EL-16-3245Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Pe
�mit
Permit No. EL-11-16-3245
Permit Type: Electrical - Residential
Work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 12/29/2016
Expiration: 06/27/2017
Parcel Number
Applicant
25 NW 108 Street
Miami Shores, FL 33168-4310
1121360110300
Block: Lot:
MARCO VELASQUEZ MAGNA VI
Owner Information
Address
MARCO VELASQUEZ MAGNA VIERIA 25 NE 108 Street
MIAMI SHORES FL 33168-4310
25 NE 108 Street
MIAMI SHORES FL 33168-4310
Contractor(s) Phone
SHINE ELECTRICAL ENGINEERING (305)688-2000
CeII Phone
Phone
Cell
Valuation:
Total Sq Feet:
$ 1,500.00
880
Type of Work: ELECTRIC FOR NEW POOL
Additional Info: ELECTRIC FOR NEW POOL
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$4.50
$4.50
$0.40
$300.00
$3.00
$1.60
$315.20
Pay Date Pay Type
Invoice # EL-11-16-62208
12/29/2016 Check #: 301135
11/30/2016 Check #: 301069
Amt Paid Amt Due
$ 265.20 $ 50.00
$ 50.00 $ 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 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.
December 29, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent
Date
Building Department Copy
December 29, 2016 1
BUILDING
PERMIT APPLICATION
❑BUILDING 0 ELECTRIC
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
NOV 3 0 201E
BY:
FFBC 20 ((--I
Master Permit No. ®pp 10- S2(--'1(-4
Sub Permit No.E. 1
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL 0 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 25 NJ/NJ t fe T
City: Miami Shores County: Miami Dade Zip: ,>g ( 3J
Folio/Parcel#:
1 a / 3 0 / I fl3 �7 Is the Building Historically Designated: Yes NO
Occupancy Type:
Load: Construction Type:
Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder s Vc---o�2�s� Phone#: 7 1
Address: zs � / CRt� ��
City: M l otl—v� l Si, 1_5==eC S State: -l= Zip: 35 136
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING Phone#:.305-688-2000
Address:
3876 NW 125 ST
City: OPA-LOCKA State: FL
Qualifier Name: FRANCISCO SANTOS
zip , 33025
Phone#: 305-688-2000
EC0001514
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: t G '�/--•-•ai\ , -1. -G V \ Phone#: -1- " �-3 Z 4 3-5
S'l -----1S� ZOO t�-� �4-i'l -�( `1. Zi 3-51 NI
Address: City: 11 State: p:
Value of Work for this Permit: $ I ' SO_• Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
Description of Work:
jew ❑ Repair/Replace n Demolition
r-.
Specify color.of ci color thrutile ,
[� -CC) Permit Fee $ 3®Old' CCF $ 1 1^ �-�J CO/CC $'
Submittal Fee $ �..�) C'-(�
l
Scanning Fee $ ' `-'V Radon Fee $ q. R) �DBPR $ 'I- SO Notary $
Technology Fee $ �`
.. � Training/Education Fee $ ' Double Fee $ p
Structural Reviews $ 0
Bond $
TOTAL FEE NOW DUE $
5 .2s0
(Revised02/24/2014)
S '
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 apoved/and a reinspection fee will be charged.
The foregoing irtftrument was acknowledged before me this
r1- — , day of ��r� , 20 1 � , by
Ic=1VCo v 16:71LG7-,--who is personally known to
me or who has produced
identification and who did take an oat
NOT •Y PUBLIC:
Sig
Print:
Seal:
Y NY M. HERNANDEZ
si MY C MISSION # FF022108
EXPIR September27, 2017
8onaea Thru Notary Public Underwriters
as
The foregoing instrument was acknowledged before me this
21 day of Lam! 20 I _ , by
FRANCISCO SANTOS
me or who has produced
, who is personally known to
identificationfiLand who did take an_oath
NOT/J Y PUBLIC:
Sign:
Print:
Seal:
*********************************************************************************
giG/G Plans Examiner
APPROVED BY
as
t_... !4.4FRNA*J 2
COt1U'ESION * F7.022108
XPIRES: September 27, 2017
Bonded Thru Notary Public Underwriters
******************#*******
Zoning
(Revised02/24)2014)
Structural Review
Clerk