EL-17-2249Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. EL-9-17-2249
Permit Type: Electrical -Residential
Work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 10/23/2017
Expiration: 04/21/2018
Parcel Number
Applicant
290 NE 101 Street
Miami Shores, FL 33138-2423
1132060134590
Block: Lot:
STEVEN T DOBIE
Owner Information
Address
Phone
CeII
STEVEN T DOBIE
290 NE 101 Street
MIAMI SHORES FL 33138-
(512)569-3370
290 NE 101 Street
MIAMI SHORES FL 33138-
Contractor(s)
MESA BROTHERS INC
Phone Cell Phone
(305)345-1974
Valuation:
Total Sq Feet:
$ 2,000.00
788
Type of Work: NEW POOL & DECK ROUGH
Additional Info: NEW POOL & DECK ROUGH
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
$3.00
$0.40
$300.00
$3.00
$1.60
$313.70
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL-9-17-65097
10/23/2017 Check #: 3600 $ 313.70 $ 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 FIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction nd zoning .,Ffthermore, uthorize the above -named contractor to do the work stated.
Authorized Signature: Ower
CO --a - \�-
licant / Contractor / Agent
October 23, 2017
Date
Building Department Copy
October 23, 2017
1
OWNER: Name (Fee Simple Titleholder):
Address: 2 ?O A'I /v/ SY
City: PI I ` 'rt Sh
BUILDING
PERMIT APPLIC ION
❑ BUILDING ELECTRIC
❑PLUMBING ❑ MECHANICAL
JOB ADDRESS:
❑ ROOFING ❑ REVISION
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
RECEIVED
SEP 19 2017
F C20N-I
Master Permit No. EPP I
Sub Permit No. 6-1 - 22 (-1 I
❑ EXTENSION RENEWAL
❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
aqo i1/411:
City: Miami Shores
County:
Miami Dade Zip:(�g
Folio/Parcel#: 1V(Q-0 i3_c p Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:
tfJ r'�
State:
BFE: FFE:
Phone#: ' / Z _5-64;
Tenant/Lessee N m
sib eCOr'c,7S./)ei
Email:
CONTRACTOR: Company Name: y %e.SG? /a�/,�'T!` giS, x-7/ !
Address: 52-, S Sct /L2 / it/ ..
City:
Qualifier Name: /`\C/C
State Certification or Registration #:
ffe
5amac)/( rO
State:
Phone#:
Zip:
Phone#: 3--'L'..10 Cf
Zip: 2-/
Phone#:
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ as pC0• QO Squa e/Linear Footage of Work: 1
Type of Work: ❑ Addition ❑ Alteration ew ❑ Repair/Replace ❑ Demolition
Description of Work: Kietio pot ,l..k. e QugN- r • •
•
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ 3t'a'
Scanning Fee $ Radon Fee $ C73
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $ ? . CO/CC $
DBPR $ ,. 0....... _... Notary $.. _......
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 3) 3 • "iO
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
f ' i
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City'
h
ti;
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. •'.� i
"WARNING{TOOWNER: YOUR FAILURE JO RECORD A NOTICE ,OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOURFP'ROPERTY.'pIF.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 w ch occurs sev n (7) days after the building permit is issued. Iri_the absence of such posted notice, the
inspection will not boved and a re spection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this The foregoing instrument was cknowledged before me this
_1, i _ day of .Vl�( , 20 11 , by f d y of , 20 %�_ , by
SJEY\ 0(Dik, 1, who is personally known to /i.Q/J0 , who is personally known to
me or who has produced as me or who has produced as
Signature
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
#########
#
;.• ;;�' ;' DORIS ANAYS MARTINEZ
.
• �•:. Notary Public - State of Florida
• ; �: • •'. .rnrtr•,7is, ion *ttGGC0729177�
vr• ## • ###�*,:*lJil"1 71R'9ryyt IyYtI NZ**
rendr+:••••.• ..•r.aonnalNotaryAssn.
•
APPROVED BY
CONTRACTOR
identification and who did take an oath.
•
NOTARY PUBLIC:
Sign:
Print:
Seal:
f 1Y/ OMMISSION #FFOB4758
EXPIRES: JAN 21, 2018
k;,!•r^•! thrc!!g11st State Murree
e
################################################################
Plans Examiner
Structural Review
r. Zoning
Clerk
(Revised02/24/2014)