EL-17-521Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
150 NE 108 Street
Miami Shores, FL'3161-
Owner Info-: oration
Emily Bradfute
Address
Permit NO. EL-2-17-521
Permit Type: Electrical-- Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date:'3/30/2017'
Expiration: 09/26/2017
Parcel Number
1121360100040
Block: Lot:
150 NE 108th Street
Miami Shores FL 33161
Contractor(s)
Phone
CeII Phone
ATL ANTIS ELECTRICAL CORP (305) 551-4C43
Type of Work: ELECTRIC FOR NEW ADDITION
Additional info:
CI ca' c r. =i=;edential
Scanning: 1
Fees Due
CCF
DEF'R F=.e
DCA Fee
Edu atior. S r i ge
Permit Fc. - Ad ltio .s!A!terations
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$3.33
$3.38
$0.80
$225.00
$3.00
$3.20
$241.16
uatMIIIIU ITIEUMILIAwtsraui
Applicant
JEFFREY KVLOFOFF
Phone
305 679-9 744
W ,•• v::.za.•41L -• ,ti
Total Sci j• f• t..
mmmusim
till Pay Date Pay 'Type
1.13,�j•IAffW]y7lt
Invoice # EL-2-17-63101
03/30/2017 Credit Card
Amt Paid Amt Due
$ 241.16 $ 0.00
CPII
r,
Avaiiable Inspections:
Inspection Type:
I�'a.!
MeteFir Box
'Alteration
^.elocution
Fire Alarm
oer✓i a hw ,,e
Review Electrical
v,! v,Ai
Underground
In cc _r 12 and .. `h ..:ancr t^ r,o ;t this ..^rrr , ! afire . perform.¶' ..or': e^ ' _r ..^.de anoP w,±h =i1 nrdin;anres and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the Nrui er a,.t or:ti;;s of Miami Shores Village. In
accepting this permit I assume responsibility for all e"ork done by either myself, my age, -it, servants, or employes ! understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL., WINDOWS, DOORS, ROOFING and SWIMMING POOL won ..
OWNERS AFFIDAVIT: rtify that all the foregoing information is accurate and that all work will be done in corn, 'I; rc,'; N';h all an7lir.able !aws regulating
construction and zoni more, I authorize the iloove-named contractor to do the work stated.
Mar :h 3rl, 2r_e! 7
Authorize Signature: Owner / Applica !t / Contractor / Agent
Bu oil,+^Il "" ! epartrnerrt Ccp's
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
BUILDING
PERMIT APPLICATION
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
RECEIVED
FE&pv
FBC 20H
Master Permit No.F-CA
Sub Permit No. h LI �� 521
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 15 0 NE I0'g S -ems+
City: Miami Shores County: Miami Dade Zip: 331 (o I
Folio/Parcel#: II, 2(3b. oC'? voko Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):Enyi ►y Bradfit1c_ �i �G rt.� o f oko�F Phone#: 305 44-11•9-744
Address:
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: MACIrl-IiS Et/LI- 1 CaCur? Phone#: 72 L,•'Sq5• 6,110
Address: 0-10.'3 SW 20 1 rru�-c.
City: {r1lanrii State: FL. Zip: 33f"1S
Qualifier Name: FYGr' (A5 c o �lXGZ Phone#:
State Certification or Registration #: E .13 cot Gila Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 3/ ftxD . Square/Linear Footage of Work: As' clittkSZ
Type of Work: ❑ Addition ❑ Alteration
❑ New ❑ Repair/Replace
Description of Work: 0-00L(C ? IUb't-`) /-(,JD c'710AJ
❑ Demolition
P4 c
Specify color .of , lor't u`tile: -•,
Submittal Fee $ r '' '- Permit 'Fee $ my bU 3i f CCF $ �a CO/CC
Scanning Fee $ Radon Fee $3DBPR $ Notary $
Technology Fee $ 3 • Training/Education Fee $ °
Structural Reviews $
• r , t
Double Fee $ Y�
Bond $
TOTAL FEE NOW DUE $ ate( • so
(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.
Signatur
OWNER or AGENT
The `f ego g instrument was acknowledged before me this
I'5 m'��day of 1((e�0,,(UCt(U , 20 1�- , by
•(i11 Il.{ jd 1 4 ,)who is personally known to
me or who has produced 1 L ' �� - as
identification and who d.: take an oath.
LIC:
Sign.��L . i , vraimmis--
‘11r*DAIRSIIMPAII
Print:
Seal:
;,
t•
***********act ** M 014A0 104rIy**********************
/7 /L2�/e-Z)"NA/ i)' Plans Examiner
Rebeca M. Pastrana
Commission J GG065487
APPROVED BY
Expires:
Feb. 7, 2021 %„`��
Signature
.12
CONTRACTOR
The foregoing instrument was acknowledged before me this
q day of rebrviArti ,20 17 ,by
VICanCI5G() fe,rGZ , who is personally known to
me or who has produced DL vn'�t�t as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Suyapa Vasquez
Commission # FF942611
Expires: December 9, 2019
Bonded thru Aaron Notary
*************************************************
Zoning
(Revised02/24/2014)
Structural Review
Clerk