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EL-17-2669 (2)�srO1tusL�� . .... Ij ....� Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 tarstv�* Phone: (305)795-2204 Permit No. EL-11-17-2669 Permit Type: Electrical - Residential Pen t Work Classification: Pool - Private Permit Status: APPROVED Issue Date:1/26/2018 1 Expiration: 07/25/2018 Project Address Parcel Number Applicant 161 NE 106 Street 1121360060380 Miami Shores, FL 33138-2036 Block: Lot: JEAN ROY Owner Information Address Phone Cell JEAN ROY 161 NE 106 Street (786)483-7782 MIAMI SHORES FL 33138- 161 NE 106 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone SHINE ELECTRICAL ENGINEERING (305)688-2000 of Work: ELECTRICAL FOR NEW POOL itional Info: ELECTRICAL FOR NEW POOL ;sification: Residential nning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $4.50 $3.00 $0A0 $300.00 $3.00 $1.60 $313.70 Valuation: $ 1,500.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # EL-11-17-65607 11/08/2017 Check #: 301866 $ 50.00 $ 263.70 01/26/2018 Check* 301941 $ 263.70 $ 0.00 Avauame Inspection Type: Final Light Niche Bonding 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 c ify The What he foregoing nformation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. yt ere, uthgjFize tba- ove-named corftractorxo do the work stated. Z Authorized Si nat e: Owner J/ Applicant / Building Department Copy January 26, 2018 January 26, 2018 Agent 1p"F-C �Fa'1 v�..l� Miami Shores Village N v g 21017 Building Department BY: 1_ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 —� Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 S� FBC 20(9 BUILDING Master Permit No._bfv )-?-'ZUDG PERMIT APPLICATION Sub Permit No. EL t1-LG6 q ❑ BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1 (., \ '� 1 (5 Ca .5 -: City: Miami Shores County: Miami Dade Zip: 33 1 3 Folio/Parcel#: 11 - 2,13 (. - ObCo n3kO Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):1-0 C- Phone#:_ %$ 6 — � S3 — %7(5 � Address: 1 U I tic 10 (. Sk City: 5 Ll,---c5 State: (f ( Zip: 3Y Tenant/Lessee Name: Email: CONTRACTOR: Company Name: Shine Electrical Engineering Address: 3876 NW 125 St City: Opa-Locks State: FI Qualifier Name: Francisco Santos Phone#: Phone#: 305-688-2000 zip: 33025 Phone#: State Certification or Registration #: EC0001514 Certificate of Competency #: _ DESIGNER: Architect/Engineer: Phone#: Address: City: State Value of Work for this Permit: $ 1 S a b Square/Linear Footage of Work: Zip: Type of Work: ❑ Addition ❑ Alteration ® New ❑ Repair/Replace ElDemolition Description of Work: � 1tC -n'c VA &- V00 1 Specify color of color th�(ru tile: Submittal Fee $ v✓� (� I•L\ Permit Fee $ _,70 0/©0 CCF $ CO/CC $ Scanning Fee $ Radon Fee $ 3 • C� DBPR $ �� Notary $ Technology Fee $ Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) OL '% Donding 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 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 ER or The foregoing instrument was acknowledged before me this 4 — day of 120 1 —1 by 4z�— who is personally known to me or who has produced as identification and who did to Sign Print: Seal: Vrw ••Q any -� • Signature CONTRACTOR The foregoing instrument was acknowledged before me this .day of , 20 by Francisco Santos who is personally known to me or who has produced r as identification and who did to N APUBLSiPr Seal: oath.44 ``,1111111111//�� 02 , • SEPTE Af. :�� k i iQ • � '• Gd�JU ��/ ' d' ' . ►wrMete � �� /i� • .. • • r *********************************************** Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014)