EL-18-351�st!O1S L,�
Miami Shores Village
10050 N.E. 2nd Avenue NE
"
Miami Shores, FL 33138-0000
F�ORtDA
Phone: (305)795-2204
Permit No. EL-2-18-351
■ t Permit Type: Electrical - Residential
erWork Classification: Alteration
Permit Status: APPROVED
Issue Date: 2/21/2018 1 Expiration: 08/2012018
Project Address Parcel Number Applicant
10 NE 102 Street 1132060131490
Miami Shores, FL Block: Lot: SAT LLC
Owner Information Address Phone Cell
SAT LLC 10 NE 102 Street (561)254-4057
MIAMI SHORES FL 33138-
10 NE 102 Street
MIAMI SHORES FL
Contractor(s) Phone Cell Phone
MEGA ELECTRIC INC (305) 828-5205
of Work: REMOVE AND REPLACE OUTLETS, PANEL A
itional Info:
;sification: Residential
nning: 1
Fees Due
Amount
CCF
$1.80
DBPR Fee
$2.25
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee - Additions/Alterations
$150.00
Scanning Fee
$3.00
Technology Fee
$2.40
Total:
$162.05
Valuation: $ 2,100.00
Total Sq Feet: p
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL-2-18-66415
02/12/2018 Cash $ 50.00 $ 112.05
02/21/2018 Credit Card $ 112.05 $ 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.
OWNEIj,B'AFFIDAV . 1,,certify that all the f oin inf ation is accurate and that all work will be done in compliance with all applicable laws regulating
constryrt;tion arldzp(mg. Futhermose, I a orize a named contractor to do the work stated.
February 21, 2018
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
February 21, 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
BUILDING
PERMIT APPLICATION
❑ BUILDING [A ELECTRIC ❑ ROOFING
A
� T4
FBC 20(j
Master Permit No. �K IC 122 �- 1 72- •cwe
Sub Permit No. • ( V JJ1
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 10 N�,- 102 S'i .
City: Miami Shores County: Miami Dade -Zip: 351 be)
Folio/Parcel#: A - 32010 - of 3 -141b Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 6 H-T U-C Phone#: C,560 2 S4- 4-D57
Address: 10 O.DT-- 02 S�
City: W4", Gkf--C3 State: FL Zip: 3!>1-.>Lb
Tenant/Lessee Name: Phon
Email
CONTRACTOR: Company Name:
a
CLW-1,2, e
Phone#: Q305) g2a - -QD 5
"? 3
Address: 1b215'Z''
p�1Z-
••JJV3
City: W N'ki d-�K Z Y
State: RL
Zip: 33c711.
Qualifier Name: 12i `.+-7 i Nzi
A-L`("
- (: Atwl w
Phone#: i! -QOblb - 520r-
1.
State Certification or Registration #:
EC 001-)2
b
Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ -1 1 /o o Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ NewM Repair/Replace ❑ Demolition
Description of Work: R&M W4 p 4 U UC L &j-1 U-FU ` p Z-6L ll `y -1 V RTA .
Specify color
ro—f�color thru tile: <..
Submittal Fee $J W Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ �' �� Notary $
Technology Fee $
Structural Reviews $
Training/Education Fee $
Double Fee $
Bond $Pp
TOTAL FEE NOW DUE $ j 2 - i1
(Revised02/24/2014)
Y .
1 pp
Bonding Company's Name (if applicable) N f
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 YOURPROPERTY. 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 v e exceeds $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lie aw b c re will a delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice co ence ent mus be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is ,sued In the bsence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
J
Signatur Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
-3O day of J'A NuA 2 v 20 1 $ by day of 20 P6 by
--Rom A !d ! R d AfA A who is personally known to - Ai,6ni t-'fS A'Eq N _ 64\fI L4.4 , who is personally known to
me or who has produced / 2pC as me or who has produced t#A. as
identification and who did take an oath. identification and o di ke an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sigq/ /�� Sign -
Print: /
0- Print: %�Hde/1 �o/ZD/o,("il Print: ZJ2 I 6k
Seal: Seal:
•4 AMBER CORDOBA
* * MY COMMISSION 4GG061 .19i
0
r**•�***ss*ss**s*******+*'�Ds��s*r*sPiRE*****i*�*�**20U*��*********
APPROVED BY 12F+P1310 Plans Examiner
Structural Review
HERMINIO D. GARCIA
MY COMMISSION # FF 951819
EXPIRES: January 19, 2020
Bonded Thru Notary Public Underwriters
Zoning
Clerk
(Revised02/24/2014)