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EL-18-1382Permmo. EL -5-18-1382 Permit Type: Electrical - Residential er, it Work Classification: Pool - Private Pennit Status: APPROVED Issue Date: 6/26/2018 I Expiration: 12/23/2018 Project Address Parcel Number Applicant 142 NW 101 Street 1131010220180 Miami Shores, FL 33150- Block: Lot: SEKOU RASHAD CALDWELL Owner Information Address Phone Cell SEKOU RASHAD CALDWELL 142 NW 101 Street (206)512-4708 MIAMI SHORES FL 33150- 142 NW 101 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone SUNSHINE ELECTRICAL CONTRACT( (305)268-4958 Type of Work: NEW SWIMMING POOL HOOK UP Additional Info: Classification: Residential Scanning: 1 Fees Due Miami Shores Village " 10050 N.E. 2nd Avenue NW DBPR Fee Miami Shores, FL 33138-0000 „Q` Phone: (305)795-2204 �ORIDp $0.20 Permmo. EL -5-18-1382 Permit Type: Electrical - Residential er, it Work Classification: Pool - Private Pennit Status: APPROVED Issue Date: 6/26/2018 I Expiration: 12/23/2018 Project Address Parcel Number Applicant 142 NW 101 Street 1131010220180 Miami Shores, FL 33150- Block: Lot: SEKOU RASHAD CALDWELL Owner Information Address Phone Cell SEKOU RASHAD CALDWELL 142 NW 101 Street (206)512-4708 MIAMI SHORES FL 33150- 142 NW 101 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone SUNSHINE ELECTRICAL CONTRACT( (305)268-4958 Type of Work: NEW SWIMMING POOL HOOK UP Additional Info: Classification: Residential Scanning: 1 Fees Due Amount CCF $0.60 DBPR Fee $4.50 DCA Fee $3.00 Education Surcharge $0.20 Permit Fee - Additions/Alterations $300.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $312.10 Valuation:L��Lo�j .00 Total Sq Fee AvailableInspections: Inspection Type: Final Light Niche Bonding Review Electrical Alarms Pay Date Pay Type Amt Paid Amt Due Invoice # EL -5-18-67634 06/26/2018 Credit Card $ 262.10 $ 50.00 05/21/2018 Credit Card $ 50.00 $ 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 that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated -1 June 26, 2018 Authorized Signature: Owner / Applicant / Contractor / Age Building Department Copy June 26, 2018 Miami Shores Village Building Department LAY20,8 10050 N.E.2nd Avenue, Miami Shores, Florida 33138Tel: (305) 795-2204 Fax: (305) 756-8972 lByfj AINSPECTION LINE PHONE NUMBER: (305) 762-4949 _ r1_1 FBC 20 C� V / BUILDING Master Permit No f/ PERMIT APPLICATION Sub Permit No. l l7 F-IBUILDING 0 ELECTRIC ROOFING REVISION EXTENSION RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR JOB ADDRESS: 1(4Z A)U /01 DRAWINGS City: Miami Shores County: Miami Dade Zip: sa ),To Folio/Parcel#: �� `J� 01 - On- - Occupancy Type: Load: 0 /90 Construction Type: Is the Building Historically Designated: Yes Flood Zone: BFE: —N O FFE: OWNER: Name (Fee Simple Titleholder): �r%�(J() /�H�J� C;A1�u1 ALL Phone#: Address:_ 1q7_ A )W �3 S City: Mil ?,ut(, State: f l Zip: � Q Tenant/Lessee Name: Phone#: Email: �,� , p CONTRACTOR: Company Name Address: i �LD o S w S L -- City: /21Z Z4222 / State: Z—l'r, Zip: Qualifier Name: f%%d5Wt/5W-V)40 �/ GzS �j,4,c� Phone#: B 0 s" -?)r-$ CFS' State Certification or Registration #: 6U Certificate of Competency #: DESIGNER: Architect/Engineer: e#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition Description of.Wor :1 'St l'yH �� P00/ 9"4z U/ Specify color of color thru tile: Submittal Fee $ Permit Fee $ 3Ome dJ0 CCF $_ Scanning Fee $ Radon Fee $ F> • p DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) 14 • S� CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 2G2- • 10 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lenders 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 Signature _!��-��O���� OWNER or AGENT CONTRACTOR The f regoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this j p day of 20 /, by 1 U day of 20% /� , by wh ` o �iHlj(�� cSAliS , who ' ersonally known fo me or who has produced identification -and who did take an oath. NOTARY PUBLIC: cx Sign: I Print: Seal: �� MICHELLE ESPINOSA-CLARK Y. :° ` MY COMMISSION #FF126847 EXPIRES: MAY 28, 2018 OF Bonded through 1st State Insurance *********** ******************* as me or who has produced identification and who did take an oath. as ` NOTARY PUBLIC: Sign: Print: �^ Seal: MICHELLE ESPINOSA-CLARK 001," MY COMMISSION #FF126847 EXPIRES: MAY 28, 2018 Bonded through 1st State Insurance ********************* ************* APPROVED BY - Uv-" le Plans Examiner Structural Review (Revised02/24/2014) Zoning Clerk