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EL-18-1985Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit No. EL-7-18-1`985 Permit Type: Electrical - Residential: ` Pen Work Classification: Alteration Permit Status: APPROVED Parcel Number Issue Date: 712612018 1 Expiration: 01/22/2019 Applicant 670 NE 97 Street 1132060171630 Miami Shores, FL 33138- Block: Lot: JOHN BARBICK Owner Information Address Phone Cell JOHN BARBICK 670 NE 97 Street (305)754-6966 MIAMI SHORES FL 33138-2471 Contractor(s) Phone Cell Phone JD ELECTRIC INC (305)299-2482 (Type of Work: INSTALL 6 RESSECED LIGHTS Additional Info: INSTALL 6 RESSECED LIGHTS Classification: Residential Scanning: 1 Fees Due Amount CCF $1.20 DBPR Fee $2.25 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee - Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $160.45 Valuation: $ 1,500.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # EL-7-18-68327 07/26/2018 Credit Card $ 110.45 $ 50.00 07/25/2018 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 AFFIDAVIT: I certify t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoninq,/,tutb re, I authorize the above -named contractor to do the work stated. July 26, 2018 Author?re: Owner / Applicant / Contractor / Agent Building Department Copy July 26, 2018 Miami Shores Village g JUL 5 2 18 Building Department 3� 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 11 btti BUILDING Master Permit No. PERMIT APPL ATION Sub Permit No.�,Ug ^ l 1 S S ❑ BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City_: Miami Shores County: Miami Dade Zip:%, 3. 1. d Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: off,✓ �3 OWNER: Name (Fee Si`m`ple-Titlehpol.�der):X t/ 4,/'b�� 1 Phone#:� �dS Address: 6�0 A4[ / ;Z J T City: &e4x. t t- State: YZ--- Zip: Tenant/Lessee Name: Email: ne#: CONTRACTOR: Company Name: �L> T.� lC , �A,I C _ Phone#: aS Address: 8 7 7 14 /&e Lill. City: -i{Al ( // State: �� Zip: c330 / Qualifier Name: �S7 72 L - �v— r4 . Phone#: &05� State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: one#: Address: City: State: Zip: Value of Work for this Permit: $ )( !l7 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration /� El New ElRepair/Replace El Demolition v Description of Work: �lrs��`L 06-5j'e-� ,�?- A51-15 Iy r Gt 61�T— Specify color of _color..thru tile: Submittal Fee $ So pck1 permit Fee $ ls-0, d>O Scanning Fee $ Radon Fee $ ;�' 0� Technology Fee Structural Reviews $ Training/Education Fee $ CCF DBPR $ D• a�5 CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ f , �l (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 Hof 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 Signature OWNER or AGENT NTRACTOR The foregoing instrument was acknowledged before me this day of U 20J by �- A-- who is personally known to or who has produced f►V- r as identificat• na who id take oath. NOTARY UBP LIC: \ Sign: Print: Seal: YANADY PRIETO MY COMMISSION # FF 214031 EXPIRES: March 25, 2019 APPROVED BY (Revised02/24/2014) The foregoing instrument as acknowledged before me this day of lJG� 20 l g by -57D L'SC' who is personally known to me or who has produced identification and who did take an oath. M-1 NOTARY PUBLI Sign: Print: O Seal: t Jodi Ellis Cardenas o!� NOTARY PUBUC o 2 STATE OF FLORIDA Expires 2/14/2022 Plans Examiner I Zoning Structural Review Clerk Inspection Worksheet 5 Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 ( 3 Inspection Number: INSP-000790-2018 Permit Number: EL-7-18-1985 Scheduled Inspection Date: October 19, 2018 Inspector: DeVaney, Michael Owner: JOHN A BARBICK Address: 670 NE 97 ST Miami Shores, FL 33138 Project: <NONE> Contractor: JD ELECTRIC INC JUSTO L SOSA Building Department Comments INSTALL 6 RESSECED LIGHTS 2 PENDANT LIGHT Checklist Item Passed Comments General Comments False Inspector Comments Passed Ez Failed Correction ❑ Needed Re -inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Permit Type: Electrical - Residential Inspection Type: Electrical Final Work Classification: Alteration Phone Number: 3057546966 Parcel Number: 1132060171630 Phone Number: 3052992482 October 18, 2018 For Inspections please call: 305-762-4949 Page 29 of 33