMBING ❑ MECHANICAL JOB ADDRESS: /(/ / / City: Miami Shores 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 ❑ ROOFING ❑ PUBLIC WORKS Folio/Parcel#: (1 ' 2 0GoO (112 52D County: FBC 2']0 ( 0 Master Permit No. 2G �"f - % S - %3/ Sub Permit No. L- - ❑ REVISION XCHANGE OF CONTRACTOR EXTENSION ❑RENEWAL ❑ CANCELLATION n SHOP DRAWINGS Miami Dade Zip: Is the Building Historically Designated: Yes NO i< Occupancy Type: J.+ Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): I41 AAA 1 Tr-oref60 W`h t M S Phone#:-3O- 307 _ 4 o4b_, Address: ' 4o ik-0�. City: > A ` 14t) (� State: FL • - Zip: 3313'0, Tenant/Lessee Name: Phone#: Email: 7� CONTRACTOR: Company Name: ECr-RrLAL CDNTRACT nee jyNG-Phone#: 6 -5, j5 Address: 19/5l3 S;S7 ,#Af eln/S City: ly1 tA-M \ State: FL ' Zip: 3' J Qualifier Name: /1IA- RK ReeeINS p Phone#:1g6(oa2/-60/ State Certification or Registration #: CV /c2 g / / Certificate of Competency #: 00C19% g% 7 DESIGNER: Architect/Engineer: Phone#: Address: City: Value of Work for this Permit: $ 10, d UU - " Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace State: Zip: n Demolition cJ Description of W�� /ork: fT-1-7 H`J MPI-110E 7-/1 Cc-.E.1' Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ g Ci (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. "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 0 NER or AGENT The foregoing instrument was acknowledged before me this , 20 1 , by 1-44 , who s personally known to me or who has produced as identification and ake an 1 't'" day of NOTA Sign: Print: Seal: ********** NoiaryPub4r Stateof Olorida Aileen Torres l �' . ,�a My Commission FF008637+ ,pd' Expires04/16/2017w. * * * CONTRACTOR The foregoing instrument was acknowledged before me this 3 day o��f//�� , 20 / C'2 , by �1 4i2K ,C) f "a') S , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ******************** ***********************irk***************** APPROVED B ' v �T Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid LISPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • M p s 'G''��a,-u `?$6/1() /l P ./qVr' . �� 33/31 i�'lIl'!�1l�(I�'!il'"I!1'��li�ll��lllll�l�l�l�flli�ll!'f!I'llil 2. Article Number (Transfer from service label) SENDER: COMPLETE THIS SECTION ■ Complete iterrisl; 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed 1� 5a l5- Sc (03 fA► iirti•e• %'f/%¢g4i 4737 fO,.C` 3. Service Type BiCertified Mail ❑ Express Mail lEntegistered ❑ Retum Receipt for Merchandise 1111111111111111111111111111111111IIIIIii j ,❑ Insured Mail ❑ C.O.D. —I T �ru 4 ��153- 00�2._P866. 5236 _ Yes 0/5-0 bc(9- O 5c 3c COMPLETE THIS SECTION ON DELIVERY A. Sig X ❑ Agent ❑ Addressee C. D e of De very D. Is delivery address diffe nt from item 1? ❑ Ye If YES, enter delivery address below: ❑ No PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 February 17, 2016 Mesa Brothers Inc. 5215 SW 103 Avenue Miami FL 33165 Raul Mesa Ref: 1017 NE 95 Street Permit # EL-6-15-1515 PROPERTY SOLUTIONS Ltcp m RI Lrf •J3 Posfage= IL 0 O tr1 0 Certified Mail R Certified Fee Retum Receipt Fee (Endorsement Required) 0 Restricted Delivery Fee (Endorsement Required) Total Postage & Fees treat A . rJ T T. 0 A art $ti,iiit 1i Sent as staI Service F w, r CERTIFIED MAIL, RECEIPT Domestic Mall Only;No Insurance r•- ( �.erage Provided). !For delivery information visit our website at www.usps.come: A No.; P or PO Box No. £ �1SSO / d03 City, State, ZIP+4 O' — V ,a PS Form 3800; August 2006 xpecte. le )very lay (Thursday 02/25/2016) Certified 1 (USPS Certified Mai1 #) (70140150000208665236) Return 1 Receipt (USPS Return Receipt 0) (9590952106150248901648) 33 02/23/201 - See .Reverse for, Instruction' $3.45 $2.80 We have concluded to change of contractor for the above property. Enclosed is an Application for this process from Miami Shores Village. Kindly fill out thoroughly and submit via mail to our office. Like always, we appreciated your business. If you should have any questions or concems, please contact us immediately. Respectfully, Eddie Miller Miami Property Solution 9840 NE 2 Avenue, Miami Shores, Florida 33138 305 400 4842 MiamiPropertySolutions_rnm