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EL-18-610,5HS yam! Miami Shores Village 10050 N.E. 2nd Avenue NE " Miami Shores, FL 33138-0000 yF''sU` Phone: (305)795-2204 LORIOP Permit NO. EL-3-18-610 Permit Type: Electrical - Residential l't Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 3/15/2018 1 Expiration: 09/1112018 Project Address Parcel Number Applicant 1321 NE 103 Street 1132050300120 ADRIA I SILVERMAN Miami Shores, FL Block: Lot: Owner Information Address Phone Cell ADRIA I SILVERMAN 1321 NE 103 Street (305)542-0908 MAMI SHORES FL 33138- 1321 NE 103 Street MAMI SHORES FL 33138- Contractor(s) Phone Cell Phone UNITED ELECTRICAL SERVICES INC (786)797-2188 of Work: REPAIR 2 BATHROOMS itional Info: REPAIR 2 BATHROOMS ,sification: Residential nning: 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 Valuation: $ 3,600.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # EL-3-18-66729 03/15/2018 Credit Card $ 195.03 $ 50.00 03/08/2018 Credit Card $ 50.00 $ 0.00 Avauaoie inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Review Electrica W. W. Underground 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. Futhertpore, I authorize the above -named contractor to do the work stated. ( ,t _ March 15, 2018 Authorized Signature: Owner / AXppticant / Contractor / Agent Building Department Copy March 15, 2018 t Miami ShoresVillage g RECEIVEL BuildingDepartment p MAR 0 8 2018 10050 N.E.2nd Avenue, Miami Shores, Florida 33138\, Tel: (305) 795-2204 Fax: (305) 756-8972 �j INSPECTION LINE PHONE NUMBER: (305) 762-4949 rDC 2� BUILDING Master Permit No. ILL - (g U PERMIT APPLICATION Sub Permit No. 1 1 '(0 ( 0 F-IBUILDING LECTRIC ROOFING REVISION EXTENSION RENEWAL r-IPLUMBING MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP CO NTRACTO R DRAWINGS JOB ADDRESS: Z32I A/C 103 /--?./ Sz-,v,,-T City: Miami Shores County: Miami Dade zip: 3 ✓ 3� Folio/Parcel#: 13 a'O 5� 3 D I �-!7 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple fTitleholder): ad ✓,'CA (- S A d I ilY403#: Address: -,?- ( 1 Ve (03I'd e el - City: M 1ary' l ( '1oco; State: R- zip: 3 3 3� Tenant/Lessee Name: U" J/ 1 Phone#: Email: Mf'a i kireirVYwn so- a►it)&j . C -7-Y, CONTRACTOR: Company Name: 647IGZ> r:/0Y2 /(IiPhone#: ? -7�l72- ?/IFO Address: C711' City: Abmt2re..l State: '47 1 Zip: -a3 cC)32 Qualifier Name: Ua ,r- 9",/, Phone#: %�G` /�' 21 State Certification or Registration #: c� ^/,e l3 D1 i A 9 Certificate of Competency #: !�v?��7 ��d-�G�, DESIGNER: Architect/EEn(g�in Leer. 6,C- -dACA LJp KaIV-C, '_ . 'Phhone#: �� `7 1 l Address: �g �-3 � V W (ob W, 1�� 1 City: C j(fV X State: Zip: 3 3� 1 Cj Value of Work for this Permit: $ 3 (o no , O D Square/Linear,F-,00taage of Work: Type of Work: ❑ Addition Alteration ❑ New R2d1epair/Replace ❑ Demolition Description of Work: aAR/!Z Specify color of color thru tile: Submittal Fee $ Permit Fee $ 27�r, At> CCF $ CO/CC $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ I (Revised02/24/2014) N 0 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 � -`M'' `� OWNER or AGENT The foregoing instrument was acknowledged before me this day of 1 `j 20 �by o i§ II� h td me or who has produced l Ca/'�as identification and who did take an oath. NOTARY PUB Sign: ;•�Y" ' ; MAHARAI K. GONZALEZ Print:. EXPIRES:November2,2020 Bonds ni o ry is n e ,nO•••. Seal: Signature 46--- CONTRACTOR The foregoing instrument was acknowledged before me this day of f7AR CL . 20 18 by Pi ve, U `r« who is personall n to me or who has produced as identification and who did take an oath. NOTARY PWBk1C: Print: Seal: MY COMMISSION # GG045258 *****•*****sa********a:�******s****s**s**s*ras*s:ss*r******+e*+e:s:*:*:s*+e*+s**s**::::**+r+��*s**+�*****rr*r**�r*r�* APPROVED BYPlans Examiner Zoning Structural Review Clerk (Revised02/24/2014) QB Construction Trades qualifying Board BUSINESS CERTIFICATE OF COMPETENCY 12E000i92 UNITED ELECTRICAL SERVICES INC QUALIFYING TRADE(S) 0001 ELECTRICAL ids Secretary of the Bowl www.aianid.de.pv+"""""'' 1 Wand -Dade GoWY rataun 81 PAY fi" Meln.. 002184 Local Business Tax Receipt Miami —Dade County, State of Florida —THIS IS NOT A BILL — DO NOT PAY 6983507 BUSINESS NAMEILUCA-TIONr' -'A' UNITED ELECTRICAL SERVICES INC 26453 SW 135 CT MIAMI FL 33032 OWNER UNITED ELECTRICAL SERVICES INC Worker(s) `, T '` RECEIPr`NO'"— EXPIRES RENEWAL SEPTEMBER 30, 2018 7162894 Must be displayed at place of business Pursuant to County Code Chapter 8A — Art. 9 & 10 SEC. TYPE OF BUSINESS 196 ELECTRICAL CONTRACTOR PAYMENT RECEIVED 12E000192 BY TAX COLLECTOR S75:00°,09/ 17/201.7 . . CREDITCARD-17-=058358 This local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles — Miami —Dade Code Sec 8a-276. For more igdormation, visit www miamidade eov1taxcollector Municipal Contractor's Tax Receipt Miami —Dade County, State of Florida THIS IS NOT A BILL — DO NOT PAY CC NO: 12E000192 BUSINESS NAME"CATION RECEIPT NO. UNITED ELECTRICAL SERVICES INC 26453 SW 135 CT 7518169 MIAMI, FL 33032 mci EXPIRES SEPTEMBER 309 2018 Pursuant to County Code Sec 10-24 TYPE OF BUSINESS OWNER UNITED ELECTRICAL SERVICES INC ELECTRICAL CONTRACTOR PAYMENT RECEIVED BY TAX COLLECTOR 200.00 10/03/2017 CREDITCARD-18-00064E This receipt is notvalid in the following Municipalities: Aventure, Deral, Hialeah, Key Biscayne, Miami Gardens, Miami Lakes, palisade Bay, Pinecrest, Sonny Isles Beach, Town of Cutler Bay. pWnuwioE i For more irdormation, visit wwwAismidada.povhaxoollectar