EL-18-2394Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
issue Date:11/15/2018
Location Address Parcel Number
1192 NE 91 TER, Miami Shores, FL 1132050010480
Contacts
Permit No.: EL-9-18-2394
Permit Type: Electrical - Residential
Work Classification: Pool
Permit Staters: Approved
Expiration: 05/14/2019
NICHOLAS PATON Owner NICHOLAS PATON Applicant
1192 NE 91 TER, MIAMI SHORES, FL 33138 1192 NE 91 TER, MIAMI SHORES, FL 33138
Other:7863019433 NDPATON@GMAIL.COM Other:7863019433 NDPATON@GMAIL.COM
SHINE ELECTRICAL ENGINEERING Contractor
FRANCISCO SANTOS
3876 NW 125 ST, OPALOCKA, FL 33054
Business: 3056882000
Description: ELECTRICAL FOR SWIMMING POOL Valuation: $ 2,500.00 �Ins ection Requests:
05 762-494
Total Sq Feet: 0.00
Fees
Amount
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee - Additions/Alterations
$100.00
Scanning Fee
$3.00
Technology Fee
$2.40
Total:
$111.80
Building Department Copy
Payments Date Paid
Amt Paid
Total Fees
$111.80
Check# 2652 11/15/2018
$61.80
Check # 2512 09/10/2018
$50.00
Amount Due:
$0.00
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 th t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construoon,and zoning. ruthermore, I authorize the above named contractor to do the work stated.
"' AA ' 1
Authorized Si
/ Applicant /
/ Agent
Date
November 15, 2018 Page 2 of 2
r� 4
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 JN ELECTRIC 'ROOFING
PLUMBING MECHANICALPUBLIC WORKS
A
P 10 2018
(P 41
FBC 20 (7�
( , _ 23 el
Master Permit No. -
Sub Permit No. 1-i- ( V - 23<'
0 REVISION 0 EXTENSION ❑RENEWAL
CHANGE OF CANCELLATION ❑;SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I �q L. 00
City' Miami Shores
q) St
County'
Miami Dade Zip: 331 3�
Folio/Parcel#: i (` 3205- 001
Q'l80
Is the Building, Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type:
Flood Zone:
BFE—:7 FFE:
OWNER: Name (Fee Simple Titleholder):
u I &0 �ck e,
P(�.l�O�II
?
_Phone#:
Address:)) J ,9— (�j
City: ICA rn S Y 1dye5
S�
State:
"r L 0210
Zip: B3 i 3��1j
Phone#: 396 ` 3o� - c 3�
Tenant/Lessee Name:
Email;
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING
Address: 3876 NW 125 ST
City: OPA-LOCKA State: FL
Qualifier Name: FRANCISCO SANTOS
State Certification or Registration #: EC0001514
DESIGNER: Architect/Engineer:
hone#: 305-688-2000
Zip: 33025
hone#:
rtificate of Competency #:
Address: City: State:
Value of Work for this Permit: $ 2�00 Square/Linear Footage of Work:
Zip:
Type of Work: ❑ Addition ❑ Alteration ,M New ❑ Repair/Replace ❑ Demolition
Description of Work: P �Y cs l.lJ 4 `%)rr\ I
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ jg��XVP CCF $
Scanning Fee $
Technology Fee $_
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
4
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
Zi
Applicationis 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 o urs even (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be appro d and a einspection fee will be charged.
Signatu
The foregoing instrument was acy
p 3 day of L U 1
iC_ a G n
me or who has produced
identification and who did take an
NOT.
Seal:
Signature
AGENT
CONTRACTOR
rvledged before(me this The foregoing instru ent was acknowledged before me this
20 1'b , by day of it
I 20 _ by
o is personally known to FRANCISCO SANTO who is personally known to
as me or who has produced PERSONALLY KNOWN
as
th. dentification and who did take an oath
�.► ll*,,. ,Notary Public State of Florida {
Estrella Gomez �:A LIC: �,r•` •4� Notary Pubhc State of Ficnda y
M g My Commission GG 162104 `rEstrella Gomez
Expires 11/21/2021 My Commission GG 162104
Expires 11/21/2021
Seal:
APPROVED BY /L�� Plans Examiner
Zoning
Structural Review
(Revised02/24/2014)
Clerk