EL-18-2337Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit No. EL-8-18-2337
Pe
Permit Type: Electrical - Residential
rtill't
Work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 9/14/2018 1 Expiration: 03/13/2019
r.vject^UU1eas Parcel NUmder Applicant
10125 BISCAYNE Boulevard 1132050190190
Miami Shores, FL 33138-2647 Block: Lot: BISCAYNE 10125 LLC
owner mrormauon AaareSS Phone Cell
BISCAYNE 10125 LLC 10125 BISCAYNE Boulevard (786)390-3177
MIAMI SHORES FL 33138-
10125 BISCAYNE Boulevard
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
INDUSTRIAL ELECTRICAL SYSTEM C
ype of Work: NEW POOL ELECTRICAL
dditional Info: NEW POOL ELECTRICAL
lassification: Residential
.anning: 1
Fees Due
Amount
CCF
$0.00
DBPR Fee
$0.00
DCA Fee
$0.00
Education Surcharge
$0.00
Permit Fee - Additions/Alterations
$75.00
Scanning Fee
$0.00
Technology Fee
$0.00
Total:
$75.00
Valuation: $ 800.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL-8-18-68749
08/30/2018 Credit Card $ 50.00 $ 25.00
09/14/2018 Credit Card $ 25.00 $ 0.00
Avauame inspections:
Inspection Type:
Final
Light Niche
Bonding
Review Electrical
Alarms
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 allUy by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, ME,CMANQI`CAL DOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I c that a oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zonirq uth e, I authorize the above -named contractor to do the work stated.
September 14. 2018
norized Signa . Vwner / Applicant / Contractor / Agent
Bo,fit ' epartment Copy
September 14, 2018
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 MELECTRIC ❑ ROOFING
PLUMBING MECHANICALPUBLIC WORKS
JOB ADDRESS:
FBC 20
Master Permit No.
Sub Permit No. aIS - Z3377
❑ REVISION ❑ EXTENSION [)(AENEWAL
CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
1 OWNER: Name (Fee Simple Titleholder): C1 kc) �` ` Phone#:
Address: i of C-bcJcAc-i,-I r-'-ic-- (61
City: i`ycry-) A State: 1
Tenant/Lessee Name:
Email:
hone#:
CONTRACTOR: Company Name: �wy��' `-`y e' —hone#:
Address: I LAOS-D
� t
City: �tC��1 l State: ` Zip:
Qualifier Name: IVCJ LJt� lJt/r—�►t'}��--�t-y�
State Certification or Registration #: �Fc ✓ w
DESIGNER: Architect/Engineer:
hone#:
Certificate of Competency #:
Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ ► 00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: S '1ii M;V1 1 oe)\
fin C21 2 1
L
Specify color of color thru tile: �s ' oz2s
Submittal Fee $ sot 0j _ Permit Fee $ CCF $_
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $
Training/Education Fee $
CO/CC $ _
Notary $
_ Double Fee $ _
Structural Reviews $
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE , 2-S' p
Y
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
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 permi ' issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature 12aSignature Qr�
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:,QIL p,�1� Print: � �1 � Cas
Seal
CONTRACTOR
The foregoing instrument was acknowledged beforeme this
day of � , 20 by
I�IQ UY 0 1i Q who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:L
Print: Aft a5
Seal:
as
• �,'r�;: NADINE AGUAS NADINE AQUAS •'`' °"ti;;
' MY COMMISSION * GG090407 MY COMMISSION M 0GO90407
;` osN
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)