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EL-18-1847__ yµ 4l y'/VT�Qr' F[ORtOp' Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit No. EL-7-18-1847 Permit Type: Electrical - Residential Pen ' Work Classification: Alteration Permit Status: APPROVED Parcel Number Issue Date: 7/16/201`8 ( Expiration: 01/12/2019 Applicant 1199 NE 102 Street 1132050190010 ANELIA SHAHEED Miami Shores, FL 33138-2649 Block: Lot: Owner Information Address Phone NIHAR PATEL 1199 NE 102 Street (248)561-1523 MIAMI SHORES FL 33138-2649 1199 NE 102 Street MIAMI SHORES FL 33138-2649 Contractor(s) Phone Cell Phone RTC ELECTRIC CORP. (786)227-4180 of Work: RENOVATION HOME KITCHEN BATHROOM PA onal Info: RENOVATION HOME KITCHEN BATHROOM PA ification: Residential Scanning: 1 Fees Due Amount CCF $2.40 DBPR Fee $3.38 DCA Fee $2.25 Education Surcharge $0.80 Notary Fee $5.00 Permit Fee - Additions/Alterations $225.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $245.03 Cell Valuation: $ 4,000.00 Total Sq Feet: p Pay Date Pay Type Amt Paid Amt Due Invoice # EL-7-18-68172 07/16/2018 Credit Card $ 195.03 $ 50.00 07/10/2018 Credit Card $ 50.00 $ 0.00 Available Inspections: Inspection Type: 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 AFFIDA IT: 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 z ing. Futhermore, I authorize the abovontractor do the work stated. <-'-n' July 16, 2018 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy July 16, 2018 Miami Shores Village RECEIVED fo Building Department 018 v� 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JUL 10 2 Tel: (305) 795-2204 Fax: (305) 756-8972 0� INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING Master Permit No. 2? (- - S - l V -- iZ/4% PERMIT APPLICATION Sub Permit No. ❑BUILDING Q ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL' ❑PUBLIC WORKS [:]CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: iMiami Shores County: Miami Dade Zip Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: &jA FFE: OWNER: Name (Fee Simple Titleholder): N%tkft PA% RNELid <4tA fQ-n Phone#: fj 26 i -• K 2-1 D Address: �� "1`1 �� Z N City: Tenant/Lessee Name: Email: 'k k �/y QL0 State: Zip: V" one#: CONTRACTOR: Company Name: Phone#: Address:��,�]�— City: ` State: lQ'°� Zip: �•31 Qualifier Name: IZ� Phone#. State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: —1-D B(ZAS-OAA.ILA Phone#: �I S �1 '-NY0 Address: Q5 PS ( 0 aj QVi 9 (ODCity: PlrYl'I t� �� State: Zip: 3 j Value of Work for this Permit: $ 4•000Z) Square/Linear Footage of Work: Type of Work: ❑ Addi ion [ Alteration ❑ New ❑ Repair/Replace ❑Demolition Description of Work: ,tKi� Ck%nl\ tt n©,�, A _ e � ..1L Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews (Revised02/24/2014) Permit Fee $ Zzs ieL CCF $ CO/CC $ Radon Fee $ a - a S DBPR $ Notary Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) NA Bonding Company's Address NA city NA State NA Mortgage Lender's Name (if applicable) AIG HOME LOAN Mortgage Lender's Address PO BOX 77404 city EWING State NEW JERSEY Zip NA Zip 08628 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 OWNER or AGENT The f Wgoing instrument was acknowledged before me this �' day of 1 t Q.Li 20 J by 2��Q Sha,ht�d , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:I Print: Seal: • •S y 1 • UY: APPROVED BY ODALYS OLAZABAL Notary Public -State of Florida Commission # GG 097441 My Comm. Expires Aug 20, 2021 `JuA Signature CONTRACTOR The foregoing instrument was acknowledged before a this k Q day off 20 by e, 1 v ` 1 Nu is perso ally oJvn to me or who has produced 4 1 I l as identification and who did take an oath. MAHARAI K. GONZALEZ EXPIRES: November 2, 2020 Bonded Thru Notary Public Underwriters ******************************************************************* Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014)