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EL-18-1115Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Issue mate: 7 Permit NO. EL-4-f 8-1115 Permit Type: Electrical - Residential Wei* Classification: Addition/Alteration Permit Status: APPROVED #12018 Expiration: 01/05/2019 Parcel Number Applicant 1421 NE 103 Street Miami Shores, FL 33138-2625 1132050310150 Block: Lot: VILMA QUINTANA Owner Information Address 1421 NE 103 Street MIAMI SHORES FL 33138- 1421 NE 103 Street MIAMI SHORES FL 33138- Contractor(s) FINETECH INC Phone CeII Phone (305)267-3785 (305)216-6364 Phone Cell Valuation: Total Sq Feet: $ 5,790.00 0 Type of Work: NEW ELECTRICAL FIXTURES OUTLETS EX Additional Info: NEW ELECTRICAL FIXTURES OUTLETS EX Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Penalty Fee Permit Fee - Additions/Alterations Scanning Fee Technology Fee Work without Permit Fee Amount $3.60 $3.04 $2.03 $1.20 $100.00 $202.65 $3.00 $4.80 $202.65 Total: $522.97 Pay Date Pay Type Invoice # EL-4-18-67320 07/09/2018 Credit Card 04/26/2018 Check #: 1161 Amt Paid Amt Due $ 472.97 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical Underground W. W. 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-tbnin uthermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent July 09, 2018 Date Building Department Copy July 09, 2018 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 pj( - Inspection Number: INSP-000927-2018 Permit Number: EL-4-18-1115 Scheduled Inspection Date: October 23, 2018 Inspector: DeVaney, Michael Owner: VILMA QUINTANA Address: Project: 1421 NE 103 ST Miami Shores, FL 331382625 <NONE> Contractor: FINETECH INC LUIS SANCHEZ Permit Type: Electrical - Residential Inspection Type: Electrical Final Work Classification: Addition/Alteration Phone Number: 3055273904 Parcel Number: 1132050310150 Phone Number: 3052673785 Building Department Comments NEW ELECTRICAL FIXTURES OUTLETS EX FAN KITCHEN APPLIANCES SD NC WH AND SERVICE WITH NEW PANEL Checklist Item General Comments Passed False Comments Inspector Comments- Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. October 22, 2018 For Inspections please call: 305-762-4949 Page 33 of 39 BUILDING PERMIT APPLICATION ❑BUILDING CJ'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 NECEIVt.L APR 2 6 1018 C CP FBC201-i Master Permit No. Q ke-l111/4-4 Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 14 Z ( M (03 -(, `� City: Miami Shores County: Miami Dade Zip: ( 3 C Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: OWNER: Name (Fee Simple Titleholder): I ✓ir) 4L Address: 1,f C - j (O 3 31 " City: �_l A M 1 S V1OCe, State: Zip: (33? Flood Zone: BFE: FFE: (� I A-a-0Phone#: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: i „/IPkec h , Irk' Address: Co (fld 56st.) (Cf- S In City: (,f k ' .��yQ State:/Zip: 3 / c{ Qualifier Name: w J 15 . I/k 'lam- Z Phone#: 3, Z f (., ^ 6,307 Phone#: t J. o;-I CP % q State Certification or Registration #: l 360 c.00' Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: 5-/() ' CP City: State: M Value of Work for this Permit: Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ ew ❑ Repair/Replace ❑ Demolition Zip: Description of Work: t Specify color of color thru file: 20 z • Submittal Fee $ Permit Fee $ A.4>.S-Q Scanning Fee $ Radon Fee $ 2 • �3 Technology Fee $ Structural Reviews $ 1 CCF $ CO/CC $ DBPR $ • OL/ Notary $ Training/Education Fee $ Double Fee $ 2-Q2 • GC Bond $ (Revised02/24/2014) 00 TOTAL FEE NOW DUE$ A 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 deli - red to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement mus • posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absej ' such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT Signature CTOR The foregoing instrument was acknowledged before me this The foregoing instrume was acknowledged before me this day of ) "v(il((V \ ,20 \ by !� day of 1 / , 20 / by l v \\r(�j v !� �A C�who is rsonally known to (�'I r,��t% , whis personally known to rr or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: �aY'�� ., CHRISTINE STEVENS Notary Public - State of Florida Commission t GG 120541 My Comm. Expires Jun 29, 2021 Bonded through National Notary Assr. APPROVED BY r who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: �0-77/2—l8 Plans Examiner SIMIIIFIWA4V4IPPPAP111' Notary Public - State of Florida Commission GG 120541 My Comm. Expires Jun 29, 2021 Bonded thrcugh National Notary Assn. *********#************ Zoning (Revised02/24/2014) Structural Review Clerk