EL-18-3603Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date:12/10/2018
Location Address Parcel Number
230 NE 102ND ST, Miami Shores, FL 33138 1132060134750
Contacts
Permit No.. EL-12-18-3603
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit status: Approved
Expiration: 06/10/2019
MICHELLE JAYME Owner LONGMAN ELECTRIC INC Contractor
MICHAEL LONGMAN
Other: 3057569100 844 NE 98 ST, MIAMI SHORES, FL 33138
Business: 3057581211
Description: MOVE AC1 POWER AND DISCONNECT. Valuation: $ 1,100.00 Inspection Requests:
Total Sq Feet: 40.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$50.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$117.10
Payments Date Paid
Amt Paid
Total Fees
$117.10
Credit Card 12/10/2018
$67.10
Credit Card 12/05/2018
$50.00
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 constructiiyn and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner // Applicant / Contractor / Agent
Date
December 10, 2018 Page 2 of 2
9j�
Miami Shores Village
Building Department C 5 2018
(\
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: l�
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 (-
` L
FBC 20 ('�
BUILDING
Master Permit No. p GI9 -30
PERMIT APPL CATION
."T�
Sub Permit No�- (e "o(
❑BUILDING ELECTRIC
ROOFING ❑ REVISION ❑ EXTENSION. RENEWAL
❑ PLUMBING ❑ MECHANICAL
❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
2-"3O " j� " E 102-nd Svult
JOB ADDRESS:
City: Miami Shores
County: Miami Dade Zip: 3
Folio/Parcel#:
Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type: Flood Zone: BFE: FFE:
OWNER: Simple
2
3/'J ' (-510 100
M ( CAI �, �`�,(4
Titleholder):
Name (Feee,
Phone#:
Address: C _/0 K)
City: ryuomlk'l eNle
S State: Zip: 13 b
Tenant/Lessee Name:
Phone#:
Email:
CONTRACT R: Company /U'(Y
pany Name:
N
Address: - E
City: I'VI 1 aA1(r
Qualifier Name: —I VI /WIUf,I �J
State Certification or Registration #:
ne#:
EL Zip:
7 Phone#: S,4M E
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State
t
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition Alteration ❑ New ❑ Repair Replace
,�J r,� ! per• ,,L
Description of Work: bp
Zip:
❑ Demolition
S .1
Specify color of color thru'tile:.
Submittal Fee $ �� ' Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
DBPR $ Notary $
Double Fee $
t
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: 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 approved and a reinspection fee will be charged.
Signature
OWNEUrAGENT
The foregoing instrument was acknowledged before me this
3 —
day of cc 120 by
KV,Kqj1e -Tay is personally known to
me or who has produced �:1 ��' as
identification and who did take an oath.
NOTARY PUBLIC:
K.GONZALEZ
MY comm1bt1un if vv
EXPIRES: November 2, 2020
Bonded Thni Notary Pu6110 unoorrr
Seal:
Signature g)! I
CONTRACTOR
le,foregoing instrument was acknowledged beforeRe this
da of Du—
— 120 I � by
who is personally known to
me or who has'produced as
identification and who did take an oath.
NOTARY PUBLIC:
�'� APPROVED B Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
STATE OF FL RQAIDP
COUNTY OF The f gging inslrume t was, �j
acyknowledg# befo a this ......day of. 20/lei, by
L?. ... '............. .1..!. 1 r G'...CR-1 AN ..G�I..
Michelle Per _
�*My commissbi I�
OV Explree WlOill � /r�" ' ' -Ale
Personally Known OR Produced Identification
Type of Identificat n Produced
ACU1
Old VV
Location COD
Miami Shores Village
APPROVED
BY
DATE
ZONING DEPT
BLDG DEPT
`11.13J1-CT TO COMPLIANCE WITH ALL FEDERAL
, IAIT AIJ) CC(INTY R. LLS AND REGULATIONS
i
05 2018
i
Intercept existing feed to
ACU1 and re -route to new
location. (1) 60 amp 120/240
volt, 3 W, (2) #6 THHN, (1) #10
Green THHN. New disconnect
to be installed at new location.
New conductors from junction
box underneath house in
crawlspace.
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lwl Sees 33
M �
Longman Electric,
Inc.
95 NE 166" Street
Miami, FL 33162
EC13003713
Jobsite Address:
S
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