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EL-18-3317Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit No.: EL-1 0-18-3317 Permit Type: Electrical - Residential Work Classification: Addition/Alteration Permit Status: Approved Issue Date:11/05/2018 Expiration: 04/29/2019 Location Address Parcel Number 9880 NE 9TH AVE, Miami Shores, FL 33138 1132060142400 Contacts JENS SCHWARTE Owner 9880 NE 9 AVE, MIAMI SHORES, FL 33138 Other: 3059873741 DADELAND ELECTRIC CORP Contractor SCOTT STEVEN RAY 8711 SW 188 ST, MIAMI, 33157 Business: 3052894006 GARYB@GARYBELECTRIX.COM Description: REMODEL KITCHEN AND BATHROOM INSTAL Valuation: $ 12,000.00 Inspection Requests: RECEPTACLES, GFI, LIGHT FIXTURES AND SMOKE DETECTORS Total Sq Feet: 240.00 Fees Amount Application Fee - Other $50.00 CCF $7.20 DBPR Fee $6.30 DCA Fee $4.20 Education Surcharge $2.40 Permit Fee $370.00 Scanning Fee $3.00 Technology Fee $10.50 Total: $453.60 Payments Date Paid Amt Paid Total Fees $453.60 Check # 9310 10/30/2018 $50.00 Credit Card 11/05/2018 $403.60 Amount Due: $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 zgjiing the more, I authorize the above named contractor to do the work stated. Signature: Owner / Applicant / Contractor / Agent Date November 05, 2018 Page 2 of 2 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: (30S) 762-4949 BUILDING PERMIT "EICAPPTION❑BUILDING LECTRIC ❑ ROOFING RECEIVED OCT 3 0 2018 Master Permit No. 9 0_— OR —18 a19 SZ) Sub Permit No. AA kA ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP y� CONTRACTOR DRAWINGS JOB ADDRESS: veil U'e City: Miami Shores County; Miami Dade zip:JJI 3� Folio/Parcel#: i 1- Aa010- o i Y - a Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): :_7 -a-lb i ow �. Phone#: Address: �'trf City: (�'n S�'1cX�� State: Ezi Zip: Tenant/Lessee Name: Phone#: Email: - ,�1 CONTRACTOR: Company Name: �a j ,n I �Cr f G t4_(jaD , Phone#: - (r� Address: 25 r7 l I "sL/3 187 u 'S-�rlfzf'� City: 01 16L/211 � ( 1��' State: L Zip: \��f Qualifier Name: rA+ 1nn C\ -L4 Phone#:(30� 1 ag%' V66 (o State Certification or Registration #: I�' Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: ("?-I C1� ' p City: State: Zip: Value of Work for this Permit: $ ,— _ Square/Linear Footage of Work: Type of Work: ❑ G2 Addition Alteration ❑ New ❑ Repair/Replace Description of Work: '& 2rYl j 61 �lPri of Specify color of color thru tile: Zo " 00 Submittal Fee $ Scanning Fee $ Permit FeeCCF $ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ — ❑ Demolition CO/CC $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Bonding Company's Name (if applicable) 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: 1 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 approved and a reinspection fee will be charged. r �\ y Signature / OWNER or AGENT The foregoing instrument was acknowledged before me this '3D -day of 0 4-J) _C 20 1 ? by '�>MS c &L. lrw_ , who is personally known to me or who has produced AL`�/��-�f��9 c�!/-U3%: as !/ CONTRACTOR The foregoing instrument rwas ackn ledged before me this �L/ day of 20 by j(tp447 _FYA_C- , who is personally known to me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY Seal: ��%&_-x)yMEXPIRES COMMISSIONMay30, 20225 NOTARY PUBLIC: ************************************************************************************************************ APPROVED BY ©),6PIans Examiner Zoning Structural Review Clerk (Revised02/24/2014)