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EL-18-3038Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 I$$ue Da 43/26/2819 Location Address Parcel Number 560 NE 107TH ST, Miami Shores, FL 33138 1122310140030 Contacts Permit No.: E1-40 "038 Permit Type: Electrical - Residential Work Classification: Pool Permit Status: Approved Expiration: 09/23/2019 LAWRENCE CIANCIO Owner 560 NE 107 ST, MIAMI SHORES, FL 331387139 Other:3057836307 OVI ELECTRICAL CONTRACTORS, INC Contractor OVIDIO GONZALEZ Business: 7867127803 Description: LEGALIZE POOL EQUIPMENT AS PER PLAN Valuation: $ 500.00 Inspection Requests: 05-762-4949 Total Scl Feet: 0.00 �j Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Work Without Permit 1st Offense $100.00 Work without Permit 2x Permit Fee $100.00 Total: $316.30 Payments Date Paid Amt Paid Total Fees $316.30 Credit Card 10/03/2018 $50.00 Credit Card 03/26/2019 $266.30 Amount Due: $0.00 Building Department Copy 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 ud�i regu(r�conon as zoning. Futhermore, I authorize the above named contractor to do the work stated. / Applicant / Contractor / Agent Date March 26, 2019 Page 2 of 2 Miami Shores Village RECFjVSD Building Department oc o31o�_e'J 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 T I Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑ BUILDING AELECTRIC ❑ ROOFING (Q�FBC 201'-:� Master Permit No. Sub Permit No. �'k 6-�� ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP p CONTRACTOR DRAWINGS JOB ADDRESS: 5 IV i 1,9 � 1 � City: Miami Shores County: Miami Dade Zia: Folio/Pa the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: �- Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):L X W, R &-AVT [L ) &�1�6V) Phone#: —A6t 6 3e . Addressi �bD 6N'IF L8 --I- �W ` S� City: X 1 1 fkn . Tenant/Lessee Name: Email State: _ �-- — ne#: p: .331 b j CONTRACTOR: Company Name: © VT 676 CI y I C 0, Phone#: -'' 86 Address:: �� Z 4 sr.S\-V 3 3T City: �" l i Lt V"l I ` State: F / Zip: Qualifier Name: & I l * OCti Z / )9� ` 6iz Phone#: State Certification or Registration #: C� < 13 00 Certificate of Competency #: DESIGNER: Architect/Engineer: Ad State: Zip: Value of Work for this Permit: $ 6 QQ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑l Alteration El New NVIRepair/Replace El Demolition Description of Work: �o�� L� V(MM Q ay2 ' MIA T— m O -A ip\�1 .13 ,.i� Y�^f/'f�a•^.�%y�._:ff i+iS'n�lJ Spec' color of color ttiri tile: too '-`"'-` Permit Fee $ too CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ DBPR $ Notary $ Double Fee $ too Bond $ TOTAL FEE NOW DUE $ 2 - ,3O (Revised02/24/2014) Y ` 1 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name'(if applicable) r Mortgage Lender's Address City i 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 OWNER or AGENT . i The foregoing instrument was acknowledged before me this dL day of Serbpr 20 $ by C\C1ACIo who is e o ally known o me or who has produced identification and who did take an oath. NOTARY PUBLIC: 1 \ Signature i CONTRACTOR t The foregoing instrument was acknowledged before me this c day of SPy�f��iP� 20 17 by 1 1 A-bybn Lk 1 P L who ' personally know" now to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: as Sign: Sign: l Q Print: c2sac 0.• J4'^. Print: o, Seal: ' • Notary Public - State of Florida Seal: fi"'::': °- C SAR A. COLLAZO 'o Notary Public State:07 daMy • Commission # GG 179596 %+. - Comm. Expires May 21, 2022 ## ' �) Commission # GG.My NoaryAssn ':9orced Comm. Expires M022eorced'nrojghNa'lora nr.ignNaiona sn **************************************************************************** ** **************************** APPROVED BY Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) EL—JD-I�-?�38 .—) 6PP-Io-la 303� OVI Electrical z � Contractors, WOO Gonzalez Certified Electrical Contractor EC13005855 8245 SW 39 Street, MIAMI, FL 33155 III Miami Shares Village (Building depaqent) 560 ICE 10 th Street Miami Shores, EL, A V E LETTER E 0000022