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EL-18-3294Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date:11/09/2018 Permit NO.: EL-10-18-3294 Permit Type: Electrical - Residential Work Classification: Alteration Permit Status: Approved Expiration: 64/24/2019 Parcel Number 1209 NE 98TH ST, Miami Shores, FL 33138 1132050090230 Contacts I CARSTEN PETERSEN 1209 NE 98 ST, MIAMI SHORES, FL 33138 Other: 3058072221 Owner Description: POOL HEATER INSTALLATION Fees Amount Application Fee - Other CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee $50.00 $0.60 $2.00 $2.00 $0.20 $50.00 $3.00 $2.50 Total: $110.30 CPS ELECTRIC, INC. ANGEL ROMERO 1315 NW 30 AVE, MIAMI, FL 33125 Business: 3056078221 Contractor Valuation: $ 600.00 Total Sq Feet: 0.00 Inspection Requests: 305-762-4949 Payments Total Fees Credit Card Credit Card Amount Due: Date Paid 11/09/2018 10/26/2018 Amt Paid $110.30 $60.30 $50.00 $0.00 Building Department Copy 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. LTo _- L �✓ �z 5 Authorized Signature: Owner / Applicant / Contractor / Agent Date November 09, 2018 Page 2 of 2 Occupancy Type: BUILDING PERMIT APPLICATION BUILDING El 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 CO FBC 20 n Master Permit No. C Sub Permit No. t8/A OCTRECErc 2 6 2018 ROOFING ❑ REVISION EXTENSION PLUMBING El MECHANICAL PUBLIC WORKS El CHANGE OF El CANCELLATION CONTRACTOR JOB ADDRESS: City: Miami Shores / k6 € c2 Sd- County: RENEWAL El SHOP DRAWINGS Miami Dade Zip: ! 3 13 3 Folio/Parcel#: Is the Building Historically Designated: Yes NO BFE: FFE: Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): C:. 411( 9 e-v Phone#: Address: City: T3 ° V C� Tenant/Lessee C Name: Phone#: Email: _PS C 15ir-otf\ •cov , State: CONTRACTOR: Company Name: CPS Electric, Inc. Address: 1600 NW 28th Ave. Zip: Phone#: 305 6345570 City: Miami State: FI Qualifier Name: Angel Romero State Certification or Registration #: EC13005401 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: / City: State: Zip: Value of Work for this Permit: $(p00 Square/Linear Footage of Work: Zip: 33125 Phone#: 305 6345570 Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Description of Work: CO 0 Cur - eL -e._ ❑ Demolition Specify color of color thru tile:i�, Submittal Fee $ Permit Fee $ /O / ©U CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ i V. 3v 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. 1 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 approve s.pection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this day of �X j �+(y' ,20%�, by u) 1' C -7 o,,i�fio a personally known to me or who has produced rt.—YIN-NM— as identification and who did take an oat NOTARY PUBLIC: e iI11/10/0N 2j •��� - O* i Sign: ;S Print: "`T:'''2 cs, ; F.;,. r--d Seal: ��� ozo,Ko.. i� p S�tiicisk .• 4° .. l�`*flf�idQQ11la-ce•\ Signature NTRACTOR The foregoing instrument was acknowledged before me this daY of me or who has produced 20 by who is personally known to identification and who did take an oath. NOTARY PUBLIC: Florida Nota ryServlce.com as ************************************************************************************************************ APPROVED BY /Velvig Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk