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EL-18-2204a,� Miami Shores Village �sKO1s �s� try 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 �'toRtoA Permit NO. EL-8-18-04 Permit Type: Electrical - Residential Per i Work Classification: Alteration Permit Status: APPROVED Issue Date; 8/27/2018 1 Expiration: 02/23/2019 Project Address Parcel Number Applicant 366 NE 99 Street 1132060135560 Miami Shores, FL 33138- Block: Lot: ITAY BEN ZVI owner mtormation Address Phone Cell ITAY BEN ZVI 366 NE 99 Street (917)514-8517 FL 366 NE 99 Street FL Contractor(s) Phone Cell Phone MV ELECTRICAL SERVICES (305)216-0677 of Work: ELECTRICAL REMODEL OF BEDROOM AND(2 onal Info: ification: Residential Scanning: 3 Fees Due Amount CCF $1.80 DBPR Fee $3.38 DCA Fee $2.25 Education Surcharge $0.60 Permit Fee - Additions/Alterations $225.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $244.43 Valuation: $ 2,450.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # EL-8-18-68597 08/20/2018 Credit Card $ 50.00 $ 194.43 08/27/2018 Credit Card $ 194.43 $ 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 that all the foregoing information 1&Aeseurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-na r r to do the work stated. August 27, 2018 Authorized Signature: Owner / Applicant / / Agent Date Building Department Copy August 27, 2018 1 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 L,t BUILDING PERMIT APPLICATION ❑ �<ELECTRIC BUILDING ❑ ROOFING FBC 20116 Master Permit No. IL C`� 17LV0 Sub Permit No. ��—L— ' Z-Z 04 ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: t!O I✓� �� City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1 t 3 2 o b 01355 6 o Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 1:vo�\N \ sy\�' Phone#: 01 Address:: A (O (O N G 00, 5 �g A' City: ani-5'hpCe State: �-`OY4(� Zip: �31 JCS Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: U ��rT[> 1 Si)/1_� Phone#: Address: 1931) . A% W I City: H L C l e,a k State: `G,Y-, CA a- Zip: Qualifier Name: ne#: State Certification or Registration #: EC t 3 © Q j a o _R Certificate of Competency #: DESIGNER: Architect/Engineer: Add City: Phone#: Zip: Value of Work for this Permit: $ '�_ 4-"S0 _ ©0 Square/Linear Footage of Work: Type of Work: ❑ Addition E�T' Alteration ❑ New ❑ Repair/Replace ❑ Demolition y t C I i LL t Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Technology Fee Structural Reviews $ Radon Fee $ 2 - Z S DBPR $ � 13 Notary $. Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ �� ` 3 (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 low 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. J Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of US / 20 by I�[s✓1AJ1 wh is personally known o me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Seal: The foregoing instrument was acknowledged before me this c9O day of 14G), 1 v U5� 20 l by Marl �• V C4 6- S , who i ersonally known o me or who has produced identification and who did take an oath. NOTARY PUBLIC: as APPROVED BY jj� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT d, : r OF BUSINESS AND PROFESSIONAL REGULATION EC13005608 ISSUE_D:06/11/2018 ELECTRICAL CO RACTOR VALDES, MARI M V ELECTRI RVICES INC Signature LICENSED U CHAPTER 489, FLORIDA STATUTES EXPIRATION DATE: AUGUST 31, 2020 J - - T 003397 Local Business Tax ftceipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 5772380 BUSINESS NAME/LOCATION RECEIPT NO. MV ELECTRICAL SERVICES INC RENEWAL 18311 NIN 82ND CT 6019046 MIAMI FL 33015 EXPIRES SEPTEMBER 30, 2019 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TiiPE OF BUSINESS PAYMENT RECEIVED MVILECTRICAL SERVICES INC 196 ELECTRICAL CONTRACTOR BY TAX COLLECTOR EC13005608-=. - $75.00:08/1-3/20T8' Worker(s) 1 CREDITCARD-18-060969 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 qualificatioptkto do business. Holder must comply with any governmental ornongovernmentaf'regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 80276. For more information, visit www gkamidedejq�,�jiaetor