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EL-18-3221Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date:10/23/2018 Permit No.. EL-10-18-3221 Permit Type:: Electrical - Residential Work Classification: Pool Permit Status: Approved Expiration: 04/17/2019 Location Address Parcel Number Project 1255 NE 99 ST, Miami Shores, FL 33138-2642 1132050090100 <NONE> Contacts JOSH WOLLOWICK Owner JOSH WOLLOWICK Applicant 1255 NE 99 ST 1255 NE 99 ST Other:3055310970 Other:3055310970 STRONG DEVELOPMENT & Contractor CONSTRUCTION COMPANY (EL) EMIL BODDEN 9260 SW 120 ST, MIAMI, FL 33256 Business:3053211586 FFUERTES@STRONGDEVELOPER.COM Description: RELOCATION OF POOL EQUIPMENT Valuation: $ 2,500.00 Inspection Requests: 305-762-4949 TotalSq Feet: 500.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Notary Fee $5.00 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $122.90 Payments Date Paid Amt Paid Total Fees $122.90 Credit Card 10/23/2018 $122.90 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 zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: owner / Applicant / Contractor / Agent Date October 23, 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: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING [&ELECTRIC ❑ ROOFING 1�c' ooll lk,� lob FBCC 20Ig Master Permit Now' r ' �r q ^ yt Sub Permit No.Qt—I �r - 3 22 ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Ia 5 5 6J e- / / 5-7 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: OWNER: Name (Fee Simple Titleholder): +J dS� L.) 6 �/a "`� �� "� �y� S J) — c� Phone#: 0 Address: /1 113 57— City: e 14 /1 / S- o rt-, State: TL axl')'Q Zip: Tenant/Lessee Named Pnone;F: Email: CONTRACTOR: Company Name: I r0 /? 41 �e`��U P/� f'.n + �° r� Phone#: (3 a-5-J 3Z —15-74:� Address: �U L3�X 665-9'0 City: l� / A!'i 1 State: f" �— Zip: Qualifier Name: ne#: State Certification or Registration #: ZG /3 O °' d 6 `-'j Certificate of Competency #: _ DESIGNER: Architect/Engineer: FF�z2., i ���''"�"''"���` Phone#: Add City: State: Zip: Value of Work for this Permit: $ �4-00. 6 � Square/Linear Footage of Work: Type of Work: El Addition / ❑ /Alteration ❑ New 2-'Repair/Replace otRepair/Replace ❑ Demolition Description of Work: �e�oC,�► l"i r' �' �� j�� i�Qv� Specify color of color thru tile: Submittal Fee $ �k Permit Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary $ S Double Fee $ Bond $ TOTAL FEE NOW DUE $ I �-q 4 (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 ee absence / �e of 1//y�ch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature O NER or AGENT The foregoing instrument was acknowledged before me this 61� _ day of I O F le `--. , 20 , by V�,JO�!-O i wno is personally known to me or who has produced V!�- as Signature The foregoing instrument was acknowledged before me this day of e�2C ? /3</t 20 / Y by ,L-74(L /3oI)C ,0'-J who is persallYknown to me or who has produced identification and who did take an oath. identification and who did take an oath. as NOTARY PUBLIC: 1.111111I1//� NOTARY PUBLIC: .... AR4G9MMIssiopF ADA a. PANDO Sign: • R,Y MaMhr�ss Sign: Y ,tti Notary Pow • s FF Sf1S W& Print: _c �_B,� 0 �: Print: 3 it� I My Ca1wn. Expint SoPIft"� 'i C„> e- Seal: -%; s ;`.,� 5';: Seal: ************************************************************************************************************ APPROVED BY 0��5%L 7.Z. D''Gl Ans Examiner Zoning Structural Review Clerk (Revised02/24/2014)