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EL-18-1479y� Miami Shores Village �sH°RCS 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 n` Phone: (305)795-2204 CORI'D Permit Permit No. EL-5-18-1479 Permit Type: Electrical - Residential Classification: Temp for Construction Permit Status: APPROVED Issue Date: 6/112018 I Expiration: 11/28/2018 Project Address Parcel Number Applicant 17 NE 105 Street 1121360060100 Miami Shores, FL 33138- Block: Lot: OLIVER &ANDREE STEPHANIE Owner Information Address Phone Cell OLIVER & ANDREE STEPHANIE 17 NE 105 Street --- - - -- MIAMI SHORES FL 33138- 17 NE 105 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone MIAMI BEST ELECTRIC INC (305)639-8575 of Work: 30 DAY TEMP ELECTRIC SERVICE onal Info: 30 DAY TEMP ELECTRIC SERVICE ification: Residential ling: 1 Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee - Additions/Alterations $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 Valuation: $ 100.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # EL-5-18-67748 05/30/2018 Credit Card $ 50.00 $ 58.60 06/01/2018 Credit Card $ 58.60 $ 0.00 Available Inspections: Inspection Type: Final 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 AFFID IT I y,t01all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and nin t e o+�, I authorize the above -named contractor to do the work stated. June 01, 2018 Auth ed Signature: Owner / Applicant / Contractor / Agent Buildi g Department Copy June 01, 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 BUILDING PERMIT APPLICATION ❑ BUILDING [Z ELECTRIC ❑ ROOFING MAY 3 0 2018 BY: sk\ FBC 201q Master Permit No. ILC, 3 _1 G -_7 1% Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 17 �ie LoG City: Miami Shores County: Miami Dade zip' 33' 3$ Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 06 V/PP__ At.31) SiQ_�AjslI ` eQ_Ljk _Phone#: Address: 17 (.c'3 2iik� City: MA A;M; State: L Zip: _ 3=3t38 Tenant/Lessee Name: Email: ne#: CONTRACTOR: Company Name: 40tW-; 16C �Phone#: -3�96_— G3S- SS')i Address: 7k,9r LJ Z.•"Or G7' -Vu:-i g- City: 411;6l� State: _F2 Zip: Qualifier Name: Y000-CLe �•�Jz Phone#: %84& -4cs *D,LS' State Certification or Registration #: E767- t3 Da 6,&?Ik Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Add Value of Work for this Permit: $ Type of Work: ❑ Addition ❑ Alteration Description of Work: City: State: Square/Linear Footage of Work: ❑ New ❑ Repair/Replace Zip: ❑ Demolition rA Specify color of color thru tile: r A- Submittal Fee $ Permit Fee $ lam' 0,,00 CCF $ CO/ 'CC $ . ... Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) l Bonding Company's Name (if applicable) e Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 b a ro and a reinspection fee will be charged. Signatur Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of 20 by who is personally known to me or who has produced F-10Y I (J U ID L, as identification and who did take an oath. The foregoing instrument was acknowledged before me this day of 1-/4Y 20 4 by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign:—ank Sign:— � Print: <yAu wo(U �(Aoll a Print: /��A�1�ud�CS Public Seal: Notary Publ(c Seal:My Commission GG 206095` We of Florida o, Expires 08r09/2022 My Commission Expires tv Octobert24, 2020 ***************Wmmi'ssion*rvo%1ttt************************************************************************ APPROVED BY 3m%%S V191ans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT FOR 30 DAY TEMPORARY -ELECTRIC SERVICE NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED. It is understood that the temporary -electrical approval by the Miami Shores Village, Building Department given in connection with the building being constructed under: Building Permit N: RC -3.46 -719 Electrical Permit N: EL- 9 - [6 - 24-79 At Address: i'1 Nr 10S 5*T7LEEz-1- Miami Shores, FL For Owners: OI_j v1= R Arab STEER j& s ,4T , and is being given only for construction purpose or for testing the following equipment in said structure: The owner does herby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion is obtained. r The undersigned also understands that the temporary electric approval is subject to rescission and r-ancellation and electric power can be cut off at the discretion of the building official and will be disconcerted of 1e building concerned is occupied before final inspections are approved and/or obtained a Certificate of 'Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your being unable toobtain future Temporary for Test permits. I, ni, u\" &&Rr , being first duly sworn, depose and say that I am the owner of the above described property, and that I agree that the structure covered in this agreement shall not be occupied until the building contractor has obtained approval of final inspections and/or obtained a Certificate of Occupancy of Co m ote: Failure to comply with the provisions of this affid ' will result in your being unable to t "n fut emporary for Test permits. SandraOrozco-Davila Notary Public Signature of Owner Signature of to 0 orlda My commission Expires I, y1/ October 24, 2020 t�v ��Ree , being duly sworn, depose and say that I am the Electric*A � J9JJ1W= 41559 the above -described property and that the electri ill not create a safety hazard V� Notary Public State Ot FI if to r service is connected. e�' Xiomara Valido My Commission GG 206 i of Electrical Contractors Expiresos�oan I u Notary I, ALi�) being first duly sworn, depose and say that I am the Building Contractor of the above described property and that I will not permit occupancy of this building until final inspections have been called for by the contractors and sub -contractors concerned and final approval b the inspection division obtained and that I have the authority insofar as the owner of said property is concer . d to pro occupancy until such final insp_tlo�.s are otined and/or a Certificate of Occupancy or Comp t�ion sued. gnature of Building Co ZADIS FROMETA .•i�aY PLB �'�. Notary Public - State of Florida • : : Commission # FF 182203 S. P My Comm. Expires Dec 9, �• ° Bonded through National sn. Notary Signature of Inspector Signature of Notary