EL-18-2171Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. EL-8-18-2171
Permit Type: Electrical -Residential
Work Classification: Repair
PermitStatus: APPROVED
Issue Date: 9/5/2018
Expiration: 03/04/2019
Parcel Number
Applicant
1460 NE 103 Street
Miami Shores, FL
1132050310060
Block: Lot:
CHRISTOPHER SAVITS
Owner Information
Address
Phone
Cell
MONICA SAVITS
1360 N. E. 103 ST.
Contractor(s) Phone Cell Phone
NOVOA ELECTRICAL CONTRACTOR (786)287-4220 (305)824-2858
Valuation:
Total Sq Feet:
$ 800.00
0
Type of Work: METER REPAIR
Additional Info: METER REPAIR
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
$2.25
$2.00
$0.20
$150.00,
$3.00
$0.80
$158.85
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL-8-18-68559
09/05/2018 Cash $ 108.85 $ 50.00
08/15/2018 Cash $ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Review Electrical
Review Electrical
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 regoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning4uthermore, I orize the above-n a ontract r to do wor stated.
Authorized Signature: Owner
/ Applicant / Contractor / Agent
September 05, 2018
Date
Building Department Copy
September 05, 2018 1
0,>•-`‘
BUILDING
PERMIT APPLICATION
❑BUILDING ELECTRIC
❑PLUMBING ❑ MECHANICAL
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
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
rr l 4l
FBC�2O
Master Permit No. (9 21
Sub Permit No.
❑ REVISION
❑ CHANGE OF
CONTRACTOR
❑ EXTENSION ❑RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
i LUDO (63 S I
Occupancy Type: Load: Constructio1cr
Type: Floo one: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): OA CI s ` 0 Phone#: -7/3 -7-7 3 SK
Address: f-/ GO NC C� . c 6 S\
City: C`\ (-\Yl 1�-0 C Q._ State: ` l
Tenant/Lessee Name: Phone#:
Zip: (3 g
Email: CONTRACTOR: Company Name: -0\)Q \QC I QQ e . Phone#: 6 ( Q U 2\ ? g�1g
1
Address: U 1 9, 1 `I w cj 1 1 Q�- i
City:\CYQ l Q_ I State: 1` Zip: 33 b 6j
Qualifier Name: SV �C`S) �i-�0;El c er Phone#: 3S
State Certification or Registration #: E C 1 300 6 q % Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $
Type of Work: ❑ Addition ❑ Alteration ❑ New
fl 0l,J
Description of Work: (07-a- Y 'v D 0. i -
Square/Linear Footage of Work:
gf Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ /B '.OIO
Scanning Fee $ Radon Fee $ 2 • p DBPR $ Z • 2 S Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ I 09 ' 85
CCF $ CO/CC $
(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 roved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of r l V ` J t , 20 t , by
�(S S ON i l) , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY P JBLIC:
Sign:
Print:
o; Y , LIZETTE LLORET
?o ;State of Florida -Notary Public
011111*= Commission # GG 118087
'Nq��II .*;z My Commission Expires
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
t'I day of PrtA5LASt , 20 (1 , by
OS is l.lto O aJiwho is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
************************************************************************
APPROVED BY Plans Examiner
Structural Review
Zoning
Clerk
(Revised02/24/2014)