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ELC-18-2089Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Parcel Number Pennit NO. ELC-8-1 8-2089 Permit Type: Electrical - Commercial Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 8/2012018 Expiration: 02/16/2019 Applicant 9636 NE 2 Avenue Miami Shores, FL 33138- 1132060132500 Block: Lot: PALAZZO LEONI LLC Owner Information Address Phone Cell PALAZZO LEONI LLC PO BOX 381703 MIAMI FL 33238- PO BOX 381703 MIAMI FL 33238- Contractor(s) Phone Cell Phone CARLY ELECTRICAL SERVICE 305-970-6345 Valuation: Total Sq Feet: $ 1,200.00 0 Type of Work: CONTROL PANEL FOR SEWER MOTOR PUMP Additional Info: CONTROL PANEL FOR SEWER MOTOR PUMP Classification: Commercial Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.20 $2.25 $2.00 $0.40 $150.00 $3.00 $1.60 $160.45 Pay. Date Pay Type Invoice # ELC-8-18-68458 08/20/2018 Credit Card 08/06/2018 Credit Card Amt Paid Amt Due $ 110.45 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical W. W. Underground 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 zonin•. tgermore, I authorize the above -named contractor to do the work stated. August 20, 2018 Auth • ized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy August 20, 2018 1 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 IJ FBC20fl BUILDING Master Permit No. 1• —I2 `I PERMIT APPLICATION Sub Permit No.& ' l Sat ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR RECEIVED AUV18 DRAWINGS JOB ADDRESS: '9'U J 6 NE a Av City: Miami Shores County: County: Miami Dade Zip: 3 S I 51 Folio/Parcel#: '' OG 013 2,5-00 Is the Building Historically Designated: Yes NO '( Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): PA-LAzo DJV I U—C Phone#: J f Address: D W K -J ri f t7 3 City: MIANt I State: FL Zip: 33 23 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: ` L ELtCT S kV i C6 Phone#: 305 9 ""(�3 j Address: 6 TI�L F GAM (. Bl_v City: V� ( ,�r� State: A I .FL CZip: �\ W / y , Qualifier Name: s \A-F N A N b E Z Phone#: 355 `[�3 �1 5- State Certification or Registration #: EC 13 0 0 59 Li C.. Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: Value of Work for this Permit: $ /ZIP, R' Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New X Repair/Replace LiDemolition Description of Work: CS �� rOtoL PIS Q - Scatidc Mof©\- PUw-a State: Zip: Specify color of color thru tile: Submittal Fee $ Permit Fee $ y reo,40Q CCF $ CO/CC $ Scanning Fee $ Radon Fee $ 2. ` DBPR $ Z • -2 S Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ ( 1 d • gS (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 y € 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. -Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not berppproved and a reinspection fee will be charged. Signature 1#4,1L OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was�acJ1 owledged beforerme this /a9 � 6/ day of vs , 20 � 0 , by -3 day of a. U V 6 , 20 i3 , by 7/Q• La7i 1 , who is personally known to 5 IT k14.. who i personally known to p Y � p Y me or who has produced as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: identification and who did take an oath. NOTARY PUBLIC: Sign: ,,, _� Q Sign: Q Print: „y 1 t'' (/oq e-( Print: Seal: Seal: APPROVED BY • ,::iie NANCY HERNANDEZ .F` Commission # FF 166011 ITT„'a Expires February 6, 2019 • Ps`'' Bonded TMu Troy Fain Insurance 800.385.7019 j 4z'/e6- /$ Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk