EL-18-293Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Parcel Number
Permit NO. EL-2-18-293
Perrnii Type: Electrical - Residential
Work Classification: Alteration
Permit Status: APPROVED
Issue date:2 3/2018 Expiration: 08/22/2018
Applicant
567 NE 96 Street
Miami Shores, FL
1132060171580
Block: Lot:
MICHAEL BYRD
Owner Information
Address
Phone
Cell
ANA BYRD
567 NE 96 ST
MIAMI SHORES FL 33138-2735
Valuation:
Total Sq Feet:
$ 500.00
0
Type of Work: ONE 15 AMPS CHANGING OUTLETS 4 HI H
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
$0.60
$3.38
$2.25
$0.20
$225.00
$3.00
$0.80
$235.23
Pay Date Pay Type
Invoice # EL-2-18-66350
02/23/2018 Check #: 1079 $ 185.23 $ 50.00
02/05/2018 Check #: 1100 $ 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 authors abov--n,ed contractor to do the work stated.
Authorized Signature: 0
Building Department C
/ Contractor / Agent
February 23, 2018
Date
February 23, 2018 1
BUILDING
PERMIT APPLICATION
BUILDING ZELECTRIC
El PLUMBING ❑ MECHANICAL
JOB ADDRESS:
City: . Miami Shores
Folio/Parcel#:
Occupancy Type: Load:
Miami Shores Village
Building Department
1QQ5Q N,I.2n{l Avenue, Miami Shores, Florida 33138
Tell (30) 795-22Q4 Fax; (3Q5) 756-8972
INSPECTION I•INE PHONE NUMMI (305) 762•4949
❑ ROOFING
FBC
Master Permit No. I to 2_9 2-
Sub Permit No _- b ' 2 ( 3
❑ REVISION ❑ EXTENSION (]RENEWAL
❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP
CONTRACTOR
�? me 9644S�
County:
Construction Type:
,Miami Dade
DRAWINGS
—
Is the Building Historically Designated: Yes NO
Flood Zone:
OWNER: Name (Fee Simple Titleholder): CbY 17)
Address: p 9 ��r}E G� �-78—
City: V \ Ll r7�ckState:
Tenant/Lessee Name:
EWE: FFE:
Phone#:
Phone#:
Email:
Zip: j t
CONTRACTOR: �� Company Name: e✓ [� Ilc--1�
Address: 2C/ Y 'r vt i ,' , O G
City:% P/I [J/l (
� /% State*
Qualifier Name: / e,e//) ('A T % �7
State Certification or Registration #: /5•) D �// S Certificate of Competency #: _
Phone#:
DESIGNER: Architect/Engineer:
716/k/
zip: ,)J/f -
Phone#: ,? V —
Phone#:
Address:
Value of Work for this Permit: $
Type of lNork: ❑ Addition
Description of Work: (MC
City: State: Zip:
600 • °%
Square/Linear Footage of Work: —
❑ Alteration ❑ New
At FS id,
ev
-epair/Replace ❑ Demolition
Specify color of color thru tile:
nx
Submittal Fee $ 9D ' C ) Permit Fee $ Z7f ' 0 6 CC $ CO/CC $ w r
Scanning Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
DBPR $
Radon Fee $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ Ie •
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's-Address-1 '
City Rat@ Zip
Mortgag@ L@nd@r's Nam@ (If hpplicabla)
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 standard`s 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 a charged.
Signature
OWNER or AGENT
Signature
CONTRACTOR
The foregoing instrument was acknowledged before
me this The foregoing instrument wa acknowledged before me this
ZS day of CAUtall% , 20 1 D , by _ day of , 20 by
As ottsa , Icy 2n ,who is peron ^all�kn t nowo
_me or who has produced as me or who has produced
identification and who did take an bath.
NOTARY PUBLIC:
Sign:
Prin
Seal
dsr Notary Public State of Florida
Jeffry J Yao
+� My Commission FF 168481
slap. Expires 11/12/2018
APPROVED BY
identification and who did take an oath.
•
NOTARY PUBLI
Sign.
Print:
Seal:
lans Examiner
psYPb6 ,4
•, iii' J- , u u
���°F Pi
Bonded hrough National Notary Assn.
•
CASSANDRA NEBBIA
Notary Public - State of Florida
Commission # FF 979238.
i es Jul 25 2020
as
Zoning
(Revised02/24/2014)
Structural Review
Clerk